Prevention and Management of Aggression & Violence (PMAV)

PMAV (Prevention and Management of Aggression & Violence)

Prevention and Management of Aggression & Violence (PMAV)

Our Prevention and Management of Aggression & Violence (PMAV) course is based on the HSE’s Policy on the Prevention and Management of Work-Related Aggression & Violence 2018, their Strategy for Managing Work-related Aggression and Violence within the Irish Health Service 2008 and the Mental Health Commissions’ Code of Practice on the use of Physical Restraint.

PMAV Training helps to reduce the risks of violence and aggression in your service by developing staff knowledge, skills and attitudes to effectively employ de-escalation skills, breakaway and disengagement tactics or control and restraint interventions appropriately within the context of their service users, residents, patients and clients.

What can you expect to learn on this PMAV course?

PMAV training will equip staff with a range of skills to enable them to deal with the actual experiences of aggression encountered by them, and to be legally and HIQA compliant.

PMAV is designed to train staff in the recognition, assessment, prevention, intervention, and ongoing management of individuals who may present with verbal or behavioural distress.  It has a focus on practical techniques and strategies that are intended to enhance the healthcare workers safety with an emphasis on providing safe care to individuals who may be resistive to that care.  Staff will be taught a graded approach to the application of physical interventions dependent on the level of aggression or violence presented.

PMAV Training Course Contents

PMAV course content is evidence based, comprehensive and adaptable to the risk imposed.

The theory element of the course will typically include the following:

  • An introduction to workplace violence
  • Understanding Reasonable Force: Common Law, Understanding Reasonable Force: Section 3 (1) of the Criminal Law Act 1997, Human Rights Act Article 2
  • Health and Safety at Work Legislation: Sections 2, 3, 7 & 8
  • Regulations 3, 8 and 14 of Managing Health and Safety at Work
  • Understanding and managing conflict within healthcare
  • Ethical & Legal requirements associated with violence and aggression
  • Strategies to avoid occurrences of aggression and violence
  • Identification, assessment, & resolution of conflict
  • Recognition, assessment, & management of escalating situations.
  • The assault cycle
  • Recognition & assessment of the escalation process
  • Use of stage specific de-escalation skills
  • Service user and situation specific risk assessment and management.
  • Verbal de-escalation skills
  • Management of verbal aggression
  • Crisis management
  • Physical and psychological risks associated with the use of physical interventions
  • Lone working protocol
  • Personal safety in providing physical care

The practical element of the course will typically include the following:

  • Physical Intervention
  • Disengagement Interventions
  • Safe physical containment
  • Immobilizing and transporting patients

Method of Delivery

Training will be facilitated through PowerPoint presentation, discussions and practical demonstrations

Course Duration

The course is one to three days, depending on an organisation needs analysis.  The maximum number of participates per group is 10 to allow adequate time for group interaction and physical components.


Participants will be required to participate fully in all practical elements and complete a learning questionnaire on the final day.  Full attendance is required for the duration of the course.


Certification is provided by Donegal Safety Services Ltd on successful completion of the course and will be valid for 2 years.

If you would like further information on this course or any of the other courses, we offer please contact us today.