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

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PHYSICAL CONTROL IN CAREIf the situation requires the staff to be present elsewhere with<strong>in</strong> theestablishment then once <strong>in</strong>side the room the young person will beplaced <strong>in</strong> a position fac<strong>in</strong>g the far wall.On command ‘RELEASE’, both staff will release their holds andwithdraw from the room <strong>in</strong> a protective stance back to back fac<strong>in</strong>g theyoung person. Staff will secure the door and return to the youngperson at the earliest opportunity.STUDENTS TO PRACTICE IN GROUPS OF THREE.2.7.2 DE-ESCALATIONOption 2:If there is adequate time and resources to allow the staff to fully deescalatethe situation then once they are <strong>in</strong> a suitable position theDouble Embrace will be converted <strong>in</strong>to two Figure of Four arm holds.The young person will then be sat down onto either a chair or theirbed. As the young person is sat down their legs will be easedforward by the member of staffs <strong>in</strong>side leg, the young person will bekept upright throughout.As the situation calms down then the hold can be further de-escalatedto one member of staff. This will depend on who is nearest the exit.The non-door side staff will exit first, prior to leav<strong>in</strong>g the door sidestaff will change their outside hand from an underhand to overhandgrip and move their <strong>in</strong>side arm from the upper forearm to the youngperson’s shoulder.At this po<strong>in</strong>t the non-door side staff will release their hold and movearound the young person <strong>in</strong> a protective stance and positionthemselves at the door as a safeguard should the situationdeteriorate and holds need to be re-applied.Ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g the dialogue the rema<strong>in</strong><strong>in</strong>g member of staff releases theirhold and cont<strong>in</strong>ues dialogue until it is suitable to exit the room.STUDENTS TO PRACTICE IN GROUPS OF THREESECTION 3:PHASE III.© National Offender Management Service National Tactical Response GroupJuly 201072

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