Crisis Prevention Institute
What is one of the four guiding philosophies of care in CPI
Care, Welfare, Safety, & Security
All behavior is a form of?
Communication
What are three ways of communicating a person can use?
Verbal, non-verbal, & paraverbal (tone, speed, etc)
What approach works best with someone at the defensive level of behavior direct, supportive, safety interventions?
Direct
What are some factors that can contribute to level of risk/harm from a behavior?
Age, gender, cognitive ability, level of anger, size and potential to cause harm of the person, intention on harm (wanting to fight someone specific), substances, presence or absence of others, items in reach that could cause harm, etc.
Examples of person-centered care.
They know themselves best, consider their life experiences, understand everyone is unique, value the person's dignity & rights.
What are some factors that influence distress behaviors?
Stress, lack of sleep, running late, trauma, cognitive development
How does a person experiencing anxiety display it?
Shutting down, pacing, picking, quiet voice, etc
What part of a person's brain is taking over when they are moving into the defensive level of behaviors?
Emotional
What is VOA's policy on restraining clients?
What is a core value for you in working with people?
Correct
What are some distress behaviors that cause or can lead to imminent or immediate risk of harm?
Fighting, punching walls, destruction of property (major) self-harm, suicidality etc.
In our supportive approach to anxious level, what are some ways we can provide care to them?
show empathy, allow them to express/process their feelings and needs, validate their feelings, address unmet needs or teach them how to do so, etc
True or false: Challenging questions and information seeking questions are considered defensive behaviors?
True
What are some environmental and verbal non-restrictive interventions we can use with someone?
Redirect them to another area, redirect others away, continue to support to understand what the behavior is communicating, collaboration with team, removing items that could be harmful, allowing the individual to use up some energy on low-risk defensive behaviors, continuing to use directive strategies to limit set and redirect behavior, etc.
How long is the CPI Verbal Intervention training we use at VOA?
1 day
How do we determine the risk of a distress behavior in CPI?
Likelihood X severity
How would you alter your tone, volume, and speed when showing support?
Caring supportive tones, appropriate volume for the situation, speed at which they can process, not just the words you say but how you say them-watch para and non verbal expressions to show support not judgement.
Share some direct approaches you could use to help support someone in the defensive level of behavior
Use short, simple phrases that are easy to follow, provide limits and choices, objectively analyze the situation, continue using supportive communication to align with the person, etc.
What is VOA's policy on keeping yourselves safe during a physical risk behavior?
You are all in orientation, so you tell me?
When was CPI founded?
1980
What are examples of a preventative approach and a reactive approach to mitigating risk through the CPI model?
Preventative: be person-centered, strengthen relationships with others (build rapport), help develop healthy coping skills, identify and reduce situations or triggers for/with the individual.
Reactive: Focuses on maximizing safety-remove other clients, get person in distress away from environment/triggers to process, food, medical care etc.
What are some keys to listening with empathy?
Remain non-judgmental, give your undivided attention, allow silence and reflection time, paraphrase what you understand, open ended questions, etc.
Which is an example of the "interrupt & redirect" technique for someone in defensive bxs?
A: When you lower your voice, I"ll be able to address your concerns.
B: Would you like to talk about this now or later?
C: You sound upset. Why don't you take a breath and tell me what happened?
C
What severity of harm does a hunger strike fall under for a level of risk behavior? Low, Medium, High, Extreme?
Can be any depending on the day and circumstances.