Learn How Great Teams Reduce Conflict in their Services Your team may encounter frustrated, angry and distressed people. Effective training can help your people to deal with those encounters expertly and keep everyone safe in your organisation. Your team are doing their very best to meet the needs of those they encounter in your workplace (read more)
Prevention and Management of Violence or Aggression
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
Comprehensive Risk Management
Restraint Reduction through Values
Book a free Training Needs call now,
to get the right PMVA
training for your team.
Hospitals and Healthcare
Local Government & Citizen Services
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.
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.
We have delivered tailored PMVA Training Course programmes for a wide variety of clients such as those listed here, where you can read about how we worked successfully to deliver their objectives for the training:
- Learning Disabilities Respite Service
- Children and Young People Care Homes
- Safe Holding with Older People in Care Homes
- For Nurses in Brain Injury Rehabilitation Centres
- for Foster Carers and Adoptive Parents facing Home Violence
- for Learning Disability Client / Case Manager
- Personal Safety Training for Homelessness Drug & Alcohol Support teams
- Training for Mental Health Units
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.
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.
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.
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.
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.
Organise PMVA Training Painlessly
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.
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.
Join Over 3,000 Happy Customers
Best Course I have attended in the NHS...
“This was by far the best course I’ve attended in the NHS. Fit for purpose, current, relevant and extremely well delivered. 10/10 for delivery, professionalism and structure.”
Andy W. // Security Management Specialist
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.”
Stephen B. // Ambulance Care Assistant
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
Feedback from Learners About Our Training
Course Met or Exceeded Expectations
Trainer Was Very Good or Excellent
Training was Relevant and Appropriate
Proactive, Reactive and Retroactive strategies
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.
UNDERPINNING KNOWLEDGE of RISK and LAW
The Principles of Reasonable Force
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 5 and others
Reducing the Risks of Sudden Death During Restraint
Positional Asphyxia and Excited Delirium
Recognising Warning Signs in Restraint Interventions
INCIDENT DECISION-MAKING for PMVA:
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
UNDERSTANDING DISTRESSED BEHAVIOURS
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
CONFLICT RESOLUTION for PMVA
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
PMVA PHYSICAL SKILLS
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
Advanced Control Tactics (for Higher-Risk environments)
Proactive, Reactive and Retro-Active Strategies to Manage Potentially Harmful Behaviour
Our approach to providing advice, training and consultancy in the prevention and management of violence and aggression (PMVA training) follows a three tier model as follows:
PMVA Primary Prevention: understanding the causes and triggers for challenging, risky or violent behaviour and attempting to change aspects of the environment in order to reduce the risk of their occurrence.
PMVA Secondary Prevention: selective interventions, mainly involving effective communication strategies which seek to prevent such situations, if they do occur, from escalating.
PMVA Tertiary Management: interventions, usually including some physical component, for mitigating and reducing risk if situations escalate to the point of violence or the possibility that serious harm or injury could occur.
Dynamis offers courses which cover all three phases of the model and which emphasise both Tier 1 and Tier 2 interventions wherever possible, in line with the wider movement towards Restraint Reduction Programmes.
PMVA Physical Interventions are Reactive Strategies.
Physical Interventions are what we do to reactively manage potentially harmful behaviour – when it happens – to keep people safe and get things back to a baseline level of communication and coping as soon as possible when a person becomes distressed. These reactive strategies are only ever used as a last resort and are used together with proactive interventions.
Proactive interventions are a range of changes we can make in the person’s environment, in the ways that we communicate, in staff attitudes and in risky situations to reduce the need for the behaviour through which the person is communicating. When considering using Reactive Strategies as a last resort, consideration should be given to using the Least Restrictive Options wherever possible and only for the amount of time they are needed for.
Where possible (in planned interventions) a thorough risk assessment must address:
any physical health problems and physiological contraindications to the use of restrictive interventions, in particular manual and mechanical restraint
any psychological risks associated with the intervention, such as a history of abuse
any known biomechanical risks, such as musculoskeletal risks
any sensory sensitivities, such as a high or low threshold for touch.
A restrictive intervention should also have a restrictive intervention reduction programme as part of a long-term behaviour support plan.
What skills are developed in PMVA training?
PMVA Skills Development:
Duty of Care: Understanding where the duty begins and ends and who carries responsibility for restraint during an intervention.
Breakaway / Restraint Use of Force Rules: Understanding Reasonable Force for Control and Restraint Interventions
Risk Awareness: What are the risks of physical restraint intervention and how to reduce or avoid them
Government Guidance: What is expected by the national authorities who advise on best practice for restraint interventions and restrictive practices (e.g. Department of Health, NICE Guidance, Relevant Codes of Practice)
Teamwork: Working in cooperation with team-mates in high-risk restraint and non-restraint situations
-Reliable and Robust methods for last-resort physical intervention resolution of high-risk conflict situations
-Managing Proximity and Body Language Effectively (Proxemics)
-Low-Level Breakaway Skills from Common Assaults (grabbing)
-Functional Breakaway Skills from More Serious Assaults (impacts)
-Safe Prompting and Guiding Skills for use with unpredictable service users
-Control Tactics for early-stage engagement with a resistant or violent person
-Holding and Escorting Skills for use with disoriented persons
-Restraint Skills for more serious incidents requiring robust stabilisation (only where necessary)
-The use of restraint devices such as the Soft Restraint System (only where necessary)
What skills are developed in PMVA training?
PMVA Training Formats
IMPORTANT: To properly control risk and to manage your liability exposure as a responsible employer, the training you provide to your staff should match the needs of your teams and the levels of risk to which they are exposed.
At Dynamis, leveraging our online training system which has been successfully used since 2014 for a variety of teams, we can maximise the in-person contact time needed to create positive learning experiences for learners. We have, for example, been able to provide 2-, 3-, 4- and 5-day courses which develop broad competencies for PMVA and meet the specific needs of teams.
Broadly speaking, each core element of PMVA training should take one day of introduction and practice, interspersed with the knowledge and guidance elements of the course content:
Conflict Management and Verbal Skills for Dealing with Distress/Aggression (1 day)
Personal Safety/Breakaway Skills for disengagement from Violence (1 day)
Interventions for Prompting, Escorting, Holding at a Lower Risk Level (1 day)
Options for Holding, Control and Restraint at a Higher Risk Level (1 day)
Control Tactics for High-Risk Contexts including Restraint Equipment (1 day)
Each stage of this training builds on the previous phase of training and experience in order to best contribute to overall performance capability, both in terms of the team and the individual.
For one-day courses, please see individual course webpages as follows:
– Conflict Communications and Crisis Intervention
– Breakaway and Disengagement
– Physical Restraint Interventions
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.
Frequently Asked Questions
Where is the training carried out?
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Our Partners and Accreditation
Member of The Institute of
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.
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.
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.
From what I know of talking with learners on our Conflict Management courses for years, I am quite sure that many people would rather be punched in the head than spat in the face. I think that during the current crisis, we could add being intentionally coughed-at into the same category of assault. There’s a (read more)