CPI Training
"If and Then" Example of Limit setting - ANSTell them the desired outcome and then the
positive consequence. Then give the negative outcome and the negative consequence. For
example, "If you use a tissue then you can use my ipad. If you do not use a tissue you you
can not use my ipad."
An example of a limit setting is "Interrupt and Redirect," which ANS uses to get the person's
attention and direct them to the desired activity or outcome. "When and then, first-then"
Example of limit setting - ANSstate expectation and positive outcome. Example, When you
get up we will be able to start our game.
3 Ratings of harm - ANSlow harm, minor harm, major harm
3 Reasons for team interventions - ANS1. SECURITY for everybody 2. Maintenance of
PROFESSIONALISM
3. LITIGATION
5 step approach to limit setting for the refusal level of defensive behavior. - ANS1. 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
Aggression - ANSthe outward expression of anger. Yelling, grunting, verbalizing....
Auxiliary Team Member Responsibilities "C.A.R.E." - ANSC- CHECK - on the physical and
mental health of the individual and staff - on the environment's safety A- ADDRESS- what
needs to happen to deescalate the crisis. - Are their safety concerns? Are holding principles
being utilized safely?
R- RECOGNIZE- additional assistance needed. The need to change intervention strategies
E- ENAGE in- verbal deescalation if the leader asks you to. Support other team member
and look for her cues.
BARE MINIMUM IS TO CARE ABOUT THE INDIVIDUAL IN CRISIS.
Consider the following two variables when considering risk - ANSLikelihood=CHANCE an
event or behavior will occur.
and
Severity= the level of HARM that may occur
Core value of CPI- CARE - ANSdemonstrate respect, maintain dignity, and being
nonjudgmental and empathetic.
Core value of CPI- SAFETY - ANSprotect human rights and reduce and manage risks.
Core value of CPI- SECURITY - ANSmaintain a safe, effective, and therapeutic relationship
that relies on collaboration.
Core value of CPI- WELFARE - ANSprovide emotional and physical support and always
consider the client's best interest.
Crisis Development Model - ANSBehavior levels and the staff attitudes/approaches in
response.
Decision making is based on what? - ANS1. The LIKELIHOOD and SEVERITY of a RISK.
Risk assessment!
, 2. reasonable and proportionate
3. last resort and least restrictive
4. risk of doing nothing
5. rights of humans 6. Legal and professional considerations
Decision-Making Matrix is what type of matrix? - ANSRisk-Assessment Matrix
Defensive level of Crisis - ANSQRRIT
Directive approach in response to an individual's defensive behaviors - ANSDECELERATE
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.
Empathic Listening - ANSan active process to discern what a person is saying.
Examples of Rational Detachment - ANSSTAY CALM
maintain PROFESSIONALISM
QTIP
find POSITIVE OUTLETS for NEGATIVE ENERGY
Five Keys to Empathic Listening - ANS1-be NONJUDGMENTAL
2 give UNDIVIDED attention
3 LISTEN carefully focusing on FEELINGS and FACTS
4. allow SILENCE for reflection
5. RESTATE and REPHRASE
Grabs and Holds - ANSindividual maintains physical contact without consent.
higher level standing children's hold - ANSStand behind the child with one leg behind the
other. wrap and tuck the child's arms across their chest and lean them back on to your front
leg for support.
ANS A very likely event with a high risk of harm and a higher risk of severity. higher-level
holding - ANSA team of two staff reacts in unison and sits on either side of the individual and
places their outer-most hand above the person's elbow and then their inner-most arm along
the inside of the individual's arm and their hand over the wrist of the individual. At the same
time they move to a supportive seated stance and put their outer-most leg out to the side to
provide stability while their inner-most leg is up against the individual's. They then move to
pull their inner most arm back to hold the person's arm above the elbow while pulling up and
back with their other hand over the individual's fist.
How can understanding precipitating factors help staff? - ANS-DE-PERSONALIZE the
situation (don't take behavior personal)
-BE PROACTIVE in prevention (get a fan ahead of time if it's hot)
- AVOID becoming a precipitating factor. (don't wear perfume...)
How to make decisions - ANSbased on fact, objectivity, and what is in the staff and
individuals best interest. Respond to risk behaviors has to be proportionate and reasonable.
Integrated Experience - ANSbehavior influences behavior. look at how you affect your
rational detachment. What strategies do you use at home and at work to help you get
regulated. You are a role model!!!
Key Learning Objective of CPI - ANSIdentify behaviors that indicate an escalation toward
aggression and violent behaviors. Take measures to AVOID escalation and to decelerate
the crisis situation.
Key Principle for Physical Interventions- three Ps - ANSPosture, proximity, position
Key Principles for Holding Skills in addition to the 3 Ps - ANSBiomechanical benefit
-outside inside. place arm along the outside of their elbow and then your hand toward the
inside.
