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16 Cards in this Set

  • Front
  • Back

Two ways an individual can act out

Verbally
&


Physically

The CPI Crisis Development Model -


Client and then staff

1. Anxiety - supportive


2. Defensive - Directive


3. Acting out Person - Nonviolent physical crisis intervention (NPCI)


4. Tension reduction - Therapeutic rapport

Reasons for using the CPI supportive stance

1. Communicates respect by honoring personal space


2. Non-threatening/Non-Challenging


3. Contributes to staff personal safety if attacked/offers escape route

Paraverbal Communication & 3 components

The vocal part of speech excluding the actual words one uses




1. Tone - try to avoid condescension


2. Volume - Appropriate for situation/client


3. Cadence - deliver with even rate + ryhthym

The CPI Verbal Escalation Continuum (Kite)

1. Questioning

2. Refusal
3. Release
4. Intimidation
5. Tension Reduction

Kite - 1. Questioning

1. Questioning


A - Info seeking question (what time is it?)


B - Challenging question/power struggle (Why should I?)




Interventions:


A - Give info, if you don't know, will find out


B - redirect, restate, ignore challenge, but not the person

Kite - 2. Refusal

2. Refusal




Non-compliance e.g. saying "no"




Interventions:




Setting Limits, make it simple and clear, reasonable, and enforceable.



Kite - 3. Release

3. Release




Outburst - Verbal




Interventions:




Set limits, isolate from audience, allow person to vent, wait until they calm down


Kite - 4. Intimidation

4. Intimidation




Verbally threatening




Interventions:




Take seriously, get witnesses if you can, keep your hands off them, and document everything

Kite - 5. Tension Reduction

5. Tension Reduction




A drop of energy which occurs after the crisis




Interventions:




re-establish communication

3 keys to setting limits

1. Simple and Clear


2. Reasonable


3. Enforceable

Empathic Listening (5 points)

1. Non-judgemental


2. Give undivided attention


3. Listen carefully - focus on feelings not just fact


4. Allow silence for reflection


5. Use restatement to clarify message

Precipitating factors

Internal or external causes of an acting out behavior which a staff has little or no control over




- family situation changing


- moving in or moving out


- Different culture or beliefs


- Phobias like fear of storms

Rational detachment

ability to stay in control of one's own behavior and not take the acting out behavior personally

Integrated experience

Behaviors and attitudes of staff impact the behavior and attitudes of the clients




- If you are stressed or upset it may splash to them


- they could pick up on your mood and be triggered by that

4 important words

1. Care - showing compassion and empathy


2. Welfare - supporting emotional and physical well-being


3. Safety - Preventing danger, risk, and injury


4. Security - Ensuring harmony - not harm