Conclusion

Family physicians are routinely faced with a variety of acute crises, patient-reported traumas, intimate partner violence, and disaster situations that require a specialized knowledge to understand patient complaints and to successfully develop management and intervention strategies. The goal of crisis intervention and disaster management is to evaluate the precipitants of the crisis, understand the personal meaning of the events, deal with the crisis state itself, and use the selective past history to comprehend the current situation better. It is also important to mobilize the support network and, if relevant, diagnose and treat any comor-bid psychiatric illnesses. A crisis evaluation strategy using a timeline, eco-map, and wheel-and-spoke formulation can be used to help implement a specific problem-solving approach. Crisis treatment includes problem or symptom-oriented therapy, use of adaptive coping styles, 18-step crisis intervention approach, and medications when indicated. Cases involving intimate partner violence require particular attention to violence risk, safety planning, and documentation. All these interventions can be helpful when seeking a resolution of the crisis.

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