Helps you adjust your approach in a situation to reduce the stress and risk in that moment

Ability to draw on memory and experience to adapt effectively in the present situation

Spark, Target, Weapon, and Level of Stress or Motivation

Providing immediate support to reduce emotional intensity so that patient can continue with the activity

When we are at our angriest

The use of trained and competent staff members to hold a patient in order to contain acute physical behavior

Self-Awareness, Self-Regulation, Self-Care, Relationship Skills and Attunement

Often a restrained patient’s last words

“It must be awful to feel like that”

Emotional Brain - Survival Brain - Panic!

Goal of Physical Intervention

First step to function effectively in a crisis situation

Predisposed and at a higher risk of “sudden death”

Helps patients “talk out rather than act out”

Anger or fear triggers a fight, flight, or freeze response

Fatal respiratory arrest in which the ability to breathe is compromised by the positioning of the body in relationship to its immediate surroundings

Attachment, Reciprocity, Progressive Complexity, and Balance of Power

May cause jugular vein or carotid artery to collapse

What to Think, What to Do, What to Say

Controls emotions and feelings

Anything that makes challenging behavior or traumatic stress response more or less likely to occur

Uses Reflective Supervision

May shift during an outburst

Drop the rope

Part of brain active during outburst phase that receives danger messages