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

CARE WELFARE SAFETY SECURITY

The CPI Crisis Development Model Unit I The CPI Crisis Development Model

The CPI Crisis Development Model Crisis Development/ Behavior Levels Anxiety Defensive Acting Out Person Tension Reduction Staff Attitude/ Approaches Supportive Directive Nonviolent Physical Crisis Intervention 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 Safety Respectful 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 3. Release CARE WELFARE 4. Intimidation 2. Refusal SAFETY SECURITY 5. Tension Reduction 1. Questioning

The CPI Verbal Escalation Continuum Questioning a. 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 Interventions Give Information- be a resource 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 Reasonable Enforceable 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 Anxiety Defensive Acting Out Person Tension Reduction Staff Attitude/ Approaches Supportive Directive Nonviolent Physical Crisis Intervention Therapeutic Rapport Integrated Experience

CPI’s Personal Safety Techniques Unit III CPI’s Personal Safety Techniques

Definitions STRIKE Grab A weapon coming in contact with a target The attempt to control or destroy part of one’s body

Principles of Personal Safety Strike Block or deflect the weapon Move the target

Principles of Personal Safety Grab Gain a physiological advantage Weak point Leverage Momentum Gain a psychological advantage Remain calm Have a plan 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 and Team Intervention 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 Reduce upper body strength by controlling arms as weapons Turn palms up Raise arms above shoulders Anchor arm to your body (hip area)

Control Dynamics Reduce lower body strength by controlling the back line Lower shoulders below hips

Control Dynamics Reduce mobility by close body contact Move hips close to individual’s body Move the individual’s center of gravity forward, bring him onto his toes (ball of foot)

POST-TEST EVALUATION The End