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Creating a Safe and Caring Hospital

"A positive strategy in the management of difficult situations.'"

Heather Moore - John Monroe Hospital

Management of Actual or Potential Aggression (MAPA®)

CPI's Management of Actual or Potential Aggression (MAPA®) curriculum began in 1996, and has continued to develop its philosophy and range of physical interventions, which include a suite of disengagement techniques designed to enhance personal safety.
The origins of the MAPA® model were in health care, social care, and special education. Those involved in its creation and continuous development and delivery are from professional, sector-based backgrounds.
MAPA® Physical Interventions are suitable for staff who work directly with people across the age spectrum who present behaviour that limits inclusion and/or that is considered to be risky or harmful to the person or others. MAPA® Physical Interventions are independently risk assessed and accredited by the British Institute of Learning Disabilities (BILD).
The MAPA® Philosophy
With our training, we enable staff to safely disengage from situations that present risks to themselves, the service user, or others. Participants learn to safely and effectively use a range of holding interventions that are appropriate to the circumstances when a person expresses themselves through challenging, aggressive, or violent behaviour, and to make defensible choices regarding the use of disengaging from and/or holding a person.
Upon completion of the programme, other benefits include the abilities to:
  • Establish emotional contact and bonding between staff and the service user through the use of verbal and physical interaction.
  • Allow the expression of anger, frustration, anxiety, and emotional turmoil in a safe and controlled environment.
  • Enable staff to explore issues of threat and confrontation with the service user.
  • Enable service users to recognise their feelings and to learn to express themselves in meaningful and constructive ways.
  • Help service users identify and adopt alternative coping strategies.
Help service users and staff alike develop more meaningful and trusting relationships.