Brain Injury Care and Physical Interventions

Understanding the whole person to work safely with their needs and behaviours.

Healthcare conflict management


Your staff are doing their Very Best: Let's give them the best Training to deal with conflict!

When working in brain injury care, it is essential for staff to have a deep understanding of the challenging behaviors that clients may exhibit. Brain injuries can cause a wide range of physical, cognitive, and emotional changes, and these changes can lead to unpredictable behaviors. Clients may become frustrated, angry, or anxious, and this can sometimes manifest as combative or aggressive behavior.

I'm scared. Everything is different now. I don't understand why I can't do the things I used to do. Sometimes I feel so frustrated that I lash out at the staff. I don't mean to hurt anyone, but it's like I can't control myself.

I remember one time, I was so angry that I threw a chair across the room. I didn't mean to do it, but I just couldn't stop myself. Afterwards, I felt so guilty and ashamed. I didn't want to be that person, the one who hurts others."

To provide the best possible care, staff must be equipped with the knowledge and skills to manage these challenging behaviors. They must be able to identify triggers and warning signs, and know how to use de-escalation techniques to diffuse tense situations. Additionally, staff must be trained in safe restraint techniques to protect both themselves and their clients when necessary.

We have to see the world through their eyes and acknowledge their perspective.

It's also important to recognize that managing challenging behaviors can take a significant emotional toll on staff. Providing person-centered care means being empathetic and compassionate, and this can be challenging when clients are exhibiting difficult behavior. Staff must be supported in their efforts to stay safe while still providing high-quality, person-centered care.


Traumatic Brain Injury (TBI) is a significant public health concern that can have long-lasting effects on an individual's physical, emotional, and cognitive functions. One of the most common behavioral changes that individuals with TBI exhibit is aggression. Aggression is a complex phenomenon that can manifest in different forms, including verbal, physical, and emotional.

Understanding Aggression in TBI

Aggressive behavior can be challenging to manage and often leads to social isolation, impaired quality of life, and reduced opportunities for community integration. Aggression is often a result of the injury's impact on the frontal lobe, which is responsible for regulating emotions and decision-making. The frontal lobe is also responsible for inhibiting impulsive behavior, including aggression.

The severity of aggression in TBI can range from mild irritability to severe physical violence. It's important to understand that aggression is not intentional, and individuals with TBI may not be aware of their behavior's impact on others.

Managing Aggression in TBI

Managing aggression in TBI requires a comprehensive approach that addresses the underlying causes of the behavior. The first step in managing aggression is to identify the triggers that cause the behavior. Triggers can include environmental factors, such as noise and crowded spaces, and internal factors, such as pain and frustration.

Once the triggers are identified, staff can work with the individual to develop coping strategies that help them manage their emotions. Coping strategies can include relaxation techniques, such as deep breathing and meditation, and physical activities like exercise.

It's also essential to provide a safe and supportive environment that promotes positive behaviors. Staff can help individuals with TBI by providing positive reinforcement for appropriate behaviors and avoiding punishment for aggressive behavior.

What People Are Saying About Our Brain Injury Care Team Physical Interventions Training

'more supported and confident'

"Thank you very much for the training workshop with the client's team and the detailed technical report and risk assessment. It is brilliant.  The staff are reporting that they feel so much more supported and confident in being able to keep themselves safe after the training so thank you!"

Gayle Finlayson

Complex Care Nurse / Registered Manager    

Company Director 

G&P Healthcare Ltd  

Be Alert to Triggers - Anticipate Needs

It's Showtime!

Managing aggression in TBI can be challenging and can take an emotional toll on staff and caregivers. It's essential to provide support and resources for staff to prevent burnout and compassion fatigue. Staff can benefit from training on de-escalation techniques and safe restraint methods to ensure their safety and the safety of the individual with TBI.

Family members and caregivers also need support to manage the challenges of caring for individuals with TBI and aggression. Support groups and counseling services can provide emotional support and practical strategies for managing challenging behaviors.

Managing aggression in TBI requires a comprehensive approach that addresses the underlying causes of the behavior. With the right support and resources, individuals with TBI can learn to manage their emotions and develop positive behaviors, promoting community integration and improving their quality of life.

  • Model Calmness
  • Reduce Stimulation
  • Separate and Support
  • Adapt Communication
  • Meet Urgent Unmet Needs

- Vistelar's Special Needs Strategies for use with people with Cognitive Difficulties

Three Phases of Dealing with Unpredictable Behaviours

You want to stop things early before people become upset, or to deal with them when they are already upset in order to resolve the situation peacefully.  Sometimes, you'll need to realise someone is in crisis and know how to work as a team, with your procedures, to keep everyone safe.

