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16 Cards in this Set
- Front
- Back
Two ways an individual can act out |
Verbally Physically |
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The CPI Crisis Development Model - Client and then staff |
1. Anxiety - supportive 2. Defensive - Directive 3. Acting out Person - Nonviolent physical crisis intervention (NPCI) 4. Tension reduction - Therapeutic rapport |
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Reasons for using the CPI supportive stance |
1. Communicates respect by honoring personal space 2. Non-threatening/Non-Challenging 3. Contributes to staff personal safety if attacked/offers escape route |
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Paraverbal Communication & 3 components |
The vocal part of speech excluding the actual words one uses 1. Tone - try to avoid condescension 2. Volume - Appropriate for situation/client 3. Cadence - deliver with even rate + ryhthym |
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The CPI Verbal Escalation Continuum (Kite) |
1. Questioning 3. Release 4. Intimidation 5. Tension Reduction |
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Kite - 1. Questioning |
1. Questioning A - Info seeking question (what time is it?) B - Challenging question/power struggle (Why should I?) Interventions: A - Give info, if you don't know, will find out B - redirect, restate, ignore challenge, but not the person |
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Kite - 2. Refusal |
2. Refusal Non-compliance e.g. saying "no" Interventions: Setting Limits, make it simple and clear, reasonable, and enforceable. |
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Kite - 3. Release |
3. Release Outburst - Verbal Interventions: Set limits, isolate from audience, allow person to vent, wait until they calm down |
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Kite - 4. Intimidation |
4. Intimidation Verbally threatening Interventions: Take seriously, get witnesses if you can, keep your hands off them, and document everything |
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Kite - 5. Tension Reduction |
5. Tension Reduction A drop of energy which occurs after the crisis Interventions: re-establish communication |
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3 keys to setting limits |
1. Simple and Clear 2. Reasonable 3. Enforceable |
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Empathic Listening (5 points) |
1. Non-judgemental 2. Give undivided attention 3. Listen carefully - focus on feelings not just fact 4. Allow silence for reflection 5. Use restatement to clarify message |
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Precipitating factors |
Internal or external causes of an acting out behavior which a staff has little or no control over - family situation changing - moving in or moving out - Different culture or beliefs - Phobias like fear of storms |
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Rational detachment |
ability to stay in control of one's own behavior and not take the acting out behavior personally |
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Integrated experience |
Behaviors and attitudes of staff impact the behavior and attitudes of the clients - If you are stressed or upset it may splash to them - they could pick up on your mood and be triggered by that |
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4 important words |
1. Care - showing compassion and empathy 2. Welfare - supporting emotional and physical well-being 3. Safety - Preventing danger, risk, and injury 4. Security - Ensuring harmony - not harm |