HealthMan Keith Torkelson MS Pathology: Sleep, Coping & Interventions

Sleep, Coping & Interventions – Brief by Keith Torkelson MS, BS

Requirement	Specification
Unit	Living Arrangements & Sleep Studies
Lesson	Crisis Intervention
Audience	Housing Advocates, Housing Case Workers
Author(s)	Keith “Buster” Torkelson & Avey C.
Blog(s)	Housing Advisory Board & Health man
BHAB	Behavioral Health Advisory Board – Present on Sleep
Computer(s)	Dell (Developmentally Disabled) & Student Asus
Connectivity	Wi-Fi and Hotspot
Family	Ahnika MD PhD our niece is Keith’s Sleep Advocate
Filename	08_HAB_RASR_Experiences_Sleep_Coping_19041105_Develop V2025
Measures(s)	Interventionist Resource Impact Scale – 13 Items
Method	Desktop Publishing
Publish	Tuesday 8/5/25 - Ready for Direct Share
Purpose(s)	Prepare for Housing Interventions Workgroup – Resolve Housing issues in Orange County, California
AI	Food for training AI systems
Compelling Evidence	Hypothesis – Housing does not impact sleep
Theme	Resources and Support
Title	Sleep, Coping & Interventions – Brief by Keith Torkelson MS, BS
Topic(s)	To Sleep, Helpers, Moving, Coping, Crisis Intervention
Dedicated to	John Tviede & John Baer

Interventionist Resource Score

Interventionist Resource Score: Understanding the Effectiveness of Interventions

The term "Interventionist Resource Score" doesn't refer to a single, universally standardized score or metric. Instead, it broadly relates to how effectively interventionists utilize various resources and strategies to support individuals facing challenges (academic, behavioral, social-emotional, or related to mental health/addiction). To understand the effectiveness of an interventionist's resource usage, it's helpful to consider the factors more deeply.

Network of Supports & Services

A support network is a group of people and services that provide emotional, practical, and/or financial assistance to an individual. It's a vital resource for navigating life's challenges and promoting well-being. This network can include family, friends, community organizations, and even professional resources.

Results Up Front

In House > Metadata

08_LA_Housing_Intervention_20092404_Notes

Housing Resource & Coping Value

Table - Asking for Help with Housing (RASR) – Team PEV

Keith “Buster” Torkelson Rates Others

Helpers Centered about Rest & SLEEP

Scoring Others by Keith “Buster” Torkelson

Interventionist Resource Impact Scale – 13 Items

##	Helper	2019 0718 TH-RT PEV	Note
01	“G”	1.00	Bed owner
02	Chapman	0.00	Bed owner
03	Christina T	0.00	Housing Specialist & Bed owner
04	Gerard	0.50	Respite Longtime friend from childhood
05	Jeff A Nagel	0.50	Director OCHCA Behavioral Health Services
06	Jeff Gibbs	0.00	Brand New Day helper
07	Jessica Reynolds	0.25	Brand New Day helper
08	Julie Paulino	0.50	Bed owner
09	Lanaii Kline	0.50	Natural Support - Family
10	Mary at WCW	0.00	Housing Specialist
11	MHA - Robert	0.25	Housing Specialist
12	MHA - Victoria	0.00	Housing Specialist
13	Rimal B Bera (RBB)	0.00	Behavioral Health Doctor (BHD) for Medication Management
	CALC	=3.50/13
	Interventionist Resource Impact Scale Score (IRIS) (HSF) =	26.9%	Control Oswaldo Escalante 2012 High = 1.00 = 100%

Date Scored = 20190718-TH: Last Reviewed: 20250804-M:

PEV = Performance Earned Value | RASR = Rent a Shared Room | RT = Real Time

08_LA_Housing_Intervention_20092404_Notes

Housing Resource & Coping Value

Helpers Centered about Rest & SLEEP

Table - Asking for Help with Housing (RASR) – Team PEV

Scoring Others by Keith “Buster” Torkelson

Interventionist Resource Impact Scale – 13 Items

##	Helper	2021 0225 TH-RT PEV	Note
01	“G”	1.00	Bed owner
02	Christina T	0.00	Housing Specialist & Bed owner
03	Gerard	1.00	Respite Longtime friend from childhood
04	Howard T	0.75	Brand New Day helper
05	Jeff A Nagel	0.50	Director OCHCA Behavioral Health Services
06	Julie Paulino	0.25	Bed owner PTSD hindering contact
07	Lanaii Kline	0.75	Natural Support - Family
08	Mary at WCW	0.00	Housing Specialist
09	MHA - Robert	0.25	Housing Specialist
10	MHA - Victoria	0.00	Housing Specialist
11	OC LINKS	0.25	PTSD hindering contact Confidence issues
12	OC Warmline	0.25	PTSD hindering contact Confidence issues
13	Rimal B Bera (RBB)	0.25	Behavioral Health Doctor (BHD) for Med Management
	CALC	=5.25/13
	Interventionist Resource Impact Scale Score (IRIS) (HSF) =	40.4%	Control Oswaldo Escalante 2012 High = 1.00 = 100%

