The information in this program outline is provided by the program representative and edited by the CEBC staff. The Nonviolent Crisis Intervention® Training Program has been reviewed by the CEBC in the area of: Behavioral Management for Adolescents in Child Welfare, but lacks the necessary research evidence to be given a Scientific Rating.

• Types of Maltreatment: Does not target any specific kind of maltreatment
• Target Population: Staff working in child welfare settings as well as other human services settings.

The Nonviolent Crisis Intervention^® training program is a behavior management system for organizations committed to providing care and services in a respectful, safe environment. The training offers a foundation to structure prevention and intervention approaches based on a philosophy of providing the best possible Care, Welfare, Safety, and Security^SM for staff and those they are responsible for, even during crisis situations. Strategies taught in the program provide staff members and/or staff teams with a framework for decision making and problem solving to prevent, de-escalate, and safely respond to disruptive or assaultive behavior. The program philosophy to promote the best Care, Welfare, Safety, and Security^SM expands throughout the continuum of interventions necessary when working towards reduction or elimination of restraint use. The program addresses the serious issue of physical intervention through careful assessment of risks and an evaluation of what may constitute a last resort.

The primary goals of the program are to:

• Teach staff members how to defuse challenging and disruptive behavior before an incident escalates to a crisis situation.
• Reduce the risk of injury to staff and those served by decreasing the number of physical interventions.
• Improve communication among staff by establishing a common language.
• Increase staff confidence to intervene both verbally and physically.
• Alleviate the staff’s stress and anxiety associated with confusion or uncertainty in crisis moments.
• Help staff feel safer at work.
• Minimize the risk of potential liability.
• Improve staff retention by providing the skills necessary to manage difficult situations.
• Help an organization comply with legislative mandates and regulatory/accreditation guidelines.
• Create and maintain a safe, caring, and respectful environment for staff and those served.
• Help an organization demonstrate its commitment and contribution to a safer community.

Introductions/Pre-Test

Unit I: CPI Crisis Development Model^SM

• CPI Crisis Development Model^SM Presentation and Discussion

Unit II: Nonverbal Behavior

• Proxemics and Kinesics Exercises
• Proxemics Presentation and Discussion
• Kinesics Presentation and Discussion
• CPI Supportive Stance^SM Presentation and Discussion

Unit III: Paraverbal Communication

• Paraverbal Communication Exercise
• Paraverbal Communication Presentation and Discussion

Unit IV: Verbal Intervention

• CPI Verbal Escalation Continuum^SM Exercises
• CPI Verbal Escalation Continuum^SM Presentation and Discussion
• Verbal Intervention Tips and Techniques Presentation and Discussion
• Empathic Listening Presentation and Discussion

Unit V: Precipitating Factors, Rational Detachment, Integrated Experience

• Precipitating Factors Presentation and Discussion
• Rational Detachment Presentation and Discussion
• Integrated Experience Presentation and Discussion

Unit VI: Staff Fear and Anxiety

• Staff Fear and Anxiety Exercise
• Staff Fear and Anxiety Presentation and Discussion

Unit VII: CPI’s Personal Safety Techniques

• CPI’s Personal Safety Techniques^SM Presentation and Discussion
• Review of Safety Rules
• Personal Safety Demonstrations, Practice, and Competency Testing

Unit VIII: Nonviolent Physical Crisis Intervention and Team Intervention

• Introduction and Review of Safety Rules
• Nonviolent Physical Crisis Intervention^SM Demonstrations, Practice, and Competency Testing

Unit IX: Situational Role-Plays
Unit X: Postvention

• Postvention: Establishing Therapeutic Rapport Presentation and Discussion

Post-Test/Evaluation

The verbal and physical interventions described in the training program are intended for use with individuals experiencing a crisis moment. The techniques are not intended to be used as therapy.

Nonviolent Crisis Intervention® Training Program was designed with a child component that addresses the following presenting problems and symptoms:

• Disruptive behaviors, such as anxious, hostile, or violent behavior during a crisis moment.

Age range: 0 – 17

Developmental Delays:

This program was not developed for children with developmental delays, and has not been tested for children with developmental delays.

