Crisis Development Model
Individual Behavior Staff Attitude
1. Anxiety 1. Supportive
2. Defensive 2. Directive
3. Acting Out 3. Non-Violent Crisis Intervention
4. Tension Reduction 4. Therapeutic Rapport
Anxiety
A noticeable increase or change in behavior
Supportive
An empathic, non-judgmental approach attempting to alleviate. (Listening, take a break)
Defensive
Beginning stage of loss of rational. (Belligerent, Challenging)
Directive
Staff takes control of the potential escalation. (Timer, Walk)
Acting-Out Person
Total loss of control.
Nonviolent Crisis Intervention
Restraint is last resort
Tension Reduction
Decreases in emotional and physical energy that occurs after a person acts out,
regaining rational.
Therapeutic Rapport
Crying, falling asleep, apologizing, hugging.
Proxemics
1 1/2-3 feet space (depends on size, gender, cultural)
Paraverval Communication
Tone, Volume, Candance
Verbal Escalation Continuum
Question, Refusal, Release, Intimidation, Tension Reduction
Questioning
Information seeking
Challenging- questioning authority, evasive, attempting to draw staff in
Questioning interventions
give arational response
stick to the topic, ignore the challenge
Refusal
non-compliance, loss of rational
Refusal Interventions
set limits- First...Then
Release
verbal acting out and emotional outburst
Release interventions
allow student to act out, remove audience
Intimidation
, verbal/nonverbal
Intimidation Intervention
seek assistance, avoid hands on, take it serious
Tension Reduction
A drop in energy, low level defensive
Verbal Intervention Techniques
calm, isolate situation, enforce limits, listen, be aware of non verbal, consistant
Empathic Listening
active process to discern what the person is saying.
non-judgmental, undivided attention, listen carefully, allow silence, restate to clarify
Unproductive Response
freezing, over reacting, responding inappropriately
Productive Response
increase speed in strength, increase awareness, decrease reaction time
Strike
a weapon coming in contact with a target (hit, kick, throw)
Grab
the control or destruction of a part of one's anatomy
CPI Principals' of personal safety
Block and Move
Precipitating Factors
internal/external cause of acting out-staff has no control of
Rational Detachment
stay professional, don't take it personal
Integrated Experience
the concept the behaviors and attitudes of staff impact the behaviors and attitudes of
those in their care- visa-verse
Precipitating factors Can
prevent behaviors, recognize staff is not the case, avoid becoming the cause.
CPI Purpose
Care, Welfare, safety, security of all
Crisis Development Model
Individual Behavior Staff Attitude
1. Anxiety 1. Supportive
2. Defensive 2. Directive
3. Acting Out 3. Non-Violent Crisis Intervention
4. Tension Reduction 4. Therapeutic Rapport
Anxiety
A noticeable increase or change in behavior
Supportive
An empathic, non-judgmental approach attempting to alleviate. (Listening, take a break)
Defensive
Beginning stage of loss of rational. (Belligerent, Challenging)
Directive
Staff takes control of the potential escalation. (Timer, Walk)