Nonviolent Crisis Intervention® Training Program (Refresher) Luzerne Intermediate Unit #18.
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Transcript of Nonviolent Crisis Intervention® Training Program (Refresher) Luzerne Intermediate Unit #18.
Nonviolent Crisis Intervention® Training Program (Refresher)
Luzerne Intermediate Unit #18
The CPI Crisis Development Model
Crisis Development/ Behavior Levels
1. Anxiety
2. Defensive
3. Acting Out Person
4. Tension Reduction
Staff Attitude/ Approaches
1. Supportive
2. Directive
3. Nonviolent Physical Crisis Intervention
4. Therapeutic Rapport
Integrated Experience
The CPI Crisis Development Model
• Anxiety:– A noticeable increase
or change in behavior– e.g., pacing, finger
drumming, wringing of hands, rocking, etc…
• Supportive– An empathetic,
nonjudgmental approach attempting to alleviate anxiety
The CPI Crisis Development Model
• Defensive:– The beginning stage of
loss of rationality– Noncompliance, verbal
venting, accuse or blame others
• Directive– Manage a potentially
dangerous situation by setting limits
The CPI Crisis Development Model
• Acting Out Person:– The total loss of
control which often results in a physical acting out episode
• Nonviolent Physical Crisis Intervention– Safe, nonharmful
controls and techniques used to safely manage an Acting Out Person
– Last Resort
The CPI Crisis Development Model
• Tension Reduction:– a decrease in physical
and emotional energy which occurs after a person has acted out
– Regaining control
• Therapeutic Rapport– Reestablish
communication– Learning opportunity– Give closure– Build relationships
The CPI Verbal Escalation Continuum
• Part of the Defensive stage of the CPI Crisis Development Model
• The goal of staff is to deescalate the individual
The CPI Verbal Escalation Continuum
1. Questioning
2. Refusal
3. Release
4. Intimidation
5. Tension Reduction
CAREW
ELFARE
SAFETYSECURITY
The CPI Verbal Escalation Continuum
• Questioninga. Information-seeking: a rational question
seeking a rational response
b. Challenge: questioning authority, being evasive, attempts to draw staff into power struggle
The CPI Verbal Escalation Continuum
• Interventionsa. Give Information- be a resource
b. Stick to the topic (redirect), ignore the challenge (not the person), avoid the struggle
The CPI Verbal Escalation Continuum
• Intervention– The process of setting limits
• Choices/options• Incentives/consequences• Space and time (planned ignoring-extinction)
The CPI Verbal Escalation Continuum
• Intervention– Let child vent– Isolate the situation– Team approach– Enforce limits
The CPI Verbal Escalation Continuum
• Intimidation– Individual is making threats – Verbally or nonverbally
The CPI Verbal Escalation Continuum
• Intervention– Take all threats seriously– (document and inform or exit room)– Take a team approach
The CPI Verbal Escalation Continuum
• Intervention– Establish Therapeutic Rapport
• Reestablish communication
Keys to Setting Limits
• Clear and Concise– Simple and easy to
understand– Use their
communication
• Reasonable– Fair, incentives, buy-in
• Enforceable– Remember space and
time– Follow through
Verbal Intervention Tips and Techniques
• DO– Remain Calm– Isolate the situation– Enforce limits– Listen– Be aware of
nonverbals– Be consistent– Ignore challenge
questions– Be nonthreatening
• DON’T– Overreact– Provide an audience– Change them– Ignore– Communicate emotion– Make false promises– Get in a power
struggle– Be threatening
Remember The CPI Crisis Development Model
Crisis Development/ Behavior Levels
1. Anxiety
2. Defensive
3. Acting Out Person
4. Tension Reduction
Staff Attitude/ Approaches
1. Supportive
2. Directive
3. Nonviolent Physical Crisis Intervention
4. Therapeutic Rapport
Integrated Experience
Definitions
• STRIKE– A weapon coming in
contact with a target
• Grab– The attempt to control
or destroy part of one’s body
Principles of Personal Safety
• Grab1. Gain a physiological advantage
a. Weak pointb. Leverage c. Momentum
2. Gain a psychological advantagea. Remain calmb. Have a planc. Use element of surprise or distraction
Principles of Personal Safety
• Response to the Strike– Natural and instinctive
• Response to the Grab– Not natural and instinctive
Nonviolent Physical Crisis Intervention
• Use a team approach
• Use as a last resort
• Used for protection, not punishment
• Intent is to calm a person down
• Non-harmful in design
RISKS OF RESTRAINTS
• What one needs to breathe– Open Airway– Gas Exchange– Movement of Ribcage and Diaphragm
Control Dynamics
1. Reduce upper body strength by controlling arms as weapons
a. Turn palms up
b. Raise arms above shoulders
c. Anchor arm to your body (hip area)
Control Dynamics
2. Reduce lower body strength by controlling the back line
a. Lower shoulders below hips
Control Dynamics
3. Reduce mobility by close body contacta. Move hips close to individual’s body
b. Move the individual’s center of gravity forward, bring him onto his toes (ball of foot)