Have you ever been in a situation like this?
Mike is a patient with a history of aggression.
Today, he’s been agitated since lunch, and now he just lost at ping-pong.
It’s hot in the day room, and he’s sweating. He’s thirsty. So he tells a staff member he wants to go get a soda.
The staff member says, “No—I have to clean up in here first.”
The next thing everyone knows, Mike is tearing up the day room.
He’s breaking furniture and turning over chairs. He barrels down the hall into the acute unit, jumps over the nurses’ station, and starts stuffing charts in the garbage.
By the time you’re called to the scene, Mike’s in a corner, wielding a chair.
He looks like he could come at you with it.
But you know how to prevent that.
What you say is simple.
And you know it’s going to work. Because of HOW you say it.
Calmly—not showing panic that would contribute to the chaos—you say, “Hey Mike, how can I help?”
Mike likes you because you have a good rapport with him. He likes your tone.
He tells you he wants a soda. You know you can’t get him a soda right now, so you say, “What else do you want, Mike?”
Mike says he just wants to lie down.
Another staff member says, “No sleeping allowed midday! You’ll sleep at night.”
You see how this escalates Mike as he wields the chair higher. You signal for the staff to back away, and you say, “I can make a nap possible for you.”
You see how this calms Mike, so you say in a respectful tone, “But you can’t throw things.”
Mike lowers the chair very slightly, and you can see that his anger is starting to deflate. He’s almost done exploding. And your demeanor has calmed him.
So you say, “Will you put the chair down?”
And Mike puts the chair down.
Because of you, the standoff is over.
Staff can’t believe your magic touch.
But it’s not magic.
It’s know-how. It’s knowing what escalates Mike, and what calms him. It’s knowing which rules are negotiable and which are not. It’s knowing how to assess risk, and which intervention to use and when.
Handled differently, this situation could have led to a physical struggle. The chair might have gotten thrown. Team restraint might have been necessary. Injuries and pain might have resulted. Broken bones. Broken noses. Worker comp claims.
But your de-escalation skills prevented an out-of-control situation from spinning more out of control.
When you have de-escalation skills, people stop getting hurt.
This entire situation played out for behavioral health intervention specialist D.C. Foster, who says:
“CPI training is the #1 intervention model used by our state hospital. It is hard-wired into our crisis response protocol.”
— D.C. Foster, Behavioral Health Intervention Specialist, Arizona State Hospital
D.C. Foster got the patient to put the chair down. You can too.
With CPI, 69% of behavioral health professionals reduce worker comp claims by at least 20%.
When you have prevention skills, you have less pandemonium in the first place.
Remember the staff member who said “No—I have to clean up in here first”?
With crisis prevention skills, staff know what happens to most of us when we’re upset. We only hear PART of what people say. And it’s usually only the first part. So all Mike heard was “No.”
To prevent Mike’s rage, the staff member might have said: “Yeah, we can get you a soda. Just give me five minutes to clean up.”
Imagine the difference you’d feel if you were Mike. The next time someone’s anxiety starts to swell, try using affirmative language. Catch a crisis moment early, and watch behaviors turn around.
With CPI, 40% of professionals reduce difficult behaviors by more than half.
All staff need simple, powerful skills that bring calm to chaos.
Everyone in your facility can have these skills. They’re easy to use, they’re easy to teach, and they work. Therapist Diana Brown puts it like this:
“With Nonviolent Crisis Intervention® training, I think our staff have more competence in dealing with crises, and it reduces their fear of managing assaultive behavior.”
—Diana Brown, Therapist, Riverside County Department of Mental Health
95% of professionals agree: “CPI improved staff de-escalation skills and overall safety.”
Enhance your trauma-informed culture of care.
With CPI, you’ll build person-centered, trauma-sensitive best practices right in to your staff prevention and de-escalation trainings. Combining your trauma-informed care initiatives with training will give you even more tools for helping your patients be more than trauma survivors. You’ll be better equipped to help them manage their reactions to what they’ve been through.
Tailor your trainings to your staff’s realities.
Whatever you’re dealing with, we offer you more solutions than any other training provider. As a Certified Instructor, you can teach deep-dive content on topics like autism and physical skills. You can also teach on topics like intervening alone, working with patients who have dementia, and much more.
What about time and budget costs?
It costs more when staff don’t have the prevention and de-escalation skills they need. But time is not easy to find. And shifts are not easy to cover. That's why we created our blended-learning option, which combines online and classroom learning. It allows you to train more staff in less time.
Reduce patient aggression AND physical restraint.
Sometimes restraint is needed for a patient’s safety. But so often, it can be prevented. And when you prevent it, patients AND staff experience less stress and trauma.
With CPI, 73% of behavioral health facilities reduce restraint use by 50–100%.
Comply with legislative mandates.
We’ll help you meet the restraint reduction standards and training requirements that apply to your facility. See how: Alignments | Legislation
So what’s the ROI on CPI?
By helping you reduce behaviors, injuries, staff turnover, and worker comp claims, CPI will save you money. It will make everyone’s jobs easier. And it will show staff and patients how much you value their safety.