10 Commandments of De-escalation
January 14, 2021


I Personal Space
– Two arms-length from patient
– Unobstructed path from room

II Minimize Triggers
– Stay calm
– “Open” body language
– Body positioning

III Verbal Contact
– Identify lead communicator
– Introduce yourself
– Provide reassuring statements

IV Be Concise
– Use simple language
– Repeat message
– Set limits, offer choices and alternatives
– Allow time to process

V Identify Goals
– Wants/feelings

VI Active Listening
– “What I’m hearing you say is…”

VII Agree
– Build empathy
– Don’t argue

VIII Set Limits
– Be reasonable and respectful
– Clear expectation, choices and consequences

IX Offer Choices
– Offer acts of kindness (food or drink)
– Identify choices/alternatives to escalation for patient

X Debrief
– Discuss events with staff or others
– Allow the patient to describe what happened in their own words

What if the patient is non-verbal?
– Proactively identify lead and mode of communication
– Use visuals, communication device (i.e. iPad) etc.

Behavior Services

ABA Therapy

Autism Services

IBHS Services

Medical Services





Developmental Peds

Autism Services



Creative Arts


'Hope Matters' Blog

Upcoming Events

Epilepsy Awareness

Child Development

Webinars Library

Community Links


Press Center

About Us

Our Story

Our Team

Our Values

Patient Stories

DEI Statement

Quick Links

Home Page

Billing & Insurance

Request Records

Prescription Refills

Knowledge Base

Leave Feedback