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Managing Challenging Behaviour Trainers Course

Managing Challenging Behaviour Trainers CoursE

The NFPS Ltd Level 3 Managing Challenging Behaviour Course for staff working in Elderly Services is a Three-Day Train-The-Trainers Course aimed at providing trainers with a modular three-module programme that can be delivered to staff over two days in the workplace.

As part of the course all trainers who successfully complete the course will be given all of the resources necessary to run and deliver the training and there are no other costs involved.

The course has also been constructed to take into consideration that many elderly care homes do not have large training rooms equipped with lcd projectors and lap-top computers. To this extent resources have been provided that allow the challenging behaviour module and the classroom aspects of the physical skills components (breakaway and physical intervention) to be delivered in a ‘around the table’ delivery style to small groups.

Limiting the use of the 'Chemical Cosh'

The course is also consistent with the Governments new drive to limit the use of the 'chemical cosh' in the prescription of anti-psychotic drugs as a means of chemical restraint due to the increased risk of death. To see the BBC news item on this click here

Minimising The Use of Restraint

This course is also consistent with the aim of the Social Care Institute for Excellence who are also keen to limit the use of anti-psychotic drugs by promoting a 'Person-Centered' approach to Managing Challenging Behaviour in Elderly Care settings. To view their video click here: Minimising the use of Restraint in Care Homes for Older People.


The course itself comprises the following three modules:

Module 1: Managing Challenging Behaviour (½ Day)
Module 2: Breakaway (½ Day)
Module 3: Physical Intervention (1 Day)

The modules can be delivered as one complete course over 2 days or they can be delivered as separate modules dependent upon each units needs. The 3 x Day Trainers course will provide training in the 2 Day course and then assess the trainers ability and competence to deliver the training on Day 3.

This is a basic course in Managing Challenging Behaviour for staff working with Elderly residents. Therefore, should any department / unit feel that they require any additional training then this should be provided in line with the departmental / unit risk assessment.

In addition, it would be expected that all staff undertaking this specific training will have already received training in; understanding dementia, basic people handling and basic health and safety.


The overall aim of the course is to:

Help staff to look for more creative ways of managing or resolving challenging by helping staff understanding the relationship between an elderly residents life story and the triggers and precedents that manifest as challenging behaviour.

By doing this we can help and staff become more creative in using a people-centered approach to caring for their elderly residents.

The course is also consistent with the Governments drive to limit the amount of anti-psychotic drugs currently being administered to elderly people in care as a way of managing their challenging behaviour by helping staff to better understand the relationship between restraint and medication and how this applies with regard to the Deprivation of Liberty Safeguards, the Human Rights Act (Articles: 2, 3, 5 and 8) even the Corporate Manslaughter and Corporate Homicide Act 2007 (due to the fact that some medication apparently doubles the risk of premature death in elderly people).

The Managing Challenging Behaviour Module covers:

1. What we mean by challenging behaviour and the function it provides for service users;

2. The definitions and differences between emotion, aggression and violence

3. The personal and environmental factors that influence challenging behaviour and an action plan how to reduce them
4. A range of positive behaviour management techniques to both reduce the number of challenging behaviour incidents and de-escalate challenging behaviour when it does occur

5. How to work as a team to decide how to objectively observe and record behaviour so individual interventions can be created and consistently applied to best suit our service users

The course also uses resources and information from the Social Care Institute for Excellence to help staff identify different forms of restraint and find more creative ways of managing elderly residents without resorting to restraint where necessary.

The Physical Intervention Module

As a result, the physical intervention (restraint) module of the programme links back to the Managing Challenging Behaviour module so at its core it is provides an active feedback loop to look at:

1. What constitutes physical intervention / restraint;

2. Different kinds of restraint: (i.e., physical, mechanical, psychological, technological and chemical);

3. What constitutes lawful physical intervention and how it differs from manual handling / people handling (i.e., when does a manual handling situation become a physical intervention / restraint situation);

4. How physical intervention should and should not be used consistent with the duty of care owed to the elderly service user.

The Breakaway Module

The breakaway module of the programme also links back to the Managing Challenging Behaviour module to not only provide a range of low intensity and non-aggressive skills of how to breakaway from the most common types of aggression, but also how the need to breakaway can be reduced or eliminated by adopting safe working practices consistent with good health and safety and person-centered care.

