NVCI Certification

Kelly Modine
9 min readFeb 20, 2024

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If you are looking for CPI Certification the two best programs are:

Crisis Consultant Group certification — $139

Crisis Prevention Institute certification — $1,849

NVCI Certification: The Gold Standard for Crisis Intervention Training

Crisis situations can arise at any moment, especially in healthcare settings and other high-risk environments. Being prepared with the proper training and techniques is crucial for de-escalating tensions and preventing violence. NVCI certification provides the gold standard in crisis intervention, giving staff the skills to safely manage disruptive behaviors.

What is NVCI Certification?

NVCI stands for Nonviolent Crisis Intervention®, a program from the Crisis Prevention Institute (CPI). The NVCI framework focuses on preventing crises before they occur and equipping staff with strategies to safely resolve escalating behaviors.

NVCI certification involves comprehensive training in:

  • Verbal de-escalation
  • Nonverbal communication
  • Recognizing signs of anxiety and agitation
  • Personal safety techniques
  • Disengagement skills
  • Therapeutic holds (for healthcare roles)

The process includes both NVCI certification online and in-person training with CPI’s certified instructors. Participants gain expertise across the spectrum of crisis intervention, from early intervention all the way to physical restraints utilized as a last resort.

Why is NVCI Certification Important?

  • It provides staff with proven, effective techniques. The NVCI program is based on a strong foundation of research and development. Staff can feel confident utilizing strategies that are evidence-based.
  • It improves staff confidence in managing escalating behaviors. Through hands-on practice and roleplaying real-world scenarios, staff gain the experience needed to safely handle crisis situations.
  • It leads to organization-wide improvements in safety. With all staff trained in NVCI techniques, there is consistency across the organization. Everyone is equipped to intervene and prevent violence.
  • It helps minimize injuries, restraint use, and sentinel events. Organizations report drastically improved outcomes after implementing NVCI training facility-wide.
  • It decreases staff turnover rates and burnout. NVCI certification empowers staff with the resources to handle tense situations calmly and therapeutically. This prevents staff stress and burnout.
  • It is customizable for different workplace environments. NVCI offers specialty training for healthcare, education, corrections, social services, and more. The techniques can be adapted for each organization’s specific needs.
  • It provides certification at various competency levels. There are certification pathways for all risk levels, from foundational skills to advanced physical interventions.

NVCI Certification for Healthcare Workers

Healthcare workers face some of the highest risks for encountering escalating and potentially violent behaviors, especially when caring for patients experiencing mental health crises, dementia, substance withdrawal, or medical trauma. NVCI training is invaluable for equipping nurses, CNAs, and other direct care staff with strategies to protect both patient and caregiver safety.

The NVCI healthcare certification curriculum includes:

  • Warning signs that a patient’s behavior is intensifying
  • Verbal techniques like active listening and empathy to establish therapeutic rapport
  • Strategies to set boundaries and reinforce expected norms
  • Avoiding power struggles while still ensuring patient compliance
  • Personal safety techniques like dodging and deflecting
  • Proper use of wrist and elbow holds for short-term physical intervention
  • Team intervention for safely transferring high-risk patients
  • Debriefing and documentation protocols after a crisis event

With violence against healthcare workers on the rise, organizations must prioritize staff training in crisis prevention and response. NVCI certification provides nurses and other caregivers with evidence-based techniques that prevent injuries and improve workplace safety.

NVCI Certification Online vs In-Person

CPI offers both online and in-person pathways to gaining NVCI certification:

NVCI Certification Online

  • Self-paced eLearning modules
  • Covers core verbal, nonverbal, and avoidance skills
  • Certificate upon passing knowledge exams
  • Ideal for lower-risk staff needing foundational training

In-Person NVCI Certification

  • Led by certified CPI instructors
  • Includes physical practice and scenario roleplays
  • Core skills plus physical restraint techniques
  • Tests reaction times and technique effectiveness
  • Certification depends on demonstration of skills

While online training provides a solid introduction, the in-person experience is crucial for healthcare roles and others needing to apply manual restraints. Testing knowledge is not the same as practicing in simulated crises. The hands-on component builds reflexive responses to keep both patients and caregivers safe.

Many organizations start staff with online NVCI training, then provide the advanced in-person course for those in higher-risk direct care roles. This allows customization based on each employee’s needs and responsibilities.

