Non-Violent Crisis Intervention Courses CPI??
0Mar 7, '12 by gewmacHi All:
Has anyone ever heard of CPI They teach numerous courses, including Non-Violent Crisis Intervention. They can be found at:
My wife states that as a teacher in a high risk urban district, she has attended similar classes and found them useful. I see that the cost of their programs are as follows:
$600 1 day seminar. $900 2 day seminar. $2000 4 day seminar and become certified to instruct.
The problem that I see with this is that at $80 per hour of instruction I could hire an expert for one on one training. Also, I wonder if a 4 day seminar qualifies one to teach staff. (Credibility or caveat emptor issue)? Are there other vendors or schools that teach deescalation?
I recently had an agitated, borderline MR schizophrenic rush towards me in the group home in which I am a Rehabilitation Counselor. I did not perceive this act as overly threatening to me. I am 6'2" and 250 lbs. I was able to move out of the way and talk the resident (patient) down. I was very happy that I did not react in either of my 2 non-therapeutic ways; 1. Get big like a bear and growl. 2. Push him aside. I stated in a post on a similar topic that my facility's defense tactic is "run away".
I am a nursing student and more than willing to read, learn, attend anything that will improve my skill set.
0Mar 7, '12 by PsychcnsI worked at one place where everyone went through CPI training.
I worked at another place where some staff were chosen to go to CPI training and came back, put together a curriculum for the staff based on what they learned and facility policies
I think leadership can help with reducing violence...program design, inservices, review of violent episodes, teaching about what causes violence (ie frustrated needs). how incidents of violence are followed up on..ie patient comments, review with staff about what could have been done differently..
0Mar 9, '12 by Meriwhen, ASN, BSN, RN Senior ModeratorBoth my prior and current psych facilities give all their unit staff CPI training. In fact, the prior facility gave everyone--even administrative and non-patient care positions--the training. It's definitely credible.
Cost-wise, however...it is pricey and IMO, I don't know if I would have taken it had I had to pay out of pocket for it. But if you ever get the chance to have your facility pay part/all of the cost, jump at it!
0Mar 9, '12 by Whispera, BSN, MSN, APRN, CNSWhere I've worked, someone was sent to take the instructor course. Then that person came back and trained all the psych staff, and security personnel, and re-taught everyone yearly. Having an on-site instructor was much less expensive than having everyone go to CPI for the training.
It's a valuable course, in my opinion.
0Mar 9, '12 by gewmacThanks to all who posted on my question! I will look to see if my employer will pay part of the cost. The three comments from pschrns, whispera, and meriwhen confirm that the CPI is useful. It appears that instructor certification would be useful to put on my resume. Perhaps it will help to get that first job as an RN in psych.I just took a client to our local inpatient psych facility and noticed that staff used some of the techniques of CPI. I was impressed by their professionalism, RN's and counselors.Thank you to all who answer the newbies' questions! I appreciate it.
0Mar 10, '12 by whichone'spinkI took it just yesterday, and it was not required of me where I work. It's only required for the charge nurses and manager on my floor. I found the non-violent techniques to fight off violent patients (and visitors) very helpful. It'll take some getting used to, because it goes against natural instinct to push your bitten hand into the patient to let go, or to push and twist the patient's wrist when your hand has been grabbed.
2Mar 10, '12 by phattassI've taken this yearly since it came out. It's a requirement where I work. However, this is paid for by my employer. I would NEVER pay that much for the course. Yes, it's useful, but not worth that amount of money. I also find it full of useless jargon that just complicates the basic content.
It's also really important that you take the course with the people you actually work with (if you work on a team). Learning to do a "take-down" with someone who works in medical records two buildings away isn't all that useful.
Oh...and I know more then one person who has been injured while taking this course. I'm sorry, the thought is making me laugh right now, which is not nice...but it's true, you can get injured doing CPI training.
If it's the concepts you are after, I suggest self-study online on similar topics. The ideas they teach are not revolutionary in any way. I'd save my money unless your employer steps up to cover a lot of the cost.
1Mar 11, '12 by Whispera, BSN, MSN, APRN, CNSgewmac, you already know two of the skills taught in CPI training--move out of the way and talk the patient down. Since you're a nursing student, it seems you could wait awhile to see where you work after you get your license. Then your employer might pay for training such as CPI, or might have its own version of in-house training.
Ask around...you might find something much cheaper than having to spend 900-2000 for official CPI training on your own.
0Mar 11, '12 by PsychcnsThe other thing to add is that when you work with potential violent patients, you want a therapeutic environment. groups, routine, etc. You want to notice signs of possible violence brewing, and figure out interventions then. talk to the patient, ask them if they would like a prn, listen to how they are feeling, ask them if they would like to spend time in their room and settle down, etc....after a violent episode, it is good to process it with the patient, what caused it, what they could have done dofferently, etc. how could staff have been more helpful...
cpi has some good understanding of the cycle of violence and when to intervene...before it happens....but it is very expensive..and the skills can be learned elsewhere as other people have pointed out....