There is also a new instructor option for verbal de-escalation; please visit
www.verbalde-escalation.com for more information.
If your organization is only needing verbal de-escalation training this is a great option.
Your staff need to be properly trained in verbal de-escalation techniques, so they can intervene early on in the escalation process. Once the client reaches an escalated state of mind, it is harder to verbally de-escalate that person. The SafeClinch Program emphasizes building a rapport with clients, to help with verbal de-escalation efforts.
We recommend that all staff authorized to use immobilization techniques be trained on the risks of positional asphyxiation and the relationship with prone restraint methods. Anytime you physically restrict a person’s movement there is a risk of injury.
From the beginning SafeClinch has provided training and material on Positional Asphyxiation. This includes the following:
1.) Preventing Positional Asphyxiation
2.) Positional Asphyxiation Defined &
3.) Prone Containment Considerations
Even when using prone containment methods in the SafeClinch Program you should have a staff member (preferably medical staff) present to watch for signs of distress. This staff will give instructions when a hold needs to be changed and/or the client be moved off their stomach as quickly as possible if needed. When placing the client stomach first on the floor; this should be used for short periods; transitions; and/or handcuffing purposes only.
Although, the SafeClinch Training System does authorize a prone hold for immediate containment purposes (short periods of time); staff are instructed on other physical alternatives as well. These alternatives include: escorts, body positioning, standing holds, seated holds, supine holds, and team immobilization. The SafeClinch program does not just rely on one hold to be effective. So, even if your organization does not allow for prone containment holds the SafeClinch program would continue to benefit your organization.
The SafeClinch Program requires re-certification of instructors for safety reasons. We also mandate that the staff member discontinues the use of any hold when the hold is no longer necessary. If the client is no longer resisting and/or struggling than the hold should be discontinued immediately. Signs of distress cannot be ignored during a physical intervention.
We have always suggested having medical staff present whenever possible before any restraint scenario. The medical staff are likely to have knowledge of the specific medical history of the client, and the average line staff may not have this information readily available. Furthermore, the medical staff can provide a medical expertise in the supervision of the restraint.
The SafeClinch Program is designed in a way that is easy for staff to understand and retain for long periods of time. The techniques in the program do not rely on pain compliance; instead the techniques are effective by utilizing positioning and leverage to immobilize the client. All the techniques should be performed while keeping as much body weight off the client as possible.
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