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CPI Crisis Development Model

ANXIETY=

a change in behavior

Examples:

SUPPORTIVE=

an empathic, nonjudmental approach

Examples:

DIRECTIVE=

decelerating an escalating behavior

Examples:

DEFENSIVE=

beginning to lose rationality

Examples:

RELEASE

(verbal and emotional outburst)

  • Allow venting
  • If possible, remove the audience

INTIMIDATION

REFUSAL

(Noncompliance)

  • Set limits

(the individual is verbally and/or nonverbally threatening staff)

  • Take all threats seriously
  • Seek assistance

TENSION REDUCTION

QUESTIONING

(drop in energy)

  • Establish THERAPEUTIC RAPPORT

Information Seeking: (a rational question seeking a rational response)

  • Give a rational response

Challenging: (questioning authority; attempting to draw staff into a power struggle)

  • Downplay the challenge; stick to the topic; set limits

PHYSICAL INTERVENTION=

disengagement and/or holding skills to manage risk behavior

Examples:

RISK BEHAVIOR=

behaviors that may present a risk to self or others

Examples:

THERAPEUTIC RAPPORT=

re-establish communication

Examples:

TENSION REDUCTION=

decrease in physical and emotional energy

Examples:

SM

The COPING Model

Staff

Individual

ontrol

ensure that emotional and physical control is regained

rient

orient yourself to the basic facts

atterns

look for patterns in staff responses to the behavior

look for patterns or triggers for the behavior

nvestigate

investigate ways to strengthen staff responses

investigate alternatives to the behavior

egotiate

negotiate future approaches, expectations, and behavior

negotiate changes that will improve future interventions

ive

give support and encouragement

give control back; provide support and encouragement

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