PMVA Training

Prevention and Management of Violence or Aggression

Dynamis ICM Award Centre

Please note that we do NOT deliver 'open' training 

for individuals who are not currently employed with a service.

  • Creating an Atmosphere of Non-Violence
  • Conflict Management and Verbalisation Skills
  • Personal Safety and Breakaway Skills
  • Last-Resort Physical Restraint Interventions
  • Teamwork for Incident Management
  • Restraint Reduction through Values

Our clients

Hospitals and Healthcare

International Clients

Our Experience in PMVA and MVA Training

Training in PMVA for Your Care Team

PMVA Training helps to reduce the risks of violence and aggression in your service by developing staff knowledge, skills and attitudes to effectively employ de-escalation skills, breakaway and disengagement tactics or control and restraint interventions appropriately within the context of their service users, residents, patients and clients. The training meets NHS Protect standards in conflict resolution and physical intervention.

Our PMVA courses develop three levels of prevention and management of violence and aggression:

- Proactive strategies to prevent incidents of aggression or violence
- Retro-active strategies to defuse and de-escalate an emerging situation
- Reactive Strategies to minimise injury risk and regain control of a situation.

Your team will learn to safely apply appropriate non-restrictive or (where necessary) restrictive physical interventions as alternatives to the primary non-escalation and secondary de-escalation strategies which we will help you to put in place.

Vulnerable Adults and Older People

Our Safe Caring and Safe Holding courses provide your staff with habits and procedures which help them to work in close proximity with older people who can present with unpredictable or distressed behaviours.

Mental Health Patients

Our Secure Transport training is a flagship course as it incorporates so many different elements of restraint reduction, conflict management and high-risk elements, making it one of our most comprehensive courses.

Hospital Security

Our HCSO and Hospital Violence Reduction courses provide a full-spectrum of response-ability across the wide range of encounter types they may experience in the hospital environment, from low-risk through to higer-risk incidents, including more-restrictive interventions and clinical holding situations.

Children in School and Care

Our experiences with the care of children covers schools, foster care, therapeutic parenting, looked-after children and paediatric/CAMHS environments and is therefore both broad and deep, based on an understanding of the Adverse Childhood Experience, the effects of Trauma and the specific challenges staff face when a child is distressed.

How we adapt our PMVA Training for different environments and contexts.

Please note that we do NOT deliver 'open' training 

for individuals who are not currently employed with a service.

Your team learn in a scenario-driven 'mesh'

Because of our unique training methodology which progresses understanding, decision-making and skills together and in-context, your team will learn restraint skills and understanding which will more-easily transfer to your workplace and make it safer for everyone.

Communication Skills

Your teams will model and practice appropriate verbal skills for preventing and de-escalating conflict.

Legal Rules for Restrictive Practice

Your team will reflect on the legal basis for their actions, assisting in effective reporting.

Behaviour Awareness

Your team will develop their awareness of behaviour cues and the ways in which situations can trigger distress, anger or emotional disturbance.

Teamwork during incidents

Your team will have to work together to solve problems, learning along the way how to think and to communicate as a team.


Your team will be challenged to develop personal safety habits and perform robust, appropriate self-protection tactics in many different scenarios.

Restraint Reduction Principles

Your team will be challenged to embody restraint-reduction principles in each scenario they work through.

Risk Awareness

Every restraint carries risk, so your team must learn how to navigate options and reduce the risk of adverse outcomes through serious injury or death.

Holding Skills

Your team will develop flexible skills to perform safe holding, control or restraint appropriately to the level of risk and the vulnerability of the person they engage with.

Grab a coffee and speak to our training advisor.

With over 15 years of experience working with clients, we are confident that we can gain an understanding of your issues, resources, timeframes and budget quickly and soon propose a training plan which fits your needs.

Please note that we do NOT deliver 'open' training 

for individuals who are not currently employed with a service.

How to...

Organise PMVA Training Painlessly

Our Process


Book your free training needs assessment.

Every organisation is unique and so you need a unique PMVA training course. Our free training needs assessment is a 30-minute process where we identify the risks your staff face and the training solutions you need.


We formulate a Bespoke Training Course.

Having understood the needs of your organisation we will create a bespoke PMVA training course tailored to your flashpoints, issues and incident profile.


Your Staff experience relevant and beneficial training.

We will conduct your bespoke PMVA training course and your team will learn modern, pragmatic and compassionate approaches to MVA.


A Safer and More Secure Place to Be

You will notice a different approach from your team and more positive outcomes happening more frequently in your service as our values-led, evidence-based approach takes effect.

Please note that we do NOT deliver 'open' training 

for individuals who are not currently employed with a service.

The power of evidence-based training

High Staff Engagement

Because of the immediate relevance your staff see in our course design and delivery, they are engaged, motivated and energised during and after the training.

Better Transfer to the Workplace

Because sessions are all driven by your own scenarios, issues and challenges with the people you meet in your work, it has immediate relevance and transfers directly to your day-to-day workplace.

 "Time Well Spent"

Your teams get many, many opportunities to learn and practice their new skills during 'countless reps' of the target skills, actively learning in every session. There are no boring powerpoints!

Measurable Change Happens

With highly targeted new skills, your teams can make measurable changes to their interactions and truly realise your organisation's safety ethos, focussing on dignity and respect, safety and wellbeing.

Gerard O'Dea  //  Director of Training at Dynamis

Hi and thanks for visiting our webpage today.

In over 15 years of working with frontline staff who face difficult, distressed and dangerous behaviour, I have seen time and again how prepared staff can perform well and respond to challenging circumstances.