Non-Escalation - resolving everyday encounters without setting off people's triggers

De-Escalation - resolving higher-stakes encounters when people are feeling angry, upset, disappointed.

Crisis Management - knowing what to do, as a team, to keep everyone safe when people are acting dangerously.

What your team will learn in our Brain Injury Physical Interventions Workshop

  • How to treat clients with dignity by showing respect 
  • Five approaches for showing clients respect
  • How to maintain emotional equilibrium
  • How to not set off the conflict triggers of clients
  • How to develop a social contract for treating clients right
  • Gateway behaviours of violence, abuse and intimidation
  • Using distance, positioning and hand placement to stay safe
  • How to initiate contact for the best possible first impression
  • How to go beyond active listening to enhance empathy
  • How to redirect verbal abuse and intimidation
  • How to influence a person towards the right decisions
  • How to work as a team in a crisis situation
  • What to do when words alone fail
  • How to close an interaction to achieve the best possible outcome
  • OPTIONAL:  Physical Interventions to Keep Everyone Safe
    • Clinical Holding to assist with medications, hygiene or personal care.
    • Holding to stop or prevent a physically violent reaction to alarm or threat
    • Self-Protection to break away from a grab or impact when the client lashes out

Treating People with Dignity and Showing Respect is a core value.

However, many staff will depend on on-the-job training or their natural talents to get through difficult encounters.  Without expert input, reassuring them of their efforts, burnout is more likely.

Brain Injury Care Team training which will have lasting positive impact on your team...

Dynamis Brain Injury team Training uses content from our partner Vistelar, bringing together learning methodologies and training content to keep everyone safe.

Through a range of training experiences, together we bring about these outcomes for our clients: 

  • Higher levels of client satisfaction
  • Improved team performance, morale and safety 
  • Reduced complaints, liabilities and injuries 
  • Protected reputation, culture and business continuity
  • Reduced harm from emotional and physical violence
  • Decreased stress levels, lateral violence and bullying
  • Less compassion fatigue, absenteeism and turnover
  • Not having a damaging video appear on Panorama or the evening news 

These training programs address the period from before an interaction begins through to the consequences of how an interaction is managed, which includes non-escalation, de- escalation, and crisis management tactics.  

Most importantly, we teach how to prevent conflict from occurring in the first place. 

The program emphasizes non-escalation tactics because we realized years ago that it’s always better to prevent GP Surgery and Pharmacy Conflict from occurring than to deal with its aftermath. 

Creating Safer Workplaces since 2006

Example Core Scenarios - you may have a person in your workplace who is:


  1. Simply confused about something
  2. Hesitating to comply, needs encouragement
  3. Complaining about service
  4. Refusing to Follow the Rules
  5. Threatening and Abusive
  6. Presenting a real danger to safety

Using these core scenarios as examples, we lead your Brain Injury care team learners through exercises where they must use elements of the Non-Escalation, De-Escalation and Crisis Management methods and select the appropriate strategies to meet the situation.

We visit YOUR premises to train YOUR team

Brain Injury care team workshops

With the help of academic colleagues at Loughborough University, we are continually developing enhanced learning design methodology which ensures that your training budget is spent on best-value activities.   Our training is therefore:

  1. 1
    EMOTIONALLY SAFE - delivered in a supportive environment where effort and engagement are rewarded and in which difficulty is seen as a necessary step towards mastery of target content.
  2. 2
    CONTEXTUALISED TO WORKPLACE SCENARIOS - focuses on exploring the complete picture of the most common flashpoint scenarios which are familiar to your team’s experience of the workplace.
  3. 3
    PRACTICE-BASED - your team are repeatedly faced with and engaged in work-like encounters and incidents on which their individual and team performance is assessed from multiple points-of-view.
Gerard O'Dea

Director of Training, Dynamis

About Dynamis

Established in 2006, Dynamis is a Quality Award Centre with the Institute of Conflict Management (QAC#2201which provides independent assessment and verification of our high Quality Assurance Standards.
We have a 5-star endorsement rating from the expert panel at SWC - 'Safety Without Compromise'.

Gerard O’Dea, our Director of Training, also holds the ICM Physical Skills Tutor Award (ICM L324 # 5488T) which provides independent quality assurance, evidence, verification and recognition of the award holders’ expertise, knowledge and qualifications in physical skills tuition.

Copyright - Team Dynamis Ltd