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4 Behavior Levels
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1. Anxiety2.Defensive3. Acting Out Person4. Tension Reduction
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Staff Attitude and Approach to Anxiety
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Be Supportive an emphatic non-judgemental attempt to alleviate anxiety
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Staff Attitude and Approach to Defensive
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directive-attempt to control the situation and begin to set limits
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Staff Attitude and Approach Acting Out Person
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non-violent physical crisis intervention
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Staff Attitudes for Tension Reduction
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therapeutic rapport decrease in energy regaining of rationality
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integrated Experience
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we can set the tone for whether or not the behavior escalates or de-escalates
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non-verbal-proxemics (personal space)
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area surrounding your body considered an extension of self. 1 1/2 to 3 feet (typically) culture, height, gender, age, status, appearance, and familiarity.
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kinesics (body language)
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non-verbal message transmitted by motion and body posture. Factors: eye contact, facial expressions send a very strong message gestures, how we stand (stance) hands
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3 reasons for using the CPI supportive stance
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safetyless threateningcommunicates respect
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components of the communication pyramid
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verbal communication, para verbal coomunication, and non-verbal communication
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what is paraverbal communication
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how we say what we say
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three components of paraverbal communication
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tonevolumecadencetotal voice control
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what is the verbal escalation continuum?
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the kite1. Questioning2. Refusal3. Release4. Intimidation5. Tension-Reduction
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what is questioning
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information-seeking
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what is an intervention for questioning
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give a rational responseredirect
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what is refusal?
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non-compliance
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what is an intervention for refusal
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set limitsgive options
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what is release
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high energy outburst
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intervention for release
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let it happenisolate the situation
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what is intimidation
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verbal or non verbal threats
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intervention for intimidation
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take it seriouslyget helpdocument
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what is tension reduction
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decreased energy and regaining rationality
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what is an intervention for tension reduction
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therapeutic rapport
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3 keys to setting limits
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1. keep it simple2. reasonable3. enforceable
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what is empathetic listening
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active process to discern what a person is really saying
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5 things to do during active listening
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1. give un-divided attention2. be non-judemental3. listen for feelings4.allow for silence5. restate to clarify
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what are precipating factors
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the internalor external causes for behavior over which staff has little or no control
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rational detachment
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the ability to stay in control of our own behavior and not take the student's behavior personally
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intergrated experience
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the concept that attitudes and behaviors of staff impact and influence the attitudes and bahaviors of students and vice versa
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3 unproductive reactions to fear and anxiety
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1. freezing2. over-reacting2. responding inappropriately
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3 productive responses to fear and anxiety
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1. increase in speed & strength2. increase in sensory acuity3. decrease in reaction time
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definition of a strike
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a weapon coming into contact with a target
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examples of strikes
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kickingpunchingthrowing
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definition of grab
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an attempt to control or damage part of one's body
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examples of grabs
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bitingscratchinghair pulling
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principles of personal safety regarding strikes (name two)
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1. block or deflect2. move the targey
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principles of personal safety regarding grabs. Name 2
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1. gain physiological advantage2. gain psychological advantage
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Name the 3 control dynamics
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1. reduce upper body strength by conrolling arms as weapons2. reduce lower body strength by managing the back incline3. reduce mobility by close body contact
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what should you consider when putting together a crisis team?
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-2 to 5 people per acting out personconsider how your team is calledconsider the physical location of your teamconsider who will be on the team
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Name 3 reasons to use a team instead of solo intervention
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1. safety2. professionalism3. litigation
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three characteristics of team leader
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1. 1st person on the scene2. confident and competentbest rapport with client
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Name the team leader duties
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1. assess the situation2. plan the intervention3. direct the team4. communicate with the client
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Auxiliary Team Member Duties
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C-A-R-E1. Check for the safety of the environment2. Address safety issues3. Recogize if the intervention needs to be changed4. Engage and support
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what is the CPI COPING Model (strategy for therapeutic rapport)
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C-control physically and emotionallyO-orient to the facts/ non-judgementalP-pattern-triggers and trendsI-investigate alternatives/provide resourcesN-negotiate the contract or changesG-give support and responsibility
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3 steps for facilitating through lecture
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1. term2. definition3. example ( mine and participants)
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3 steps for facilitating through activities
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1. demonstrate/describe2. participate/practice3. explain/expand
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ways to respond to participants questions
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redirectdeflectgive a rational responseparking lot
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ways to maintain safety during training
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following due care guidelinestraining room considerations-enough space, safe, discuss personal injuriespracticing of physicals
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why do we use non violent crisis intervention
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to promote the care, welfare, safety, and security of all of our students
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