The NCI™ Training Program uses both verbal and physical interventions. We train that the least restrictive form of intervention should always be considered and utilized first, prior to the use of any physical restraint. Within this training, we also introduce a Decision-Making MatrixSM or risk assessment matrix which helps staff to consider what level of intervention to consider based on the level of risk. The Decision-Making MatrixSM and Physical Skills Review assist staff decision-making in the use of physical restraints. The physical restraints include lower-, medium-, and higher-level holding skills to safely manage risk behavior. Our NCI™ With Advanced Physical Skills course also includes the use of Emergency Floor Holding which is designated as higher-level holding. Beyond physical restraints, CPI does not teach or speak to any other form of restraint (such as mechanical or chemical).
The use of physical (human-to-human) restraints is taught within our training program for use as a last resort when all lesser forms of intervention have been exhausted. The staff members involved as well as observers are trained to continually assess the use of physical restraints and may call for an end to the use of physical restraints at any time.
CPI teaches that any emergency intervention should be used as a last resort, when the individual is an immediate danger to self or others, and when less restrictive interventions have been tried and have failed or are deemed inappropriate.
Interventions taught by CPI have been designed to minimize the risk of injury to patients and staff. As such, interventions are meant to be free of pain and do not include the use of pressure points or joint locks. While no intervention is completely free from risk of injury to patients or staff, all of CPI’s interventions have been independently assessed for risk of psycho-social, soft tissue, joint, structural, neurological, cardio-vascular and respiratory injury to both patients and staff.
It is the core belief of CPI that every effort should be made to prevent the need for physical restraint. We teach that physical restraint should only be used as a very last resort when all nonphysical options have been exhausted. For last-resort circumstances, we teach safer, nonharmful restraint techniques that are the most adaptable in the industry.
CPI utilizes verbal and physical maneuvers to defuse and prevent violent behavior. Prevention is what CPI training is all about. We also teach verbal de-escalation and physical-disengagement skills to defuse any incidents that staff can’t successfully prevent.
CPI training teaches staff to consider the potential psychological, physiological and social-emotional effects that physical restraint or physical violence can have on an individual. In the training program, staff learn ways to minimize or eliminate these effects whenever possible throughout their prevention, intervention and post-intervention efforts.
CPI training involves personal disengagements skills to keep staff physically safe from strikes, grabs, and other injuries and assaults—without hurting others.
CPI trains that restraints should only be used when a person poses an immediate threat of harm. When a person no longer presents a potential for harm to themselves or others the restraint should be immediately discontinued.
CPI’s interventions are designed to allow an individual in crisis to breathe freely and without obstruction. CPI’s interventions do not utilize skills that apply pressure to the neck or torso, which can compromise the ability of the individual to breathe. Additionally, CPI does not teach or endorse the use of masks, covers, or any object the obstructs vision or breathing of an individual.
CPI’s interventions do not utilize skills that secure a person to a stationary object. However, CPI does teach emergency interventions which allow staff to respond to risk behavior while an individual is in a seated or a standing position.
CPI does not teach interventions designed to restrict of inhibit an individual’s ability to communicate. However, if a person's behavior is a risk to themselves or others, as a last resort, the staff might utilize emergency interventions that result in restriction of hands and arms. As a result, an individual whose primary method of communication requires the use of their hands could be impaired.
Strategies to prevent physical harm are incorporated into CPI training. This will involve training staff of personal disengagement skills to ensure that staff remain safe from strikes, grabs, and other injuries or assaults—without hurting others.
The NCI™ Training Program curriculum provides disengagement strategies for staff that find themselves in a situation where they are confronted with physical violence.