3 Day Positive Behaviour Support & Management
Course Info
This programme is designed for staff who are either new to the care field, new to their employing organisation, or who have not previously worked within care services where challenging behaviour may be an issue
The course encompasses one day of theory learning which covers all aspects of working with challenging behaviour positively, with a particular emphasis on reducing the need for physical intervention
This is followed by two days of physical skills designed to maintain the safety of people who use services and others when a situation has escalated into a crisis, and when injuries may occur without a physical intervention.
Course Content
0900 – 0930
- Welcome group and complete register
0930 – 1040
- Formal introductions
- Medical questionnaire
- Health and safety
- Outline course aims, expectations learning outcomes
- Aggressive/non-aggressive behaviour (group activity)
- The effects of challenging behaviour
1040 – 1055
- Morning break
1055 – 1200
- Primary prevention
- Why we cannot always avoid confrontation
- Underlying factors (group exercise)
- Trigger factors (group exercise)
1200 – 1245
- Lunch break
1245 – 1415
- Environmental trigger factors
- Reducing trigger factors
- Recognising warning signs
- Reactions to confrontation/adrenaline
- Communication
- Incident cycle
- Post incident issues
1415 – 1430
- Break
1430 – 1700
- Last resort physical intervention
- Types of intervention
- PIER Risk assessment
- Gradient of response
- Criminal Law Act ‘reasonable force’ HRA & MCA
- Risks associated with restraint
- Lived experience (video)
- Documentation and record keeping
1700 – finish
Physical Skills
0900 – 0915
- Arrival and complete register
0915 – 0930
- Health & safety briefing, medical questionnaire
0930 – 1045
- Proximity
- Stable positioning
- Moving safe side
- Avoiding/Blocking strikes
- Wrist Grabs
- One-handed, thumb inside, low threat
- One-handed, thumb outside, low threat
- One-handed, thumb inside, high threat
- One-handed, thumb outside, high threat
- Two hands on two arms, thumbs inside, low threat
- Two hands on two arms, thumbs outside, low threat
- Two hands on two arms, thumbs inside, high threat
- Two hands on two arms, thumbs outside, high threat
- Two hands on one arm
- Two hands on one arm – arm raised
1045 – 1100
Break
1100 – 1200
Clothing Grabs
- One-Handed Clothing Grab – Low Threat
- Two-handed Clothing Grab – Low Threat
- One Handed Clothing Grab – High Threat
- Two Handed Clothing Grab – High Threat
- One-Handed Clothing Grab against Wall
- Two-Handed Clothing Grab against Wall
- Collar Grab from Behind
Hair Pulls
- One-Handed Hair Pull from in Front
- Two-Handed Hair Pull from in Front
- One Handed Hair Pull from Behind
- Two Handed Hair Pull from Behind
- Pony-Tail Pull
1200 – 1245
Break
1245 – 1415
Bear hugs
- Bear Hug from In Front – Arms In
- Bear Hug from In Front – Arms Out
- Bear Hug from Behind – Arms In
- Bear Hug from Behind – Arms Out
- Bear Hug from In Front – Higher Threat
Chokes/Strangulations
- One-Handed Strangulation from In Front
- Two-Handed Strangulation from In Front
- One-Handed Strangulation against Wall – Straight Arm
- Two-Handed Strangulation against Wall – Straight Arm
- One-Handed Strangulation against Wall – Bent Arm
- Two-Handed Strangulation against Wall –Bent Arm
- Two-Handed Strangulation against Wall – Splay Arm
- Forearm Bar across Throat against Wall
- Strangulation from the Side
- Strangulation from Behind – Forearm Bar across Throat
- Strangulation on Floor
1400 – 1415
Break
1430 – 1700
Assisted Breakaway
- Assisting from strangle scenario
- Assisting from swinging arm/punch
Miscellaneous Techniques
- Skin Grab
- Bites
Recap and Update
Passports injury Update
Safe Holds
0900 – 0915
- Arrival and complete register
0915 – 0930
- Health & Safety briefing, health questionnaire
0930 – 1045
Standing/Escorting Holds
- Engaging with a Person from Behind
- Engaging with a Person from In Front
- Supporting Hold – Gradient of Response – 3 hand positions
1045 – 1100
Break
1100 – 1200
- Supporting Hold – Straight Arm
- Masterclass re-cap exercise
- Changing Staff
- Escorting a Person
- Disengaging from a Standing Hold
1200 – 1245
Break
1245 – 1430
Seated Holds
- Escorting to Seat
- Sitting Down
- Supporting Hold – Gradient of Response – 3 hand positions
- Supporting Hold – Straight Arm
- Changing Staff
- Disengaging from a Seated Hold
Supine Floor-Based Holds
- Recap of Hazards of Physical Restraint
- Taking to Floor from Standing Position
- Taking to Floor directly from Engagement
1430 – 1445
Break
1445 – 1700
Supine Floor Based Continued..
- Maintaining Position – Arms
- Maintaining Position – Legs
- Maintaining Position – Head
- Changing Over – Arms
- Changing Over – Legs
- Changing Over – Head
- Repositioning when Person has pulled themselves into prone position
- Assisting Person to Stand
- Disengaging from Supine Hold
Complete Paperwork
Injury Update
