Untitled Lesson

Crisis Development Model and Verbal Escalation Continuum

By Nicolette Roque

The CPI Crisis Development Model

Open Ended

What is the CPI Crisis Development Model?

The CPI Crisis Development Model

Anxiety

• A change in typical behavior

• Ex: nervous movements, pacing, fidgeting, sighing, or shutting down.

The CPI Crisis Development Model

• Empathetic, non-judgemental approach

• Be patient, listen, and convey empathy.

Supportive

• A change in typical behavior

• Ex: nervous movements, pacing, fidgeting, sighing, or shutting down.

Anxiety

Multiple Choice

Which of the following is NOT a supportive communication strategy?

• Acknowledging their feelings

• Asking close-ended questions

• Using caring and supportive tones

• Offering to help

The CPI Crisis Development Model

• Providing clear direction or instruction.

• Use short, simple phrases that the person can follow; provide simple and reasonable choices.

Directive

• Protecting oneself from a real or perceived challenge or threat.

• Ex: shouting, refusal, asking challenging questions, or acting in a threatening manner.

Defensive

The Verbal Escalation Continuum

Open Ended

What is the Verbal Escalation Continuum?

Multiple Choice

Which of the following is an example of paraverbal or verbal defensive behavior?

• Pushing something off a table or throwing an object on the floor

• Turning their head and not following your instruction

• Saying "no"

• Refusing to speak

The CPI Crisis Development Model

• Non-restrictive + restrictive strategies to maximize safety and minimize harm.

• Always consider verbal and environmental non-restrictive approaches first.

Safety Interventions

• Behavior that presents an imminent or immediate risk of harm to self or others.

• Ex: striking, throwing objects, pulling pushing others, or harming oneself.

Risk Behavior

Safety Interventions

• Physical, chemical, environmental, or mechanical intervention used to restrict a person's liberty of movement.

Restrictive

• Verbal interventions

• continuing to use supportive and directive interventions

• Making the environment safe or moving to a place of safety.

Non-restrictive

Multiple Choice

Which of the following is non-restrictive?

• Verbal and environmental interventions

• Disengagement

• Holding

The Decision-Making Matrix

Open Ended

What is the Decision-Making Matrix?

The CPI Crisis Development Model

• Re-establish the relationship.

• Address the needs of the person, support the person, and re-establish the relationship.

Therapeutic Rapport

• Decrease in physical and emotional energy.

• Ex: relaxing of posture, returning complexion, reduced muscle tension, withdrawal, sadness, or embarrassment.

Tension Reduction

Thank you!