From teachers to nurses, teaching and care assistants to security officers in our hospitals and social workers in the community, if you deal with people every day, managing conflict becomes a necessity.

I became involved in this work because I saw the power of training and preparation in helping people to stay safe at work and to be more successful in working with their colleagues to create better outcomes.

I and my team of professional trainers now teach in over 200 training engagements every year around the UK and internationally for a wide variety of public-facing organisations just like yours.

We have sought out the best conflict management training content and the best learning methods  in the world and bring them together for you and your team.

Gerard O'Dea

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Best Course I have attended in the NHS...

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Informative and Enjoyable...

“A very professionally run training course, Gerard was a very knowledgeable and relaxed instructor who put the group at ease and made the day both informative and enjoyable.”

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What our customers are saying:

Brought in real life situations...

"I was very nervous about this training but it was a great environment and he made us feel at ease and was encouraging. I liked how he brought in real life situations to make the training more relatable.”

Natalie C.  //  Dementia Care Senior Support

A really impressive course enabling excellent care...

“Exceeded all the criteria we needed to achieve, interesting, interactive, informative and enjoyable. A really impressive course in all aspects, my team came away visibly more confident and closer as a team, I am certain the experience will give us the right foundations enabling excellent care to the patients we manage. a sincere thanks.”

Director of Care and Quality  //  UK EMS

Please note that we do NOT deliver 'open' training 

for individuals who are not currently employed with a service.

Feedback from Learners About Our Training


Course Met or Exceeded Expectations


Trainer Was Very Good or Excellent


Training was Relevant and Appropriate

  • Learning outcomes

  • Three-tier model

  • skills


Proactive, Reactive and Retroactive strategies

Learning Outcomes:

On completion of this PMVA training, your staff team* will be able to:

-Apply the legal principles of Reasonable Force to high-risk scenarios
-Apply the principles regarding Duty of Care to scenarios of high-risk
-Identify situations which may give rise to the risk of sudden death during restraint or of serious injury during an incident
-Understand that physical restrictive interventions are reactive strategies which are used in conjunction with proactive, preventative strategies
-Use tactics which encourage movement by prompting
-Use tactics which enable them to safely escort a compliant but unpredictable person from one place to another
-Employ control tactics for rapidly unfolding situations where they need to keep themselves and a vulnerable but physically-able subject subject safe from harm
-Employ control tactics in higher-risk situations where there is a risk that they might lose control and thereby allow harm to come to themselves, a colleague or the vulnerable (but physically capable) subject they are looking after
record an incident clearly in a way that allows another person to understand their actions in the circumstances which faced them
-Communicate with their subject and with each other in a way which promotes the most positive outcomes in difficult and rapidly-unfolding circumstances

*Please note that we do not run “open” courses for individuals to enrol on at the current time.

The Principles of Reasonable Force
Common Law
Criminal Law
Care Legislation
Care Act
Mental Health Act
Mental Capacity Act
Decision-Making in regard to the Duty of Care
Health and Safety at Work Act
Management of Health and Safety at Work Regulations
Health and Safety Offences and Corporate Manslaughter
Manual Handling Operations Regulations
Government and National Guidance
NICE Violence: Short Term Management
Positive and Proactive Care (Department of Health)
Human Rights Act
Article 2
Article 3
Article 5 and others
Reducing the Risks of Sudden Death During Restraint
Positional Asphyxia and Excited Delirium
Recognising Warning Signs in Restraint Interventions

Core Person-Centred Values for Dealing with Distressed, Resistant, Dangerous Behaviour
Legal, medical and professional implications of incidents involving PMVA
Risk assessment (both formal and informal) during episodes of PMVA
Legal and medical implications
Good practice following PMVA incident management

The Kaplan/Wheeler Model of the Assault Cycle
Brain function and Aggression/Stress
Recognising the cues for Primal/Social behaviours
The SCARF Model of influences on human behaviour
7-Phase model of incident management and recording

Treating every person with Dignity and Showing them Respect
Having the correct attitudes needed for conflict resolution
Initiating contact with patients service users, visitors and other staff in a non-escalatory way
Discovering and Dealing with people’s communicated needs through listening and empathy
Managing resistance through appropriate persuasion and influencing skills
Deflecting and Redirecting verbal aggression through focus on key goals
Working with the audience and bystanders to positively influence conflict
Knowing when to disengage from conflict

Proxemics, Prompting and Escorting
Fundamentals of Self-Protection
Survival from Common Assaults
Principles for Prompting and Escorting
Less-Intrusive Holding and Restraint Principles
More Restrictive Physical Restraint Interventions
Disengagement Methods
Advanced Control Tactics (for Higher-Risk environments)


100% Satisfaction Guarantee

You are fully protected by our 100% Satisfaction-Guarantee. If you are not fully satisfied by the training we deliver for your team, just let us know and we'll send you a prompt refund.

Gerard O'Dea

Frequently Asked Questions

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Is Dynamis training Accredited?

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Our Partners and Accreditation

ICM Logo

Member of The Institute of

Conflict Management

Dynamis is a Quality Award Centre with the ICM, a recognised accrediting body in the U.K. for workplace training in the prevention and management of workplace violence.

Healthcare Myth 2: If I Say Something It Will Make Things Worse 2

European partner for Vistelar

Dynamis is the premier European Partner for Vistelar, a global consulting organisation covering training across the entire spectrum of human conflict.

Personal Safety Trainer 35

Regional representative for 9 Attitudes behavioural tactics

Dynamis represents the 9 Attitudes system, a fully behavioural approach to self-protection and physical control which is based on the observable realities of physical confrontation.

© 2020, Team Dynamis Ltd

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Edinburgh EH6 7BD

0844 812 9795

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