Non-Violent Crisis Intervention

1. Non-Violent Crisis Intervention 2011-2012 Level I Training

2. Integrated Experience Behavior Levels Staff Approaches • Anxiety • A noticeable change or increase in behavior • Pacing, withdrawal, tapping • Defensive • The beginning stage of loss of rationality • Challenging authority, becoming belligerent • Supportive • An empathic, nonjudgmental approach • Listening, offering reassurance • Directive • Staff member takes control of an escalating situation by setting limits • Explaining options and consequences to the individual

3. Integrated Experience Behavior Levels Staff Approaches • Acting-Out Person • Total loss of rational control that results in a physical acting out episode • Hitting, bighting, kicking, throwing objects, etc. • Tension Reduction • Decrease in physical and emotional energy • Showing signs of relaxation, normal breathing • Nonviolent Physical Intervention • Safe, non-harmful positions to control an individual until he can control his own behavior • Used only as a last resort • Therapeutic Rapport • Used to re-establish communication • Listening, showing interest and concern

4. Level 1 Anxiety/Supportive • Proxemics: Personal space surrounding the body (1.5 – 3 feet). • Kinesics: The non-verbal message transmitted by the motion and posture of the body • Supportive Stance: Body positioned at least one leg length away at angle. • Respect • Non-threatening • Safety

5. Level 1 Anxiety/Supportive • Paraverbal Communication: The vocal part of speech, excluding the actual words one uses. • Three Key Components • Tone • Volume • Cadence • Individual • Tone may be angry, aggressive, sarcastic • Volume may be loud • Cadence may be choppy, fast at times • Staff Member • Tone should be calm, reassuring • Volume should be controlled, appropriate for the setting • Cadence should be smooth

6. Level 2 Defensive/Directive Behavioral Levels Staff Approaches • Questioning • Information-Seeking • Challenging • Refusal • Non-compliance • Slight loss of rationalization • Answer Questions • Give a rational response • Redirect to avoid a power struggle • Set Limits • Set limits • Offer choices stating the consequences of those choices, stating the positive first • Simple and clear • Reasonable • Enforceable

7. Level 2 Defensive/Directive Behavioral Levels Staff Approaches • Release • Verbal acting out, emotional outburst, loss of rationalization • Intimidation • Verbally or non-verbally threatening • Tension Reduction • Drop in energy • Let them get it out • Seek assistance if needed • Remove the audience or try to move the individual from the area • Take seriously • Seek assistance, avoid hands-on approach • Therapeutic Rapport • Re-establish communication

8. Level 2 Defensive/Directive • Empathic Listening: An active process to discern what a person is saying • Be nonjudgmental • Give undivided attention • Allow silence • Use restatement to clarify • Listen for underlying messages

9. Integrated Experience Behavior Levels Staff Approaches • Precipitating Factors: Internal or external causes of an acting-out behavior which a staff member has little or no control • Loss of personal power • Fear • Displaced anger • Rational Detachment: The ability to stay in control of one’s own behavior and not take acting-out behavior personally • Take a deep breath • Get a good nights sleep • Leave the baggage at the door

10. Level 3 Acting Out/Personal Safety Behavior Levels Staff Approaches • Strike • Punch, kick, throwing objects • Grab • Hair pull or bite • Block or deflect and move • Call for assistance • Immobilize the pull/feed the bite • Stay calm • Have a plan • Use an element of surprise or distraction • Call for assistance

11. Level 4 Tension Reduction/Therapeutic Rapport