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Physical Control in Care Training Manual - Independent Advisory ...

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PHYSICAL CONTROL IN CAREWhile ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g a reactionary gap staff will cont<strong>in</strong>ue their dialoguewith the young person. Should it be necessary staff will re-engage theyoung person us<strong>in</strong>g the Two from the Front technique previouslydescribed. The reactionary gap will be between 1½ and 2 armslength distance away from the young person thereby allow<strong>in</strong>g themember of staff sufficient time to react to any physical threat from theyoung person.STUDENTS TO PRACTICE IN GROUPS OF THREE.2.7 DE-ESCALATIONAt all times the objective for staff is to de-escalate the situation, thiscan be done <strong>in</strong> a number of ways, and staff should use all of theirskills to achieve the objective.If this proves successful, then staff should look to release any holdsand resolve the situation without the use of force.If at any time a member of the Health <strong>Care</strong> assessors deems that thecont<strong>in</strong>ued use of holds presents a medical risk, then all holds will bereleased immediately.If the situation <strong>in</strong>itially requires a hold that requires more than onemember of staff, then staff should at all times look to de-escalate to alower phase of hold. This will be dependent on the level of resistanceoffered by the young person and with the full agreement of the staff<strong>in</strong>volved follow<strong>in</strong>g a dynamic risk assessment.2.7.1 DE-ESCALATIONOption 1:When a young person has been removed <strong>in</strong> the Double Embrace andis safely relocated <strong>in</strong>to their room, staff then have two options as tothe de-escalation method to be used.© National Offender Management Service National Tactical Response GroupJuly 201071

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