ANSPosition—where we stand in relation to other people Posture - how we hold and move
our body
Proximity - distance between individuals
Anxiety - ANSNoticable increase or change in behavior such as rocking, fists,
crying,sweating, clenched jaw etc)
Approaches and Examples to limit setting - ANSInterrupt and redirect - "John you are
shouting, please speak quietly"
When and then statement - "When you've cleaned your room, then we can go to the
movies."
If and then statement - " If you don't clean your room, then you will not be able to go to the
movies."
Disengagement Has a Biomechanical Advantage - ANS-Hold and Stabilize -Push/Pull
-Lever
Biomechanical Benefits to Holding Skills - ANS-Outside/Inside
-Limit Range of motion
Manage the arms in Holding Skills: Control Dynamics -Take charge of the slope - Control
mobility CPI Crisis Development Model - ANS1. Anxiety (change)..... Supportive (show
empathy)
2. Defensive (lose rationality) ..... To be direct (to slow down an escalating behavior) 3.
Risk Behavior (risk to self or others)..... Physical Interventions (disengagement and/or
holding skills used as a last resort)
4. Tension reduction (decrease in physical and emotional energy)..... Therapeutic rapport
(re-establish communication)
Defensive - ANSBeginning stages of loss of rationality
Haptics - ANSCommunicating through touch
Integrated Experience - ANSBehavior Influences behavior
Intimidation - ANSIndividual is verbally and or non verbally threating staff in some manner.
Key Legal and Professional Considerations - ANS-accreditation and regulation
-professional codes of practice
-benchmarks for good practice
-criminal/civil law
-LAST RESORT for physical intervention
Keys to Limit Setting - ANS-simple and clear
-reasonable
-enforceable
Kinesics - ANSBody Language such as facial expressions, gesture, movements, etc.
Likelihood vs Severity - ANSlikelihood - the CHANCE that an event or behavior may occur
severity - the level of HARM if the event or behavior were to occur
Opt-Out Sequence - ANSactive decision making framework to enable staff to asses
continued risks in order to minimize duration of restraint
-how do changes impact risk?
-people, behavior, and environment