Physical Intervention Training – Reducing workplace violence

Quell offer the widely recognised Maybo packages here in Northern Ireland that offers a complete conflict management training service on all aspects of dealing with workplace conflict and abuse.

Physical intervention skills may be needed in some workplaces to manage challenging behaviour safely. Depending on the risks faced in the job this can involve anything from avoidance and disengagement skills through to rescue, escorting and holding skills.

Maybo has a unique physical skills pworkrogramme that is simple and effective yet lower in risk for the staff using them and the individuals to whom they are applied. The non-aggressive skills help to calm a situation, as they do not use pain to seek compliance. They are taught in a way that enables staff to identify the least aversive options to achieve the objective. Based on simple yet powerful principles men and women confidently apply these skills in a range of environments to protect themselves, their colleagues and service users/customers.

Importantly Conflict Management Physical Intervention Training also examines medical implications and legal advice on the use of force. Physical Intervention training at every level reinforces the need to utilise non-physical strategies as far as practicable, with physical intervention being a last resort.

Staff will be given the skills to suit their situation and location. To do this we carryout a detailed Training Needs Analysis (TNA) before designing the programme. The programme will be based on the level of risk, employee and service user considerations and typical problems experienced. It will generally be split as follows.

Maybo Physical Intervention Training

  • Disengagement: This training examines how staff can reduce the risks of assault through non physical measures and avoid assault through their positioning and approach. They then learn how to disengage from the most common types of assault they can face in their role. This can extend to coming to the aid of another person and non restrictive guiding skills.
  • Holding: Where the job role may legitimately involve physically escorting or holding an individual, holds are taught that help to protect staff and avoid pain or discomfort for the individual. Such techniques may be required in a variety of frontline roles.
  • Additional holding: Where the job role may require holding and restraint of individuals who are horizontal
  • Specialist: For those working in security we have safe non-confrontational searching advice and training. For roles where a service user can become particularly aggressive and additional support is needed we can provide training on the correct and safe use of handcuffs, Maybo’s SAFERwrap or an Emergency Restraint Belt (ERB).

All skills have undergone expert medical review.

The physical intervention courses are tailored to the environment and the common scenarios

Maybo SAFERworkWork – customer facing in sports centres, libraries, offices, shops, bars, parks, housing estates, buses, trains, etc managing conflict or aggressive situations

maybo SAFERcareCare – for staff dealing with long term mental health and learning disability patients (from children to the elderly) in care homes

SAFERcare programmes are accredited by City & Guilds. In addition Maybo physical intervention programmes are BILD (British Institute of Learning Disabilities) accredited.

Physical intervention skills may be needed in some care environments to manage challenging behaviour safely. Depending on the risks faced in the role this can involve anything from avoidance and disengagement skills for those in community environments; through to rescue, escorting and holding skills, which may be particularly relevant in mental health and learning disability, care and residential settings.

Non-aggressive and easily re-called skills

Maybo has a unique physical skills programme that is simple and effective yet lower in risk for the staff using them and the individuals to whom they are applied. The non-aggressive skills help to calm a situation, as they do not use pain to seek compliance. Based on simple yet powerful principles men and women confidently apply these skills in a range of environments to protect themselves, their colleagues and service users.

Importantly Physical Intervention training also examines medical implications and legal advice on the use of force. Physical Intervention training at every level reinforces the need to utilise non-physical strategies as far as practicable, with physical intervention being a last resort.


Train to the level appropriate for the risk

The programme will be based on the level of risk; employee and service user considerations and typical problems experienced.

  • Disengagement Staff learn how to reduce the risks of assault through their positioning and approach. They then learn how to disengage from the most common types of assault they might face. This can extend to coming to the aid of a colleague and non-restrictive guiding skills.
  • Holding Holds are taught that help to protect staff and avoid pain or discomfort for the individual (particularly suitable for the elderly, children and individuals with learning disablities). Such techniques may be required in a variety of frontline health and social care roles.
  • Additional holding Where patients have to be held when horizontal, additional holds, using teams, may be required.
  • Specialist For roles in specialist services such as forensic mental health units where additional support is needed by using an emergency restraint belt (ERB), Maybo can provide training on their correct and safe use.

All skills have undergone expert medical review.

