Debriefing, Post Incident Review, Offloading and the Restraint Reduction Network

Debriefing, Post Incident Review, Offloading and the Restraint Reduction Network

As you know from our previous post about offloading we @D8 have always fundamentally separated the concept of Debriefing into 2 distinct and different areas. As we are in 2020 we should add that the Restraint Reduction Network Standards (2019 version 1.1) have also got these laid out into the same 2 areas.

For years we have had this concept of Debriefing used in our industry with little consideration. When we are working with relationships we are automatically working with emotion. Assumption is the basis of all human interaction.

As the NLP mantra went

"the meaning of my communication is the response I get!"

How many times have things in our own lives been misinterpreted because our perception of a word or sentence is completely different to the meaning the person intended? I remember this happened for me even with my own mother! When an individual needs support we fundamentally make mistakes if we default to our standard settings of negativity [blog to come].

Statements that people make:

- That happened to me once / last week

- You do not want to be doing that when he is in the room now do you

- It is what you are paid for

- It is part of your job

- Don't be such a wuss

- You call that challenging, last week I had .......

Why do people make these kinds of Statements

People are inherently negative, this is an evolutionary fact that I go into in much more detail on our Social Emotional Skills 4 Life courses.

- Some will feel the need to share their story because they have not dealt with the emotion about what happened to them enough to be able to assist you.

- Some will take some pleasure in invalidating your emotional experience by implying that what you experienced was "nothing" this makes them feel better about how impressive they are that they have dealt with worse.

But this is not the place to deal with such psychology.

And so the individual who is doing the listening needs to be aware of their role as a person doing the offloading and as this is not a natural thing for them to do - training is needed. This training should include affect labeling.

In terms of the Restraint Reduction Network Training Standards (2019 v1.1) there is clear separation with these elements

2.13.1 Training content must include reference to the need for, and the understanding of, the purpose of both components of post-incident review for individuals and staff.  
1. Post-incident support – attention to physical and emotional wellbeing of the individuals involved

This includes what we @D8 call Offloading

2. Post-incident reflection and learning review

This would be the more understanding of a comprehensive debriefing

2.13.2 Training content must cover the need for postincident support.

This is the most important part of the process and the bit I find most misunderstood. On every training course there are a large percentage of participants who when asked at the start of the section have little understanding of the importance of the emotional support side - this is the side we call Offloading.

2.13.4 Training content must also cover the second component of a post-incident review: a reflective and learning review. The training content must cover the essential elements of the learning and reflective review which should be triggered by the use of any planned or unplanned restrictive intervention or any other event specified in organisational policy.

West Wales Open Workshop

DATE: 7-9 December 2020

Narberth Area

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More Posts from the de-escalation blog

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As the world is adapting to the new normal we have developed a modular online highly interactive workshop to assist us all in this new normal. Given that we can suddenly have certain groups of staff isolating for a period of time we now have the ability to put them on engaging training. So how did this online workshop come into being?

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I have wanted to do a post about Hanlon's Razor for a while and the mask issue has led to me combining that here. Our non verbal communication being misinterpreted or misunderstood should not be considered intentional.

During this time of COVID-19 coronavirus

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The paradigm shift staff go through

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A Place on the Restraint Reduction Network Certified Organisations List

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Update Days - Interesting Responses

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Holiday Cottage

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Offloading - a subsection of de-briefing

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Participant PDF Certificate Access Online

the D8 admin system has developed steadily over the last few years and is now at the point where we can release individual participant online access to their own digital certificates. This has been a while coming and the certificates do not look anything like their physical solid card counterparts. However it does mean participants who for one reason or another do not get their certificate from the course organiser or have lost it, can gain a digital replacement themselves online.

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Over the last few years we have been having many conversations with family members who say they never receive support with their child or relative's behaviour.For a long time we debated how to achieve supporting family around their person. I grew up with disabilities as part of my family life and therefore am quite close to the fundamental idea that we are in a great positions to assist others.

What should we be focussing on in DeBriefing

The term debriefing is an industry-used term. In our industry while useful it is often misunderstood when talking about application at ground floor or grassroots level. When discussing the term de-briefing we @de-escalate.com have separated the term debriefing into different areas. I will discuss one of these here.

Training Administration System

A brief conversation around the administration system that we use on a daily basis.

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Recently I was lucky enough to attend the latest BILD seminar entitled - Attachment Trauma & Relationships D.ESCAL8 has, from its inception, focused on attachment, trauma and resilience in relationships and in our main course titled – “Developing Positive Relationships with Individuals in Distress”. I was therefore interested in this seminar in particular and was able to swing my timetable to go in the last few days prior to the event.

Positive Behavour Support Training Animation

PBS, Positive Behaviour Support Training focuses us to follow a path, yet there has not been a succinct summation I cared to share until now. The British Institute of Learning Disabilities’s new Centre for the Advancement of Positive Behaviour Support has commissioned a video animation to help explain PBS. I have put it here and also an easily memorable short link for you to this video.

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