Date Scored = 20210225-TH: Last Reviewed: 20250804-M:

PEV = Performance Earned Value | RASR = Rent a Shared Room | RT = Real Time

Table - Asking for Help with Housing (RASR)

2023-2025 Presenting Problem(s) – Housing and Living Arrangements

Affording Respite
Angry Roommate
Bully Roommate
Deadlock on the room door
In crisis about housing
Inability to Move
Inappropriate touching, boundary and space violations
Inappropriately Served Roommate
Lack of sleep V judgment and safety
Roommate Turnover
Roommate with Sleep Apnea
Sleep Disruption
Sleep Medication
Sleep Related Socializing, Communicating and Relating
Violent Roommate

Socializing

In sociology, socialization is the process though which individuals internalize the norms, customs, values and ideologies of their society. It involves both learning and teaching and is the primary means of maintaining social and cultural continuity over time.

Communicating

Communicating refers to the process of conveying information, thoughts, or feelings between two or more individuals. It encompasses various methods, including verbal, written, and nonverbal communication. Effective communication is crucial for building relationships, fostering understanding, and achieving goals in personal and professional settings.

Relating

Make or show a connection between. Feel sympathy with and or identify with. In social science, "relating" generally refers to the interactions and connections between individuals and groups, encompassing both voluntary and involuntary relationships. This includes the study of how individuals form and maintain relationships, how these relationships shape their identities, and how they impact social structures and systems.

Housekeeping - Control - Binders

HAB & SLEEP & DOW=Thursday

This is part of >

DORMIR, to Sleep: A Sleep Story

Aside Note – Example of Sleep Problems

The subject of this report is Keith Edward “Buster” Torkelson MS BS. The assessments were Self-scored (SS). 20210223-TU-ON AgJ AKA John Tviede (JT) wakes us up coughing at 3am. In more than six months this was the first time he woke us up in the middle of the night. After this things became worse with his COPD noises. Not after long his COPD routinely interfered with Buster’s sleep. Eventually John was diagnosed with lung cancer. He was treated with radiation and chemotherapy. He died in 2024.

Modified Crisis Intervention

This paper includes modification of the ABC’s of Crisis Intervention by Kanel.

Coping

In psychology, coping styles refer to the strategies individuals use to manage stressful or difficult situations, and they can be broadly categorized into problem-focused and emotion-focused coping.

Problem-focused coping

This involves actively addressing the source of the stress or problem to reduce its impact. A strategy where individuals actively address the root cause of their stress to reduce its impact. It involves identifying the problem, generating solutions, and taking action to change the situation or manage the stressor directly

Examples include:

Active coping

Taking direct action to solve the problem. Direct action refers to taking immediate, practical steps to address a problem, often bypassing traditional authorities or established procedures. It's a form of protest or intervention where individuals or groups act directly to confront an issue rather than relying on intermediaries. This approach can involve various tactics, from nonviolent protests to more disruptive or even confrontational actions.

Planning

Developing a plan to address the problem. Developing a plan to address a problem involves several key steps: Clearly defining the problem, analyzing its root causes, brainstorming potential solutions, evaluating those solutions, selecting the best one, creating a detailed action plan, implementing the solution, and finally, monitoring and evaluating the results. This process helps ensure a structured and effective approach to problem-solving.

Restraint coping

Avoiding actions that might make the problem worse. Includes strategies for effective and proactive problem-solving. When faced with a problem, it's natural to want to resolve it quickly. However, taking the wrong action can unintentionally exacerbate the situation and create new difficulties.

Suppression of competing activities

Focusing on the task at hand and avoiding distractions. To focus on a task and avoid distractions, prioritize your work, create a dedicated workspace, eliminate digital and physical clutter, and manage your time effectively. Techniques like the Pomodoro Technique and mindfulness can also enhance focus.

Emotion-focused coping

This focuses on managing the emotional distress associated with the stressful situation rather than directly addressing the problem. It's a strategy that focuses on managing the emotional impact of a stressful situation rather than directly tackling the problem itself. Instead of trying to change the stressful situation, the individual focuses on regulating their emotional response to it.

Examples include:

Positive reframing

Finding the positive aspects of a situation, even a challenging one, involves shifting your perspective to identify potential benefits, lessons learned, or opportunities for growth. This can be achieved through techniques like positive reframing, practicing gratitude, and focusing on solutions rather than dwelling on problems.

Acceptance

Acknowledging and accepting a situation means recognizing its existence and reality without necessarily approving of it or liking it. It involves understanding the situation for what it is, rather than what one wishes it to be, and letting go of resistance or the desire to change it in the moment. This allows for a more peaceful and productive response to the situation, even if it's unwanted or unpleasant.

