Principles
What are the 4 Reasonable Force Responses to the Levels of Dangerousness?
Primary Plan (PP), Crisis Communication (CC), Evasion (E), and Possibly Restraint (PR)
As the risk of injury increases, the potential for moving further away from baseline behavior and selfregulation
also increases. Your ability to think critically and make good professional decisions improves
when you use a......
Use a self-control plan
The purpose of our organization?
Partnering with people for positive change.
Principle: Avoid pain
Inflicting pain is inconsistent
with the purpose of our organizations and our roles as professionals whose goal is meeting the needs
of clients. If a client expresses pain, respond and adjust accordingly.
CAUTION: When the client has a mental or developmental disability, is under the influence of
alcohol or drugs, or has a history of being abused, permanent damage may be done before the client
consciously feels intense pain.
Restrain only as a team means:
A minimum of two trained staff are required when considering restraint as a staff response to
aggravated assault.
Pro Act training expands the culture of safety to you and your organization using a curriculum that provides Principles, not _____.
techniques
Responsibilities of the Response Lead
• signals the start and end of restraint.
• directs staff and assigns primary responsibility for actively observing the client and the environment.
• may be responsible for medical decision-making.
What are some risks to look out for when deciding to go hands on?
-environmental features (e.g., distractions, surfaces, space)
-staff abilities/limitations (e.g., training, mobility, weight/height)
-the client’s medical and mental health conditions, personal history and associated trauma, and
cultural identities
True or False??
One-on-one situations are very dangerous for both staff and clients. Single-person restraints should be
avoided, regardless of the size of the client.
True
What principle checks that grip on clothing is not restricting chest expansion or compressing
blood flow &
ensuring client arms at or near a 45° angle when restrained
Protect
breathing
and circulation principle
Restraint is only considered when:
responding to aggravated assault, crisis communication and evasion have not reduced the client’s ability to injure someone seriously, two or more trained staff are available,
the responding staff can reasonably expect to safely and limit the person’s ability to seriously injure self
or others
Features of Professionalism:
Motivation, Mood , & Attitude
What principle talks about sidesteps, backsteps, or pivots to move in an arc or backstep to get outside of striking range?
Principle 11. Get out of the way
Problems with one-on-one restraint for the client include staff:
• having limited ability to observe the client to check breathing and circulation
• limiting client breathing by compressing the torso
• injuring the client by misjudging their ability to hold safely
• unintentionally re-triggering a client, especially one with a history of sexual trauma, by making
unavoidable contact with sexual areas.
Preparation includes:
Attire:
• provide ease of movement and reduce avoidable risk of injury
• do not trigger clients.
Mobility:
• demonstrates the ability to perform all mobility exercises, and
• identifies and reduces risks of injury associated with the physical work environment.
Preventative Measures:
• attempts to use knowledge of a client’s medical
and mental health conditions, personal history and associated trauma, and cultural identity when taking precautions
Observation:
• uses an active and intentional strategy to observe clients and the environment
• sometimes notices changes in client behavior or the physical work environment
Self-control:
• self-assesses for movement away from baseline behavior
• uses a self-control plan
• uses plans for restoring well-being and preventing burnout