De-Escalation in MH OT Practice

De-Escalation

• Encompasses both verbal and non-verbal techniques aimed at diffusing escalating behaviors and preventing potential crises

• May be something that you are trained in for your future employers, but often skills are acquired and developed firsthand as one enters practice

• Strong skills here can ensure safety

De Escalation Strategies

Remain calm

Establish and maintain verbal contact

Set clear limits

Offer choices

Teamwork

Environment

Document!

Limit Settings

Used to teach, not punish

Helpful for listening, rather than a focus on talking

1. Explain which behavior is inappropriate

2. Explain why the behavior is inappropriate

3. Give reasonable choices

4. Allow time

5. Be prepared to follow through

After de-escalating a situation

Debrief with client AND staff