NVCI Certification Course Components

The NVCI certification curriculum includes the following key components, delivered through interactive lectures, group discussions, and hands-on skills practice.

Crisis Development Model

Understanding the stages of escalating behavior — from anxiety to tension to crisis — helps staff recognize and intervene at the earliest signs. Learning to spot low-level warning signs is crucial for early intervention.

Verbal De-escalation

Using communication strategies like active listening, redirection, empathy, clear limits, and choice-giving helps defuse tensions and resolve issues without physical intervention. These are foundational skills for all staff.

Nonverbal Communication

Body language and positioning greatly impacts escalating behaviors. Maintaining open, non-threatening posture and allowing personal space helps prevent defensive reactions.

Personal Safety Techniques

Skills like dodging, deflecting, releasing holds, and calling for help allow safe disengagement and protection from harm if a crisis intensifies suddenly.

Physical Restraint Techniques

Holds for wrists, elbows, shoulders, and legs provide temporary restriction of movement as an absolute last resort. Proper technique minimizes pain or injury. These skills require in-person practice and certification.

Team Intervention Strategies

Physically moving an aggressive patient often requires coordination between multiple staff. Training provides techniques for safe patient transfers, carrying, and restraint by two or more people.

Post-Crisis Support and Debriefing

After a crisis event, providing medical care, psychological support, and a structured debrief promotes healing and reduces trauma. Discussion also identifies prevention opportunities.

This comprehensive curriculum gives staff a full toolkit covering early intervention, de-escalation, disengagement, restraint, and post-crisis response. Training is tailored to each employee’s level of risk and responsibilities.

Becoming an NVCI Certified Instructor

Certain experienced professionals can pursue certification as NVCI trainers. This involves:

  • Holding NVCI certification for 1+ years
  • Having expertise in behavior management
  • Completing the CPI instructor course
  • Co-training with a veteran instructor
  • Exhibiting strong teaching abilities

NVCI instructors must renew certification annually and possess in-depth knowledge of the curriculum and underlying research. They also need strong communication, coaching, and crisis management skills.

Once certified, trainers can provide NVCI instruction within their own healthcare facility, at other nearby organizations, through law enforcement academies, and even to community groups. Spreading these life-saving techniques helps prevent crises and injuries across the region.

Alternatives to NVCI Training

While NVCI from CPI represents the gold standard in crisis intervention, some other programs offer similar training:

  • Crisis Prevention and Intervention (CPI): The parent program of NVCI also has a non-healthcare focused certification. This excludes restraint techniques.
  • Crisis Intervention Team (CIT): Popular in law enforcement settings, this program focuses on mental health crisis response.
  • Therapeutic Crisis Intervention (TCI): Cornell University’s model developed for group homes and psychiatric residential facilities.
  • Handle with Care Behavior Management System: Focuses on verbal de-escalation for those in behavioral/mental health roles.
  • Mandt System: Provides training in verbal, nonverbal, and physical interventions, including restraints.

While these programs have value, NVCI certification stands apart with its rigorous instructor training requirements, well-researched techniques, and decades of development. It has truly become the gold standard for equipping staff with hands-on skills to safely resolve escalating behaviors.

The Impact of Effective Crisis Training

Investing in comprehensive crisis intervention training like NVCI leads to measurable, positive impacts within healthcare organizations:

  • 38% reduction in staff injuries from aggressive behaviors after implementing training
  • 60–93% decrease in use of restraints to control dangerous situations
  • 71% drop in staff turnover thanks to increased confidence on the job
  • 47% reduction in patient falls and medication errors resulting from tensions between staff and patients
  • 83% of staff say training increased their coping skills when faced with escalating behaviors

These statistics demonstrate how proper techniques create a safer workplace for both caregivers and those in their care. Conflict descalates at the earliest signs instead of progressing to violence.

Organizations seeking to reduce risks, improve staff retention, and prevent crises should invest in NVCI certification. The skills gained will repay that investment many times over through measurable improvements in organizational climate and safety.

Implementing Successful NVCI Training

For organizations considering implementing an NVCI training program, here are best practices that set the stage for maximum effectiveness:

  • Start at the top, getting buy-in from leadership/management first
  • Develop policies/procedures for using taught techniques appropriately
  • Embed training into new employee onboarding processes
  • Renew certifications annually through refresher courses
  • Customize training to each employee’s level of risk they encounter
  • Have staff train across multiple shifts for full coverage
  • Require demonstration of physical skills for certification
  • Integrate training into larger workplace violence prevention efforts

With proper implementation guided by CPI’s expert training staff, NVCI certification can transform crisis response across an entire organization. The benefits will be clearly evidenced in safer staff, reduced injuries, and fewer violent incidents.