Healthcare – for staff dealing with patients in trauma such as in ambulances, accident and emergency, and surgical wards. There is a specialist physical intervention course for healthcare workers in A&E and ambulance – SAFERhealthcare

The Maybo SAFERhealthcare Assault Avoidance and Containment programme is built on ten years of problem solving and risk reduction experience in all aspects of primary care, general acute hospitals, mental health and learning disabilities settings and ambulance services.

A fresh approach to reducing assaults

This programme developed by Maybo’s team of healthcare professionals not only meets regulatory Conflict Resolution Training (CRT) refresher requirements; it also makes a real difference in reducing risks of malicious and clinically related assaults.

Meeting the real needs of staff and patients

Conflict Resolution (CRT) is essential in helping staff avoid and respond to potential conflict situations. But it does not address the physical assaults that are commonplace across a range of wards and services (not just A&E!).  Some assaults are malicious but most result from the unpredictable actions of a ‘confused’ patient due to their medical condition, or reaction to a procedure or medication. Training needs to address these risks and conventional ‘breakaway’ training simply doesn’t!

National Institute for Clinical Excellence (NICE) reviews and recent research by the University of Glamorgan have raised serious questions about the value of conventional “breakaway training”. The problem is two fold:

  1. Breakaway focuses on releases from grips and holds and not the most common assaults on clinical staff i.e. from blows by hands, arms and legs.
  2. Too many techniques are taught and some are complex and aggressive. This means they are unlikely to be recalled under pressure in the workplace.

The solution to assaults and finding the right training
The Maybo assault avoidance and disengagement programme addresses the real risks faced by staff including the frequent clinical assaults that other programmes ignore. The skills are simple and non aggressive and prepare staff to problem solve in the workplace. The Maybo training is:

  • Relevant to the role performed and risks faced
  • Simple to learn and apply
  • Safer for both staff and patients
  • More effective operationally

The proven programme embraces a problem solving approach, which reduces the number of techniques and increases their relevance and prepares staff to solve problems in the workplace. Research has shown that a problem solving approach is more conducive to learning and recall does avoid the trap of teaching a technique for every potential scenario.

Key elements of the programme:

  • Safer working practices for reducing vulnerability when close to patients
  • Avoiding blows from hands, elbows and legs
  • Problem solving specific risks presented by patients such as grabs
  • Disengaging from aggressive and malicious patients or visitors
  • Guiding and re-directing skills
  • Team skills for containing unpredictable movements when providing essential care to a confused patient

We can provide further training for clinical and security staff who may be required to respond to more challenging situations. This can cover safer methods of restraint to prevent individuals harming themselves and/or others and to provide essential care and medication.

Key features

Additional benefits to line managers and staff are:

  • Maybo skills complement and can be incorporated with CRT / CRT Refresher
  • The programme can be delivered in one day
  • Optional City & Guilds accredited certificates and qualification available
  • Course delivery can be by Maybo or internal tutors trained by Maybo to deliver the programme.
  • Blended learning options and impressive resources.
  • Maybo SAFERhealthcare training really works

maybo SAFERchildrenChildren – teachers, assistants and youth workers in schools, colleges, universities, detention centres, special needs

Staff working in youth charities, primary or secondary schools, specialist schools, care homes or youth detention may need the specialist physical intervention approaches that are appropriate to working with children. These proven techniques are non-aggressive and do not rely on pain.

Understanding use of force on children

The training incorporates discussion on the guidance available on “reasonable force”. We use scenarios to help staff come to a decision on the use of force, and if so, what degree of force would be reasonable. This training refers delegates to three key questions prompted by the Human Rights Act:

  • Is the force used proportionate to the wrong that it seeks to avoid or the harm that it seeks to prevent?
  • Is the use of force chosen the least intrusive or damaging practicable option?
  • Does the use of force pursue a legitimate aim?

Acquiring the knowledge and skills

Participants can prepare for the training day through a short pre-course learning option. This helps them make best use of the face-to-face training with one of our highly skilled trainers. The subsequent training day is then highly interactive, focusing on development, rather than initial acquisition of knowledge and skills.

Learning recognised

  • All participants can receive a City & Guilds accredited certificate on course completion
  • The course is also accredited within the British Institute of Learning Disabilities (BILD) Physical Interventions Accreditation Scheme

For further information on the course content and objectives please contact us at:

Phone:02890 424362

Email: info@quelltraining.com

 

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02890 424362