Nonviolent Crisis Intervention® Training Program (Refresher) Luzerne Intermediate Unit #18.

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Nonviolent Crisis Intervention® Training Program (Refresher) Luzerne Intermediate Unit #18

Transcript of Nonviolent Crisis Intervention® Training Program (Refresher) Luzerne Intermediate Unit #18.

Nonviolent Crisis Intervention® Training Program (Refresher)

Luzerne Intermediate Unit #18

Unit I

The CPI Crisis Development Model

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

CPI Supportive Stance

• About a leg length away

• On an angle

• Hands visible

Reasons for using the CPI Supportive Stance

1. Safety

2. Respectful

3. Non-threatening

Unit II

Verbal Intervention

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

• Refusal– Noncompliance, no-mode, drop and flop

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

• Release– Verbal venting, tantrums, screaming, yelling

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

• Tension Reduction

Decrease in Emotional and Physical energy

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

Unit III

CPI’s Personal Safety Techniques

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

• Strike

1. Block or deflect the weapon

2. Move the target

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

Unit IV

Nonviolent Physical Crisis Intervention and Team

Intervention

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)

POST-TESTEVALUATION

The End