How can the Modules be Delivered?

The key to deciding which modules are delivered ultimately rests on the departmental / unit risk assessment.

However, we would suggest that the ½ Day Managing Challenging Behaviour Module should be a mandatory module that all people in Elderly Care should undertake so that everyone is ‘signing off of the same hymn sheet’ with regard to adopting a cohesive person-centered approach to the care of their elderly residents. This also means that we would recommend that all managers attend the training so that they are aware of what their staff are being taught and so can support them properly.

The 1 x Day Physical Intervention module should be delivered to staff who have already received training in the Managing Challenging Behaviour Module. It is designed for staff who are expected to physically hold or control elderly service users whose challenging behaviour may be at risk of harm to themselves or others. The physical intervention module will provide staff with simple and easy to use and remember techniques for holding, supporting and controlling elderly service users in relatively safe and legally defensible way.

The ½ Day Breakaway module should again be delivered only after staff have received training in the Managing Challenging Behaviour Module, to staff who are exposed to situations where they are being grabbed by elderly residents and who need to breakaway without causing any harm or unnecessary distress to the elderly service user.

In both, the physical intervention and the breakaway modules, reference will be made back to the Managing Challenging Behaviour Module so that staff and their employers can reflect and learn from past events and current situations to look at ways of reducing or eliminating the need to use any physical technique. This is consistent with good health and safety practice and promotes a person centered approach to the course delivery.

Course Resources and Materials

Post the training each trainer will be given a cd containing the following course modules and resources:

1. Managing Challenging Behaviour Module;
2. Breakaway Module;
3. Physical Intervention Module;
4. Quicktime Movies.

Folder 1, 2 and 3 contain all of the course material that a trainer will require to deliver the Managing Challenging Behaviour, Breakaway and Physical Intervention modules to staff post the course including:

1. Assignment Briefs;
2. Student / staff handouts;
3. Trainers notes;
4. Medical Questionnaire (physical skill modules only);
5. Audit and Internal Verification Checklists;
6. Powerpoint Prsentations
7. Powerpoint Presentations as pdf handouts for ‘around the table’ instruction.
8. Quicktime movies that can be run on a lap-top with Quicktime software installed.

Equipment Required to Deliver the Trainers Course


To deliver this course at a location of your choosing we will require the following:

1. A training room large enough to deliver the course to prospective trainers with desks for group work exercises and written work,

2. A projector screen or white wall to project onto.

3. A training area large enough to undertake physical skills training safely and in line with good health and safety practice.

4. If possible the provision of single ‘winged’ armchairs and a coach / sofa similar to those that are used by residents in elderly care homes. This is important if the skills are to be taught for use with the type of furniture that staff will be working with in their environments.

Number of Prospective Trainers Per Course

Normally we would deliver this course to a group of up to 12 prospective trainers with 2 x Trainers.

Course Cost

The cost of having this course delivered at your location is:

1. £3,600.00 + Vat for 3 x Days Training.
2. Travelling Expenses of 0.53 Pence per Mile.
3. Accommodation for 3 x Nights to include breakfast and evening meals.

This equates to a cost per person of: £300.00 Per Prospective Trainer per course, or £100 Per Prospective Trainer Per Day (excluding travelling and accommodation costs and vat) based on 12 trainers attending the training.

If you require any further information, or if you would like to discuss any of the issues in this document, then please feel free to give me a call or drop me an e-mail.



Plus - Our 100% Guarantee To You




Need More Information?

Please ring us on 02392 460815 or send us an email


Or purchase our new e-book - "What is Physical Intervention?" to find out more about what we know and our underpinning methodology.  

This book is packed full of information to help you understand what physical restraint / physical intervention is, the law in relation to it's use, the human rights implications, the issues associated with the use of pain-compliance techniques and the prone position, BILD accreditation and the SIA requirements for PI training, and lots of other invaluable information that will help you better understand what physical intervention / physical restraint is all about.

To find out more about this e-book or to purchase and download your copy click here


How to Enquire About The Course


Enquire / Book / Pay here

To enquire about the course:

1. Call us on 02392 460815

2. E-mail us at: markdawes@nfps.info

Course Objectives

Course Objectives

Help staff to look for more creative ways of managing or resolving challenging by helping staff understanding the relationship between an elderly residents life story and the triggers and precedents that manifest as challenging behaviour.

