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An in-depth look into the Crisis Prevention Institute's (CPI) training program, focusing on behavioral management and nonviolent intervention techniques. The training covers various steps involved in planning for behavioral management, the CPI development model, verbal and paraverbal communication, setting limits, and verbal escalation continuum. The goal is to offer the best care, welfare, safety, and security for individuals, even during violent moments.
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12/29/2015 1
Senior Behavioral Health Salt Lake Behavioral Health 801 264- 6000 12/29/2015 2
Presented by: Nina Ferrell, MA Geriatric Outreach Coordinator Salt Lake Behavioral Health (801) 264-6000 Main (801) 419-7526 Cell
Society/Community Corporation Facility Staff Individual Patient 12/29/2015 3
Maslow Hierarchy of Needs Layout Color/design Ambiance Staff Training Recreation Staff Engagement 12/29/2015 4
Age Culture Religion Size Gender History of Trauma Education History Socioeconomic Factors Mental Illness and Anger Management Coping Skills 12/29/2015 5
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Crisis Development/Behavior
Crisis Development/Behavior
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Intervention: A. Seek assistance and wait for team to intervene, if possible. B. Try to avoid individual intervention, as this is more likely to jeopardize the safety and welfare of both staff and the AOI. 12/29/2015 20
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Keys to Setting Limits When you set limits, you are offering a person choices, as well as stating the consequences of those choices. Offer positive choice and consequences first, then negative choices and consequence. You cannot force individuals to act appropriately. Trying to force a person to act in a certain way often results in a nonproductive power struggle. Simple/clear, reasonable and enforceable
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Remain calm Isolate situation Be professional Enforce limits Listen Be aware of non-verbals Be consistent
Overreact Get in a power struggle Make false promises Fake attention Be threatening Use jargon 12/29/2015 23
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Internal or external causes of an acting-out behavior over which staff members have little or no control Loss of personal power Need to maintain self-esteem Fear Medications Attention-seeking Displaced anger Psychological/physiological causes
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Understand what makes us afraid. Use techniques to protect both ourselves and the acting-out individual in a crisis. Use a team approach – don’t respond alone. Learn nonviolent physical intervention techniques to manage acting-out individuals, if necessary. 12/29/2015 30
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Nonviolent Physical Crisis Intervention techniques are designed to be non-harmful and allow for a Therapeutic Rapport to be reestablished with the individual who lost control. Key elements of Nonviolent Physical Crisis Intervention response include: Assessment of pain involved Attempts to calm down individual Individual not restrained on the floor, reducing risks of restraint related positional asphyxia and other injuries - Team interventions are used Used only as a last resort when someone presents a danger to protect not to punish – used By using physiological principles that do not rely on matching strength, staff involved are not in a “competitive” mindset The goal is to continually assess signs of tension opportunities to reestablish a therapeutic rapport with the individual.-reduction and use 12/29/2015 32
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Inpatient and Intensive Outpatient behavioral health services: Adults age 18 and over General Adult Crisis Stabilization Medical Detox and Chemical Dependency Treatment Geriatric Unit Men’s and Women’s Military Programs- Strong Hope Salt Lake Behavioral Health Hospital 3802 S 700 E SLC, UT 84106 (801) 264-6000 main 12/29/2015 (801) 419-7526 cell 38