Lindley Habilitation Services

 

North Carolina Intervention, NCI Instructor Training, NCI Core, NCI Core Plus

 

NCI Prevention Course Content overview

Prevention/Part A

THIS TRAINING
The goal of this training program is to teach skills that help prevent the use of restraints, seclusion or isolation time out. You are the key to reaching that goal. It is
important that you and everyone caring for, treating and supporting people with disabilities, know how to communicate to create positive relationships, to treat
others with respect and to handle yourselves when the going gets tough. In the course of your work with people, you will be asked to be many things –
teacher, coach, nurse, sounding board, role model. It is challenging work, but there are many rewards. The main one is seeing the people you are working with improve
the quality of their lives. Hopefully, the attitudes and skills you learn in this training will help bring that about.

 

 

PART A UNIT ONE
WHY DO PEOPLE DO WHAT THEY DO?
Key Points
Some outside factors that affect behavior are: cultural background, health, education, work experience, environment and finances.
Some inside factors that affect behavior are personality traits, how one thinks, and one’s ability to communicate.
What a person thinks is happening is more important than what is actually happening.
Health issues affect behavior. Stress affects behavior.
Anger is a natural emotion. It’s what a person does when angry that can cause problems.
Ways to learn more about the individual with disabilities

PART A UNIT TWO
BUILDING POSITIVE RELATIONSHIPS
Key Points
Friendships are different from the therapeutic relationships of staff caring for or supporting people with disabilities.
Strategies for therapeutic relationships include providing safety, privacy, respect, and meaningful things to do; including people in decisions; and helping people learn how to make decisions.
Most communication is through non-verbal body language.
Non-verbal communication that promotes positive interactions includes looking at the person, smiling, facing the person, relaxed posture, medium voice tone and listening.
Verbal communication that promotes positive interactions include using active listening – reflecting back what the person says; asking who, what, where and when questions.
Behavioral ways that people communicate wants and needs.

Respect is communicated by paying attention to people’s feelings, giving feed back without judging, using positive verbal, body language and active listening skills,

making time to be with another person,and by finding out how the person defines respect.

PART A UNIT 3
DECISION MAKING AND PROBLEM SOLVING
Key Points
Loss of control over decisions can cause feelings of fear, panic, frustration and insecurity. These feelings can lead to aggression, withdrawal,
negative attention-seeking, manipulations and lack of cooperation.
You can encourage decision making by offering hope and choices, avoiding confrontation, helping people make decisions, avoiding “orders” and giving positive feedback.
You can empower people by teaching decision making and problem solving

 

PART A UNIT FOUR
ASSESSING RISK FOR ESCALATING BEHAVIOR
Key Points
Staff attitudes are important. It is important to look for behavioral cues that may indicate staff distress.
You have a responsibility to do something if you see a co-worker contributing to a problem.
Some people do well in life in spite of hardships or risk factors. Safeguards that protect people from the effects of risk factors are called protective factors.

Attitudes, environmental and organizatinal factors can lead to aggressive behavior.
Personal factors such as health and emotional problems can affect behavior.
The more you know about the people you are working with, the more you can learn what to expect in a given situation.
People often give cues when their feelings are escalating

PART A UNIT 5
EARLY CRISIS INTERVENTION
Key Points
Use of a non-threatening stance and personal space are ways your body language can help calm another person
Voice tone and volume, giving reassurance, getting the facts and being clear are verbal ways to help calm another person
Monitoring yourself, cued responses, on-the-spot problem solving, positive reinforcement, scheduling, arranging the environment, re-direction and
facing natural consequences can help reduce aggression


 

NCI Core Course Content overview

Complex Releases

  • Chokes
  • Bear hugs
  • Full Nelson's
  • Head Lock's

Simple Releases

  • Arm Grab's
  • Hair Pulls
  • Bite Releases

Blocks

  • Overhead
  • Straight
  • Hook
  • Uppercut        

NCI Core Plus Course Content overview  

Simple Releases

  • 2 Hand Hair pulls
  • Optional Bite releases

Complex Releases

  • Alternative Choke releases
  • Alternative Bear Hug relase (Bicep)

Theraputic Holds

  • Punches to holds
  • Kicks to holds
  • Wrap

 

Walks

  • Limited Control Walk
  • 2 Person Modified Limited Control Walk's
  • One Person Walk
  • Two Person Walk

 

Carries

  • 2 person carry
  • 3 person carry from the floor and standing
  • up to 5 man assitive techniques