Crisis Prevention Institute Part One Deescalation Skills Presented

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Crisis Prevention Institute – Part One: De-escalation Skills Presented by Ken Kramberg and Sherry

Crisis Prevention Institute – Part One: De-escalation Skills Presented by Ken Kramberg and Sherry Schoenberg March 24 , 2021

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Todays Agenda • Foundations of Crisis Prevention Intervention Training (CPI) • • The Crisis

Todays Agenda • Foundations of Crisis Prevention Intervention Training (CPI) • • The Crisis Development Model Verbal and Non –Verbal De-escalation and Intervention skills Limit Setting Teaming and Decision Making

• Critical Skills De-escalation and Disengagement

• Critical Skills De-escalation and Disengagement

Unit 1: The Crisis D e v e l o p m e n

Unit 1: The Crisis D e v e l o p m e n t M o de l SM

WORKBOOK PG 6 Unit 1: The CPI Crisis D e v e l o

WORKBOOK PG 6 Unit 1: The CPI Crisis D e v e l o p m e n t M o de l SM Crisis Development/Behavior Levels Staff Attitudes/Approaches © 2018 CPI.

WORKBOOK PG 6 Unit 1: The CPI Crisis D e v e l o

WORKBOOK PG 6 Unit 1: The CPI Crisis D e v e l o p m e n t M o de l SM Crisis Development/Behavior Levels Staff Attitudes/Approaches 1. Anxiety A change in behavior © 2018 CPI.

WORKBOOK PG 6 Unit 1: The CPI Crisis D e velop m e n

WORKBOOK PG 6 Unit 1: The CPI Crisis D e velop m e n t Mode l SM Crisis Development/Behavior Levels Staff Attitudes/Approaches 1. Anxiety 1. Supportive An empathic, nonjudgmental approach © 2018 CPI. 9

Unit 1: The CPI Crisis D e velop m e n t Mode l

Unit 1: The CPI Crisis D e velop m e n t Mode l WORKBOOK PG 7 SM Crisis Development/Behavior Levels Staff Attitudes/Approaches 1. Anxiety 1. Supportive 2. Defensive Beginning to lose rationality © 2018 CPI. 1 0

Unit 1: The CPI Crisis D e velop m e n t Mode l

Unit 1: The CPI Crisis D e velop m e n t Mode l WORKBOOK PG 7 SM Crisis Development/Behavior Levels Staff Attitudes/Approaches 1. Anxiety 1. Supportive 2. Defensive 2. Directive Decelerating an escalating behavior © 2018 CPI. 1 1

Unit 1: The CPI Crisis D e velop m e n t Mode l

Unit 1: The CPI Crisis D e velop m e n t Mode l WORKBOOK PG 7 SM Crisis Development/Behavior Levels Staff Attitudes/Approaches 1. Anxiety 1. Supportive 2. Defensive 2. Directive 3. Risk Behaviors that may present a risk to self or others © 2018 CPI. 1 2

Unit 1: The CPI Crisis D e velop m e n t Mode l

Unit 1: The CPI Crisis D e velop m e n t Mode l WORKBOOK PG 7 SM Crisis Development/Behavior Levels Staff Attitudes/Approaches 1. Anxiety 1. Supportive 2. Defensive 2. Directive 3. Risk Behavior 3. Physical Intervention Disengagement and/or holding skills to manage risk behavior © 2018 CPI. 1 3

Unit 1: The CPI Crisis D e velop m e n t Mode l

Unit 1: The CPI Crisis D e velop m e n t Mode l WORKBOOK PG 7 SM Crisis Development/Behavior Levels Staff Attitudes/Approaches 1. Anxiety 1. Supportive 2. Defensive 2. Directive 3. Risk Behavior 3. Physical Intervention 4. Tension Reduction Decrease in physical and emotional energy © 2018 CPI. 1 4

Unit 1: The CPI Crisis D e velop m e n t Mode l

Unit 1: The CPI Crisis D e velop m e n t Mode l WORKBOOK PG 7 SM Crisis Development/Behavior Levels Staff Attitudes/Approaches 1. Anxiety 1. Supportive 2. Defensive 2. Directive 3. Risk Behavior 3. Physical Intervention 4. Tension Reduction 4. Therapeutic Rapport Re-establish communication © 2018 CPI. 1 5

N o nve r b ao m m u n ic at i C

N o nve r b ao m m u n ic at i C on UNIT 2 ra. c _i _

WORKBOOK PG 8 Unit 2: Nonverbal Communication Proxemics Kinesics Haptics © 2018 CPI. 17

WORKBOOK PG 8 Unit 2: Nonverbal Communication Proxemics Kinesics Haptics © 2018 CPI. 17

WORKBOOK PG 8 Unit 2: Nonverbal Communication Proxemics • Personal space Kinesics Haptics ©

WORKBOOK PG 8 Unit 2: Nonverbal Communication Proxemics • Personal space Kinesics Haptics © 2018 CPI. 17

