"Clinical Holding has improved the patient experience and quality of the
outcome of their care."

Selina Master, Clinical Director, Virgin Care Services


CH-3SM Holding Skills for Essential Care and Treatment

The CH-3 approach helps staff:
  • Make best-interest decisions.
  • Safely deliver essential care and treatment.
  • Improve patient outcomes.
  • Satisfy legal and ethical responsibilities.
  • Ensure clinical excellence and effectiveness.
  • Minimise reputational risk.

A Decision-Making Framework

Does your service provide essential care and treatment for children and adults with developmental disabilities or impaired mental health, or adults with dementia or acquired brain injury?

This training introduces a decision-making framework for considering levels of risk, and presents three holding options. These safe interventions can also be applied to emergency and surgical settings in which an individual may temporarily lack capacity due to a prevailing medical condition.

Course Objectives

By the end of the programme, you will be able to:
  • Describe reasoning for decisions made to restrict a person’s movement that can be verified against legal and professional benchmarks for risk education.
  • Explain the risks associated with the use of restrictive holds or physical restraints.
  • Carry out verbal and nonverbal de-escalation strategies.
  • Demonstrate use of holding skills consistent with a set of physiological principles that may be used in varying environments to restrict movement and minimise risk.
  • Disengage from various holds using a consistent set of physiological principles.

Training Options

The course is available either as a two-day direct delivery option or as a Certified Instructor programme. Direct delivery includes four hours of practical application in a range of simulated environments and utilises any specialised equipment you may use, such as hospital beds or wheelchairs. The Instructor Certification is a five-day course that qualifies attendees to train the programme back in their workplace either as a full event or through consultative, patient-specific exercises.
Fill out the Training Needs Analysis Form to receive a free, no-obligation assessment of your training requirements. Alternatively, email enquiries@crisisprevention.com or call us on +44 (0)161 929 9777 for more information.



Serious Medical Treatment Decisions
Best Practice Guidance for Independent Medical Capacity Advocates (IMCAs)
Dental Treatment

This Guidance was developed by the Action for Advocacy IMCA Support Project and is part of the Serious Medical Treatment best practice guidance. It is aimed at IMCAs who are supporting and representing people when best interests decisions about serious medical treatment are being made. The guidance covers decisions about dental treatment where the person lacks capacity to give or withhold consent to the treatment. Download here (pdf).