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
(the individual is verbally and/or nonverbally threatening staff)
- Take all threats seriously
- Seek assistance
TENSION REDUCTION
QUESTIONING
- Establish THERAPEUTIC RAPPORT
Information Seeking: (a rational question seeking 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:
The COPING Model
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