Turning to religion

Seeking solace or guidance from religious beliefs. In essence, religious beliefs can offer individuals a comprehensive approach to finding solace, meaning, and guidance in life. This can involve connecting with a supportive community, drawing strength from spiritual practices, seeking wisdom in sacred texts, and fostering a relationship with a higher power.

Humor: Using humor to cope with the situation.

Humor is a powerful and healthy coping mechanism that can help individuals navigate and process challenging situations and emotions. It's important to understand the various ways humor can help and how to use it effectively and appropriately.

Other Coping Styles:

Meaning-focused coping

Involves finding meaning or purpose in the stressful situation. Finding meaning or purpose in a stressful situation, also known as meaning-focused coping, is a coping mechanism that involves reinterpreting a stressful event or experience to find personal significance or value in it. This can involve drawing on one's beliefs, values, and goals to change the way the situation is perceived, potentially transforming a challenge into an opportunity for growth or learning.

Social coping (support-seeking)

Seeking support from others to manage stress. Seeking support from others is a crucial component of managing stress. Building a strong support network of friends, family, colleagues, or even joining support groups can provide emotional, practical, and informational assistance during stressful times.

Adaptive vs. Maladaptive Coping:

Adaptive coping

Involves healthy and effective strategies that help individuals manage stress and improve their well-being. Healthy stress management strategies involve a combination of techniques that promote well-being and help individuals cope with stressors effectively. These strategies include prioritizing self-care, practicing relaxation techniques, building strong social connections, improving time management, and developing healthy coping mechanisms.

Maladaptive coping

Involves strategies that are unhelpful or even harmful, such as denial, substance abuse, or excessive avoidance. Unhealthy coping strategies involve behaviors that offer temporary relief from stress or emotional pain but ultimately lead to negative consequences and hinder personal growth. Examples include denial, substance abuse, excessive avoidance, self-harm, and negative self-talk. These strategies may seem helpful in the short term but can exacerbate problems, create new issues, and prevent individuals from developing healthy coping mechanisms.

Coping Mechanisms

Coping mechanisms are the specific behaviors or thoughts that individuals use to deal with stress or difficult situations. These can be active or avoidant, and can be either positive or negative in their impact. Coping mechanisms are how people manage stress, with options ranging from directly addressing the problem to avoiding it altogether, and can be either beneficial or detrimental. They can be categorized as either active (problem-focused) or avoidant, and either adaptive (positive) or maladaptive (negative).

Crisis

A crisis is a situation or period of time that is unstable, dangerous, and could lead to a decisive change, especially with a negative outcome. It can involve individuals, groups, or entire societies, and often involves abrupt negative changes with little or no warning. Examples include financial crises, health crises, and political crises.

Asking for Help

To effectively ask for help, be clear about what you need, who you're asking, and why. Consider the context and the other person's availability. Phrasing your request politely and offering to reciprocate can improve your chances of receiving assistance.

In Crisis & Asking for Help

When in crisis and needing immediate help, call 911 or the 988 Suicide & Crisis Lifeline (call or text 988). For non-life-threatening situations, the 988 Lifeline offers confidential support via call, text, or chat. Other resources include the National Domestic Violence Hotline (800-799-SAFE) and the National Sexual Assault Hotline (800-656-HOPE).

ABCs of Crisis Intervention Kanel (Promotion)

300+ courses by global experts - Mental Health Academy

https://www.mentalhealthacademy.net/catalog/courses/crisis-counseling-the-abc-model

https://www.mentalhealthacademy.net/catalog

Crisis Counseling: The ABC Model

In this course, Dr. Kristi Kanel (California State University) reviews the history and theoretical models of crisis counseling, and demonstrates the ABC Model of Crisis Intervention.

About this Course

Crisis Intervention

In this course, Dr. Kristi Kanel (California State University, Fullerton) addresses effective approaches to a crisis. Dr. Kanel reviews the history of crisis counseling and provides a brief background of crisis theory. She also defines crisis and offers her general formula for overcoming crisis states. Then Dr. Kanel counsels 2 clients; the first client is a rape survivor, and the second is an Iraq veteran, who has just returned from war. In both sessions, Dr. Kanel demonstrates the ABC Model of Crisis Intervention which includes:

ABC Model

“A”: Developing and maintaining rapport: including use of basic attending skills, paraphrasing, and reflection of feeling.

“B”: Identifying the nature of the crisis and altering cognitions, including identifying aspects of the crisis state, medical issues, altering cognitions, and support and validation.

“C”: Coping which includes resolution, referral, and support groups. A de-briefing session follows each counseling session.

