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Anxiety ✔✔a noticeable increase or change in behavior Challenge Position ✔✔a body position in which one individual is face-to-face, toe to toe, and eye to eye in relation to another individual Classroom Model ✔✔demonstrating physical interventions in order to show the application of basic principals Coping Model ✔✔a model that staff members can use to guide them through the process of establishing Therapeutic Rapport with an individual after a crisis individual Decision-Making Matrix ✔✔a tool that can help staff reach objective critical decisions about risks Defensive Level ✔✔the beginning stage of loss of rationality. At this stage, an individual often becomes belligerent and challenges authority. It is the second level in the Crisis Development Model
Crisis Prevention Intervention CPI
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Directive Staff Attitude/Approach ✔✔an approach in which a staff member takes control of a potentially escalating situation. It is the recommended staff attitude/approach to an individual at the Defensive level. Disengagement ✔✔the use of a physical intervention to gain a release from any holding situation while minimizing risk of pain or injury in situations in which the behavior has been assessed as a lower, medium, or higher risk to self or others. Empathic Listening ✔✔an active process to discern what a person is saying Grab/hold ✔✔a situation in which another person maintains physical contact without consent and there is the intentional or unintentional risk of harm to a part of one's body Haptics ✔✔communication through touch; a form of nonverbal communication Higher-Level Holding ✔✔physical intervention necessary to restrict a person's range of movement in relation to high-risk behavior as determined by a behavioral risk assessment. Integrated Experience ✔✔the concept that behaviors and attitudes of staff impact behaviors and attitudes of those in their care and vice versa
Opt-Out Sequence enables staff to ✔✔reduce the duration of physical interventions, minimize the potential adverse outcomes (risk) associated with such approaches, and re-establish Therapeutic Rapport Para-verbal Communication ✔✔the vocal part of speech, excluding the actual words one uses. Three key components of para-verbal communication ✔✔tone, volume, cadence of speech Physical Intervention ✔✔a safe, non-harmful, and last-resort response to a person in crisis displaying risk behavior posing a threat to self or others. Physical Intervention include ✔✔disengagement and/or holding skills that are reasonable and proportionate to the level of risk behavior presented Position ✔✔where you are in relation to others-your orientation Posture ✔✔how you hold and move your body Precipitating Factors ✔✔the internal or external causes of behavior over which staff have little or no control
Proxemics ✔✔personal space. An area surrounding the body, approximately 1.5- 3 feet in range that is considered an extension of self Proximity ✔✔distance between individuals Rational Detachment ✔✔the ability to stay in control of one's own behavior and not take behavior of others personally RESPONSE Continuum ✔✔a verbal and non-verbal communication framework designed to help someone consider an appropriate intervention Restraint ✔✔a measure or condition that keeps someone or something under control or within limits that may include environmental and/or physical ways to manage a prevailing or perceived risk. last resort Restraint-Related Positional Asphyxia ✔✔a fatal condition that occurs when the p osition of a person's body interferes with respiration, and results in asphyxia or suffocation Risk Behavior ✔✔the total loss of control, which may result in physical behavior that presents a risk to self or others. The point at which physical interventions may be considered to minimize harm
Verbal Escalation Continuum ✔✔a model demonstrating a variety of defensive behaviors that are often seen when individuals are in the Defensive level Crisis Development Behavior Levels ✔✔Anxiety, Defensive, Risk Behavior (Highest Peak), Tension Reduction Staff Attitudes/Approaches ✔✔Supportive, Directive, Physical Intervention, Therapeutic Rapport What is the value of learning the four levels & corresponding staff attitudes? ✔✔You are able to describe the typical behaviors associated with the development of a crisis and choose an appropriate intervention for each level of behavior. What are the five types of defensive behaviors exhibited on the VERBAL ESCALATION CONTINUUM? ✔✔1. Questioning 2. Refusal 3. Release 4. Intimidation 5. Tension Reduction Describe three reasons you should use the SUPPORTIVE STANCE ✔✔1. Communicates respect 2. Non-threatening 3. Maintains safety Identify behaviors that are often associated with the Anxiety level of the CPI Crisis Development Model ✔✔Crying, pacing, wringing of the hands.
Identify behaviors that are often associated with the Defensive level of the CPI Crisis Development Model ✔✔Laughing, pacing, wringing of the hands. Pointing, staring, crying, Release, refusal, intimidation (all of the above) Identify behaviors that are often associated with Tension Reduction in the CPI Crisis Development Model ✔✔Sleep, quiet, crying, apologetic, embarrassed, shutdown, willing to discuss core issue, go back to routine, move forward Which of the following describes effective characteristics of nonverbal communication ✔✔Allows for a leg-length of personal space Which of the following describes effective characteristics of Paraverbal Communication ✔✔Volume can assist in defusing a crisis if it is appropriate for the situation; Tone - inflection; Cadence - rate of your speech & rhythm of voice Choose the correct stage of the CPI Verbal Escalation Continuum for the following: "Forget it. Talk to the hand!" ✔✔Refusal - non compliance Choose the correct stage of the CPI Verbal Escalation Continuum for the following: "I'm sorry about the way I acted." ✔✔Tension Reduction - decrease in physical & emotional energy
Which of the following will increase the risk of restraint-related positional asphyxia? ✔✔Staff members allowing their body weight to rest on restrained individuals and Sitting across a person's back while on the floor. Which of the following is/are true regarding the dangers of restraints? ✔✔a. Safer restraints are those that keep an individual in a standing, moving, and dynamic position. b. The individual's physical health should be considered. c. There is always some risk involved with any physical intervention. d. All of the above. The CPI Children's Control Position and the CPI Team Control Position are designed: ✔✔To be used when the individual's behavior is more dangerous than the risks of using a physical intervention. The following are examples of staff responses to fear and anxiety. Which is/are the best example(s) of productive responses to fear? ✔✔A decrease in reaction time; in other words, you react more quickly. Which of the following explain the message(s) conveyed in Unit V: Precipitating Factors, Rational Detachment, Integrated Experience? ✔✔a. Everyone has factors within their life that they can't control, which at times can lead to frustrations and acting-out behavior.
b. The ability to remain calm and rational paves the way for positive interactions between staff members and clients. c. Understanding that staff behavior can affect client behavior and that client behavior can affect staff behavior. d. All of the above. - THIS IS THE CORRECT ANSWER! The duty of auxiliary team members ✔✔To assist the team The CPI COPING Modelis used primarily during which level of the Crisis Development Model? ✔✔After the crisis - Tension Reduction/Therapeutic Rapport Which of the following statement(s) describe "Control" in the CPI COPING Model ✔✔Ensuring that individuals and staff are calm and rational. Which of the following statement(s) describe "Orient" in the CPI COPING Model ✔✔a. Ask the "Who?", "What?", "When?", and "Where?" questions. b. Listen to the perspective of the individual who acted out. c. Listen to the perspective of staff. Not everyone may have arrived at the same time or seen the same things. d. All of the above. - THIS IS THE CORRECT ANSWER What describes "Patterns" in the CPI COPING Model? ✔✔Identify Precipitating Factors or triggers to the individual's behavior.
