CPI Nonviolent Crisis Intervention Overview

CPI Nonviolent Crisis Intervention Training 2nd Edition 2023 The CPI Crisis Developement Model Behavior Levels 1. 2. 3. 4. 1. Anxiety 2. Defensive 3. Risk Behavior 4. Tension Reduction The CPI Crisis Staff Attitude Approaches 1. 2. 3. 4. 1. Supportive 2. Directive 3. Saftey Interventions 4. Therapeutic Rapport Staff Attitude/Approaches to Anxiety- A change in typical behavior Supportive- Empathic, non judgemental approach Staff Attitude /Approach to Defensive- Protecting oneself from a real or percieved challenge Directive- Provide clear direction or instruction Staff Attitude/Approach to Risk Behavior- Behavior that represents an imminent or immediate risk to self or others. Saftey Interventions- Non-restrictive and restrictive strategies to maximize saftey and minimize harm Staff Attitude/Approach to Reduction- Deacrease in physical and emotional energy. Theraputic Rapport-Re-establish the relationship Integrated Experience Behavior influences behavior. Being aware of your behavior, perceptions, and remaining control will increase likelihood of successful intervention Percipitating Factors Factors Influencing a person's behavior. These are internal/external causes of behavior over which you little or no control. Rational Detatchment Recognizing the need to remain professional by managing your own behavior and attitude and not taking the attitude of others personally. Rational Detachment Tips 1. Take a deep breath 2. Choose your words carefully 3. Ask for help 3 Forms of Communication 1. Verbal 2. Paraverbal 3. Nonverbal Verbal Communication The words you use to send messages. Consider the significance of your words. Keep your message: -short, simple, and clear. -Respectful -Positively phrased Paraverbal Communication How you say what you say. This includes your tone, volume and rythm of speech. -Use caring, supportive tones -Keep appropriate volume to the situation -Deliver your message at a rate the person can process Nonverbal Communication Nonverbal elements include personal space, body language, communication through touch, and listening with empathy. Personal Space The distance people prefer to maintain between themsleves and others. It includes the social zone, personal zone, and intimate zone. Body Language The postures, gestures, facial expressions, and movements used to communicate. Communication Through Touch A form of physical contact that expresses feelings or emotions. Listening with Empathy -Remain nonjudgmental -Give your undivided attention -Listen to facts and feelings -Allow time for silence and reflection -Paraphrase what you understand 1/3 What are the benefits of the Supportive Stance? The Supportive Stance -Communicates respect -Appears nonthreatening -Maximizes saftey What are the 3 P's of the Supportive Stance? -Position -Posture -Proximity Position Where you are in relation to others. You want to approach people from the side rather than directly from the front or rear. Posture Be sure that your posture remains nonthreatening, balanced, and relaxed. Hand and arm movements, head movement, eye contact, and facial expressions are all part of your posture. Proximity Proximity is managing the distance between yourself and another person. Respect the individual's personal space, especially in conflict situations or when responding to someone in distress. When using personal space, body language and touch to communicate, what factors need to be considered that impact your message? -Social and cultural factors -Words or gestures that may be offensive -Age or gender identity -Your relationship with the person or context of the situation -The person's cognitive abilities -The idividual's thoughts, feelings, needs and wants What are the 4 Primary Principles of Communication? 1. The message sent is not necessarily the message recieved. 2. It's impossible to not communicate 3. Every message has both content and feeling 4. Nonverbal cues are more belivable than verbal cues. What is the Verbal Esculation Continuum in order? 1. Questioning 2. Refusal 3. Release 4.Intimidation 5. Tension Reduction Questioning Two types: -Information Seeking -Challenging Intervention: -Downplay the challenge. Stick to the topic Refusal Unwillingness to cooperate or follow instructions: A verbal "no", further questioning, walking away. Intervention: -Limit setting. Redirect the person's focus and attention to the desired outcome. Release Verbal and emotional outbursts: Screaming, swearing, high-energy output. Intervention: -Allow venting, if possible, remove the audience or person. Give directives that are nonthreatening. Use and understanding, reasonable approach. Intimidation The individual is verbally and/ or nonverbally threatening staff in some manner. Intervention: -Take all threats seriously -Seek assistance. Wait for colleagues to arrive Tension Reduction Decrease in physical and emotional energy. Intervention: -Establish Therapeutic Rapport -Re-establish the relationship. 2/3 Limit Setting Examples -Interrupt and Redirect: "Juan, you're shouting. Please speak quietly". -When/Then Pattern "Juan, when you lower your voice, then I'll be able to address your concerns". -If/ Then Pattern "Juan, if you lower your voice, then I'll be able to address your concerns". -Fail Safe Choice "Juan, would you like to talk about this now or later in private". Limit Settings should always be: R__________________________ S__________________________ R__________________________ Respectful: -Phrase limits in a positive way using effective nonverbal, verbal, and paraverbal skills. Simple: -Limit number of words Reasonable: -Connect the expectation to the person's circumstances and level of stability. Demonstrating Consistency With Communication - Listen to understand -Remain flexible -Make the conversation private if possible -Allow the person time to process -Don't get pulled into a power struggle Tips for Using Fail Safe Choices -Allow time to make a choice -Give choices -Consider nonverbal and paraverbal communication -Limit to 2 choices Framework for Planning a Difficult Conversation - Planning - Scripting -Delivering -Documenting Planning -Think about how you'll remain rationally detatched. -Consider where and when to conduct a conversation. Scripting -Develop a written or mental roadmap of what you will day. -Keep it factual. Delivering -Respect the dignity of the person. -Rationally detach. -Deliver the facts. -Offer something. -Listen and respond with empathy. -Bring closure. Documenting -Summarize the conversation. -Note observations. -Objectively assess your performance. A Coordinated and Collaborative Approach Includes several steps. They are: - Follow your organization's policies and proceedures - Remove the audience or the person in crisis away - Know your proceedures for calling for help - Support your coworkers Consider Saftey From The Perspective of: -Keeping yourself safe -Keeping the individual in crisis safe -Keeping others around them safe Non-restrictive interventions include: -Removing items that could be dangerous -Removing the person -Removing other people -Asking a staff member for help -Calling for help 3/3