• Safer, everyday practical skills for managing conflict and clinically related challenging behaviour in primary care services

    Primary Care Services

    Professionals working within primary care must be equipped with the knowledge and skills to appropriately respond to challenging behaviours that may represent a risk to safety. Maybo’s award-winning training provides staff with positive strategies to identify and manage challenging behaviours, with the aim of creating positive and safer outcomes.

    Proven experience and expertise

    Professionals working in primary care settings strive to provide the highest possible level of care for service users and patients who have varied and often complex requirements. 

    Maybo’s award-winning training aims to help reduce the pressure being faced by staff, by providing them with the skills to cope in challenging situations, so that they can provide the best possible care to the people they support.  

    We provide staff with primary and secondary strategies to prevent and defuse behaviours that challenge, this helps staff them to:

    • Better understand a person’s physiological and emotional needs
    • Improve their environment
    • Engage them in ways that reduce behaviours that challenge

    The physical skills we teach are safe, gentle and low arousal when required as a last resort.

    Our training is in line with guidance from British Institute of Learning Disabilities, NHS Protect, Department of Health and Social Care, National Institute for Health and Care Excellence, Skills for Health, Restraint Reduction Network and Royal College of Nursing. 

     

    Maybo Training Programmes

    Explore the range of training modules in our primary care curriculum below

    • eLearning

    • Classroom

    • Train the trainer

    • Blended learning

    • Promoting Human Rights and Reducing Restrictive Practices

      This module explores the principles of supporting a person's needs through a human rights approach. It develops learners' ability to take effective, person-centred measures to reduce restrictive practices that might be used intentionally or in some cases without realising they are restricting the person's liberty or autonomy.

      • Underpinning legislation, principles and definitions
      • Strategies to improve quality of life and reduce risk
      • Recognising restrictive practices
      • Ethical decision making

       

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the trainer Train the trainer
      • Blended learning Blended learning
    • Positive Approaches to Behaviour: Healthcare

      This module provides learners with positive and proactive approaches to managing behaviours of concern based on respect for the individual.

      Risks, Rights and Responsibilities

      • Behaviours of concern
      • Rights and responsibilities in your role
      • Plan to reduce risks and vulnerabilities 

      Factors That Influence Behaviour

      • Common functions of behaviours of concern
      • Instinctive reactions to emotional or threatening situations
      • Potential triggers in self and others you interact with
      • Levels of escalation

      Positive Interactions and Choices

      • Needs and expectations of the people you support and interact with 
      • Influencing positive outcomes
      • Overcoming barriers to communication

       

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the trainer Train the trainer
      • Blended learning Blended learning
    • Safer De‑escalation: Healthcare

      This module introduces secondary responses to alleviate the situation and prevent distress or behaviours of concern from escalating.

      Dynamic Risk Assessment

      • Maybo SAFER model
      • Risk identification
      • Informed decision-making


      De-escalation Skills

      • Positive, non-aggressive approaches
      • Safer positioning and teamworking skills
      • Strategies to defuse, calm and resolve


      Personal Safety and Post-incident

      • Confronting behaviour
      • Heightened risk indicators
      • Exit strategies in higher-risk situations
      • Post-event impact and responsibilities

       

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the trainer Train the trainer
      • Blended learning Blended learning
    • Safer Lone Working

      This eLearning module explores the risks we may experience when working alone and the steps we can take to increase our personal safety.
       

      • Risks and vulnerabilities of lone working
      • Risk reduction measures we can take to prepare for working alone
      • Reducing risk when travelling alone
      • Reduce risk when arriving at a premises

       

      Delivery methods:

      • eLearning eLearning
    • Personal Safety and Disengagement: Healthcare

      This module provides additional practical strategies for reducing risks of assault and can include low level escorting and re-direction skills.

      It is relevant where behaviours can present risks of harm for people and/or those that support and care for them.

      Risks, Rights and Responsibilities

      • Defining defensive skills and interventions
      • Risks of using physical skills in healthcare settings
      • Authority for the use of physical skills
      • Individual and team responsibilities 
      • The importance of secondary strategies to reduce the need for physical skills


      Defensive Personal Safety Skills to Avoid Assault and Disengage

      • Training and operational risks associated with the use of Maybo physical skills
      • Low arousal positioning and defensive skills to avoid assault and reduce risk
      • Low arousal skills to release from wrist and clothing grips
      • Contextual applications of Maybo disengagement skills

       

      Delivery methods:

      • Classroom Classroom
      • Train the trainer Train the trainer
    • Redirection and Guiding

      This module provides additional low arousal redirection and guiding skills. 