"If and Then" Example of Limit setting - ANSTell them the desired outcome and then the
positive consequence. Then give the negative outcome and the negative consequence. For
example, "If you use a tissue then you can use my ipad. If you do not use a tissue you you
can not use my ipad."
An example of a limit setting is "Interrupt and Redirect," which ANS uses to get the person's
attention and direct them to the desired activity or outcome. "When and then, first-then"
Example of limit setting - ANSstate expectation and positive outcome. Example, When you
get up we will be able to start our game.
3 Ratings of harm - ANSlow harm, minor harm, major harm
3 Reasons for team interventions - ANS1. SECURITY for everybody 2. Maintenance of
PROFESSIONALISM
3. LITIGATION
5 step approach to limit setting for the refusal level of defensive behavior. - ANS1. 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
Aggression - ANSthe outward expression of anger. Yelling, grunting, verbalizing....
Auxiliary Team Member Responsibilities "C.A.R.E." - ANSC- CHECK - on the physical and
mental health of the individual and staff - on the environment's safety A- ADDRESS- what
needs to happen to deescalate the crisis. - Are their safety concerns? Are holding principles
being utilized safely?
R- RECOGNIZE- additional assistance needed. The need to change intervention strategies
E- ENAGE in- verbal deescalation if the leader asks you to. Support other team member
and look for her cues.
BARE MINIMUM IS TO CARE ABOUT THE INDIVIDUAL IN CRISIS.
Consider the following two variables when considering risk - ANSLikelihood=CHANCE an
event or behavior will occur.
and
Severity= the level of HARM that may occur
Core value of CPI- CARE - ANSdemonstrate respect, maintain dignity, and being
nonjudgmental and empathetic.
Core value of CPI- SAFETY - ANSprotect human rights and reduce and manage risks.
Core value of CPI- SECURITY - ANSmaintain a safe, effective, and therapeutic relationship
that relies on collaboration.
Core value of CPI- WELFARE - ANSprovide emotional and physical support and always
consider the client's best interest.
Crisis Development Model - ANSBehavior levels and the staff attitudes/approaches in
response.
Decision making is based on what? - ANS1. The LIKELIHOOD and SEVERITY of a RISK.
Risk assessment!
, 2. reasonable and proportionate
3. last resort and least restrictive
4. risk of doing nothing
5. rights of humans 6. Legal and professional considerations
Decision-Making Matrix is what type of matrix? - ANSRisk-Assessment Matrix
Defensive level of Crisis - ANSQRRIT
Directive approach in response to an individual's defensive behaviors - ANSDECELERATE
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.
Empathic Listening - ANSan active process to discern what a person is saying.
Examples of Rational Detachment - ANSSTAY CALM
maintain PROFESSIONALISM
QTIP
find POSITIVE OUTLETS for NEGATIVE ENERGY
Five Keys to Empathic Listening - ANS1-be NONJUDGMENTAL
2 give UNDIVIDED attention
3 LISTEN carefully focusing on FEELINGS and FACTS
4. allow SILENCE for reflection
5. RESTATE and REPHRASE
Grabs and Holds - ANSindividual maintains physical contact without consent.
higher level standing children's hold - ANSStand behind the child with one leg behind the
other. wrap and tuck the child's arms across their chest and lean them back on to your front
leg for support.
ANS A very likely event with a high risk of harm and a higher risk of severity. higher-level
holding - ANSA team of two staff reacts in unison and sits on either side of the individual and
places their outer-most hand above the person's elbow and then their inner-most arm along
the inside of the individual's arm and their hand over the wrist of the individual. At the same
time they move to a supportive seated stance and put their outer-most leg out to the side to
provide stability while their inner-most leg is up against the individual's. They then move to
pull their inner most arm back to hold the person's arm above the elbow while pulling up and
back with their other hand over the individual's fist.
How can understanding precipitating factors help staff? - ANS-DE-PERSONALIZE the
situation (don't take behavior personal)
-BE PROACTIVE in prevention (get a fan ahead of time if it's hot)
- AVOID becoming a precipitating factor. (don't wear perfume...)
How to make decisions - ANSbased on fact, objectivity, and what is in the staff and
individuals best interest. Respond to risk behaviors has to be proportionate and reasonable.
Integrated Experience - ANSbehavior influences behavior. look at how you affect your
rational detachment. What strategies do you use at home and at work to help you get
regulated. You are a role model!!!
Key Learning Objective of CPI - ANSIdentify behaviors that indicate an escalation toward
aggression and violent behaviors. Take measures to AVOID escalation and to decelerate
the crisis situation.
Key Principle for Physical Interventions- three Ps - ANSPosture, proximity, position
Key Principles for Holding Skills in addition to the 3 Ps - ANSBiomechanical benefit
-outside inside. place arm along the outside of their elbow and then your hand toward the
inside.
