Prevention, Management of Violence and Aggression {PMVA}

The prevention and management of violence and aggression (PMVA) is an important aspect of safe care practice, especially in formal health care settings.

Our aim is to provide staff with the knowledge, skills and confidence in managing potential conflict using a range of techniques.

These include:

· De-escalation skills

· Verbal and non-verbal communication

· Tactical manoeuvres to disengage from an aggressor

· The safe application of physical intervention or restraint manoeuvres, where appropriate

· We assist our clients on the knowhow of how to take control of conflict scenarios in a safe, legal and consistent manner. Our training approach puts the well-being of service users and staff at the heart of all interventions. Our PMVA course content includes guidance from NICE; the Department of Health and Care Quality Commission and it is underpinned by key principles in both common and statutory law. Our PMVA training is accredited by General Services Association (GSA).

We teach GSA-issued and approved physical intervention techniques which have been risk assessed and rigorously tested for their effectiveness and safety.

PMVA 3 DAY Course – GSA Approved

Our specialty course is our Prevention, Management of Violence and Aggression (PMVA) Course which is taught by General Services Association (GSA) Tutors

Start Time each day: 9am

Finish Time each day: 5pm

Course Pre-Requisite Requirements

All Candidates are required to complete a Health Declaration on the day of the course of 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.

This course is suitable to learners of varying fitness levels.

Learners have to adhere to the training safety requirements and Dress Code for the course.

Course Safety and Dress Code: PMVA and Breakaway courses includes the instruction of practical physical intervention skills. Candidates will be required on the day of the course to complete a health declaration prior to course commencement. To ensure candidate safety and comfort during instruction it is essential that candidates are suitably attired, failure to do so may mean refusal to participate on the course; therefore please see the following guidance notes:

No hard soled shoes, boots, hiking boots or steel toe-capped footwear should be worn. Ideally it is recommended that trainers are worn.

No Jeans to be worn, ideally it is recommended that tracksuit bottoms are worn.

No items of clothing should be worn with studs, decorative zips or embellishments such as beads, sequins for example.

No belts with buckles are to be worn.

Course Content:

§ Influences on PMVA

§ Current Guidance and Legalisation

§ What is Care and Responsibility

§ Hierarchy of Responses

§ De-escalation

§ Principles of observation & communication

§ Legal & Ethical Issues

§ Risks in Restraint

§ Blood born infections

§ Substance misuse associated behaviours

§ Positional Asphyxiation

§ Excited Delirium

§ Compartment Syndrome

§ Sickle cell anaemia

§ Best Practice Guidance

§ Health & Safety Act

§ 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 inhumane treatment?

§ What is Post Incident Review?

§ Review Stages

§ Post Incident Support

§ 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

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 people

§ Demonstrate how to escape safely from a variety of grabs and holds

§ Candidates will be able to define the role of NHS Protect, LSMS, 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 good 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 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

§ Lost Holds

§ De-Escalation

§ Relocation to the floor prone:

§ Principles and Current guidance relating to prone restraint

§ Relocation to the floor and back to standing

§ Lower rest positions and reinforced holds

§ Securing the legs

§ Lost Holds

§ De-Escalation

§ Stop and Rest

§ Modified Recovery

§ Turning Patients:

§ Prone to Supine

§ Supine to Prone

§ Doorways

§ Stairs

§ Relief Options:

§ Floor and Standing

§ Bed Option – Exiting via the head

§ Floor Option – Exiting via the head

§ Exiting from the side

§ Kneeling Option

Course meets the requirements of:

Skills for Health:

FMH5 Minimise the risks to an individual and staff during clinical interventions and violent and aggressive episodes

FMH3 Observe an individual who presents a significant imminent risk to themselves or others

CFAPMVW3 Protect yourself and others from the risk of violence at work

GSA (General Services Association) Accredited.

We teach in accordance to the NICE Guidance No.25, RCN 2014 Guidance – Minimising Physical Interventions and Positive & Proactive Care Guidance 2014.

Refund Policy:

There is a no refund policy for candidates who do not attend booked face to face training or arriving late. If you miss your course, you are welcome to attend another course that is available but please note that you will have to pay the full amount. The trainer has the full right to refuse entry when candidates have missed key elements of the training so please plan your journey the day before. You can reschedule your training outside of 7 days before the training.