4 Behavior Levels
1. Anxiety
2.Defensive
3. Acting Out Person
4. Tension Reduction
Staff Attitude and Approach to Anxiety
Be Supportive
an
... [Show More] emphatic non-judgemental attempt to alleviate anxiety
Staff Attitude and Approach to Defensive
directive-attempt to control the situation and begin to set limits
Staff Attitude and Approach Acting Out Person
non-violent physical crisis intervention
Staff Attitudes for Tension Reduction
therapeutic rapport decrease in energy regaining of rationality
integrated Experience
we can set the tone for whether or not the behavior escalates or de-escalates
non-verbal-proxemics (personal space)
area surrounding your body considered an extension of self. 1 1/2 to 3 feet (typically) culture, height, gender, age, status, appearance, and familiarity.
kinesics (body language)
non-verbal message transmitted by motion and body posture. Factors: eye contact, facial expressions send a very strong message gestures, how we stand
(stance) hands
3 reasons for using the CPI supportive stance
safety
less threatening
communicates respect
components of the communication pyramid
verbal communication, para verbal coomunication, and non-verbal communication
what is paraverbal communication
how we say what we say
three components of paraverbal communication
tone
volume
cadence
total voice control
what is the verbal escalation continuum?
the kite
1. Questioning
2. Refusal
3. Release
4. Intimidation
5. Tension-Reduction
what is questioning
information-seeking
what is an intervention for questioning
give a rational response
redirect
what is refusal?
non-compliance
what is an intervention for refusal
set limits
give options
what is release
high energy outburst
intervention for release
let it happen
isolate the situation
what is intimidation
verbal or non verbal threats
intervention for intimidation
take it seriously
get help
document
what is tension reduction
decreased energy and regaining rationality
what is an intervention for tension reduction
therapeutic rapport
3 keys to setting limits
1. keep it simple
2. reasonable
3. enforceable
what is empathetic listening
active process to discern what a person is really saying
5 things to do during active listening
1. give un-divided attention
2. be non-judemental
3. listen for feelings
4.allow for silence
5. restate to clarify
what are precipating factors
the internalor external causes for behavior over which staff has little or no control
rational detachment
the ability to stay in control of our own behavior and not take the student's behavior personally
intergrated experience
the concept that attitudes and behaviors of staff impact and influence the attitudes and bahaviors of students and vice versa
3 unproductive reactions to fear and anxiety
1. freezing
2. over-reacting
2. responding inappropriately
3 productive responses to fear and anxiety
1. increase in speed & strength
2. increase in sensory acuity
3. decrease in reaction time
definition of a strike
a weapon coming into contact with a target
examples of strikes
kicking
punching
throwing
definition of grab
an attempt to control or damage part of one's body
examples of grabs
biting
scratching
hair pulling
principles of personal safety regarding strikes (name two)
1. block or deflect
2. move the targey
principles of personal safety regarding grabs. Name 2
1. gain physiological advantage
2. gain psychological advantage
Name the 3 control dynamics
1. reduce upper body strength by conrolling arms as weapons
2. reduce lower body strength by managing the back incline
3. reduce mobility by close body contact
what should you consider when putting together a crisis team?
-2 to 5 people per acting out person
consider how your team is called
consider the physical location of your team
consider who will be on the team
Name 3 reasons to use a team instead of solo intervention
1. safety
2. professionalism
3. litigation
three characteristics of team leader
1. 1st person on the scene
2. confident and competent
best rapport with client
Name the team leader duties
1. assess the situation
2. plan the intervention
3. direct the team
4. communicate with the client
Auxiliary Team Member Duties
C-A-R-E
1. Check for the safety of the environment
2. Address safety issues
3. Recogize if the intervention needs to be changed
4. Engage and support [Show Less]