In Part I, we establish the "keys
in reducing and eliminating the need for restraint and seclusion.
The training goes on to establish guiding principles for creating
and maintaining a culture of prevention and culminates in learning
specific communication strategies for instances of both oppositional/defiant
behaviors as well as potentially aggressive behaviors.
Physical restraint procedures should only
be applied as a last resort and never for punishment or staff convenience.
They are intended to be utilized by individuals who have successfully
completed Part I and have learned to focus on the avoidance and prevention
of crisis situations as the primary goal. We then proceed to learn
techniques designed to protect all individuals involved while avoiding
the use of pressure points or joint locks. Instead, the use of leverage
and body position will be more important. Safe practice guidelines
for both the training environment and the application of the various
techniques will be established and emphasized. A continuum checklist
emphasizing the least restrictive alternative will shape
participant judgment. Above all, the four guiding principles of Promoting
choice and trust, Avoiding power struggles, Seeking pro-action vs.
re-action, and a Set-up for success (P.A.S.S. - see Principles and
Goals) will continue to provide the checks and balances necessary to
establish the safest possible environment when having to manage aggressive