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

PHYSICAL CONTROL IN CAREIf another member of staff is available they may be able to assist ifthe arm comes free from the Side Hug Hold. The second member ofstaff adopts a protective stance and moves towards the youngperson’s free arm blocking it with their forearms.Having controlled the arm the member of staff will move the youngperson’s arm into their body and apply a figure of four arm hold. Themember of staff in the side hug hold will move around the youngperson whilst still controlling the arm and apply a figure of four armhold. From this position they will decide as to whether to apply adouble embrace or remain in two figure of four arm holds.4.2 TANTRUM HOLDThe Tantrum Hold is only to be used to prevent an act of self-harm bya young person. It will normally be applied when there is only onemember of staff available to manage the young person and then onlywhen:• Further staff assistance has been summoned• A dynamic risk assessment has been carried out• It is deemed safe for them to physically engage the youngpersonAs with all physical interventions staff should use all possible optionsbefore applying physical force. In this instance the use of loud verbalcommands and clear instructions to cease their actions should be thefirst option.Staff must be aware of:• Potential weapons (sharps)• Body fluid (blood, risk of contagious diseases)• Trip hazards• Electrical, structural risks• Possible distractionThe preferred option for dealing with this situation is for three staff toengage the young person as per a young person in the supineposition, and only then when a dynamic risk assessment has beencarried out.© National Offender Management Service National Tactical Response GroupJuly 201090