CPI/limitations of CPI Quiz 48 Questions and Answers
2 ways to act out - physical, verbal
CPI Verbal Escalation Continuum - 1. Questioning
2.
... [Show More] Refusal
3. Release
4. Intimidation
5. Tension Reduction
use nonviolent physical crisis intervention - when? - last resort
this model used to guide staff through process of establishing therapeutic rapport and staff debriefing - CPI coping model
model assists staff to recognize clients behavior level and intervene early and appropriately - CPI Crisis Development Model
model demonstrates defensive behaviors and staff interventions for each behavior - CPI Verbal Escalation Continuum
Philosophy of Nonviolent Crisis Intervention training model - care, welfare, safety, security for all
CPI Crisis Development Model 1st step - anxiety -- supportive
CPI Crisis Development Model 2nd step - defensive -- directive
CPI Crisis Development Model 3rd step - risk behavior (acting out) -- nonviolent crisis intervention
CPI Crisis Development Model 4th step - tension reduction -- therapeutic rapport
anxiety - noticeable change or increase in behavior
supportive - an empathic nonjudgmental approach
defensive - The beginning stage of loss of rationality.
directive - an approach in which a staff member takes control of a potentially escalating situation
acting out - total loss of rational control that results in a physical acting-out episode
Nonviolent Physical Crisis Intervention - safe, non-harmful restraint positions to control an individual until he can resign control of his own behavior
tension reduction - Decrease in physical and emotional energy
Therapeutic Rapport - an effort to re-establish communication between the individual and staff
CPI Supportive Stance: What are the three reasons for using it? - 1. communicate respect
2. non-threatening
3. maintains safety
step 2 directive - refusal - setting limits - 3 steps - 1. simple and clear
2. reasonable
3. enforceable
what step do we see CPI verbal escalation continuum - step 2 - defensive/directive
step 2 directive - questioning ? 2 types - information seeking - give a rational response
challenging - redirect, avoid a power struggle
HAPTICS - key principles (3) - 1. position
2. posture
3. proximity
what step do we see CPI COPING method - step 4 - tension reduction/therapeutic rapport
COPING acronym - C - control
O - orient
P - patterns
I - investigate
N - negotiate
G - give
Control in COPING - emotional and physical control
emotional and physical control
Orient in COPING - establish basic facts
establish basic facts
Patterns in COPING - look for patterns or triggers
staff responses to behavior
Investigate in COPING - alternatives to behavior
ways to strengthen staff responses
Negotiate in COPING - future approaches, expectation, behaviors
changes that will improve future interventions
Give in COPING - control back, provide support and encouragement
support and encouragement
Why is post-intervention important (3) - 1. to teach and learn
2. to strengthen our relationship
3. to have closure
define when to use "last resort" - 1. hurting themselves or others
2. all other options have been exhausted
name 2 ways to consider risk using the decision making matrix - 1. likelihood
2. severity
why do we use the CPI crisis development model - to learn staff attitudes and approaches used to de-escalate a situation
name 3 approaches to limit setting - 1. interrupt and redirect pattern
2. when and then pattern
3. if and then pattern
(try to use positive consequences)
define likilihood - the chance that an event or behavior may occur
define severity - the level of harm that may occur
why do we use the decision-making matrix - tool that can help staff reach objective critical decisions about risk
physical skills framework - SEAT
1. Safe
2. Effective
3. Acceptable
4. Transferrable
What is the RESPONSE continuum - provides you with a range of verbal and non-verbal strategies to manage behavior through various behavior levels of the Crisis Development Model
RESPONSE acronym - R - Relax and downplay
E - Explain or ask
S - State or tell
P - prompt, gesture, or sign
O - Option to use physical interventions
N - Nurture Recovery
S - Support
E - Engage and learn
CPI not fully representative - Correct Answersnot accurate for a 'non-typical' household
spending patterns - Correct Answerssingle people have different spending patterns from households that have one or more children
changing quality - Correct Answersalthough price goes up, might not be accompanied by quality
new products - Correct AnswersCPI is slow to respond to new products and services, the CPI basket is changed each year but only a few items fall out or come in for the first time
geometric - Correct Answersmore accurate and fairer [Show Less]