Nonviolent Crisis Intervention® Training Program was not designed with a parent/caregiver component.

Nonviolent Crisis Intervention® Training Program was not designed to be conducted in a group setting, and has not been tested for use in a group setting.

Recommended Intensity:

The interventions are intended to be used as needed when individuals display disruptive behaviors. As such, no prescriptive contact schedule is described in the program.

Recommended Duration:

The program contains strategies for staff to use on an ongoing basis to prevent or intervene in response to challenging behaviors.

This program is typically conducted in a(n):

• Community Agency
• Community Daily Living Settings
• Foster Home
• Group Home
• Hospital
• Outpatient Clinic
• Residential Care Facility
• School

This program does not include a homework component.

Nonviolent Crisis Intervention® Training Program has materials available in languages other than English:

Arabic, Braille, French, German, Inukitut, Italian, Japanese, Spanish, Turkish

For information on which materials are available in these languages, please check on the program's website or contact the program representative (contact information is listed at the bottom of this page).

The typical resources for implementing the program are:

• Staff needs to be trained in the techniques (see training section for more details)
• Techniques can be performed anywhere, no additional room requirements or resources are needed.

The program is open to all staff members regardless of degree, who work within a Certified Instructor's Base of Employment.

There is a manual that describes how to implement this program, and there is training available for this program.

Training Contact:

• Bob Cozad, Director of Onsite Training
  bcozad@crisisprevention.com
  phone: (877) 877-5389

Training is obtained:

The program is taught using a train-the-trainer model. Individuals from organizations interested in using the program send prospective Instructors to be certified during a four-day Instructor Certification Program. CPI offers over 300 regularly scheduled courses per year in cities throughout the world. Training is also conducted onsite and customized for specific audiences. Program availability is continuously updated at www.crisisprevention.com.

Number of days/hours:

One-Day Introductory Seminar:
Learn to organize your thinking about how behavior escalates and how to respond appropriately during moments of chaos.

Two-Day Comprehensive Workshop:
Build on content from the Introductory Seminar by reinforcing preventive techniques and practicing the principles of nonharmful physical intervention.

Four-Day Instructor Certification Program:
Gain the skills and confidence to teach the program to staff at your facility. Instructor Certification is the premier choice of most organizations.

The Certified Instructor would then, in turn, be able to deliver the program to others within the organization in a format that is typically between 8-12 hours over one or two days. They would follow these guidelines when training staff at their organization:

• Only active Certified Instructors certified by CPI teach the program.
• Only authorized participants from the Certified Instructor's Base of Employment attend the program.
• No more than three Certified Instructors team teach the same program.
• Only original CPI training materials are used.
• Units I – VII are adequately covered prior to teaching any physical interventions.
• Only CPI's Classroom Models are used without substitutions of outside physical techniques.
• All units of the program are taught in sequence.
• Due Care is provided to participants by following the Procedural Safety Outline on pages 1 – 2 of the Instructor Manual.
• Adequate space is used for training. (For 15 – 25 participants, a minimum of 1500 square feet is recommended.)
• Every participant uses a program training workbook.
• Class size must not exceed 40 participants.
  

An Electronic Presentation and other training aids that Instructors may choose to use with the program are available at crisisprevention.com.

The program is best implemented utilizing an ongoing training process, and as such, outside of initial training and formal refresher training, it is recommended that Certified Instructors implement a training cycle that includes Situational Applications, Policy Discussions, Reviews, Practices, and Rehearsals.

Organizations using the training program have the option of implementing the course in a hybrid (partially via computer, partially via classroom) version. The hybrid version allows staff to learn many of the basic elements of the program from the comfort of their computers outside of a class via the internet, then learning how to apply the information in a classroom environment.

Additional Resources:

There currently are additional qualified resources for training:

All training must be conducted through the Certified Instructor's Base of Employment; therefore the only source of training for organizations without a currently active Certified Instructor is through CPI.

This program has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for a scientific rating of 1 – 5. Therefore, the program has been given the classification of "NR - Not able to be Rated." It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR - Not able to be Rated" classification, please see the Scientific Rating Scale.

Child Welfare Outcomes: Not Specified