De escalation calming the storm s
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De-Escalation: Calming the Storm s. Presenter: Mike Paget [email protected] Recognizing emotional and behavioral escalation. This presentation is based on material from the Crisis Prevention Institute

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De escalation calming the storm s

De-Escalation: Calming the Storms

Presenter:

Mike Paget [email protected]


Recognizing emotional and behavioral escalation

Recognizing emotional and behavioral escalation

  • This presentation is based on material from the Crisis Prevention Institute

  • CPI provides training on topics of crisis prevention and crisis management, including physical intervention

  • The priorities of CPI are to ensure safety, and to prevent escalation, including physical restraint


Think about a situation you have been in where things were getting tense and out of control

Think about a situation you have been in where things were getting tense and out-of-control

  • What clued you in that things were escalating?

  • What were your thoughts?

  • What were your feelings?

  • How did you respond?

  • How did things turn out?

  • Did the experience have any after-effects?


Cpi crisis development model

CPI Crisis Development Model


Behaviors and attitudes of adults impact on the behaviors and attitudes of children and youth

Behaviors and attitudes of adults impact on the behaviors and attitudes of children and youth

Integrated Experience

Crisis Development/Behavior Levels

Adult Attitudes/Approaches

  • Anxietynotable change or increase in someone’s normal behavior

  • Be supportive

  • non-judgmental and empathic

  • Be directive

    • give control by setting limits;

    • give options and choices to allow child/youth to regain rational control through appropriate self-directed behavior

  • Defensive

  • (overt behaviors) beginning to lose rationality/challenge authority

  • Non violent Physical Crisis Intervention (NVPCI)

  • non harmful control techniques used to help individual regain control

  • Acting out person

    • total loss of rationality and control

  • Tension reduction

    • decrease in energy level both physical & emotionally

    • beginning to regain control

  • Therapeutic rapport

  • begin to reestablish communication and regain trust


Experiment let s play the mime game

Experiment: Let’s play the mime game

  • 2 volunteers

  • Without words, show “anger”

  • “happiness”

  • “fear”


Nonverbal behavior

NonverbalBehavior

7% Verbal

38% Paraverbal

55% Non verbal


Proxemics

size

location

experience

sense of control

history

gender

age

frame of mind

culture

personal hygiene

Proxemics

Definition: The area where you feel comfortable

Factors influencing:

Note: Personal property functions like an extension of personal space


Kinesics

eye contact

avoiding

staring

crossed arms

eye rolling

clenching fists

huffing

pacing

Signs of Anxiety

shrugging shoulders

punching the air

clenched teeth

eyebrows

perspiring

Kinesics

Examples


Paraverbal communication

Paraverbal Communication:

Definition:

  • Vocal part of speech excluding words.

  • How we say what we say.

    Elements:

Volume- appropriate for situation

Cadence: rate /rhythm at which we speak)

Tone of voice (where is the inflection)


Arguing

Arguing

  • Have you ever gotten into an argument that became a real power struggle?

  • What makes these arguments worse?

  • What helps you avoid or back out of these arguments?


Verbal escalation continuum

Verbal Escalation Continuum

3. Release: loss of verbal control

Allow venting, isolate, focus on safety, listen

4. Intimidation

(threats)

Take it seriously, document, report, reflect, get help

2. Refusal- overt noncompliance

Setlimits

1. Questioning

Information seeking-answer

Challenging

Ignore, redirect, set limits

5. Tension Reduction

Therapeutic rapport


Talking tips and techniques

Do:

Listen

Talk less

Speak softly

Respect privacy

Remain calm

Do not:

Embarrass

Call out in front of others

Criticize

Over-react

Use sarcasm

Fake attention

Talking Tips and Techniques


Rational detachment

Rational Detachment

Definition:

The ability to stay in control of one’s own behavior and not take acting-out personally.

after

before

during

  • Debrief

  • Vent

  • Evaluate

  • Modify plan

  • Leave work at work

  • Calm

  • Breath

  • Team work

  • Humor

  • Follow plan

  • Good health

  • Meditation

  • Prayer

  • Training

  • Planning


Rational detachment1

Rational Detachment

Don’t

Do

  • Use calm voice

  • Maintain respect for child/youth

  • Listen

  • Talk less

  • Use privacy

  • Allow time

  • Praise when appropriate

  • Lose cool

  • Embarrass

  • Use sarcasm

  • Bring up the past

  • Fake attention

  • Touch

  • Become a precipitating factor


How the adult reacts makes matters better or worse

How the adult reacts makes matters better or worse

The behaviors and attitudes of adults impact on the behaviors and attitudes of children and youth, and vice versa

Anxiety ----- Support

Defensive ----- Directive

AOP ----- NVPCI

Tension reduction   Therapeutic rapport


Adult fear and anxiety

Productive

Heightened senses

Shortened reaction time

Increase in speed and strength

Unproductive

Minimize

freezing

Overreaction

responding inappropriately

Adult Fear and Anxiety

Fear: of the unknown – “What is happening?”Anxiety: fear of the known – “Can I handle this?”

  • Maximize:

  • understand your fears

  • learn techniques to protect yourself

  • get support: teamwork

  • learn physical intervention skills


After the storm

After the storm

Learning, processing, closure, moving forward

C -Control

O- Orient

Listen to the AOP or adult

P-Patterns

I- Investigate and Improvement

N- Negotiate

G- Give


Are you interested in more training

Are you interested in more training?

  • The Crisis Prevention Institute has a number of trainings primarily intended for adults who work with children and youth

  • CPI also has useful training material for parents and home care-givers


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