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

PHYSICAL CONTROL IN CAREDE-ESCALATE.As the young person regains self-control and the member of staffassesses that it is appropriate the hold can be released and theyoung person can be sat up and then moved away.HOLD RELEASE.Should the situation deteriorate to such an extent that the continuedapplication of the Tantrum Hold represents an unacceptable risk tothe young person and/or the member of staff, the hold should bereleased.The member of staff should roll away and stand at a safe distance,summon assistance and continue their dialogue with the youngperson if appropriate.4.2.1 ESCALATION.If a tantrum hold has been applied and the young person respondsadversely, a staff member can secure the young person’s legs tofurther protect the young person from injury with the support of otherstaff.Normally approaching from the rear of the young person’s legs themember of staff will protect themselves by ensuring they block theyoung person’s legs.They will drop onto their knees and encircle the young person’s legswith their arms, above the young person’s knees at the same timethey will sit down and push their own legs out for stability.They will face towards the young person’s head.When staff assess it is safe to do so the situation can be de-escalatedby initially removing the Leg Hold. The member of staff will ensurethat they protect themselves when they release the young person’slegs.Should the Leg Hold and the Tantrum Hold fail to resolve the incident,staff must always be prepared to use the Hold Release Option. Thisis especially important if in their assessment the continued applicationof the holds is likely to result in injury to the young person orthemselves. Staff should release the holds and move away to a safedistance from the young person and consider their options.© National Offender Management Service National Tactical Response GroupJuly 201092