Point Of Impact Crisis Intervention

Point-of-Impact Crisis Intervention (PICI) 

Course Description

Gary Klugiewicz and Joel Lashley will lead this training. They are nationally known public safety trainers with extensive experience in police, corrections, healthcare, and mental health crisis intervention.

The title of this program says it all. This is a First Responder … Point-of-Impact … Crisis Intervention Training … for Persons with Special Needs. For the First Responder at the Point-of-Impact in Crisis Intervention Situations, everyone is a Person with Special Needs being either a Long Term EDP (Emotionally Disturbed Person with mental health issues), a Chemical Abuser (under the influence of or suffering the aftermath of alcohol or drug abuse), or a Short Term EDP (a person in crisis now) – and sometimes all three.

The fact of the matter is that although it is beneficial to know about the difference types of mental illnesses / conditions, at the Point-of-Impact, many times you won’t know who or what you are dealing with. The first responder needs to keep everyone safe until s/he can get the situation stabilized and, if necessary, get that person the medical / mental health care that they need. This program addresses this specific need by training First Responders how to minimize the stressors of these crisis situations, communicate effectively with persons in crisis, and use the most effective crisis intervention tactics to bring the crisis to a safe resolution.

This training deals with potentially violent crisis intervention situations. Gary and Joel will discuss the verbal protocol to diffuse and alleviate crisis situations, and discuss the determinants for when words fail and action must be taken. They will outline the specific physical intervention tactics that should be followed.

The program will focus on the development of a non-intrusive but effective crisis intervention protocol that addresses the safety needs of both the first responder and the person in crisis. Team tactics will be stresses for both informal and formal team response including the coordination of the medical, mental health, and law enforcement / security personnel.

Following this, participants will be armed with tools and tactics for keeping everyone safe at the point of impact, when things are out of control, and immediate response is required to stabilize the situation. The program can be schedule for a four (4) hour overview up to a twenty-four (24) hour operator certification program.

Some of the topic areas that could be covered base on the length of the class are:

  1. Importance of Crisis Intervention Group Discussion
  2. Introduction to Crisis Intervention Theory & Tactics
  3. Verbal Defense & Influence Tactics application to Crisis Intervention.
  4. How to Ease the Emotional Impact to Traumatized Persons Strategies & Tactics
  5. Point-of-Impact Crisis Intervention (P.I.C.I.) Training with Activities
  6. Communicating with Persons with Special Needs Training with Activities
  7. Responding to Persons with Brain Based Disorders Training with Activities
  8. Excited Delirium Recognition & Prevention Strategies
  9. Develop Crisis Intervention Response Scenario with Intervention Tactic Activity
  10. Stabilization Training Overview: Non-Intrusive vs. Intrusive Stabilization Discussion
  11. Six Levels of Stabilization Demonstration with Activities
  12. Normal Non-Intrusive Patient Stabilization Tactics with Activities
  13. Meshing Verbal Skills with Crisis Intervention Tactics with Activities
  14. Presence / Dialog Stabilization Drill Activities
  15. Standing to Wall Stabilization Drill Activities
  16. Overcoming Potentially Violent Resistance Stabilization Tactics with Activities
  17. Supine vs. Prone Stabilization and Follow Through Drill Activities
  18. Use of Soft Restraints to Safety Stabilize / Transport Persons with Activities
  19. Review Crisis Intervention Case Studies with Activities
  20. Incident Debriefing and Report Writing Section with Activities

This Point-of-Impact Crisis Intervention Training will combined material from Vistelar’s Verbal Defense & Influence Communication under Pressure (CUP) Program, Jane Dresser’s Crisis Intervention Preparation & Response Program, and the Joel Lashley’s Special Needs Strategies Program.

Verbal Defense & Influence Communication under Pressure (CUP) Card Key Concepts with key words:

  1. Be Alert & Decisive / Respond, Don’t React – Be Prepared
  2. Five Maxims – Our Philosophy
  3. Showtime Mindset – Stay Cool
  4. Universal Greeting – Best Introduction
  5. Beyond Active Listening – Active Intelligence Gathering
  6. Redirection – Deflect Verbal Abuse
  7. Persuasion Sequence – Manage Difficult Situations
  8. When Words Alone Fail – Take Appropriate Action
  9. Bystander Mobilization – Protect Each Other
  10. Review & Report Debrief – Complete the Transaction

Jane Dresser’s Crisis Intervention Preparation & Response Program:

Pre-intervention Preparation

  1. Calm yourself — autogenic breathing
  2. Center yourself — get focused
  3. Develop a strategy for intervention — level / type of intervention

Crisis Intervention Format

  1. Attempt to get person’s attention.
  2. Check on their perception of reality.
  3. Attempt to establish rapport.
  4. Explain your perception.
  5. Move towards resolution.

Joel Lashley’s Special Needs Strategies:

Behavioral Challenges Training Tactical Framework

  1. Reduce Stimulation (less of everything)
  • turn television down (not off if patient is distracted by it)
  • soften lights (safe level, not dark)
  • manage verbal overload (One Voice)
  • close curtains/doors/manage visual stimulation
  • medical equipment?
  1. Separate and support
  • fewer people (visitors other than needed family support person and unnecessary staff)
  • close curtains/doors/manage visual stimulation
  • medical equipment?
  1. Adapt communication
  • Maintain one voice
  • Use a normal tone and volume of voice
  • Simple directions/five simple words or less
  • Universal greeting
  • Use their name whenever addressing them
  • Tactical civility (Please and thank you/Praise when compliant)
  • Stay in their field of vision
  • Stay out of their personal space (Don’t touch unless stabilizing or treating)
  • Announce your intentions/ tell show do
  • If/then strategy
  • Account for cognitive latency
  1. Manage the unmet need (meet urgent unmet needs quickly)
  • Water
  • Food
  • Toileting
  • Pain
  • Boredom
  • Fear/missing family
  • Sensory issues (blankets, clothing, lighting, etc)