This 3-day course in the Prevention and Management of Violence and aggression (PMVA) has been certified by BILDACT as fully aligned to the RRN Training standards . You can view our full BILDACT certificate here .
(Source:restraintreductionnetwork.org/training-standards/
Train Healthcare ensures that our PMVA tutors are GSA grade A tutors.
Start time 9 am Finish 5 pm each day
Course Pre-Requisite Requirements
(Course Outcomes)
- Understand the levels of risk posed by challenging people.
- Explain how you can meet a person need and create a supportive environment.
- Understand the balance between enhancing quality of life and reducing restraint.
- Describe the effect of negative/ environmental factors.
- Explain the use of ‘reasonable force’ and its limitations/ legal requirements.
- Understand primary strategies and how to proactively meet a person’s needs.
- Understand the importance of verbal + non-verbal communication during conflict.
- Underline the impact that cultural differences may have in relation to communication.
- Identify causes of communication breakdown.
- Describe the common causes of conflict.
- Recognise the warning and danger signals displayed during a conflict situation.
- Recognise the importance of early intervention.
- Provide support to those directly affected by a violent incident.
- Understand the different types of de-escalation strategies.
- Define appropriate Secondary and Territory Non-Restrictive and Restrictive Strategies to manage aggressive individuals.
Day 1
- Legislation, Legal Frameworks + Ethical Considerations
- Legal Responsibilities and Reasonable Force
- Risks Associated with Restraint
- Mental Capacity + Mental Health
- Challenging Behaviour, Behaviours of Concern
- Root Causes of Distress
- Creating a Supportive Culture
- Health, Therapeutic Relationships + Person Centred Care
- Populations and Locations
- Dynamic Risk Assessments
- Stages of the Assault Cycle
- Situational Awareness
- Identifying, Managing and Reflecting on Triggers
- Listening and Communication Skills (communication models)
- Indicators of Confrontational Behaviour (Warning and Danger Signs)
- Documentation, Record Keeping + Post Incident De-briefing.
Day 2
- Verbal and Non-Verbal De-escalation Techniques
- Disengagement Techniques (Wrist Grabs, Body Grabs, Hair/Clothing Grabs + Strangulation, Avoiding Punches and Kicks)
- Role + Responsibilities of Head Person, 3 C’s, presenting + securing head.
Instruction and practice of: –
- Friendly come along (including non-Contact, stage one, two + figure of four)
- Team approaches.
- Upper arm wrap
- Upper arm wrap to secure hold
- Upper arm wrap to supine hold (ready to decent to the floor)
Day 3
Instruction and practice of:
- Supine Descent
- Descent to floor in upper arm wrap
- Upper arm wrap to elevated rest and return.
- Trouble drills (sniper position)
- Securing legs in supine
- Elevated rest to standing.
- Seated de-escalation
- Decent to chair
- Trouble drills
- Unexpected and/or unintentional controlled decent to the floor where the aggressor dictates or initialises the downward movement (prone)
- Descent
- Upper rest to lower rest and return.
- De-escalation on floor
- Legs in Prone
- Turning Prone to Supine
- Standing from Prone


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