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

PHYSICAL CONTROL IN CAREIF BREATHING IS COMPROMISED THE SITUATIONCEASES TO BE A RESTRAINT AND BECOMES AMEDICAL EMERGENCY.In exceptional circumstances a member of staff maymake a decision to take control of the young person’shead prior to the application of controlling holds to thearms. This may be due to a perceived imminent threat tothere personal safety and therefore the safest option.THIS OPTION WILL ONLY BE USED IF RESPONSESTAFF ARE IN CLOSE PROXIMITY IN ORDER TO APPLYCONTROLLING HOLDS TO THE ARMS.3.1 MOVEMENTThe young person should be moved in the Double Embrace Hold withthe No 1 supporting the young person’s head.The No 1 must ensure that they maintain dialogue with the youngperson. They must also continue to monitor the condition of the youngperson and the other team members.3.2 YOUNG PERSON ON THE GROUND.Prone position.If during the restraint a young person deliberately takes themselves tothe ground, the staff will maintain the holds and the No. 1 will protectthe young person’s head. If the young person is already on theground and restraint is necessary then the following techniques willbe used.Once on the ground staff must be particularly aware of theheightened risk to the young person of positional asphyxia andmedical distress. Staff must avoid placing any weight on the youngperson’s head, neck or torso. Refer to Medical Advice section.UNDER NO CIRCUMSTANCES WILL STAFF INITIATE THETAKING OF A YOUNG PERSON TO THE GROUND© National Offender Management Service National Tactical Response GroupJuly 201075