When to Hold and When to Let Go: Learning the Opt-Out Sequence for Safe De-escalation

Using the Opt Out Sequence to Support Safer Decision Making

Deciding how to respond during a crisis is never simple, especially when a person is distressed and behaviour presents a potential risk. The Opt-Out Sequence, used in CPI’s Safety Intervention™ training, gives staff a structured approach to decision making in high-pressure moments. It helps teams choose the least restrictive option, reducing harm and upholding dignity, while still maintaining safety. 

This approach supports a balance between proactive risk management and person-centred care, promoting better outcomes for everyone involved. 

Understanding the Opt-Out Sequence

The Opt-Out Sequence is a structured decision-making framework that helps teams determine whether to continue or release a hold during a restrictive intervention. It was developed as part of CPI’s Safety Intervention™ programme, designed to reduce the use and impact of restrictive practices. 

This model supports: 

• Non-restrictive, person-centred approaches 

• Clear, reflective decision-making during crisis situations 

• Ongoing assessment of risk, safety and alternatives 

The ultimate goal is to support the Care, Welfare, Safety and Security℠ of everyone involved, using restraint only when absolutely necessary and for the shortest possible time. 

Knowing When to Hold and When to Let Go

When Holding May Seem Necessary 

In some situations, an individual’s behaviour may pose an immediate or imminent risk to themselves or others. In these moments, holding might feel like the only option to prevent harm, and in certain circumstances, it may be necessary. 

But holding should always be: 

• Proportionate to the risk 

• Continuously assessed 

• Minimised in duration 

Why Letting Go Can Sometimes Be Safer 

Letting go isn’t a failure, it can be a sign of good judgement. In many cases, choosing to release a hold: 

• Reduces physical and emotional stress 

• Prevents retraumatisation 

• Restores trust and supports tension reduction 

Movement or distress during a hold is not always aggression, it may be a signal that the person is overwhelmed or trying to disengage. Releasing safely, when appropriate, can de-escalate the situation more effectively than continuing to restrain. 

What Happens After a Restrictive Intervention Matters

Restrictive interventions can have lasting effects, for both the individual and staff involved. That’s why what happens next is just as important. 

After a hold, teams should: 

• Rebuild connection through Therapeutic Rapport 

• Debrief with the individual and staff team 

• Explore alternatives and agree on future expectations 

• Reflect on how the intervention was managed and what could be improved 

This process not only promotes recovery but also reduces the likelihood of future incidents. 

Responding Early to Reduce Risk and Escalation

The most effective way to reduce restrictive interventions is to prevent them from being necessary in the first place. That starts with recognising the early signs of escalation, such as anxiety or defensive behaviour and responding early with supportive strategies. 

When staff are trained to spot and respond to these signs proactively, it can: 

• Prevent risk behaviours from developing 

• Support emotional regulation before crisis occurs 

• Create safer, more trusting environments 

Early action is the foundation of safer decision making.