Managing challenging behaviour

Course outline

Learn techniques to prevent harm due to clinically-related challenging behaviour while maintaining a safe and supportive service where an ongoing duty of care exists.

This course teaches staff to remove themselves from a potentially dangerous situation and safely hold or relocate patients whilst also understanding the medical and legal implications of using techniques.

Suggested attendees

All frontline NHS staff whose work brings them into direct contact with patients and members of the public – under legislation it is an employer’s responsibility to ensure that individuals and roles are risk-assessed in relation to violence and aggression.

Managing challenging behaviour training is aimed at all staff where a higher level of risk occurs, and it is safer for the service user to be held or moved to a position of safety including:

  • Care of the elderly staff
  • Theatre Teams
  • Paediatric Teams
  • Portering Staff
  • Security Teams
  • Site Managers/Ward Managers

Course content


Assessing risks

  • Behaviour changes
  • Clinical cause

De-escalation and prevention skills

  • Communication models
  • De-escalation strategies

Legal rights and responsibilities

  • Policies and procedures
  • Legislation

Incident reporting and support

  • Documentation and systems
  • Post-incident procedures
  • Options for support


Distance, stance and positioning

  • Posture
  • Tactical awareness

Relocation and distraction

  • Safe moving
  • Hip checking

Breakaway and disengagement

  • Disengagement techniques
  • Scenarios

Clinical safe holding

  • Safe holding in pairs
  • Standing, supine and seated interventions
  • Scenarios

Medical implications of techniques

  • Positional asphyxia
  • Safe practice

By the end of this course your team will be able to:

  • Recognise and understand challenging behaviour
  • Understand legal issues regarding restraint
  • Remove themselves safely from aggressive behaviour
  • Safely hold/relocate an aggressive patient

At the end of this course your team will receive:

  • A certificate of attendance
  • Receive a course workbook
  • Access to a dedicated delegate resource area
  • Duration 6 hours

  • Delegates 12 Max

Delivery methods


Many of our courses, especially those with physical skills, can be delivered in a face-to-face training environment, either at your venue or ours.

Train the

IKON’s Train the trainer service will enable your team to deliver motivational and insightful training that builds confidence and trust with delegates.

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    • ... the professionalism, the experience and the knowledge shown by IKON Training was first class. They understood our needs and promptly developed a programme of training which we rolled out to over 120 hospital-based staff.

      Colchester Provide CIC

    • I have worked in the NHS for over 20 years and this was hands down the best conflict resolution training I have had. Thank you.

      King’s College Hospital NHS Foundation Trust

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