CPI Crisis Development Model by dffhrtcv3


									De-Escalation: Calming
     the Storms

Mike Paget   mpaget@ed.sc.gov
Recognizing emotional and
behavioral escalation
  This presentation is based on material
  from the Crisis Prevention Institute
  CPI provides training on topics of crisis
  prevention and crisis management,
  including physical intervention
  The priorities of CPI are to ensure
  safety, and to prevent escalation,
  including physical restraint
Think about a situation you have been in where
things were getting tense and out-of-control

   What clued you in that things were
   What were your thoughts?
   What were your feelings?
   How did you respond?
   How did things turn out?
   Did the experience have any after-
CPI Crisis Development
                                Integrated Experience
 Behaviors and attitudes of adults impact on the behaviors and attitudes of children
                                       and youth
 Crisis Development/Behavior Levels                Adult Attitudes/Approaches

1.   Anxiety                                 1.   Be supportive
     notable change or increase in                non-judgmental and empathic
     someone’s normal behavior
                                             2.   Be directive
2.   Defensive                                    •    give control by setting limits;
     (overt behaviors) beginning to               •    give options and choices to
                                                       allow child/youth to regain
     lose rationality/challenge authority              rational control through
                                                       appropriate self-directed
                                             3.   Non violent Physical Crisis
3.   Acting out person                            Intervention (NVPCI)
     total loss of rationality and control        non harmful control techniques used
                                                  to help individual regain control
4.   Tension reduction
                                             4.   Therapeutic rapport
     •   decrease in energy level both
         physical & emotionally                   begin to reestablish communication
     •   beginning to regain control              and regain trust
Experiment: Let’s play the mime

  2 volunteers
  Without words, show “anger”
Nonverbal Behavior

                      7% Verbal

                     38% Paraverbal

                     55% Non verbal
Definition: The area where you feel comfortable
Factors influencing:

      size                                   gender

      location                               age

      experience                             frame of mind

      sense of control                       culture

      history                                personal hygiene

Note: Personal property functions like an extension of personal space
     eye contact          pacing
        avoiding          Signs of Anxiety
        staring
                           shrugging
     crossed arms          shoulders
     eye rolling          punching the air
     clenching fists      clenched teeth
     huffing              eyebrows
                           perspiring
Paraverbal Communication:
    Vocal part of speech excluding words.
    How we say what we say.


   Volume- appropriate for situation
   Cadence: rate /rhythm at which we speak)
   Tone of voice (where is the inflection)
  Have you ever gotten into an argument
  that became a real power struggle?
  What makes these arguments worse?
  What helps you avoid or back out of
  these arguments?
  Verbal Escalation Continuum
                         3. Release: loss of
                         verbal control
                         Allow venting, isolate, focus
4. Intimidation          on safety, listen
                                   2. Refusal- overt
   Take it seriously,                 noncompliance
   document, report,
   reflect, get help                 Set limits

                          1. Questioning
5. Tension Reduction       Information seeking-answer
   Therapeutic rapport    Ignore, redirect, set limits
Talking Tips and Techniques
Do:                     Do not:
     Listen                 Embarrass
     Talk less              Call out in front of
     Speak softly            others
     Respect privacy        Criticize
     Remain calm            Over-react
                             Use sarcasm
                             Fake attention
Rational Detachment

The ability to stay in control of one’s own behavior and not
take acting-out personally.

  before              during                  after

                     •Calm                  •Debrief
•Good health                                •Vent
•Meditation          •Breath
•Prayer              •Team work
                                            •Modify plan
•Training            •Humor
                                            •Leave work at work
•Planning            •Follow plan
Rational Detachment
     Don’t                       Do
                           •Use calm voice
 •Lose cool
                           •Maintain respect for
 •Embarrass                child/youth
 •Use sarcasm              •Listen
 •Bring up the past        •Talk less
 •Fake attention           •Use privacy
 •Touch                    •Allow time
 •Become a precipitating   •Praise when appropriate
How the adult reacts makes
matters better or worse
  The behaviors and attitudes of adults impact
   on the behaviors and attitudes of children
   and youth, and vice versa

  Anxiety        -----  Support
  Defensive       ----- Directive
  AOP             ----- NVPCI
  Tension reduction   Therapeutic rapport
Adult Fear and Anxiety
    Fear: of the unknown – “What is happening?”
    Anxiety: fear of the known – “Can I handle this?”

1. Heightened senses            Minimize
2. Shortened reaction time      1. freezing
3. Increase in speed and        2. Overreaction
   strength                     3. responding
    1. understand your fears
    2. learn techniques to protect yourself
    3. get support: teamwork
    4. learn physical intervention skills
After the storm
Learning, processing, closure, moving

C-   Control
O-   Orient
     Listen to the AOP or adult
P-   Patterns
I-   Investigate and Improvement
N-   Negotiate
G-   Give
Are you interested in more

  The Crisis Prevention Institute has a
  number of trainings primarily intended
  for adults who work with children and
  CPI also has useful training material for
  parents and home care-givers

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