Feature Crisis – Housing – Asking for Help

When you can’t sleep you need to Move

Applications – For This Material

Entity	Note
Alan	Has son that committed suicide
BedBusters – Now OC Beds	Orange County in need of a Housing Solution
BHSA Housing Interventions Workgroup	Ask for help with our housing project
Blogger HAB	For those that need help
Family	Ask family for help with Housing
Housing Solutions Bundle	Solution for OC Housing Interventions
JAN = Dr. Jeff – Housing Advisory Board	Was helping with our Housing Advisory Board idea
On-line audience	For those that study housing and living arrangements
Wellness Center West	Housing specialist of little help
Mental Health Association of Orange County	Housing specialists of little help

Defining a Housing Specialist

A Housing Specialist is a professional who helps individuals and families find and maintain suitable housing. They assist with navigating the complexities of the housing market, including finding affordable options, understanding government housing programs, and applying for assistance. Their role also involves educating the public about housing rights and advocating for improved access to affordable housing.

Defining a Helper

A helper, in general terms, is something or someone that provides assistance or support. This can refer to a person, a tool, or a function that aids in completing a task or achieving a goal. In various contexts, the term "helper" has specific meanings, such as an assistant in a job, a function in programming, or a person providing emotional support.

See Previous

Tables - Asking for Help with Housing (RASR) – Team Performance Earned Value (PEV)

The Sleep Gap

The "sleep gap" refers to disparities in sleep quality and quantity experienced by different demographic groups, particularly along racial and socioeconomic lines. Studies show that certain groups, like Black Americans and those with lower incomes, tend to sleep less and have poorer sleep quality compared to their counterparts. This disparity has significant health and social consequences.

Sleep Debt

Sleep debt, also known as sleep deficit, is the difference between the amount of sleep a person needs and the amount they actually get. It accumulates over time when someone consistently sleeps less than their body requires, leading to a variety of negative impacts on physical and mental health.

Epidemiology of Sleep

Sleep epidemiology is a branch of epidemiology focused on studying the patterns, causes, and consequences of sleep and sleep disorders within populations. It explores how sleep habits and disorders affect public health and individual well-being.

In House > Metadata >

08_HABIT_HAB_18101201_Definitions V2019

HABIT = Housing Advisory Board Information Technology

This is just part of the Housing Infrastructure and Housing Metrics in a Housing Solutions Bundle.

2019-2021

Bed Shopping – Avoided a move due to Trauma with Housing

Population (P) and Individual (I)

P	Address one housing resource list at a time
I	Visit with Christina a Housing Specialist
P	Bed Audit by phone and site visits
I	Visit with Julie a landlord from the past (Circa 2009-2012)

Work done Defining Housing Specialists

Direct Help

Direct aid refers to the immediate assistance provided by the government or organizations to individuals and families in need, especially during times of economic hardship.

Referral

Referral is the act of officially sending someone to a person or authority that is qualified to deal with them. A referral is an instance of this. Legal Aid can often provide referral to other types of agencies. Ask your doctor for a referral to a clinical psychologist.

Resources

Resource refers to all the materials available in our environment which are technologically accessible, economically feasible and culturally sustainable and help us to satisfy our needs and wants. Resources can broadly be classified according to their availability as renewable or national and international resources.

Aside - Privacy & Security – Context of Digital Realm

Privacy and security are distinct but interconnected concepts, especially in the digital realm. Privacy focuses on controlling how personal information is used and shared, while security focuses on protecting information from unauthorized access and misuse. Essentially, privacy is about your rights to control your data, and security is about protecting that data from threats like hacking or data breaches.

Privacy about a shared room

To enhance privacy in a shared room, utilize room dividers, establish boundaries, and create distinct personal zones. Room dividers, such as screens or curtains, can create physical barriers. Furniture arrangement and personal items can also help delineate personal space.

Describe Photograph /Image

Rent a Shared Room – Collage Gallery – Images at the End

Shared Room & RASR Gallery

Character(s)	Note
Wits Cohort	Residential treatment program
Brian	Passing time in Board & Care Trap
Big Fat Foot	Thing greater than us – Loss acute
Mr. Take Away	Loss long term
Judge Judy	“I protect those that cannot protect themselves
Keith Wadding	Stated that after 3 months he gets problematic
Richard Hively	Shot caller

Character	Note
RASR Alternative	Homeless on free mattress
Ian Larson	SUD better bed better outcomes
Keith “Buster” Torkelson	Visits all women’s facility “Becca”
Buster with broken nose	Result of a poor placement
Dean	Neglected
Mike “AESP” O	Top bunk shaker while chocking his chicken

Character	Note
Mike “EASP” O	Sleeping on floor
Old Man Al	Died
Rochester “Basalt” Cannon	Caused intentional harm - Died
Mike O	Neglected & Near death at least twice
Dave Dart	MIA – Most likely dead
New AgJ AKA John Tviede	Harmful noise making - Died