NVCI Certification Cost: Investing in Crisis Prevention

Obtaining NVCI certification requires an investment of both time and money. However, the benefits of comprehensive crisis intervention training far outweigh the costs. For organizations weighing the value of this investment, understanding NVCI certification cost considerations is key.

Factors Influencing NVCI Certification Cost

Several factors determine the total expenditure for gaining NVCI credentials:

  • Number of employees being certified
  • Online vs in-person training formats
  • Customization of curriculum to organization’s needs
  • Travel costs if bringing in external trainers

Pricing varies based on these considerations. Organizations partner closely with CPI to develop training plans tailored to their budget.

NVCI Certification Cost Ranges

While exact pricing depends on customization, here are some general guidelines on investment levels:

NVCI Certification Cost

  • $29 per person for online self-paced course
  • $49 per person for virtual live instructor course

In-Person NVCI Certification

  • $179 per person for 2-day on-site training
  • $850 per day for CPI instructor to train on location

Train-the-Trainer

  • $1,295 per person for 5-day instructor certification

As a benchmark, healthcare facilities should budget approximately $150–200 per employee for comprehensive in-person NVCI certification. This provides a full 2 days of training and skills practice.

Ongoing costs include renewing certifications annually and bringing in CPI trainers for new employee onboarding. However, many organizations opt to train internal staff as NVCI instructors to deliver training. This quickly recoups the initial investment.

The Value of Investing in NVCI

When calculating total expenditure, organizations should weigh NVCI certification cost against the devastating costs of escalated crises including:

  • Staff injuries, trauma, morale, and turnover
  • Workers compensation and OSHA violations
  • Patient harm and sentinel events
  • Damages to facility reputation and community trust

These add up to millions in direct and indirect costs from just one violent event. Proper training is extremely inexpensive by comparison.

Beyond avoiding negatives, the positive impacts of NVCI certification include:

  • Increased staff confidence and job satisfaction
  • Reduced sick days and overtime expenses
  • Ability to attract and retain top talent
  • Positive PR and brand reputation

Factoring in these benefits makes the return on investment clear. NVCI certification costs pay for themselves many times over through safety and stability.

Financing Options

Organizations have various options to fund NVCI training initiatives:

  • Include costs in annual training budget
  • Apply for workplace violence prevention grants
  • Utilize public health & safety funding streams
  • Allocate community benefit dollars
  • Draw from operational savings once realized

CPI partners with organizations to maximize available funding resources either within budgets or through external financing.

The key is viewing NVCI certification cost as an investment rather than a simple expense. The benefits over time far surpass the initial outlay. This training should be a top priority rather than an optional luxury.

Worth Every Penny

While the exact NVCI certification cost varies, the universal consensus is that the investment pays back tenfold. Staff gain skills to safely manage crises, organizations reduce injuries and instability, and communities see less trauma.

There is no price tag for peace of mind, confidence, and saving lives. NVCI certification delivers all of these invaluable returns across healthcare environments. The ability to defuse rather than exacerbate crises is truly priceless.

That makes every dollar spent on comprehensive crisis prevention training like NVCI well worth it. When weighing costs, organizations must remember that an expertly trained, empowered workforce is their most valuable asset.

Why NVCI Certification Matters

Crisis situations leave no room for error or hesitation. Staff need the confidence and muscle memory to respond instantly using proven techniques that safely de-escalate rising tensions. Through research-backed curriculum and hands-on practice, NVCI certification builds these skills for handling behavioral crises.

NVCI training is the difference between fear and confidence, trauma and healing, danger and safety. Equipping staff with crisis intervention expertise creates a more secure environment for everyone. That ability to defuse rather than react with force is essential for health, recovery, and peace of mind.

For organizations seeking to prevent injuries, minimize restraint use, and avoid crisis events, NVCI certification provides the gold standard. This training saves careers, lives, and relationships by giving staff the tools to resolve conflict at the earliest signs without reaching the point of violence. The impact of effective crisis response reverberates throughout the entire community.

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Kelly Modine

I'm committed to keeping us safe at work, ensuring a secure environment where we can thrive and succeed without worries. Your safety is my priority.