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Practical Communication Strategies to Help an Anxious Child. Program Objectives. Identify the behavior levels that contribute to the development of a crisis and choose an appropriate intervention Indentify useful nonverbal techniques which can help to prevent escalating behaviors.

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Presentation Transcript
program objectives
Program Objectives
  • Identify the behavior levels that contribute to the development of a crisis and choose an appropriate intervention
  • Indentify useful nonverbal techniques which can help to prevent escalating behaviors
crisis development model
Crisis Development Model

Anxiety: A noticeable increase or change in behavior (pacing, finger drumming, wringing of the hands)

crisis development model1
Crisis Development Model

Anxiety: A noticeable increase or change in behavior (pacing, finger drumming, wringing of the hands)

Supportive: An empathetic, nonjudgmental approach attempting to alleviate anxiety

crisis development model2
Crisis Development Model

Defensive: The beginning stage of loss of rationality. At this stage, an individual often become belligerent and challenges authority.

crisis development model3
Crisis Development Model

Defensive: The beginning stage of loss of rationality. At this stage, an individual often become belligerent and challenges authority.

Directive: An approach in which a staff member takes control of a potentially escalating situation by setting limits.

crisis development model4
Crisis Development Model

Acting-Out Person: The total loss of control, which results in a physical acting out episode

crisis development model5
Crisis Development Model

Acting-Out Person: The total loss of control, which results in a physical acting out episode

Nonviolent Crisis Intervention: Safe, non-harmful control and restraint positions to safely control an individual until he/she can regain control of his/her behavior (used as a last resort when the child presents a danger to self/others.

crisis development model6
Crisis Development Model

Tension Reduction: A decrease in physical and emotional energy that occurs after a person has acted out, characterized by the regaining of rationality.

crisis development model7
Crisis Development Model

Tension Reduction: A decrease in physical and emotional energy that occurs after a person has acted out, characterized by the regaining of rationality.

Therapeutic Rapport: An approach used to re-establish communication with an individual who is experiencing Tension Reduction.

nonverbal behavior
Nonverbal Behavior
  • Objectives
    • Raise awareness of nonverbal communication during interventions
    • Illustrate how personal space (proxemics) affects anxiety levels
    • Illustrate how body posture and motion (kinesics) affects anxiety levels
proxemics personal space
Proxemics (Personal Space)

An area surrounding the body (1.5 – 3 feet) which is considered an extension of self

  • Personal space varies depending on who is approaching and what the context of the situation happens to be.
  • Factors include: gender, size, age, cultural background, relationship, health, previous experiences
  • Invasion of personal space will increase anxiety
  • Includes someone’s “stuff”
kinesics body posture motion
Kinesics (Body Posture/Motion)

The nonverbal message transmitted by the motion and posture of the body

  • Facial expressions, gestures, posture, movement
  • Staff member’s kinesics behavior can serve to escalate or de-escalate a given situation. A body position that appears challenging or confrontational may increase anxiety when approaching an individual.
supportive stance
Supportive Stance
  • Communicates respect
  • Nonthreatening/Non-challenging
  • Contributes to personal safety
paraverbal communication
Paraverbal Communication

Definition: The vocal part of speech, excluding the words

empathic listening
Empathic Listening
  • Be nonjudgmental
  • Give undivided attention
  • Listen carefully to what the person is really saying – and not saying (focus on feelings, not just facts)
  • Allow silence for reflection
  • Use restatement to clarify messages