WORKBOOK PG 8 Unit 2: Nonverbal Communication Proxemics • Personal space Kinesics • Body

WORKBOOK PG 8 Unit 2: Nonverbal Communication Proxemics • Personal space Kinesics • Body language Haptics © 2018 CPI. 17

WORKBOOK PG 8 Unit 2: Nonverbal Communication Proxemics • Personal space Kinesics • Body

WORKBOOK PG 8 Unit 2: Nonverbal Communication Proxemics • Personal space Kinesics • Body language Haptics • Communication through touch © 2018 CPI. 17

Pa rav e rb A nd V al erbal C o m m u

Pa rav e rb A nd V al erbal C o m m u n ic at io n • UNIT 3 . CP-i __ _ _

WORKBOOK PG 9 Unit 3: Paraverbal and Verbal Communication Paraverbal Communication The vocal part

WORKBOOK PG 9 Unit 3: Paraverbal and Verbal Communication Paraverbal Communication The vocal part of speech, excluding words. • Tone • Volume • Cadence © 2018 CPI. 21

Verbal • I n t e rv e n t i o n UNIT

Verbal • I n t e rv e n t i o n UNIT 4 . CP-_i _

Two Powerful De-escalation and Relationship Building skills • Validating. -Acknowledging the Feelings • Affirming.

Two Powerful De-escalation and Relationship Building skills • Validating. -Acknowledging the Feelings • Affirming. -The ability to recognize and cite positive attributes

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Defensive © 2018

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Defensive © 2018 CPI. 23

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Defensive Questioning 1.

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Defensive Questioning 1. Inform atio n -s e e k in g : A question seeking a rational response. rational ▪ Give a rational response. 2. Challe n g i n g : Q uestioning authority. ▪ Downplay the challenge. Stick to the topic. Set limits. © 2018 CPI. 23

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Defensive Refusal Noncompliance.

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Defensive Refusal Noncompliance. ▪ Set limits. Questioning 1. Inform atio n -s e e k in g : A question seeking a rational response. rational ▪ Give a rational response. 2. Challe n g i n g : Q uestioning authority. ▪ Downplay the challenge. Stick to the topic. Set limits. © 2018 CPI. 23

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Release Verbal and

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Release Verbal and emotional outburst. ▪ Allow venting; remove the audience or the person. Defensive Refusal Noncompliance. ▪ Set limits. Questioning 1. Inform atio n -s e e k in g : A question seeking a rational response. rational ▪ Give a rational response. 2. Challe n g i n g : Q uestioning authority. ▪ Downplay the challenge. Stick to the topic. Set limits. © 2018 CPI. 23

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Release Verbal and

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Release Verbal and emotional outburst. ▪ Allow venting; remove the audience or the person. Intimidation The individual is verbally and/or nonverbally threatening staff. ▪ Take all threats seriously. ▪ Seek assistance. Defensive Refusal Noncompliance. ▪ Set limits. Questioning 1. Inform atio n -s e e k in g : A question seeking a rational response. rational ▪ Give a rational response. 2. Challe n g i n g : Q uestioning authority. ▪ Downplay the challenge. Stick to the topic. Set limits. © 2018 CPI. 23

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Release Verbal and

WORKBOOK PG 10 Unit 4: Verbal Intervention Verbal Escalation Continuum. SM Release Verbal and emotional outburst. ▪ Allow venting; remove the audience or the person. Intimidation The individual is verbally and/or nonverbally threatening staff. ▪ Take all threats seriously. ▪ Seek assistance. Defensive Refusal Noncompliance. ▪ Set limits. Tension Reduction Questioning Decrease in physical and emotional energy. ▪ Therapeutic Rapport. 1. Inform atio n -s e e k in g : A rational question seeking a rational response. ▪ Give a rational response. 2. Challe n g i n g : Q uestioning authority. ▪ Downplay the challenge. Stick to the topic. Set limits. © 2018 CPI.

WORKBOOK PG 11 Unit 4: Verbal Intervention Keys to Limit Setting Offer choices and

WORKBOOK PG 11 Unit 4: Verbal Intervention Keys to Limit Setting Offer choices and consequences. © 2018 CPI. 24

WORKBOOK PG 11 Unit 4: Verbal Intervention Keys to Limit Setting Offer choices and

WORKBOOK PG 11 Unit 4: Verbal Intervention Keys to Limit Setting Offer choices and consequences. • Simple/clear © 2018 CPI. 24

WORKBOOK PG 11 Unit 4: Verbal Intervention Keys to Limit Setting Offer choices and

WORKBOOK PG 11 Unit 4: Verbal Intervention Keys to Limit Setting Offer choices and consequences. • Simple/clear • Reasonable © 2018 CPI. 24

WORKBOOK PG 11 Unit 4: Verbal Intervention Keys to Limit Setting Offer choices and

WORKBOOK PG 11 Unit 4: Verbal Intervention Keys to Limit Setting Offer choices and consequences. • Simple/clear • Reasonable • Enforceable © 2018 CPI. 24

WORKBOOK PG 11 Unit 4: Verbal Intervention Examples of Limit Setting © 2018 CPI.

