title: Developing a non-aversive intervention strategy in the management of aggression and violence for people with learning disabilities using natural therapeutic holding.
abstract: This paper builds upon a previous piece of research regarding the development of 'natural therapeutic holding' as a non-aversive alternative to control and restraint (C and R) in managing aggression and violence in people with learning disabilities. This paper represents aspects of an ongoing programme of research and explains the aims and values which underpin natural therapeutic holding by describing the theory, aims, values and practical application. The concepts of individual risk management and pro-active intervention strategies are discussed with illustrations of practical application given by means of a case study. The case study shows that over a relatively short period of time, an individual with severe learning disabilities who is aggressive and violent, learns alternative coping strategies to aggression and violence through the application of natural therapeutic holding. The article concludes that natural therapeutic holding is a very effective intervention strategy in the management of violence in people with learning disabilities from two perspectives: (a) it provides staff with safe, professional and ethical skills with which they can manage aggressive and violent clients and (b) as a therapy, natural therapeutic holding gives clients the opportunity to learn coping strategies which are more effective than violence.
authors.affiliation: North Staffordshire Housing Consortium, Stoke-on Trent, England.
authors.forename: C
authors.initials: C
authors.lastname: Stirling
authors.forename: A
authors.initials: A
authors.lastname: McHugh
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D006801:Humans; D007859:Learning Disabilities / Q000150:complications*; D008297:Male; D012149:Restraint, Physical / Q000009:adverse effects*; D012308:Risk Management; D019124:Therapeutic Touch / Q000451:nursing* / Q000523:psychology*; D014754:Violence / Q000523:psychology*