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P.M.T. Physical/Psychological Management Training

P.M.T. Physical/Psychological Management Training. Name: Date:. Designed by PMT Associates, Inc. INSTRUCTOR’S NAME(S). Effective use of PMT requires:. Sensitivity to others Dedication to a therapeutic approach Technical skill in crisis intervention. Page# 3.

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P.M.T. Physical/Psychological Management Training

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  1. P.M.T. Physical/PsychologicalManagementTraining Name: Date: Designed by PMT Associates, Inc. INSTRUCTOR’S NAME(S)

  2. Effective use of PMT requires: • Sensitivity to others • Dedication to a therapeutic approach • Technical skill in crisis intervention Page# 3

  3. Three “P’s” of PMT Training: • PREVENTION • PREDICTION • PROTECTION Page# 3

  4. PROBLEM SOLVING First, accurately identify the real problem Connect all 9 dots with 4 straight lines. *No lifting pen from paper.

  5. Learn to step outside the box.

  6. Effective Problem Solving requires being open to new ways of thinking (Paradigm shift). Creative energy Creative energy

  7. The Four Stages Prevention Escalation Post-incident Aggression/Violence Page# 4

  8. Skills to use: • PREVENTION • Observe • Active Listen • Give support • Set expectations • Help make sense • ESCALATION • Allow ventilation • Offer alternatives • State expectations • Provide space • Active listen • Set limits • AGG/VIOLENCE • Back-up • Act quickly • Keep calm • Team work • Keep aware • POST Incident • Document • Educate • Debrief • Evaluate • Make changes where necessary Page# 4

  9. Effective Communication • Non-verbal Communication • Verbal Communication Page# 5

  10. Non-verbal Communication93% Style of Delivery = 38% Body Language = 55% • Facial Expressions • Gestures • Eye contact • Movement • Proximity • Tone of Voice • Pace • Volume • Inflection • Silence Page# 5

  11. Verbal Communication7% • Choice of words • Logic (or lack thereof) • Life experiences(i.e., age, schooling) • Value laden language • Saying too much

  12. Summary • Effective Communicators: • Have self-awareness (Their impact upon situations) • Pay attention to body language (Theirs and others) • Choose their words thoughtfully & strategically • Practice good listening skills

  13. Freedom to make choices Caring emotional atmosphere Health & Safety Respect & Dignity Social System Chance to learn THE VISION Page 6

  14. What is restraint?

  15. Always consider using the Least Restrictive Intervention: Which one for this job??

  16. Physical Restraint“One definition” “Physically holding an individual to restrict movement or to prevent the individual from harming himself or others.” Page# 18

  17. Let’s take a trip. Page 8

  18. Common Causes of Aggression Centered on the… Environment Individual Staff Page# 8

  19. PERSONAL SPACE Public Zone 20 Feet or more Social Zone 4 Ft. - 12 Ft. Personal Zone 1 1/2 Ft. - 4 Ft. • Fight • Flight • Fright Intimate Zone 0 - 18 In. Page# 8

  20. Predictionand Early Intervention

  21. Signs of Agitation *Verbal content *Facial expressions *Muscular tension *Pressured speech *Posturing *Throwing objects Page# 9

  22. Situational Road Signs of Aggression: • When the upset person is angry, anxiousor afraid. • Following the denial of a real or perceived privilege. • Following an argumentor a fight. • When strong demandsare made • When unrealistic expectations are made on the individual. Page# 9

  23. Why staff “act out”. • STRESS AND JOB BURNOUT • FATIGUE AND OVER-TIRED • FRUSTRATION OF NEEDS • SELF-FULFILLING PROPHECY • PROFESSIONAL DETACHMENT • WORK OVERLOAD • LACK OF SELF-AWARENESS • POOR WORK ENVIRONMENT • PERSONAL BUTTON PUSHED

  24. Personal Safety • Dressing for Safety: Page 10 • Let’s practice: Everybody up :) • Stance 45% • Blocks • Pivots and Parries

  25. PRINCIPLES OF ESCAPES AND RELEASES “L” = LEVERAGE “S” = SPEED/SURPRISE “D” = DIRECTIONALITY Page#10, next to wrist releases

  26. Personal Safety Releases • Wrist Releases: • Single, single, double, 2 to 1, 2 to 1. • Choke Releases: • Front and Rear choke release. • Sit down and read pages 11-13. • Check off all safety techniques on pg 10.

  27. Reasons for Hands On Interventions • Notes for reasons: top of page 14. • Technique Categories page 14&15. • Practice: Escorts, Transports, and Protective Holds.

  28. Check off Protective Techniques on page 16. Use of Protective Holds- page 17. Legal/Ethical Issues- page 18.

  29. News flash... INTERRUPT IGNORE REDIRECT REWARD Page# 19

  30. Post Incident: The MOST Important Stage! The 3 “R’s RELAX REVIEW RECORD Page# 20

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