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Notice regarding physical intervention training

Like you, we have been busy trying to process the rapidly evolving guidance relating to the COVID-19 outbreak. As you are aware, the virus can be spread by people coughing or otherwise exhaling infected fluid and also by touching contaminated surfaces and then subsequently touching their own face.

The latest guidance on managing COVID-19 (with specific guidance for those working in health and social care) can be found here:

And current guidance from Bild ACT here:

Training staff in Positive Behaviour Management strategies at this time is clearly an activity likely to increase risk of infection to participants in that it involves group instruction in physical interventions (involving direct and repeated physical contact) and in potentially compromised environments.

It is therefore our recommendation that training is temporarily suspended pending further guidance. As a company, we are postponing all our training and have determined not to undertake any new bookings for at least two months. We will, however, review the position and any new advice on a weekly basis and update this webpage accordingly.

We realise that, as a care provider, you may have an urgent need to continue to train new recruits if you have your own PBM trainers but would wish to stress that this would be your decision and should be an exceptional activity. If you feel that such training is unavoidable, having balanced the risk of infection against the risk of injury, we would recommend that you teach in very small groups and ensure that all current personal hygiene recommendations are fully implemented. All participants must also have adequate PPE. Where possible, restricting new staff to low-risk environments would be an alternative and perhaps preferred strategy.

Factored into our decision are the considerations that you as a care provider will find it increasingly difficult to release staff for training and that many of the venues we use will be closed.

BILD ACT has advised us that it will be acceptable to extend the 12-month refresher deadline for care staff and trainers and allow 3 months leeway. We will therefore rearrange trainer refreshers as soon as possible after the current health crisis resolves and again keep you updated as the picture changes.

As I am sure you will appreciate, this is not a decision taken lightly and one that will pose serious challenges for us as a business; we are acutely aware that you will face comparable challenges yourself. If there is anything that we can do to support you throughout this difficult period outside of the above, then please get in touch.


Positive Behaviour Management Pro (PBMpro) has been assessed by BILD ACT (Association of Certified Training) and complies with the Restraint Reduction Network (RRN) Training Standards. Certified training will be a requirement for NHS commissioned services and the Care Quality Commission from April 2020.

PBMpro provides further information on PBS primary prevention strategies by:

  • Delivering a reminder/refresher of what we mean by challenging behaviour, how the behavioural model works and what the PBS model entails
  • Exploring the critical ingredients for reducing the use of restrictive practices in services
  • Examining the opportunities for proactive intervention during the course of challenging incidents
  • Analysing the key role of communication
  • Looking at trauma-informed PBS interventions
  • Understanding how to measure the impact of PBS support plans

Whereas Positive Approaches PBS training looks in more depth at organisational and user-level primary prevention strategies, PBMpro majors on providing in-depth training on secondary prevention (looking at different ways to change the course of behavioural episodes by effective early intervention) and reactive strategies (ethical and safe approaches to those behavioural challenges which may not be preventable).  The physical intervention component focuses on the use of personal space and breakaway techniques together with a limited number of restraint procedures (if required), all supported by underpinning knowledge and values stemming from evidence-based practice and empirical research. None of our techniques employ pain to achieve compliance and known high-risk procedures are avoided.

PBMpro is delivered extensively across the UK and is one of the very few UK or international reactive strategy training approaches to have any supporting peer review research into its effectiveness. Published outcomes include:

  • Lower rates of restraint use
  • Lower rates of emergency medication use
  • Reduced injuries to staff
  • Reduced injuries to service users
  • Increased staff confidence and knowledge


********** Click here to download a leaflet about PBMpro **********

PBMpro training is available for the following service user groups:

  • Adults with intellectual disabilities or autism
  • Adults with acquired brain injury
  • Adults with mental health needs
  • Older people with dementia
  • Children & Young People
  • Child & Adolescent Mental Health (CAMHS)

The training course is delivered on-site or at a local venue of your choice for care staff teams. The initial course is 2.5 or 3 days depending on the number of techniques required and the annual refresher is up to one day.

If you have large staff groups you could train your own in-house trainers on our CPD approved 10 day trainer course so they can deliver the training internally for you.

The next 10 day trainer course dates are below.  More courses will be added as soon as we have enough delegates for each location. You can have your own trainer course if you have at least 6 delegates.

Bristol: next course date tbc

Manchester:  next course date tbc

Please contact us for a trainer course outline, person spec and application form.


If you do not need physical intervention techniques please click here to see our PBS theory only training.



Restraint Reduction Network Training Standards – updated January 2020

The Restraint Reduction Network (RRN) Training Standards have been written for training services delivered to education, health and social care services across the UK including services that support people with autism, learning disabilities, dementia and mental health conditions.

The Standards aim to facilitate culture change, not just technical competence. They are designed to:

• Protect people’s fundamental human rights and promote person centred best interest and therapeutic approaches to supporting people when they are distressed

• Improve the quality of life of those being restrained and those supporting them

• Reduce reliance on restrictive practices by promoting positive culture and practice that focuses on prevention, de-escalation and reflective practice

• Increase understanding of the root causes of behaviour and recognition that many behaviours are the result of distress due to unmet needs

• Where required, focus on the safest and most dignified use of restrictive interventions including physical restraint

To see the latest version please visit:



New trainers’ area for associate trainers in affiliated organisations

We now have a new trainers’ area where associate trainers can download the new PBMpro training materials. The affiliated organisation will need to sign a new PBMpro training agreement and all associate trainers will need to sign a new trainer licence agreement. All trainers will then have to create a new account on our website. Please note your login details for the old trainers’ area will not work and will just mean your account access gets blocked. When you click the link below you will go to a WordPress page. Do not login yet but click “Register” which is just below the login boxes. Create a username (please put your first name and surname here so we know who you are) add your email address and submit your new registration through to our office. We will approve your account access as soon as we have all your organisation documents. You will then get an email confirmation and a password to get started.



Login to the Trainers’ Area