Behavior: Out-of-control individual - ANSResponse: Apply nonviolent physical crisis
intervention. Used as a last resort when the person has become a danger to themselves or
others. Temporary position used to protect, not punish.
Behavior: Anxiety - ANSResponse: To reduce anxiety, adopt a non-judgmental, supportive
attitude. Meet the true need that exists.
ANSResponse: Be direct. Behavior: defensive. The staff takes control of a potentially
escalating situation by setting limits.
Behavior: Tension Reduction - ANSResponse: Develop Therapeutic Rapport. Reestablish
communication.
CPI Supportive Stance: What are the three reasons for using it? - ANS1) For safety
2) Less threatening, intimidating and challenging to the Acting-out person
3) Allows both sides to have personal space
Def: Acting-out Person - ANSA total loss of rationality that results in a physical acting-out
episode.
Def: Anxiety - ANSNoticeable change or increase in a person's behavior.
Def: Defensive - ANSBeginning stage of a loss of rationality. Often belligerent and
challenging attitude.
Def: Empathic Listening - ANSAn active process to discern what a person is saying (or
really saying).
Definition: An ANSA decrease in physical and emotional energy following a crisis episode is
known as tension reduction. Rationality is starting to return.
How does one practice Empathic Listening? - ANS1) Be nonjudgmental.
2) Give your undivided attention.
3) Focus on the feelings, and not just the facts.
4) Allow time for reflection. Be quiet; give some silent time.
5) Use restatement to clarify messages.
Step 1: Questioning (What are the 2 types and what is the intervention?) - ANS1)
Information Seeking --> Answer the question with a valid response.
2) Challenging --> Redirect the person back to the top.
Step 2: Refusal (What is refusal and how do you intervene?) - ANSRefusal is
non-compliance... both verbally and non-verbally. Intervene by setting limits.
Step 3: Release (What is release and how do you intervene?) - ANSRelease is a
high-energy output, either verbal or non-verbal. You can intervene by either: 1) isolating the
individual, 2) removing the audience, or 3) allowing the individual to vent safely. Step 4:
Intimidation (What is intimidation and how do you intervene?) - ANSIntimidation is both
verbal and non-verbal threats. Intervene by: 1) Taking them seriously, 2) Get help, and 3)
Document the incident.
Step 5: Tension Reduction (What is tension reduction and how do you intervene?) -
ANSTension Reduction is a decrease in physical and emotional energy following a crisis
episode. The acting-out person may feel ashamed, embarrassed, guilty, apologetic,
remorseful, tired, etc. Intervene by building therapeutic rapport. Ask the person if they want
something to drink, place your hand on their shoulder, take them to a familiar place, etc.