1. Nonviolent Physical Crisis Intervention
The goal of Nonviolent Physical Crisis Intervention is to provide the best care, welfare, safety and security to the individuals in your care.

2. Two forms of Aggressive Behavior
Verbal Aggression
Physical Aggression
Verbal Intervention
Physical Intervention

3. Two forms of Aggressive Behavior
Verbal Aggression
Physical Aggression
Physical Intervention
Verbal Intervention
Escalate the
Situation

4. Crisis Development Model An Integrated Experience
Staff Attitudes:
Anxiety – A noticeable
increase or change in
behavior.
Supportive – Letting
them know that you are there
and that you care.
Defensive – The
Beginning stage of loss
of rationality.
Directive – A firm
approach to setting limits.
-Simple -Reasonable -Enforceable
Acting Out Person–
A total loss of emotional
and physical control
Nonviolent Physical Crisis
Intervention – Safe nonharmful
means of controlling someone,
until they can regain control.
Tension Reduction –
Subsiding of energy.
Therapeutic Rapport –
processing, setting up prevention
and teaching.

5. Processing Traumatic Stimuli
Everyday Brain Function:
30% Emotional
70% Cognitive
Emotional - Traumatic Function:
70% Emotional
30% Cognitive
Post Trauma-
40% Emotional
60% Cognitive

6. Processing Traumatic Stimuli
Stimuli enters the Thalamus. The Thalamus determines if the stimuli is threatening or non-threatening.

7. Processing Traumatic Stimuli
The Thalamus sends the information to the Cortex and the Limbic Systems.
The Cortex organizes and interprets the stimuli.
The Limbic System adds the emotion content.

8. Anxiety Level Nonverbal Behaviors
A noticeable change or increase in emotions and or behavior.
Activity

9. Supportive Stance Reasons for using the Supportive Stance:
Personal Safety
Non-challenging and less threatening
Respects and honors a persons space.

10. Nonverbal Behavior Proxemics (personal space)
The area surrounding the body
Average person space = 1 ½ to 3 feet distance.
Backpacks, lockers, desks, personal items would be
Considered an extension of personal space.
Things the effect personal space.
Relationship Gender Hygiene
Culture Setting Past experience
Age Size -Demeanor

11. Nonverbal Behavior Kinesics (body language)
Nonverbal messages transmitted by the movement or posture of the body.
(Level of comfort or discomfort in our personal space)
Examples of Body Language:
-crossed arms or legs -eye contact
-looking away rolling eyes
-hand placement speed of approach
-body posture

12. Para verbal Communication
How we say, what we say.
Para verbal Communication is effected by:
Tone – Inflection of your voice.
Cadence – Rate and rhythm that we speak.
Volume – is the volume appropriate for the situation.

13. Para verbal Communication
Tone
I didn’t say Paul was incompetent.

14. Para verbal Communication
Cadence
Woman without her man is useless.

15. Defensive Level Verbal Escalation
A slight loss of rational understanding and behavior.

16. Verbal Escalation Continuum
Release
Acting out, emotional outburst,
venting (Verbal)
Staff: Allow venting, remove
the audience or
acting out individual from
the area.
4. Intimidation
Verbal or Nonverbal threats.
Staff:
-Documentation
-Team Approach
-Isolation
Defensive Level
Verbal Escalation Continuum
Refusal
Non-compliance, slight loss
of rationality
Staff: Set limits:
-Simple
-Reasonable
-Enforceable.
Tension Reduction
Drop in Energy-Regaining rationality
Staff: Processing the
Situation, setting up prevention and Teaching
Questioning
Information Seeking
Staff: Provide information
Challenging
Staff: Redirect and refocus

17. Verbal Intervention TipsDO
Remain calm.
Isolate the situation.
Enforce limits.
Listen.
Be aware of non-verbals.
Be consistent.
DON’T
Overreact.
Get in a power struggle.
Make false promises.
Fake attention.
Be threatening.
Use jargon (it tends to confuse and frustrate).

18. Empathic Listening is an active process to discern what a person is saying.
Key elements to Empathic Listening:
Be non-judgmental.
Give undivided attention.
Listen carefully to what the person is really saying (focus on feelings, not just the facts).
Allow silence for reflection.
Use restatement to clarify message.

19. Precipitating Factors:
The internal or external causes of Acting Out Behavior that the staff has little or no control over.

20. Precipitating Factors:
Influences:
-displaced anger failure
-domestic problems drugs/alcohol
-peer pressure gangs
-lack of food/shelter change in schedule
-death in family lack of medication
-learning disability illness
-mental illness language/communication
-fear loss of power
-self-esteem

21. Precipitating Factors:
Looking at Precipitating Factors will help staff to:
1. Rational Detachment
The ability to stay in control or ones own behavior and not take the acting out behavior personally.
Integrated Experience
Concept that the behavior and attitudes of the staff impact the behavior and attitudes of the individual.

22. Staff Fear and Anxiety Fear and Anxiety are universal human emotions.
Unproductive reactions:
Freezing-inability to react to a situation.
Overreacting
Psychologically-perceiving a situation worse than it is
Physiologically-motor skills do not function normally.
3. Responding inappropriately
Verbally or Physically
Productive reactions:
Increase in speed and strength.
Increase in sensory.
Decrease in reaction time.
Ways to control fear and anxiety:
Understand what makes us afraid.
Learn techniques to protect ourselves and the individual.
Use a team approach.
Learn physical intervention techniques to manage acting out behavior.

23. Physical Intervention
1. Strike:
A weapon coming into contact with
a target.
Block (or deflect) the weapon.
Move the target.

24. Physical Intervention
2. Grab:
The control or destruction of a part of one’s anatomy.
Gain physical advantage by:
Weak point of the grab
Leverage
Momentum
Gain psychological
advantage by:
Stay calm
Have a plan
Use the element of
surprise.

25. Physical Intervention
Block
Kick
Punch
Pull Through
Pull through to Control Position
Grab
1 hand
2 hand
Hair Pull
Bite
Choke
Front
Back