This refresher course is essential for any member of staff that works in a violent/ aggressive setting, particularly within a mental health environment.

This course is only for delegates that need to update their skills. Delegates must have completed a full 3-day PMVA course prior to attending this course.

A health declaration must be completed on the day of the course, which will be assessed by the course tutor. Due to the physical nature of this course we cannot accept any pregnant candidates on the course, post- natal learners should seek advice from their GP prior to attendance.

By the end of the course, delegates will be able to:

• Legal Responsibilities
• Understand Reasonable Force
• Understand ethical considerations of physical intervention
• Identify possible causes of violence + aggression
• Know the stages of the assault cycle + what each stage means
• Be able to identify signs of escalation of aggression
• Understand the different types of de-escalation strategies
• Recognise the importance of early intervention
• Understand the importance of continually assessing + evaluating the levels of risk posed by difficult / challenging people
• Select + utilise appropriate physical + non physical strategies to manage aggressive individuals 

• Relevant legislation, guidelines + frameworks
• Legal + ethical issues
• Influences on PMVA
• Risks in restraint
• Use of Reasonable Force
• De-escalation
• Avoiding + detection of positional asphyxia
• Instruction + practice of: -

- Friendly come along (including Non-Contact and stage one, two and figure of four)

- Standing holds to include (Escape and Rescue)

- Upper Arm Wrap, Team Formulation & Approach

- Upper Arm Wrap to a secure hold

- Seated De-escalation to include Trouble Drills

- Upper Arm Wrap to Supine

- Supine Descent to Floor to Elevated Rest in Upper Arm Wrap

- Trouble Drill to Sniper in Supine

- Elevated rest to standing

- De-escalation in Supine

- Securing Legs in Supine

- Prone descent to floor

- Prone floor work (upper rest to lower rest, de-escalation on floor, legs in prone)

- Turning Prone to Supine

- Prone Standing from the floor

- Reliefs, standing-supine-prone

- Seclusion options