Course Content
- Influences on PMVA
- Current Guidance and Legalisation
- What is self-defence?
- Hierarchy of Responses
- De-escalation
- Principles of Observation & Communication
- Legal & Ethical Issues
- Risks in Restraint
- Blood-borne infections
- Substance Misuse and Associated Behaviours
- Positional Asphyxiation
- Excited Delirium
- Compartment Syndrome
- Sickle cell anaemia
- Best Practice Guidance
- Health & Safety Act 1974
- The Mental Capacity Act 2005
- The Mental Health Act 1983 (Amended 2007)
- Deprivation of Liberty Safeguards
- Cheshire West Supreme Court Ruling
- Human Rights Act 1998
- What is torture?
- What is inhumane treatment?
- What is SIRI?
- What is Post Incident Review?
- Review Stages
- Post Incident Support
- Staff Perception
- Impact of Violence and Aggression
- Interventions in Dementia Settings
- Interventions in Children's Services
- Interventions in Secure Services
- Interventions in Acquired Brain Injury Services
- Interventions with Personality Disorder Patients
- Interventions with Eating Disorder Patients
- Trauma in Mental Healthcare
- Mental Health First Aid Model
- Consequences of non-compliance
- References
- Case Studies
- Current Issues related to PMVA in the Media
- Video
Learning Outcomes
By the end of the course, participants will be able to:
- Identify possible causes of violence and aggression in mental healthcare settings
- Recognise the importance of implementation of early intervention strategies in reducing the occurrence of violence and aggression
- Demonstrate the ability to communicate effectively with colleagues and patients
- Identify legal and ethical implications of utilising physical intervention strategies
- Demonstrate the ability to select and utilise appropriate physical and non-physical strategies to manage an aggressive individual
- Understand the need to continually assess and evaluate the levels of risk posed by difficult and challenging individuals.
- Demonstrate how to escape safely from a variety of grabs and holds
- Candidates will be able to define the role of NHS Protect, LSMS, and SMD.
- Be able to give explanations for aggression – particularly in MH/LD settings
- Know the stages of the assault cycle, and what each stage means
- Be able to identify signs of escalation of aggression
- Understand Strategies to de-escalate
- Understand the legal issues around reasonable force in line with MHA, MCA and best practice guidance
- The importance of conducting post incident reviews
- The negative impact to staff and organisations of non-compliance to the completion of post-incident review.
- The essential elements of conducting a post incident review.
- How staff and patients can be psychologically affected by incidents.
- Good and bad practice in post-incident review.
Assessment
- Group Participation - Physical and Theoretical
- Scenario Based Candidate Assessment
- Teamwork Physical Intervention Skills
- Safety Stance
- Fighting Arc
Standing and Relocation Holds
- Non-contact Guiding
- Stage 1
- Stage 2
- Stage 3
- Figure of Four
- Thumb in Palm
- Finger & Thumb
- Seated De-escalation
- Rationale
- Purpose
- Environment
- Approach
- Trouble Drills
Re-location to the Floor Supine
- Relocation to the floor and back to standing.
- Upper rest positions and reinforced holds
- Securing the legs
Relocation to the floor prone Last Result or Patient led
- Principles and Current guidance relating to prone restraint
- Relocation to the floor and back to standing
- Lower rest positions and reinforced holds
- Safe/secure holds for medication administration.
- Securing the legs
- Lost Holds
- De-Escalation
- Stop and Rest
- Modified Recovery
- Turning Patients:
- Prone to Supine
- Supine to Prone
- Doorways
- Stairs
Relief/Changing Options
Seclusion Techniques
- Floor Option – Exiting via the head
- Exiting from the side
- Kneeling Option
- Human Factors