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
Scroll to Top