RESTRAINT PROCEDURE AVOIDING PHYSICAL INTERVENTION 1. The Policy It is the policy of Inaura that physical intervention or restraint should be used as a last resort in extreme circumstances and when all other methods have been deployed to reduce confrontational behaviour. When significant physical restraint is used it must always be logged. 2. Interpretation Restraint occurs when a member of staff or foster carer uses physical force intentionally to limit young person’s movement against his or her will. It can range from light physical touch to secure physical holding. 3. Avoiding Physical Intervention It is assumed that prior to a physical intervention, other strategies would, if appropriate be tried. For example: Relational Skills Talking the individual down. De-escalation – to calm the individual. Divert attention by understanding the problem. Encourage them to relax Reduce background stimulation At a low level – assert adult control by guiding a young person out of a situation or away from a situation which in your judgement is going to escalate into something major if not dealt with now. Please see the attached Guidelines 4. Inaura’s Restraint Policy Responsibilities It is Inaura’s responsibility to: provide written guidelines to promote policy and practice that is recognised as high quality; ensure that appropriate training is undertaken by staff and foster carers ensure that counselling and support is available to pupils and staff who might be distressed as a result of being involved in incidents of high levels of restraint; support a member of staff in any proceedings either civil or criminal, where a member of staff has acted in a professional, considered and informed manner, and/or, where the actions are considered to be a reasonable response to a situation; INAURA RESTRAINT POLICY Page 1 of 8 Inaura Services, Manor Farm Cottage, Lower Godney, Somerset, BA5 1RZ. 01458 830 434 reg charity 1092152 monitor incidents of restraint and the implementation of child protection procedures. develop policies and strategies for physical intervention and restraint in the context of Inaura’s policy on managing behaviour and ensure all staff and carers are familiar with the policy and guidelines; produce a plan of restraint for an individual pupil or foster child as part of an overall plan; designate those carers and members of staff who are specifically authorised to restrain under special circumstances, for example when it is known that a set pattern of behaviour, if unchecked, will lead to more dangerous circumstances and a plan of restraint has been agreed; ensure that all practices, policies and procedures relating to physical intervention and restraint are reviewed at least annually; ensure that where significant force is used to support a pupil the parent/guardian will be fully informed and given an opportunity to discuss the situation with Inaura; ensure that any member of staff who is the subject of an allegation that they have abused a child, will be offered confidential, professional counselling. maintain a secure log of any restraints which occur. INAURA RESTRAINT POLICY Page 2 of 8 Inaura Services, Manor Farm Cottage, Lower Godney, Somerset, BA5 1RZ. 01458 830 434 reg charity 1092152 INAURA RESTRAINT POLICY – GUIDELINES FOR STAFF AND FOSTER CARERS ON NON PHYSICAL INTERVENTION Recognising Causes of Aggressive and Violent Behaviour Staff, peers or the aggressor may constitute the target for aggression. Removal of potential targets from the vicinity of the aggressor is an obvious priority. In particular, removing the ‘audience’ rather than the aggressor may help to de-escalate situations and avoid the ‘loss of face’ which usually follows the issuing of an ultimatum. The Warm Technique W – What is going on? Stand back for a few minutes to assess the situation. Is there anything or anyone exacerbating the problem? If so, can it/they be removed from the immediate vicinity? A – Acknowledge what is happening. Having determined the immediate problem, acknowledge the person’s anger and empathise with their situation R – Respond to the violent behaviour. IF possible removed the object of the person’s anger or divert the person’s attention from that object. M – Master the situation – take control of the situation. But not of the person unless absolutely necessary; use a proven technique to diffuse the person’s anger. Non Physical Techniques There are a number of interventions that do not require physical restraint. A. Prompting Signalling the young person to either begin a desired behaviour or stop and inappropriate action can be done verbally; for example, “its about time to put the game away Or non-verbally; for example, with a glance or nod to remind the young person what is expected. It is a simple, non-critical direction given when the young person needs help in taking the next step. B. Affection. Like praise, affection helps increase a child’s self-esteem. When the behaviours is coming from insecurity, fear or anger at life