<span style="font-weight: 400;">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 .</span>

<span style="font-weight: 400;">(Source:restraintreductionnetwork.org/training-standards/</span>

<span style="font-weight: 400;">Train Healthcare ensures that our PMVA tutors are GSA grade A tutors.</span>

<strong>Start time 9 am Finish 5 pm each day</strong>

<strong>Course Pre-Requisite Requirements</strong>

<strong>(Course Outcomes)</strong>
<ul>
 	<li><span style="font-weight: 400;">Understand the levels of risk posed by challenging people.</span></li>
 	<li>Explain how you can meet a person need and create a supportive environment.</li>
 	<li>Understand the balance between enhancing quality of life and reducing restraint.</li>
 	<li>Describe the effect of negative/ environmental factors.</li>
 	<li>Explain the use of ‘reasonable force’ and its limitations/ legal requirements.</li>
 	<li>Understand primary strategies and how to proactively meet a person’s needs.</li>
 	<li>Understand the importance of verbal + non-verbal communication during conflict.</li>
 	<li>Underline the impact that cultural differences may have in relation to communication.</li>
 	<li>Identify causes of communication breakdown.</li>
 	<li>Describe the common causes of conflict.</li>
 	<li>Recognise the warning and danger signals displayed during a conflict situation.</li>
 	<li>Recognise the importance of early intervention.</li>
 	<li>Provide support to those directly affected by a violent incident.</li>
 	<li>Understand the different types of de-escalation strategies.</li>
 	<li>Define appropriate Secondary and Territory Non-Restrictive and Restrictive Strategies to manage aggressive individuals.</li>
</ul>
<strong>Day 1</strong>
<ul>
 	<li><span style="font-weight: 400;"> Legislation, Legal Frameworks + Ethical Considerations</span></li>
 	<li><span style="font-weight: 400;"> Legal Responsibilities and Reasonable Force</span></li>
 	<li><span style="font-weight: 400;"> Risks Associated with Restraint</span></li>
 	<li><span style="font-weight: 400;"> Mental Capacity + Mental Health</span></li>
 	<li><span style="font-weight: 400;"> Challenging Behaviour, Behaviours of Concern</span></li>
 	<li><span style="font-weight: 400;"> Root Causes of Distress</span></li>
 	<li><span style="font-weight: 400;"> Creating a Supportive Culture</span></li>
 	<li><span style="font-weight: 400;"> Health, Therapeutic Relationships + Person Centred Care</span></li>
 	<li><span style="font-weight: 400;"> Populations and Locations</span></li>
 	<li><span style="font-weight: 400;"> Dynamic Risk Assessments</span></li>
 	<li><span style="font-weight: 400;"> Stages of the Assault Cycle</span></li>
 	<li><span style="font-weight: 400;"> Situational Awareness</span></li>
 	<li><span style="font-weight: 400;"> Identifying, Managing and Reflecting on Triggers</span></li>
 	<li><span style="font-weight: 400;"> Listening and Communication Skills (communication models)</span></li>
 	<li><span style="font-weight: 400;"> Indicators of Confrontational Behaviour (Warning and Danger Signs)</span></li>
 	<li><span style="font-weight: 400;"> Documentation, Record Keeping + Post Incident De-briefing.</span></li>
</ul>
<strong>Day 2</strong>
<ul>
 	<li><span style="font-weight: 400;"> Verbal and Non-Verbal De-escalation Techniques</span></li>
 	<li><span style="font-weight: 400;"> Disengagement Techniques (Wrist Grabs, Body Grabs, Hair/Clothing Grabs + Strangulation, Avoiding Punches and Kicks)</span></li>
 	<li><span style="font-weight: 400;"> Role + Responsibilities of Head Person, 3 C's, presenting + securing head.</span></li>
</ul>
<strong>Instruction and practice of: -</strong>
<ul>
 	<li><span style="font-weight: 400;">Friendly come along (including non-Contact, stage one, two + figure of four)</span></li>
 	<li>Team approaches.</li>
 	<li>Upper arm wrap</li>
 	<li>Upper arm wrap to secure hold</li>
 	<li>Upper arm wrap to supine hold (ready to decent to the floor)</li>
</ul>
<strong>Day 3</strong>

<strong>Instruction and practice of:</strong>
<ul>
 	<li><span style="font-weight: 400;"> Supine Descent</span></li>
 	<li><span style="font-weight: 400;"> Descent to floor in upper arm wrap</span></li>
 	<li><span style="font-weight: 400;"> Upper arm wrap to elevated rest and return.</span></li>
 	<li><span style="font-weight: 400;"> Trouble drills (sniper position)</span></li>
 	<li><span style="font-weight: 400;"> Securing legs in supine</span></li>
 	<li><span style="font-weight: 400;"> Elevated rest to standing.</span></li>
 	<li><span style="font-weight: 400;"> Seated de-escalation</span></li>
 	<li><span style="font-weight: 400;"> Decent to chair</span></li>
 	<li><span style="font-weight: 400;"> Trouble drills</span></li>
 	<li><span style="font-weight: 400;"> Unexpected and/or unintentional controlled decent to the floor where the aggressor dictates or initialises the downward movement (prone)</span></li>
 	<li>Descent</li>
 	<li>Upper rest to lower rest and return.</li>
 	<li>De-escalation on floor</li>
 	<li>Legs in Prone</li>
 	<li>Turning Prone to Supine</li>
 	<li>Standing from Prone</li>
</ul>