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Nonviolent Crisis Intervention® Training Program (Refresher)
Luzerne Intermediate Unit #18
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CARE WELFARE SAFETY SECURITY
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The CPI Crisis Development Model
Unit I The CPI Crisis Development Model
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The CPI Crisis Development Model
Crisis Development/ Behavior Levels Anxiety Defensive Acting Out Person Tension Reduction Staff Attitude/ Approaches Supportive Directive Nonviolent Physical Crisis Intervention Therapeutic Rapport Integrated Experience
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The CPI Crisis Development Model
Anxiety: A noticeable increase or change in behavior e.g., pacing, finger drumming, wringing of hands, rocking, etc… Supportive An empathetic, nonjudgmental approach attempting to alleviate anxiety
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The CPI Crisis Development Model
Defensive: The beginning stage of loss of rationality Noncompliance, verbal venting, accuse or blame others Directive Manage a potentially dangerous situation by setting limits
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The CPI Crisis Development Model
Acting Out Person: The total loss of control which often results in a physical acting out episode Nonviolent Physical Crisis Intervention Safe, nonharmful controls and techniques used to safely manage an Acting Out Person Last Resort
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The CPI Crisis Development Model
Tension Reduction: a decrease in physical and emotional energy which occurs after a person has acted out Regaining control Therapeutic Rapport Reestablish communication Learning opportunity Give closure Build relationships
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CPI Supportive Stance About a leg length away On an angle
Hands visible
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Reasons for using the CPI Supportive Stance
Safety Respectful Non-threatening
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Unit II Verbal Intervention
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The CPI Verbal Escalation Continuum
Part of the Defensive stage of the CPI Crisis Development Model The goal of staff is to deescalate the individual
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The CPI Verbal Escalation Continuum
3. Release CARE WELFARE 4. Intimidation 2. Refusal SAFETY SECURITY 5. Tension Reduction 1. Questioning
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The CPI Verbal Escalation Continuum
Questioning a. Information-seeking: a rational question seeking a rational response b. Challenge: questioning authority, being evasive, attempts to draw staff into power struggle
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The CPI Verbal Escalation Continuum
Interventions Give Information- be a resource Stick to the topic (redirect), ignore the challenge (not the person), avoid the struggle
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The CPI Verbal Escalation Continuum
Refusal Noncompliance, no-mode, drop and flop
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The CPI Verbal Escalation Continuum
Intervention The process of setting limits Choices/options Incentives/consequences Space and time (planned ignoring-extinction)
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The CPI Verbal Escalation Continuum
Release Verbal venting, tantrums, screaming, yelling
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The CPI Verbal Escalation Continuum
Intervention Let child vent Isolate the situation Team approach Enforce limits
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The CPI Verbal Escalation Continuum
Intimidation Individual is making threats Verbally or nonverbally
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The CPI Verbal Escalation Continuum
Intervention Take all threats seriously (document and inform or exit room) Take a team approach
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The CPI Verbal Escalation Continuum
Tension Reduction Decrease in Emotional and Physical energy
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The CPI Verbal Escalation Continuum
Intervention Establish Therapeutic Rapport Reestablish communication
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Keys to Setting Limits Clear and Concise Reasonable Enforceable
Simple and easy to understand Use their communication Reasonable Fair, incentives, buy-in Enforceable Remember space and time Follow through
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Verbal Intervention Tips and Techniques
DO Remain Calm Isolate the situation Enforce limits Listen Be aware of nonverbals Be consistent Ignore challenge questions Be nonthreatening DON’T Overreact Provide an audience Change them Ignore Communicate emotion Make false promises Get in a power struggle Be threatening
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Remember The CPI Crisis Development Model
Crisis Development/ Behavior Levels Anxiety Defensive Acting Out Person Tension Reduction Staff Attitude/ Approaches Supportive Directive Nonviolent Physical Crisis Intervention Therapeutic Rapport Integrated Experience
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CPI’s Personal Safety Techniques
Unit III CPI’s Personal Safety Techniques
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Definitions STRIKE Grab A weapon coming in contact with a target
The attempt to control or destroy part of one’s body
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Principles of Personal Safety
Strike Block or deflect the weapon Move the target
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Principles of Personal Safety
Grab Gain a physiological advantage Weak point Leverage Momentum Gain a psychological advantage Remain calm Have a plan Use element of surprise or distraction
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Principles of Personal Safety
Response to the Strike Natural and instinctive Response to the Grab Not natural and instinctive
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Nonviolent Physical Crisis Intervention and Team Intervention
Unit IV Nonviolent Physical Crisis Intervention and Team Intervention
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Nonviolent Physical Crisis Intervention
Use a team approach Use as a last resort Used for protection, not punishment Intent is to calm a person down Non-harmful in design
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RISKS OF RESTRAINTS What one needs to breathe Open Airway Gas Exchange
Movement of Ribcage and Diaphragm
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Control Dynamics Reduce upper body strength by controlling arms as weapons Turn palms up Raise arms above shoulders Anchor arm to your body (hip area)
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Control Dynamics Reduce lower body strength by controlling the back line Lower shoulders below hips
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Control Dynamics Reduce mobility by close body contact
Move hips close to individual’s body Move the individual’s center of gravity forward, bring him onto his toes (ball of foot)
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POST-TEST EVALUATION The End
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