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Directorate Children & Young People Policy Directive 3.2.12Restrictive Physical Intervention Version 2.0March 2017Preface Authorization 1. This CYP Policy Directive has been authorized for use by
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How to fill out restrictive physical intervention

01
To fill out a restrictive physical intervention form, follow these steps:
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Begin by providing the name of the person for whom the form is being filled out.
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Include the date and time of the incident or situation that requires the use of restrictive physical intervention.
04
Provide a detailed description of the incident, including what led to the need for restrictive physical intervention.
05
Mention any attempts made to de-escalate the situation or use alternative measures before resorting to physical intervention.
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Document the specific physical interventions used, including the techniques applied and the duration of each intervention.
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Note any injuries sustained by the person receiving the physical intervention.
08
Describe the aftercare or medical attention provided to the person after the intervention.
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Include any witness statements or additional information relevant to the incident.
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Finally, sign and date the form to indicate its completion.
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Remember to follow any legal and organizational guidelines while filling out the form.

Who needs restrictive physical intervention?

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Restrictive physical intervention may be necessary in certain situations involving individuals who pose an immediate risk of harm to themselves or others.
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People who may require restrictive physical intervention include:
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- Individuals experiencing severe psychiatric disturbances or episodes of aggression
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- Those who pose imminent danger to themselves or others due to mental health conditions
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- Individuals who are unable to safely control their own behavior and require assistance to prevent harm
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It is important to note that restrictive physical intervention should only be used as a last resort when all other de-escalation techniques and alternatives have failed or are deemed ineffective.
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Restrictive physical intervention is a method used in certain situations to safely control the behavior of an individual.
Those individuals or facilities who use restrictive physical intervention are required to file reports.
Filling out a restrictive physical intervention report involves documenting the details of the incident including date, time, individuals involved, and actions taken.
The purpose of restrictive physical intervention is to prevent harm and ensure the safety of individuals involved.
Information such as the date, time, individuals involved, actions taken, and any injuries sustained must be reported.
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