By doing this we can help and staff become more creative in using a people-centered approach to caring for their elderly residents.

The course is also consistent with the Governments drive to limit the amount of anti-psychotic drugs currently being administered to elderly people in care as a way of managing their challenging behaviour by helping staff to better understand the relationship between restraint and medication and how this applies with regard to the Deprivation of Liberty Safeguards, the Human Rights Act (Articles: 2, 3, 5 and 8) even the Corporate Manslaughter and Corporate Homicide Act 2007 (due to the fact that some medication apparently doubles the risk of premature death in elderly people).

The Managing Challenging Behaviour Module covers:

1. What we mean by challenging behaviour and the function it provides for service users;

2. The definitions and differences between emotion, aggression and violence

3. The personal and environmental factors that influence challenging behaviour and an action plan how to reduce them
4. A range of positive behaviour management techniques to both reduce the number of challenging behaviour incidents and de-escalate challenging behaviour when it does occur

5. How to work as a team to decide how to objectively observe and record behaviour so individual interventions can be created and consistently applied to best suit our service users

The course also uses resources and information from the Social Care Institute for Excellence to help staff identify different forms of restraint and find more creative ways of managing elderly residents without resorting to restraint where necessary.

The Physical Intervention Module

As a result, the physical intervention (restraint) module of the programme links back to the Managing Challenging Behaviour module so at its core it is provides an active feedback loop to look at:

1. What constitutes physical intervention / restraint;

2. Different kinds of restraint: (i.e., physical, mechanical, psychological, technological and chemical);

3. What constitutes lawful physical intervention and how it differs from manual handling / people handling (i.e., when does a manual handling situation become a physical intervention / restraint situation);

4. How physical intervention should and should not be used consistent with the duty of care owed to the elderly service user.

The Breakaway Module

The breakaway module of the programme also links back to the Managing Challenging Behaviour module to not only provide a range of low intensity and non-aggressive skills of how to breakaway from the most common types of aggression, but also how the need to breakaway can be reduced or eliminated by adopting safe working practices consistent with good health and safety and person-centered care.

How can the Modules be Delivered?

The key to deciding which modules are delivered ultimately rests on the departmental / unit risk assessment.

However, we would suggest that the ½ Day Managing Challenging Behaviour Module should be a mandatory module that all people in Elderly Care should undertake so that everyone is ‘signing off of the same hymn sheet’ with regard to adopting a cohesive person-centered approach to the care of their elderly residents. This also means that we would recommend that all managers attend the training so that they are aware of what their staff are being taught and so can support them properly.

The 1 x Day Physical Intervention module should be delivered to staff who have already received training in the Managing Challenging Behaviour Module. It is designed for staff who are expected to physically hold or control elderly service users whose challenging behaviour may be at risk of harm to themselves or others. The physical intervention module will provide staff with simple and easy to use and remember techniques for holding, supporting and controlling elderly service users in relatively safe and legally defensible way.

The ½ Day Breakaway module should again be delivered only after staff have received training in the Managing Challenging Behaviour Module, to staff who are exposed to situations where they are being grabbed by elderly residents and who need to breakaway without causing any harm or unnecessary distress to the elderly service user.

In both, the physical intervention and the breakaway modules, reference will be made back to the Managing Challenging Behaviour Module so that staff and their employers can reflect and learn from past events and current situations to look at ways of reducing or eliminating the need to use any physical technique. This is consistent with good health and safety practice and promotes a person centered approach to the course delivery.

Course Benefits

The benefits of undertaking this training is that you will be ensuring that your staff and management are caring for your elderly service users in line with current UK statute law and consistent with the Governments commitment to providing a person-centered approach to caring for elderly residents.


Suitability

All management and staff who work in Elderly Residential Care.

Course Feedback


"Great course, easy to learn and easy to deliver. Having all of the resources provided for us will make delivering this course so much easier."

"Fantastic course. All of the instruction and material was first-class. Especially where thought has been given to providing training materials for homes that do not have purpose built training rooms."

"Absolutely brilliant course. The trainers made it enjoyable and fun which made learning so much more easier. For once I stayed awake for the whole course because I didn't want to miss anything - unlike some courses that I have been on in the past. I was glued to Marks delivery style. Excellent."