Acting-Out Person - ANSTotal loss of control, which often results in a physical acting-out
episode.
Anxiety - ANSA noticeable increase or change in behavior. For instance, pacing, finger
drumming, and hand wringing while staring Components of Paraverbal Communication -
ANS1)Tone-Try to avoid inflections of impatience, condescension in attention. 2) Volume -
Keep the volume appropriate for the distance and the situation. 3) cadence - deliver using an
even rate and rhythm.
CPI Supportive Stance - ANS1) honoring personal space; 2) nonthreatening /
nonchallenging; 3) personal safety / offers an escape route (hand out and standing at the
side with weight on one leg.
Levels of Crisis Development and Behavior: Anxiety, Defensive, Acting Out, and Reducing
Tension Defensive - ANSThe beginning stage of loss of rationality. At this point, people
frequently become belligerent and question authority. Empathic Listening - ANSis an active
process to discern what a person is saying.
1)Be nonjudgmental; 2)Give undivided attention; 3)Listen carefully to what the person is
really saying (focus on feelings, not just facts); 4)Allow silence for reflection; 5)Use
restatement to clarify messages every one is on the same page.
Kenesics - ANSmessage transmitted by the motion and posture of the body; 1) includes
facial expression, gestures, posture and movements; 2) Puts head down, hides in hoodie,
slumps in chair w/arms crossed; 3) A staff members behavior can serve to escalate or
de-escalate a given situation.
Keys to setting limits - ANSBe simple/clear; reasonable; and enforceable
Nonviolent Physical Crisis Intervention - ANSSafe, non-harmful control and restraint
positions used to safely control an individual until he can regain control of his behavior.
These techniques should be used as a last resort.
Paraverbal Communication - ANSThe vocal part of speech, excluding the actual words one
uses.
Proxemics (personal Space) - ANSAn area surrounding the body. 1) Average personal
space is 1.5 to 3 feet; 2) Factors that may affect personal space, gender, size and cultural
background; 3) Invasion will increase a person's anxiety.
Staff Attitudes/Approaches - ANSSupportive, Directive, Nonviolent Physical Crisis
Intervention, Therapeutic Rapport
Supportive - ANSAn empathic, nonjudgmental, approach attempting to alleviate anxiety.
Tension Reduction - ANSA decrease in physical and emotional energy that occurs after a
person has acted out, characterized by the regain of rationality.
Therapeutic Rapport - ANSAn approach used to re-establish communication with an
individual who is experiencing tension reduction.
Dos for verbal intervention - ANS: 1) Stay calm; 2) Isolate the situation; 3) Set limits; 4)
Listen; 5) Be aware of nonverbal cues; 6) Be consistent Dos and Don'ts of Verbal
Intervention - ANS: 1) Overreact; 2) Engage in a power struggle; 3) Make false promises; 4)
Fake attention; 5) Be threatening; 6) Use jargon (words they may not understand).