provoke power struggle
Acting-out Person - ANSThe total loss of control which often results in a physical acting out
episode
Anxiety (Agitated state) - ANS (An increase or change in behavior that is noticeable, such
as rocking, fists, crying, sweating, and clenched jaw, among other things) Back choke
release: To weaken the choke hold, raise your hands above your head and twist. The person
who is acting out can be startled or distracted by a loud noise. bite release - ANSLean into
the bite (feed the bite) and tickle under their nose. This loosens the jaw to open slightly
allowing you to escape. Again a loud noise may distract them causing an element of
surprise. Quickly move out of the way to maintain safety.
CPI Crisis Development Model - ANS1. Anxiety (agitated state)..... Supportive (show
empathy)
2. Defensive ..... Directive (Give simple clear orders)
3. Acting out person..... Non-violent physical crisis interventions (nonharmful control
positions to be used as a last resort)
4. Tension reduction..... Therapeutic rapport re-establish communication (de-escalated
state)
Defensive - ANSBeginning stages of loss of rationality-individual becomes beligerent and
challenges authority.
front choke - ANSwhile being chokes throw your arms up over your head and twist to get
released. Use a loud noise to startle the person.
Integrated Experience - ANSconcept that behaviors and attitudes of staff can impact the
behaviors and attitudes of those in their care and vice versa.
Intimidation - ANSIndividual is verbally and or non verbally threating staff in some manner.
kick block - ANSto block a kick use the side of your own foot to black and walk away from
the acting out individual.
Kinesics (body language) - ANSnon-verbal messages transmitted by the motion and
posture of the body. ie facial expressions, gestures.
Non-violent intervention techniques -Grab - ANSthink about the weakest part of the hold
which is where the thumb and fore-finger meet leaving the most open area in the hold, use
your other hand to grasp your own fist and pull down or push up towards the weak area.
Making a loud noise can also startle the acting out individual causing them to loosen their
gripe so you can get away from the acting out person.
Non-violent intervention techniques -strike - ANSblock with an OPEN HAND. Example like
waving good bye. blocks punch or hit and provides an out (move away) from the acting out
individual.
one and two handed hair pull - ANSbeing bent over, step in put both hands on top of their
hands and push down. Using a loud sound can also startle them enough to loosen their grip
giving you an opportunity to get away.
Paraverbal communication - ANSThe vocal part of speech which excludes the actual words
one uses
tone of voice (use non-threatening)
volume (appropriate for distance and situation)
Cadence (not too fast or strong)