CPI Training 2023/2024 WITH COMPLETE SOLUTIONS

CPI Training 2023/2024 WITH COMPLETE SOLUTIONS What are the core values of CPI - Care, Welfare, Safety, and Security for all involved. Core value of CPI- CARE - demonstrate respect, maintain dignity, and being nonjudgmental and empathetic. Core value of CPI- WELFARE - provide emotional and physical support and always consider the client's best interest. Core value of CPI- SAFETY - protect human rights and reduce and manage risks. Core value of CPI- SECURITY - maintain a safe, effective, and therapeutic relationship that relies on collaboration. Aggression - the outward expression of anger. Yelling, grunting, verbalizing.... Violence - the physical expression of anger. throwing desks at people. Punching.... Key Learning Objective of CPI - Identify behaviors that indicate an escalation toward aggression and violent behaviors. Take measures to AVOID escalation and to decelerate the crisis situation. Crisis Development Model - Behavior levels and the staff attitudes/approaches in response. The ANXIETY behavior level - individual demonstrates changes in behavior. wringing hands, sweating, rocking, talking rapidly. The DEFENSIVE behavior level - individual is starting to lose rationality. Responses are disproportionate. sewaring, posturing, throwing items off table. The RISK behavior level - individual is demonstrating behaviors that put himself or others at risk. May become physically violent or throw things at others. The TENSION REDUCTION behavior level - individual demonstrates a decrease in emotional and physical energy. Increase in RATIONALITY. RELAXED Staff Attitude/Approach to ANXIETY - Supportive Supportive approach in response to an individual's anxiety - Offer support, empathy, and tools you may know that will help them to become calm. Ask and listen to what the person has to say. Staff Attitude/Approach to Defensive Behaviors - Directive Directive approach in response to an individual's defensive behaviors - DECELERATE an escalating Behavior. Offer choices. set limits, give opportunities, remain calm. Use visuals, reduce conversation, and utilize first/then strategies. MANAGE the environment to REDUCE risk. Staff Attitude/Approach to Risk Behaviors - Physical Intervention The PHYSICAL INTERVENTION approach to risk behaviors - Disengagement and or holding strategies to manage a risk behavior. Continuously assess the behaviors and risks. Use least restrictive responses. Response must be proportionate and reasonable. EX. barriers, removing others from the classroom.... Staff Attitude/Approach to TENSION REDUCTION - Therapeutic Rapport THe approach of THERAPEUTIC RAPPORT in response to an individual's tension reduction. - re-establish communication. Express you still care about the individual. Debrief after the crisis with the individual and the staff separately. Provide coping skills Nonverbal communication that can help prevent escalation or promote de-escalation of crisis situations. the "ics words" - proxemics, kinesics, and haptics nonverbal communication- proxemics - personal space one allows is a form of nonverbal communication to help deescalate crisis situations. nonverbal communication- kinesics - a person's body movements such as posture, eye contact, hand movements, eyebrow movements can help to deescalate or decelerate crisis situations. nonverbal communication-haptics - communication through touch or refraining from touch can help to decelerate a crisis situation. Supportive Stance- Nonverbal Communication - the staff member is a legs length away and turned with legs at a wide stance. Reasons for SUPPORTIVE STANCE - 1- Communicates respect, 2- non-threatening, 3- maintain safety Supportive stance includes what three Ps - Position, proximity, and posture position - where you are in relation to the individual posture - how you hold and move your body proximity - distance between individuals Paraverbal and Verbal Communication affects on what listener hears. - T, V, C What are the paraverbal components that affect a verbal message. - Tone, Volume, Cadence Verbal Interventions for the Defensive level of Crisis. - It does not have to go in order. QRRIT. Questioning, Refusal, Release, Intimidation, Tension Reduction. (Kite graphic Defensive level of Crisis - QRRIT Verbal intervention for Defensive QUESTIONING - give a rational response. They are information SEEKING or QUESTIONING AUTHORITY. Give a rational answer if information seeking. If questioning authority just stick to topic and set limits. Stay on topic and avoid being drawn in. Verbal intervention for Defensive REFUSAL - this can be verbal or nonverbal noncompliance. set limits. use the 5 step approach 5 step approach to limit setting for the refusal level of defensive behavior. - 1. explain WHICH behavior is inappropriate. 2. explain WHY the behavior is inappropriate 3. give reasonable choices and consequences 4. Allow Time 5. Follow Through with consequences Verbal Intervention for Defensive RELEASE - This is an emotional or verbal outburst. May be a tantrum/flipping desk/yelling/venting. Intervention- allow venting. Remove the audience or the person. Verbal Intervention of Defensive INTIMIDATION - verbally or nonverbally. do the following: 1- take threats seriously (back up with hands up in front of you) 2- seek assistance. Consider intent and capacity to follow through. 3- Validate and listen to them