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Holding Safely: Key considerations



                                                                                                                                                                                                                     Preparing                                                                                                         Immediate lead up
C h i l d r e n ’s s a f e t y , w e l f a r e n e e d s , a n d r i g h t s c e n t r a l    This flowchart summarises the steps that you as front line staff need to think through                                  You have been trained,                                                                            You




                                                                                                                                                                                                                                                                                                                                                                             C h i l d r e n ’s s a f e t y , w e l f a r e n e e d s , a n d r i g h t s c e n t r a l
                                                                                              when you consider restraining a child. It should also help you find the relevant                                          have the skills, and         You know the child and                                         reasonably
                                                                                                                                                                                                                       know yourself and                  care plan.                                              believe that:
                                                                                              sections of the Holding Safely document easily. This flowchart does not cover all the                                                                                                                                See Section
                                                                                                                                                                                                                      policy and procedure.             See Section 4
                                                                                              issues, only the key ones. To make sense of it assume that the answer is “yes” unless                                       See Section 3                                                                                5b
                                                                                              otherwise indicated. At most boxes leading up to restraining a child there is an implied
                                                                                              choice which would lead you to not to restrain them. Of course proceeding towards
                                                                                              restraining a child must never be seen as an inevitable progression. At each box you
                                                                                              must be clear that your answer supports the next step you take.
                                                                                                                                                                                                                                                                                                               this child will run                 this child will cause
                                                                                                                                                                                                                                                                                   this child will cause
                                                                                              This flow chart must not be seen as a substitute for the guidance. See it as an                                              To navigate: Click inside                                  physical harm to
                                                                                                                                                                                                                                                                                                               away and will put               significant damage which
                                                                                              aid to memory but read, re-read and know the guidance. Reading about, thinking                                                 boxes to go to the                                  themselves or another
                                                                                                                                                                                                                                                                                                             themselves or others              is likely to have a serious
                                                                                              through and discussing these things in advance should help you in the split seconds                                                                                                                              at serious risk of              emotional effect or create
                                                                                                                                                                                                                            approriate Section.                                          person;
                                                                                                                                                                                                                                                                                                                     harm;                          a physical danger.
                                                                                              you have in deciding how to respond and whether to restrain a child.                                                                                                                   See Section 5b
                                                                                                                                                                                                                                                                                                               See Section 5b                       See Section 5c



                                                                                             Restraining the child
                                                                                                                                                                                                                                                              Have                                         Physically restraining
                                                                                                                         Know “what you must                                                                                                                   you
                                                                                                                                                                                                                        Thinking right?                                                                     the child is the only
                                                                                              Consider “ending a         never do” and never               Restrain, using taught      Appoint someone to                                             understood “when
                                                                                                                                                                                                                         Acting right?                                               ... and there            practical means              You have exhausted
                                                                                              restraint before it’s             do it.                       techniques, in the        • lead                                                       not to restrain a child”?
                                                                                                                                                                                                                         Doing right?                                              are exceptional            of securing their            all practical means to
                                                                                                     done”                 See Section 5e4                  least restrictive way      • monitor for distress                                         Is it safe enough?
                                                                                                                                                                                                                      See Section 5e and                                           circumstances.            or another child’s            defuse the situation.
                                                                                               See Section 5f2           And re-read chapter                      required.              See Section 5e3                                                 See Section
                                                                                                                                                                                                                          following                                                                               welfare.
                                                                                                                                 10.                                                                                                                           5d                                            See Section 1d4


                                                                                                                                                                                                                                                                                                                                                     Letting go
                                                                                                                                          Are                                            Tell child how to let
                                                                                                                                        you able,                                        you know they are           Tell the child what will       Release them limb by        Speak appropriately.                   A
                                                                                                    Continue                          appropriately                                                                                                                                                                  child
                                                                                                                                                                                        ready for you to start        happen when they                     limb.                 Identify and avoid                                                  See guidance
                                                                                                 restraining the      Yes        and effectively, to see            Yes                                                                                                                                        restrained for a          Yes
                                                                                                                                                                                        the process of letting         have been let go.                See practice                powerplays.                                                      Section 6b5
                                                                                                      child?                      through restraining                                                                                                                                                            long time?
                                                                                                                                                                                               them go.                See Section 6b2                  example 6b6              See Section 6b4
                                                                                                                                       the child?                                          See Chapter 6



                                                                                                      No                                  No                                                                                                                                                                          No                  After letting go
                                                                                                                                                                                                    Medical                                          See, ask and check
                                                                                                                                                               Get medical                         assistance
                                                                                                                                                                assistance                                                                           whether the child is
                                                                                               Re-read “ending a            See “Hard choices”                                        Yes      required for child?
                                                                                                                                                               immediately                                                                                  hurt.                                             Child completely
                                                                                                restraint early”              decision tree                                                       See Section                                         See Section 6c1                                             released
                                                                                               See Section 5f2               See Section 5g                  See Section 6c1                          6c1




