Workshop: Crisis prevention and intervention

Saydeh Hammouche, RN-MSN

Overview: A crisis situation is where “violence and aggression behaviors or actions that can result in harm, hurt or injury to another person, regardless of whether the violence or aggression is behaviorally or verbally expressed”, (NICE guidelines, 2015). The national institute for health and care excellence estimated the prevalence of crisis situation or aggression in the healthcare workplace constitutes around 25% (Iennaco et al., 2013).

Therefore the need of having a crisis intervention and prevention program workshop emerged. The workshop will provide skills and techniques in how best to handle an escalating situation.

The crisis prevention and intervention program is given to all professionals dealing with customers including but not limited to medical staff and health care provider, in order to maintain professionalism and safety in the working environment. These techniques will provide staff with the needed tools to defuse escalating behaviors and to provide safety measures to all parties who are involved in a crisis situation. Participant number can range between 5 to 20 individuals in each group.

Objectives: The main objective of this training program is to provide evidence based care and safety grounded interventions to health care providers, to appropriately defuse a crisis situation while maintaining safety and dignity for both customers and staff.

Moreover, this program will provide necessary skills for:
• Effective communication
• Appropriate emotional detachment
• Effective ways in approaching an acting out person, and
• Non-harmful strategies when handling an individual in a crisis situation.

This program will guide health care providers in effectively responding to a crisis and assertively keep limits and boundaries when dealing with service users.

Implementing the crisis prevention strategies has been effective in reducing the frequency and severity of the clients’ disruptive and dangerous situations, and increasing employee confidence and morale (CPI, training program, 2009).

Part 1 (120min)
1. Overview: Crisis development model

2. Nonverbal Behavior: Nonverbal behavior are important in defusing a crisis situation, this part will illustrate how space and body posture will affect our anxiety level.
a. Proxemics (space game)
b. Kinesics (Motion invading space, and the L shape stance, how our gestures can increase or decrease the other response)

3. Paraverbal Communication: this part will explain the importance of not only what we say during a crisis but how we say it
a. Definition and exercise (what we say and how we say it, state one sentence in different tonality?)

4. Verbal Intervention during an escalation continuum
a. Verbal intervention techniques
b. Setting limits
c. Empathetic listening

5. Rational Detachment, Integrated Experience (balloon exercise, perfect client, booklet)
a. Controllable factors to avoid a crisis

6. Staff Fear and Anxiety (dividing the group some will yell observe others response)
a. Brief definition of fear and anxiety symptoms

Part 2 (120min):

7. CPI’s personal safety Techniques
a. Safety rules
b. Personal safety demonstration and practice
8. Nonviolent Physical Crisis Intervention and Team Intervention
a. Nonviolent physical crisis intervention demonstration and practice

Teaching Methods: The teaching methods used will be power point presentation, white board, role-play exercise, group discussion, and return demonstration.

Please note that onsite registration for this workshop is not permissible!