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

PHYSICAL CONTROL IN CAREInitially the staff will block and secure the young person’s arms usingtheir own body weight.TRANSFER TO FIGURE of 4 ARM HOLD OPTIONUnder the direction of the No. 1, the No’s 2 and 3 will carry out thefollowing movement. The members of staff controlling the youngperson’s arms will keep the young person’s arms on the floor,maintaining control by placing weight over the arm.The No’s 2 and 3 will, one at a time, then take a hold of the youngperson’s lower forearm with their outside hand, in a palm down grip,with their own thumb pointing towards the young person’s head. Themember of staff’s inside hand will take hold of the young person’supper arm. To strengthen the transfer of the hold the member of staffwill move the young person’s whole arm away from themselves sothat it is at an angle of approximately 45˚ to the young person’s body.While keeping the young person’s arm held to the floor the member ofstaff will rise to their knees ensuring the young person’s arm is heldsecurely, applying body weight to the arm if necessary, ensuring thatno undue or unnecessary pressure is applied.The member of staff’s inside knee will be placed below the youngperson’s elbow to block the arms movement. The member of staff willthen pivot on this knee and allow the young person’s forearm to liftfrom the floor in a natural movement.As this is carried out the member of staff will bring the hand that washolding the upper arm to the floor alongside their other hand on theyoung person’s lower forearm. The young person’s forearm will be ina near vertical position, angled back slightly towards the member ofstaff. The member of staff will now be in a position looking down theyoung person’s body towards the young person’s feet.With the young person’s lower forearm still held, the member of staff’sinside hand moves down to the young person’s upper arm andsecures it. The young person’s hand will be then be lowered towardsthe floor.The member of staff’s inside hand will move from the upper arm andpass under the young person’s shoulder (palm down initially to avoid© National Offender Management Service National Tactical Response Group 79July 2010