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Nonviolent Crisis Intervention Training

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by

Taryn Millar

on 1 February 2013

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Transcript of Nonviolent Crisis Intervention Training

Crisis Development Model Excessive Anxiety Defensiveness Acting Out Tension Reduction Slight loss of rationality leading to non-compliance
Signs:
Belligerence
Challenging authority
Withdrawing Total loss of control resulting in a physical episode of danger to self or others.
Complete loss of rationality
Self-injury
Absconding
Destroying property A drop in physical and emotional energy.
Rationality returns
Individual may revert to earlier stages: anxious or defensive.
Signs:
Exhaustion
Crying
Remorse
Becoming task-oriented Staff Attitudes
and Approaches:
Interventions Increased physiological arousal
Signs
Pacing
Wringing of the hands
Rapid speech
Important to know client baseline level of
anxiety
Look for unusual and noticeable changes

Defensiveness: Verbal Escalation Continuum Level 2: Level 3:


Level 1: Threats to self, others, or staff A drop in physical and emotional energy Objectives Nonviolent Crisis Intervention Training Identify the behavior levels that contribute to the development of a crisis and choose an appropriate staff intervention for each level.
Identify useful nonverbal techniques which can help to prevent acting-out behavior.
Useful verbal techniques to de-escalate behavior. Level 1: Level 2: Level 3: Level 4: Questioning a) Information seeking
Rational Question
b) Challenging
Evasive
Pulling you into a power struggle Refusal Noncompliance
Verbal
Nonverbal Release Emotional outbursts and loss of rationalization
Yelling
Cursing Level 4: Intimidation Level 5: Tension Reduction Supportive Anxiety Empathic, nonjudgmental approach, which is an attempt to alleviate client's anxiety Defensive Directive Two Ways that Individuals can Act Out: 1) Verbally
2) Physically Staff members take control of a potentially escalating situation by setting limits
Difficult to do:
Requires follow through
Limits must be
Reasonable
Enforceable Nonviolent Physical
Crisis Intervention Acting Out Safe, non-harmful control and restraint positions in which staff uses physical intervention to take control of an individual until the individual can regain control of him/herself. Therapeutic Rapport Tension
Reduction Trying to re-establish communication and build rapport with the client. Verbal Intervention Techniques How to respond to: Questioning
Refusal
Release
Intimidation
Tension Reduction Information Seeking Challenging Questioning Give a rational response Stick to topic
Redirect the client
Set limits (if needed)
Validation Refusal Set limits Keys to setting limits:
Limits must be simple & clear
Limits must be reasonable
Limits must be enforceable Release Allow client
to vent Remove audience or remove individual Intimidation Take this seriously. Get help or assistance
immediately. Tension Reduction Provide therapeutic
rapport
Re-establish communication crisisprevention.com What is a crisis? Acting out behaviors that cause potential or actual harm to self, others, or the facility. Crisis Prevention Institute Important to know client baseline level of
defensiveness Where do you draw the line? Who do we call? We must maintain our control;
we must know how to respond. Positive Outlets to Absorb
Negative Energy? Before work
During Work
After Work Important to understand what makes us afraid.
Full transcript