This refresher course in Prevention and Management of Violence and Aggression (PMVA) demonstrates techniques which will help you continue to defuse and manage potential conflict, safely, within a variety of settings.

This course has been developed in line with the GSA (General Services Association) standards and meets the requirements of the 2019 Restraint Reduction Network (RRN) Training Standards.

The RRN Training Standards have now replaced the British Institute of Learning Disabilities (BILD) Code of Practice. (Source: restraintreductionnetwork.org/training-standards/)

Who is this course for?

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.

Objectives

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

• Understand how PMVA sits within the legal framework of the Mental Health Act + Mental Capacity Act
• 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
• Demonstrate how to escape safely from a variety of grabs + holds

Course Content

• Relevant legislation, guidelines + frameworks
• Hierarchy of responses
• Legal + ethical issues
• Influences on PMVA
• Risks in restraint
• Defining self-defence
• Use of Reasonable Force
• Personal safety awareness + challenging behaviour
• Principles of observation + communication
• De-escalation
• Avoiding + detection of positional asphyxia
• Instruction + practice of breakaway + self defence techniques (where applicable) -
  1. Wrist grabs (parallel + diagonal)
  2. Clothing grabs (various)
  3. Slaps, punches + kicks
  4. Hair pulls (various including pony tail grabs)
  5. Strangle holds
• Instruction + practice of low risk physical intervention techniques: -
  1. Planned approach (restraining violent patient as part of a response team)
  2. Role of the head person
  3. Prone restraint
  4. Chair de-escalation
  5. Managing legs
  6. Supine restraint + IM medication
  7. Turning the patient
  8. Seclusion exits + seated de-escalation