CPI Nonviolent Crisis Intervention 2016(Instructor Exam)Complete

Crisis Development Model Client - Staff Anxiety - Supportive Defensive - Directive Risk Behavior - physical intervention Tension Reduction - Therapeutic Rapport Non verbal messages transmitted by motion and posture Kinesics or body language Communication through touch Haptics Vocal parts of speech excluding the actual words being said Paraverbal Communication The Components of Paraverbal Comm -Tone -volume -cadence Verbal Escalation Continuum 1. Questioning - Information seeking/Challenging 2.Refusal 3. Release 4. Intimidation 5. Tension Reduction Keys to setting limits 1. simple and clear 2. enforceable 3. reasonable Verbal Intervention Tips -remain calm -respectful -listen Active process to discern what the person who is acting out is saying Empathic listening How demonstrate empathic listening non judgemental Undivided Attention Listen Carefully (Focus on feelings and facts) Allow silence for reflection restate and paraphrase Factors that influence behavior Precipitating factors the ability to manage your own behavior and attitude Rational Detachment Unproductive Responses to Fear or Anxiety -Freeze -Overreact -Respond Inappropriately Productive Responses to Fear or Anxiety -Increase in speed & strength -increased sensory acuity (in senses) -decrease in reaction time CPI's philosophy Care, Welfare, Safety, Security for all Examples of potential injury or harm psychosocial injury soft-tissue injury bony injury respiratory restriction cardiovascular compromise Anxiety change in behavior Key Elements to Nonviolent Physical Crisis Intervention 1. no pain 2. intent to calm 3. not restrained on floor 4. team used when necessary 5. only as last resort 6. protect not punish Supportive Empathic, non-judgmental approach Defensive Loss of rationality (beginning stage) Directive decelerating and escalating behavior Physical Intervention disengagement and/or holding skills to manage risk behvior Tension Reduction Decrease in physical and emotional energy, increase in rationality Therapeutic Rapport re-establish communication Proxemics Personal space - Area surrounding body considered extension of self. Reasons for Using Supportive Stance communicates respect nonthreatening maintains safety