                                                                                                                                                                                                        No
                                                                                             Consider the child                                                                                                                                 Consider staff                                             Time for child to reflect?       Time for staff to
                                                                                             • simple care acts                                                                                                                                 • staff ok?                     Begin recording and        • events leading to               reflect?
                                                                                             • emotional needs of the child                                                                                       Stay attentive to the                                                                      restraint                     • pressures
                                                                                                                                                                                                                                                  trauma/distress?               monitoring - if child
                                                                                             • protect from/reintegrate with other children?                See Section                                           needs and mood of                                                                        • repairing                     • lessons
                                                                                                                                                                                                                                                • injuries dealt with?          and staff are “consid-
                                                                                             • decide who best to talk with child                               6c1                                                    the group.                                                                            relationships                 • facts
                                                                                                                                                                                                                                                • senior staff told?               ered” to be OK.
                                                                                             • help child know they are cared for                                                                                  See Section 6c2                                                                          See Section 7b for              See Section 7c for
                                                                                                                                                                                                                                                • Follow local procedures         See Section 6c3
                                                                                             • assess and respond to signs of trauma/distress                                                                                                        See Section 6c3                                                more                           more



                                                                                                                   Recording, monitoring, & reflecting                                  Things gone badly             Monitoring-identify                                        Records
                                                                                                                                                                                                                                                                                                           Record                          Letting others know
                                                                                                                              on practice                                                    wrong?                  patterns of:                  Reviewed                     • accurate
                                                                                                                                                                                                                                                                                                           • thorough                      • family
                                                                                                                                                                                    Children’s safety, welfare,      • staff                       • in supervision             • typed
                                                                                                                                                                                                                                                                                                           • transparent                   • social worker
                                                                                                                                                                                    needs and rights central.        • children                    • by managment               • filed
                                                                                                                                                                                                                                                                                                           • all views                     • managers
                                                                                                                                                                                    Take appropriate action.         • situations                     See Section 8c            • signed
                                                                                                                                                                                                                                                                                                              See Section 8c                  See Section 8b
                                                                                                                                                                                         See Section 7d                See Section 9d4                    and 9d                   See Section 8e

                                                                                                                                                                                                                         Only when required
                                                                                                                                                                                                                                                      8c              9d

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Hs Key Considerations

  • 1. Holding Safely: Key considerations Preparing Immediate lead up C h i l d r e n ’s s a f e t y , w e l f a r e n e e d s , a n d r i g h t s c e n t r a l This flowchart summarises the steps that you as front line staff need to think through You have been trained, You C h i l d r e n ’s s a f e t y , w e l f a r e n e e d s , a n d r i g h t s c e n t r a l when you consider restraining a child. It should also help you find the relevant have the skills, and You know the child and reasonably know yourself and care plan. believe that: sections of the Holding Safely document easily. This flowchart does not cover all the See Section policy and procedure. See Section 4 issues, only the key ones. To make sense of it assume that the answer is “yes” unless See Section 3 5b otherwise indicated. At most boxes leading up to restraining a child there is an implied choice which would lead you to not to restrain them. Of course proceeding towards restraining a child must never be seen as an inevitable progression. At each box you must be clear that your answer supports the next step you take. this child will run this child will cause this child will cause This flow chart must not be seen as a substitute for the guidance. See it as an To navigate: Click inside physical harm to away and will put significant damage which aid to memory but read, re-read and know the guidance. Reading about, thinking boxes to go to the themselves or another themselves or others is likely to have a serious through and discussing these things in advance should help you in the split seconds at serious risk of emotional effect or create approriate Section. person; harm; a physical danger. you have in deciding how to respond and whether to restrain a child. See Section 5b See Section 5b See Section 5c Restraining the child Have Physically restraining Know “what you must you Thinking right? the child is the only Consider “ending a never do” and never Restrain, using taught Appoint someone to understood “when Acting right? ... and there practical means You have exhausted restraint before it’s do it. techniques, in the • lead not to restrain a child”? Doing right? are exceptional of securing their all practical means to done” See Section 5e4 least restrictive way • monitor for distress Is it safe enough? See Section 5e and circumstances. or another child’s defuse the situation. See Section 5f2 And re-read chapter required. See Section 5e3 See Section following welfare. 10. 5d See Section 1d4 Letting go Are Tell child how to let you able, you know they are Tell the child what will Release them limb by Speak appropriately. A Continue appropriately child ready for you to start happen when they limb. Identify and avoid See guidance restraining the Yes and effectively, to see Yes restrained for a Yes the process of letting have been let go. See practice powerplays. Section 6b5 child? through restraining long time? them go. See Section 6b2 example 6b6 See Section 6b4 the child? See Chapter 6 No No No After letting go Medical See, ask and check Get medical assistance assistance whether the child is Re-read “ending a See “Hard choices” Yes required for child? immediately hurt. Child completely restraint early” decision tree See Section See Section 6c1 released See Section 5f2 See Section 5g See Section 6c1 6c1 No Consider the child Consider staff Time for child to reflect? Time for staff to • simple care acts • staff ok? Begin recording and • events leading to reflect? • emotional needs of the child Stay attentive to the restraint • pressures trauma/distress? monitoring - if child • protect from/reintegrate with other children? See Section needs and mood of • repairing • lessons • injuries dealt with? and staff are “consid- • decide who best to talk with child 6c1 the group. relationships • facts • senior staff told? ered” to be OK. • help child know they are cared for See Section 6c2 See Section 7b for See Section 7c for • Follow local procedures See Section 6c3 • assess and respond to signs of trauma/distress See Section 6c3 more more Recording, monitoring, & reflecting Things gone badly Monitoring-identify Records Record Letting others know on practice wrong? patterns of: Reviewed • accurate • thorough • family Children’s safety, welfare, • staff • in supervision • typed • transparent • social worker needs and rights central. • children • by managment • filed • all views • managers Take appropriate action. • situations See Section 8c • signed See Section 8c See Section 8b See Section 7d See Section 9d4 and 9d See Section 8e Only when required 8c 9d