PMVA 1 Day Refresher | BILD Certified – GSA Approved

PMVA (Prevention Management of Violence and Aggression) is an essential update when working within any mental health environment. The PMVA refresher course takes one full day to complete, and includes topics such as understanding the stages of the assault cycle, de-escalation strategies and recognising the importance of implementation of early intervention strategies.


Start Time: 9am

Finish Time: 5pm

Train Healthcare ensures that our PMVA training is to the GSA (General Services Association) standard.

All Candidates are required to complete a Health Declaration on the day of the course of which will be assessed by the course tutor.

Due to the physical nature of this course we cannot accept any pregnant candidates on the course, post-natal learners should seek advice from their GP prior to attendance.

This course is suitable to learners of varying fitness levels.

Course Content:

  • Influences on PMVA
  • Current Guidance and Legalisation
  • What is self-defence?
  • Hierarchy of Responses
  • De-escalation
  • Principles of observation & communication
  • Legal & Ethical Issues
  • Risks in Restraint
  • Case Study
  • Video

Learning Outcomes:

By the end of the course, participants will be able to:

  • Identify possible causes of violence and aggression in mental healthcare settings
  • Recognise the importance of implementation of early intervention strategies in reducing the occurrence of violence and aggression
  • Demonstrate the ability to communicate effectively with colleagues and patients
  • Identify legal and ethical implications of utilising physical intervention strategies
  • Demonstrate the ability to select and utilise appropriate physical and non-physical strategies to manage an aggressive individual
  • Understand the need to continually assess and evaluate the levels of risk posed by difficult and challenging people
  • Demonstrate how to escape safely from a variety of grabs and holds
  • Candidates will be able to define the role of NHS Protect, LSMS, SMD?
  • Be able to give explanations for aggression – particularly in MH/LD settings
  • Know the stages of the assault cycle, and what each stage means
  • Be able to identify signs of escalation of aggression
  • Understand Strategies to de-escalate
  • Understand the legal issues around reasonable force/interface with MHA & MCA


Group Participation – Physical and Theoretical

Teamwork Physical Intervention Skills (PMVA Element):

  • Standing relocation holds:
  • Non-contact guiding
  • Standing holds
  • Role of Head person (3 C’s)
  • Planned Approaches

Level 1, & 2 planned approach & convert to F&T, TIP, Forearm hold.

  • 3 Person Team Formation
  • Seated de-escalation

Trouble Drill (seats)

  • Relocation to the Floor (Supine)

Principles of relocation to the floor

Options – Level 1 position, rear or standing hold

ERP and trouble drill (Sniper)

De-escalation supine

Standing Relocation to the Floor (Prone)

  • Floorwork

Resting Positions

De-escalation prone

Lost holds (prone) from ERP

Stop & Rest position

Recovery position

  • Patient Turning
  • Seclusion Options
  • Individual Physical Intervention Skills (Breakaway Element)

Course meets the requirements of:

  • Skills for Health:

FMH5 Minimise the risks to an individual and staff during clinical interventions and violent and aggressive episodes

FMH3 Observe an individual who presents a significant imminent risk to themselves or others

CFAPMVW3 Protect yourself and others from the risk of violence at work

  • National Occupational Standards:

Dimension: PROHSS1 (C) Make sure your own actions reduce risks to health and safety

Dimension: HWB6 Assessment and treatment planning

  • KSF Framework:

Core Dimension Level 1 Health, Safety & Security – Assist in maintaining own and others’ health, safety and security.

Dimension: HWB6 Assessment and treatment planning

Dimension: Core 3 Health, safety and security

Dimension: HWB7 Interventions and treatments

Dimension:HWB3 Protection of health and wellbeing

  • Care Certificate:

Maintain the privacy and dignity of the individual(s) in your care

Understand legal frameworks, policy and guidelines relating to mental health, conditions, dementia and learning disabilities.

Understand their own responsibilities, and the responsibilities of others, relating to health and safety in the work setting

Understand Risk Assessment

Work securely

  • GSA (General Services Association) Accredited.


Refresher training can be delivered in the workplace as a bespoke course if the workplace has a suitable area for the training to be conducted.

This course can be modified to meet the requirements of learners that may have physical health related conditions and/or psychological trauma which precludes them from effectively participating in the traditional course approach. This can be offered on a bespoke basis.

This course can be adapted to meet the needs of learners with physical disabilities.

This course aims to be fully inclusive to all, however candidates need to be aware that it is a physical intervention course that requires “hands on” physical contact with other candidates and course tutors.

Total course duration including the on-line courses: Approx. 08 hours

Our certificates have a 100% success rate when submitted to all agencies, banks and trusts nationwide. This means that no matter where you submit your certificate, it will always be accepted.

Train Healthcare receives 4.5/5 stars in terms of positive feedback from candidates for both our online and face to face training.


If you require any more details on this course, please contact Train Healthcare directly on 0208 3266 704 or email

Refund Policy:

There is a no refund policy for candidates who do not attend booked face to face training or arriving late. If you miss your course, you are welcome to attend another course that is available but please note that you will have to pay the full amount. The trainer has the full right to refuse entry when candidates have missed key elements of the training so please plan your journey the day before. You can reschedule your training outside of 7 days before the training.