      • Training and operational risks
      • Low arousal physical intervention skills to prompt or guide an individual
      • Low arousal physical intervention skills to re-direct an individual
      • Applications of Maybo low/ non-restrictive skills relevant to role

       

      Delivery methods:

      • Classroom Classroom
      • Train the trainer Train the trainer
    • Clinical Holding

      This BILD (PIAS) Accredited module provides non-aggressive physical intervention skills for use as a last resort to prevent people coming to harm. 

      Recognising and Reducing Risk

      • Key risk factors of restrictive interventions 
      • Individual and team responsibilities to reduce risk and respond to medical emergencies 

      Clinical Holding Skills

      • Training and operational risks of clinical holding skills
      • Non-aggressive restrictive clinical holding skills


      Some services and roles may require training in higher levels of intervention and equipment, which Maybo can provide subject to controls.

      Training in the use of restrictive interventions must only be provided within the context of a commitment to the reduction of the use of all restrictive interventions and the provision of person-centred support.

      See Standard 2.8 of the BILD RRN Training Standards 2019 for further guidance on providing staff with restrictive intervention training. 

       

      Delivery methods:

      • Classroom Classroom
      • Train the trainer Train the trainer
    • Safety Pod™ Clinical Holding

      Holding skills for use with the Safety Pod™ to support clinical procedures. 

      Preparation and Use

      • Features and benefits of the Safety Pod™
      • Health and safety precautions
      • Preparing, using and storing the Safety Pod™


      Seated Holding Skills

      • Using Maybo’s seated wrap skills with the Safety Pod™ 
      • Using Maybo’s wrap reverse skills with the Safety Pod™

       

      Delivery methods:

      • Classroom Classroom
      • Train the trainer Train the trainer

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    • Maybo has worked closely with BSUH to develop and enhance the violence reduction training we deliver to frontline staff. The passion, knowledge, commitment and support to the Trust and more generally in developing effective evidence-based violence reduction programmes for healthcare settings, mark them out as an organisation the Trust is pleased to continue to work with.

      Brighton & Sussex University Hospital NHS Trust

    • The training design was based on a comprehensive Training Needs Analysis informed by a bespoke staff survey and review of incidents. It has been an incredibly thorough and risk/evidence-based approach. Evaluation of this training by security and clinical staff has been very positive.

      Brighton & Sussex University Hospital NHS Trust - Head of Security

    • May I say a big thank you for the Maybo violence and aggression course for the ITU nurses. I attended the course today and it was excellent. I think the staff would all agree that the knowledge and skills taught will be hugely beneficial, but in addition, it was a great team-building exercise too. I feel it is imperative that all our ITU nurses attend this course.

      Ashford & St Peter's Hospital NHS Foundation Trust - ITU Nurse

    • We have seen a reduction in the number of reported physical assaults of 11% trust-wide so far and up to a 60% reduction in targeted wards.

      Brighton & Sussex University Hospital NHS Trust - Head of Security

    • Please make it known that the whole team had nothing but praise for the trainer and that even the “old hands” found it very stimulating as he raised issues in a very understandable way. May I comment that as a general rule, I have never known of any candidates coming away without having gained a lot from these refresher courses.

      Medirest Services - Security Manager

    • The Maybo Train the Trainer programme has enabled us to deliver Maybo’s excellent training to staff with our own trainers who have the knowledge and experience of the issues faced by the organisation. Staff in high-risk roles were given the confidence to deal safely with violent incidents.

      NHS Greater Glasgow & Clyde

    • Very professional instructors with good background knowledge of the Ambulance Service. Always willing to suggest solutions to possible problems.

      South Central Ambulance Service

    • Maybo's licensed programme gives us the control and flexibility we need to train our staff effectively.

      Surrey & Borders Partnership NHS Trust

    • It has been a pleasure working with Maybo to coordinate St Mungo’s conflict management learning programme. This solution is ideal for staff and the pre and post support from Maybo is excellent.

      St Mungo's

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