Control and Restraint / Safe Holding Training / Restrictive Physical Intervention

Summary of outcomes

1. Understand the Law in relation to the use of physical restraint.

2. Evaluate the risks associated with physical restraint and consider methods to reduce the risks.

3. Demonstrate non-harmful methods of control and how to safely apply them

4. Where required demonstrate more restrictive methods of control and when they should be used

Course Programme

  • Introduction to the dangers of restraint
  • Criminal & Common Law in relationship to restraint
  • The Children’s Act (If required) / Health & Safety at Work Legislation
  • Human Rights Acts / Depravation of Liberty (DOL) issues
  • The use of your communication skills to prevent restraint wherever possible
  • Positional asphyxia risks
  • Corporate manslaughter act – and how it effects you
  • Introduction to the holds to be used in restraint
  • The use of non-pain compliant methods of control – 2,3 and 4 man teams
  • Teamwork: Contact and Cover
  • Shepherding, Figure of four.
  • The more restrictive figure of four, dealing with a client that spits
  • From figure of four into thumb in palm techniques
  • The different approaches using 2 or 3 in the team
  • To the chair, the rest position, and defusing / Change overs
  • Taking clients through door ways
  • Restrictive methods of control (flexion, finger & thumb hold) where identified by risk assessment
  • Controlled take down onto the knees then into the prone position
  • Prone rest position, de-escalation & defusing techniques / The take up to standing position from prone
  • From prone into supine position / Rest position in supine / Take up from supine position
  • Techniques for seclusion (If required)
  • Demonstration of techniques that should not be used
  • Incident Reporting and De-briefing
  • Refresh on techniques
  • Question and answer time
  • The what “ifs”
  • Remember the most important aspect is to try to defuse and de-escalate – if possible try to avoid restraint


This is a sample programme which can be adapted for your specific needs.

PLEASE NOTE: For those delegates who have no experience of restrictive physical intervention (C&R) it is recommended that they attend a 2 day course. Those with experience need only attend a 1 day course. 


The Institute of Conflict Management has awarded Basis Training (UK) Limited

With the Quality Award Centre Status (QAC Registration Number QAC2022)

Relating to:
Element 1: Training Design.
Element 2: Training Delivery.
Element 3 Training Evaluation & Feedback


The publication by the Department of Health “Positive & Proactive Care: reducing the need for restrictive intervention” state the following: (127. There are no universally accepted standards for the use of physical restraint although both the British Institute of Learning Disabilities (BILD)44 and the Institute of Conflict Management (ICM)45 offer voluntary quality accreditation schemes) If you require a copy of the report please look at the ICM website.

Trainers facilitating the course follow the ICM code of practise and the all Wales NHS Passport .

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 Essential Info

Who should attend?

  • All employees who work within an environment where there is a requirement for the use of restraint

Teaching methods

  • Power Point presentation covering the use of restraint
  • Group Discussions 
  • Demonstration & Practice Under Observation

Duration of course

  • Two day for new participants. One day refresher training  for  those who have experience of restrictive physical intervention

Number of delegate places

  • Minimum 6
  • Maximum 16

Trainers Qualifications

  • Follow the ICM code of practise and the all Wales NHS Passport The company has also been accorded ICM Quality Award Centre status (QAC Registration Number QAC2022) which means that all physical breakaway skills have been risk assessed and have fulfilled the criteria set out by the ICM Quality Award. Trainers are ENB A74 Qualified.