CPI Crisis Model
What is the first behavior level of the CPI Crisis Development Model and how should staff respond?
Anxiety- take a supportive approach. Empathetic and non-judgmental manner to understand their feelings.
What is the fancy word for the vocal part of speech (not the words)? Not what we say, but how we say it; the tone volume and rate of speech.
Paraverbal Communication
When do we use a Safety intervention with a student?
When student is posing an imminent or immediate risk to self or others, only as a last resort (and it's the least restrictive intervention).
What are the staff interventions when a student is in a defensive behavior level and is attempting to intimidate?
Take the threat seriously, seek assistance
What are some strategies for rational detachment in the moment?
Asking for help
Observation
Use of grounding
Breathing
Think, then say
Why is the Crisis Development Model important?
Because it provides a guideline for identifying stages of distress and how to respond to each stage.
Whis is a way of listening and responding to another person that improves mutual understanding and trust?
Listening with empathy
What 2 variables are used in the Decision Matrix?
Severity of Harm
Likelihood of Behavior
What are the two types of questions?
When we say that a behavior level and staff approach is an "Integrated Experience," what do we mean?
Behavior affects behavior, our mood affects others' moods and/or our calm helps others calm.
Therapeutic rapport is necessary no matter the level of crisis a person was in.
True/False
True
What does the Supportive Stance convey or communicate?
Communicates respect, is non-threatening and maximizes safety.
When a student presents Risk Behaviors, the recommended staff approach is to use Safety Interventions. Explain the two types of safety interventions.
Non-restrictive Interventions- such as continuing supportive and directive approaches, making the environment safe. moving people to a place of safety and using non-restrictive disengagement to release escape.
Restrictive Interventions- such as physical, chemical, environmental or mechanical interventions used to restrict a persons liberty of movement. (All restrictive interventions must be documented)
When a student is in the defensive behavior level and releasing, what is the staff intervention?
Allow venting and remove audience.
Our Service to the people in our care is based on ...?
a. Person -Centered and trauma-informed approaches
b. Using our fight or flight response
c. CPI's guiding philosophy of Care, Welfare, Safety and Security
a. Person -Centered and trauma-informed approaches
c. CPI's guiding philosophy of Care, Welfare, Safety and Security
What is the staff attitude/ approach when a student is showing signs of anxiety?
Supportive, empathetic, neutral, offering help, check in, acknowledge the anxiety "I notice you tapping your foot..."
Explain the four steps to planning a difficult conversation?
Planning
Scripting
Delivering
Documenting
CPI teaches the classroom model. If you are in a situation where you cannot replicate those specific skills, what acronym do you refer to? What does it stand for?
Safe- Is it safe for you and the individual?
Effective- How does it maximize safety and minimize harm?
Acceptable- How would this be viewed by a bystander, would it be "acceptable"?
Transferable- Can this be transferred to another situation.
When a student is noncompliant and we as staff set limits, where on the Verbal Escalation Continuum is the student?
Refusal
What is postvention? Who is it for?
It's a time to reflect and discuss the incident and make any necessary changes and plans for the future. It strengthens relationships, provides closure, and is a time to teach and learn from one another. It is for both the CPI team and the person in crisis.
What are the four levels of the Crisis Prevention Model and the matching staff response to each?
Anxiety - Support
Defensive - Directive
Risk Behavior - Physical Intervention
Tension Reduction - Therapeutic Rapport
If you notice a person starting to show signs of distress, what are some things you can do to support them?
Support by listening with empathy.
Supportive non-verbal communication.
Allow them to express their feelings and thoughts and thoughtfully respond.
Don't promise things you can't fulfil.
The Decision-Making Matrix is used to assess the level of risk. It can be a preventative tool, an in-the moment tool, and a debriefing tool. Explain and example of each.
Preventative tool- Used before a crisis to proactively identify the level of risk of a known behavior and implement strategies to mitigate it.
In-the moment tool-Used in a crisis where a person is exhibiting Risk Behavior to determine the Safety Intervention appropriate to the severity of harm.
Debriefing tool- Used after a crisis to talk about the safety intervention that was used and the decision-making process that guided you to use it.
Interrupting then redirecting, and prompting students with sentences that follow the "when/then" or "if/then" frame are examples of...
Limit Setting
Explain the three parts of therapeutic rapport:
-
Supporting in the Present- provide physical and psychological support to the individual to reestablish the relationship.
Understanding the Past- help an individual reflect on their actions and consider their impact and identify any patterns
Planning for the Future- collaboratively learn and problem solve to develop approaches for future events. Create sense of responsibility and ownership, helps staff improve their approach.