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

PHYSICAL CONTROL IN CAREreverse the previous conversion back into a Figure of Four Arm Holdprior to standing the young person up and re-applying the DoubleEmbrace Hold.If this is not possible then the young person will be placed onto thefloor and all holds released.Staff must then position themselves between both parties involved inthe incident and attempt to resolve the incident.STUDENTS WILL PRACTICE IN GROUPS OF THREE.If a third member of staff is available, then they can control the otheryoung person on the floor by applying the Tantrum Hold if needed, orby moving them away from the scene in a Phase One Hold.4.7 THUMB DISTRACTIONIf the Figure of Four Arm Holds cannot release the young person’shands or arms then the staff can use a Thumb Distraction to effectrelease.As with all distraction techniques the Thumb Distraction is an extrememeasure and can only be used if fully justified.PRINCIPLES OF THE THUMB DISTRACTION• Block the base of the thumb.• ‘Cock’ the thumb.• Apply pressure between the base and tip of the thumb.• To be used only when necessary.• Report reasons for use.• Use in short sharp bursts.• Use in conjunction with verbal commandsSTUDENTS TO PRACTICE ONE TO ONE.From the Figure of Four Arm Hold place the inside hand onto theyoung person’s thumb and apply the Thumb Distraction. Be awarethat the young person’s arm may react quickly to the technique andstaff to exercise care from flaying arms.© National Offender Management Service National Tactical Response GroupJuly 201098