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31 Cards in this Set
- Front
- Back
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Philosophy of program (K) |
Care, Welfare, Safety and Security |
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Due care for Participants-2 (K) |
I will respect other participants as peers I will cooperate, not compete I am responsible for the safety of others with regards to my actions |
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(R) Anxiety Defensive Acting Out person Tension Reduction |
supportive Directive Nonverbal physical crisis intervention Therapeutic Rapport |
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K-Proxemics |
the area surrounding the body considered an extension of self |
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2 factors of Proxemics-K |
Height, Past history, hygiene, gender, size |
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2 types of Kinesics (body Language)-K |
crossed arms, smile, fist |
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3 reasons for using CPI stance-K |
communicates respect--personal space nonthreatening contributes to staff's personal safety-offers an escape route |
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K Proximity Position Posture |
Proximity-closeness
Position-where you are in relation to person Posture--How I hold or move my body |
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K-Paraverbal communication |
vocal part of speech, excluding the actual words--how you say it what you say Includes: tone-sarcasm, argumentative Volume-loudness Cadence-rhythm of how you speak |
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K CPI Verbal escalation continuum |
Questioning Refusal Release Intimidation Tension Reduiction |
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K Questioning Intevention |
Information--give a rational response; Challenging ?--stick to topic; redirect; ignore |
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K Refusal Intervention |
Set limits |
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K Release Intervention |
allow individual to let off steam-safe place |
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K Intimidation Intervention |
Take threats seriously--seek assistance and wait for team; avoid hands on |
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==K Tension Reduction Intervention |
Establish Therapeutic Rapport |
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K Keys to setting limits |
Options/Choices Reasonable--can do it--able Enforceable-follow thru |
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R-Empathic Listening |
Active process to discern what a person is saying 1) non judgemental 2) give undivided attention 3) Listen to what person is really saying & feelings 4) Allow for silence for reflection 5) Use restatement to clarify messages |
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R-Precipitating Factors |
internal/external causes of an acting out behavior--staff has little or no control over it
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R-Rational detachment |
stay in control of one's own behavior and not take acting out behavior personally |
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R-Integrated Experience |
Concept that behaviors and attitudes of staff impact the behaviors and attitudes of those in their care and vice versa-- |
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K-Staff Unproductive Fears/Anxiety |
Freezing Overreaction-Psychologically-perceive worse than is; Physiologically-crying, vomitting Respond inappropriately-verbally/physically |
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K-Staff Productive Fears/Anxiety |
increase speed/strength Increase sensory/acuity decrease in reaction time |
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R-Strike |
punch, knee, cut, head butt, thrown objects, pulling hair *weapon coming in contact with a target |
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R-Grab |
Biting, stabbing, choking *physical control or destruction of part of one's anatomy |
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K-Control Dynamics |
Reduce upper body strength by controlling arms as weapons Reduce lower body strength by controlling back incline Reduce mobility by close body contact |
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K-Team versus solo intervention |
Safety--safety in numbers Professionalism--team members can lend support Litigation-witness |
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R-Team Leader |
First person on scene Team member with confidence and competence in handling crisis/situation A team member who has a rapport with the acting out individual |
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K-Team Leader Duties |
Assess--exits, furniture, glass, weapons, space Plan--based on assessment Direct--other staff members or cue--nonverbal Communicate with client` |
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K-1-Auxillary Team Member Duties |
Address what you have just checked--noticed staff's attitude is problem Recognize when time to change interventions |
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K-CPI Coping Model (Client) |
Control-emotional & physically in control Orient to facts from clients perspective nonjudgemental, eye contact, Patterns of Behavior-Triggers-Preci. Factors Investigate alternatives to behaviors Negotiate a contract-change behavior Give control/support back |
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R-Coping Model (Staff) |
Control-stop venting-humor smile Orients-facts/interventions Patters of Intervention-communicaiton Investigate-alternatives to intervention Negotiate-a contract-non-announced practice Give support-encouragement back to staff |