WORKBOOK PG 11 Unit 4: Verbal Intervention Examples of Limit Setting © 2018 CPI. 25

WORKBOOK PG 11 Unit 4: Verbal Intervention Examples of Limit Setting • Interrupt and

WORKBOOK PG 11 Unit 4: Verbal Intervention Examples of Limit Setting • Interrupt and Redirect • When and Then • If and Then © 2018 CPI. 25

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern what a person is saying. © 2018 CPI. 26

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern what a person is saying. • Nonjudgmental © 2018 CPI. 26

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern what a person is saying. • Nonjudgmental • Undivided attention © 2018 CPI. 26

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern what a person is saying. • Nonjudgmental • Undivided attention • Listen carefully (focus on feelings and facts) © 2018 CPI. 26

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern what a person is saying. • Nonjudgmental • Undivided attention • Listen carefully (focus on feelings and facts) • Allow silence for reflection © 2018 CPI. 26

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern

WORKBOOK PG 11 Unit 4: Verbal Intervention Empathic Listening An active process to discern what a person is saying. • Nonjudgmental • Undivided attention • Listen carefully (focus on feelings and facts) • Allow silence for reflection • Restate and paraphrase © 2018 CPI. 26

D e c is io n kin g Ma UNIT 7 ra. c _i

D e c is io n kin g Ma UNIT 7 ra. c _i _

WORKBOOK PG 15 Unit 7: Decision Making Team Intervention Reasons for Team • Safety

WORKBOOK PG 15 Unit 7: Decision Making Team Intervention Reasons for Team • Safety • Professionalism • Litigation © 2018 CPI. 44

WORKBOOK PG 14 Unit 7: Decision Making Key Legal and Professional Considerations • Accreditation

WORKBOOK PG 14 Unit 7: Decision Making Key Legal and Professional Considerations • Accreditation and regulation • Professional codes of practice • Benchmarks for good practice • Criminal/civil law © 2018 CPI. 36

WORKBOOK PG 14 Unit 7: Decision Making Key Themes • Duty of care •

WORKBOOK PG 14 Unit 7: Decision Making Key Themes • Duty of care • Best interests • Reasonable and proportionate • Last resort and least restrictive • The risk of doing something and the risk of doing nothing • Human rights © 2018 CPI. 37

WORKBOOK PG 15 Unit 7: Decision Making Decision-Making Matrix Risk: The chance of a

WORKBOOK PG 15 Unit 7: Decision Making Decision-Making Matrix Risk: The chance of a bad consequence. © 2018 CPI. 4 7

WORKBOOK PG 15 Unit 7: Decision Making Decision-Making Matrix LIKELIHOOD Likelihood: The chance that

WORKBOOK PG 15 Unit 7: Decision Making Decision-Making Matrix LIKELIHOOD Likelihood: The chance that an event or behavior may occur. © 2018 CPI. 4 8

WORKBOOK PG 15 Unit 7: Decision Making SEVERITY Decision-Making Matrix LIKELIHOO D Severity: The

WORKBOOK PG 15 Unit 7: Decision Making SEVERITY Decision-Making Matrix LIKELIHOO D Severity: The level of harm that may occur. © 2018 CPI. 4 9

WORKBOOK PG 15 Unit 7: Decision Making SEVERITY Decision-Making Matrix Lower Risk • Unlikely

WORKBOOK PG 15 Unit 7: Decision Making SEVERITY Decision-Making Matrix Lower Risk • Unlikely event/behavior • Likely event/behavior © 2018 CPI. LIKELIHOO D high severity of harm. low severity of harm. 5 0

WORKBOOK PG 15 Unit 7: Decision Making Decision-Making Matrix SEVERITY High Medium Low LIKELIHOO

WORKBOOK PG 15 Unit 7: Decision Making Decision-Making Matrix SEVERITY High Medium Low LIKELIHOO D Higher Risk • Likely event/behavior high severity of harm. © 2018 CPI.

WORKBOOK PGs 17– 24 Unit 8: Physical Interventions – Disengagement Skills Decision-Making Matrix: Disengagement

WORKBOOK PGs 17– 24 Unit 8: Physical Interventions – Disengagement Skills Decision-Making Matrix: Disengagement Skills High Medium Low Last resort; reasonable; least restrictive; proportionate to the level of risk behavior. © 2018 CPI. 5 2

Next Steps • Completing CPI Certification Training. Part Two - For refresher training this

Next Steps • Completing CPI Certification Training. Part Two - For refresher training this can be completed through a two-hour synchronous Zoom training - For Initial CPI Certification schedule on site follow up training.

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