Violence and Physical Confrontation/Restraint


The Nature of Violence



Clients Want Something

Between the Client and What They Want

The Source of the Problem

The Three Immediate Options

Not Getting What They Want

A Problem on Top of Not Getting What They Want

Co-operating With Us

The Physical Act of Violence

What it Takes to Attack

Effective De-escalation

Prevention of Violence

Prevention Can Be Difficult

Violent Clients

Physical Domination




Safe to Attack

Not Safe to Attack

Appealing Options

Clients That Cannot Safely Attack

       Foundation of Violence and Being Attacked

Negotiation and Communication

Command, Control, and Manipulation


Other Means

Increasing Our Chances of Being Attacked

Begging the Client

Tricking the Client


Non-verbal Leakage





Preferred Option

Control Presence

Command Presence

 Safely Control a Volatile Situation




Restraint is Not Therapeutic

Failure in Treatment

Physical and Psychological Harm

Traumatic Interaction

For Clients

For Staff

Environments Characterized by Control

Staff Injuries

Reacting to Episodes of Violent Behavior

The Way to Avoid It

Extremely Injurious Behavior

Sometimes Restraint is Unavoidable

Be Aware

Unaware People Get Hurt

Knowing Programs

Perceiving Body Language

Pay Close Attention

Abuse Free Environment

Preventing Abuse

We Must Take Action

Protect Ourselves


Reacting to Violence


Behavior Correcting Aggression

Behavior Correcting Violence

Malicious Violence

Keep Your Wits

Staying Composed

Clients Rarely Fight

Clients Will Fight Back

Over-reaction to Aggression

Physical Connection


Small Physical Injuries

Acceptable Expectation

Job Duties

Physical Responsibilities

Clients Targeting Other Clients

Direct Physical Aggression

Avoiding Aggression

Disposition of Confidence

Loss of Composure Escalates Behavior

If We Aggress

Loss of Control

Role-modeling Poor Decision Making



Protecting Ourselves


Restraint is a Last Resort

We Cannot Make Anyone Do Anything

Little Benefit From Physical Encounters

Failure to Pursue Alternatives

It Could Have Been Avoided

The Client Decides to Attack

The Sole Purpose of Injuring

Protect Vital Areas




Instant Incapacitation

Maintain Distance

Stay Out of Range

Never Stand Still

Do Not Stare Down

Body Language


Knowledge and Training

The Most Important Factors

Safe and Successful Intervenion

Do Not Panic

Guidelines to Maintain Safety

Personal Reach

Open Posture

Visual Range

Summon Help