circumstances, an additional shot of affection and caring may be what the child needs in order to cope with the problem at hand instead of going to pieces. They can also be reminded of past strengths. C. Directive Statement As a young person’s behaviour escalates and their ability to make rational decisions decreases, it is necessary to provide them with direct guidance. Directive statements tell a young person in specific terms what is expected. These statements range from making request to stating rules to issuing commands. D. Redirecting. Redirecting the young person or group or changing the activity a little may be enough to enable the young person to calm down and return to baseline behaviour. INAURA RESTRAINT POLICY Page 3 of 8 Inaura Services, Manor Farm Cottage, Lower Godney, Somerset, BA5 1RZ. 01458 830 434 reg charity 1092152 E. Non-verbal Interventions These interventions incorporate a range of techniques including ‘proximity’ and ‘touch control’. Often the mere fact of having an adult close by will be calming for a young person. Touch is a powerful intervention. A hand on a shoulder or arm may provide the assistance a young person needs to calm down. F. Other Techniques Give the impression of being calm, self-controlled and confident without being dismissive or overbearing. Keep talking in a normal tone of voice – consider mood matching. Try diversionary tactics. G. Avoiding Physical Conflict from an Aggressor If the attack is intended to gain dominance feign submission and redirect attention by talking. Gradually move towards an escape route and avoid being trapped in a corner. Maintain adequate distance from an assailant who is using an object as a weapon, for instance out of striking distance. Take the initiative with an armed assailant and explicitly ask that the weapon be put down. Remove objects which have the potential to be used as weapons, Remove the audience Be aware of the importance of non-verbal communication; monitor those, which have tension reduction and develop them. For example, if you move away or look away does the assailant look more or less likely to attack. H. Advance Planning Plan how you would approach and deal with a young person known to be violent. Get to know the signs in each individual. Everyone is different and present different signs before incidents occur. Take pre-emptive warnings seriously. Praise positive behaviour immediately. I. Potentially Hazardous Triggers Verbal prompting - which can be perceived as nagging. Saying ‘no’ can cause frustration. Saying ‘stop’ can be perceived as thwarting. Ignoring can be perceived as insulting Making demands can be seen as pressurising. Do – Be diplomatic Be patient Be tolerant, but do not talk down. Do not shout. Lower your voice Hear the person out Be aware of your body Language. These can reduce the atmosphere. If you are giving off the wrong signals you could make a person react in a violent and aggressive way. INAURA RESTRAINT POLICY Page 4 of 8 Inaura Services, Manor Farm Cottage, Lower Godney, Somerset, BA5 1RZ. 01458 830 434 reg charity 1092152 Appendix A – Positive handling form Positive handling plan for assessing and managing foreseeable risks for children who are likely to need Restrictive Physical Intervention (based on Somerset County Council Model/DCSF) Settings: Name of Child: Group: Staff member(s): Name of parents/Carers Names of agencies and services involved: Identification of Risk Describe the foreseeable risk (ie what specific behaviours have occurred) Is the risk potential or actual? (ie has this happened before) INAURA RESTRAINT POLICY Page 5 of 8 Inaura Services, Manor Farm Cottage, Lower Godney, Somerset, BA5 1RZ. 01458 830 434 reg charity 1092152 List who is affected by the risk In which situations does the risk occur? How likely it is that the risk will arise? (ie how often has it happened before) If the risk arises, who is likely to be injured or hurt? What kinds of injuries or harm are likely to occur? How serious are the adverse outcomes? Completed by Date INAURA RESTRAINT POLICY Page 6 of 8 Inaura Services, Manor Farm Cottage, Lower Godney, Somerset, BA5 1RZ. 01458 830 434 reg charity 1092152 Agreed Positive Handling Plan and Setting Risk Management Strategy Focus of Measures Measures to be employed Level of risk Proactive interventions to prevent risks Early interventions to manage risks Reactive interventions to respond to adverse outcomes Post Adverse Outcome Success Criteria INAURA RESTRAINT POLICY Page 7 of 8 Inaura Services, Manor Farm Cottage, Lower Godney, Somerset, BA5 1RZ. 01458 830 434 reg charity 1092152 Communication of Positive Handling Plan and Setting Risk Management Strategy Plans and strategies shared with: Communication Method Date Actioned This plan has been agreed by Agreed by: Date: NAme Role Signautre Child - if appropriate Head teacher arent Staff Member INAURA RESTRAINT POLICY Page 8 of 8 Inaura Services, Manor Farm Cottage, Lower Godney, Somerset, BA5 1RZ. 01458 830 434 reg charity 1092152