NAPPI PBS Model Trainer Programme (Level 1)

NAPPI uk has been providing health and social care organisations with the NAPPI Positive Behaviour Support (PBS) Model for 30 years. In this time, NAPPI uk has successfully trained thousands of individuals to become trainers. NAPPI Onsite trainers are comprehensively supported by bespoke online systems that collate training materials, process and certificate training following robust IQA processes.

100% of all NAPPI courses are audited before certificates are released. Production of workbooks and issue of certificates is fully inclusive. Having your own onsite trainer has many benefits and can be a cost-effective solution for most organisations, large and small!

There are different lengths of trainer programmes (depending on identified needs) with all courses containing the NAPPI PBS Model that has been awarded Silver by the Skills for Care Peer Review process.

Level 1 trainer programme

This five-day course contains primary prevention strategies, such as the Amber Section that identifies reasons why an individual becomes distressed. Care Team Response considers how the wider team reflects upon the organisation and individual working practices to ensure quality of service delivery. The Green Section increases understanding of the positive impact of quality verses the negative impact of absence of quality.

Secondary prevention strategies include the Red Behaviour Scale, a tool to assess the level of behaviour of concern. It provides a translation of the communication of presenting behaviour to enable selection of appropriate responses from a range of options.

The course includes non-restrictive tertiary physical strategies i.e. Blocking skill, Grab release and Guiding skill. We use the term self-protection, because we do not want employees to ‘breakaway’ from an individual who may have grabbed out of fear; as a means of non-verbal communication; or because they don’t want to be left. It depends on the reason why an employee has been grabbed, so we teach recognition before action – there may be no need for a physical skill to be used. However, we recognise there are times when employees need a robust skill to keep themselves safe, but it should not frighten, traumatise, or cause pain to a vulnerable individual.

NAPPI teaches physical skills using the framework of the 5 SMART Principles an approach that enables staff to utilise physical skills in different ways. There is no need to teach numerous blocking skills, when one skill can be utilised so that staff have more time to practise each physical skills, making it easier to recall if required.

NAPPI training is about making people change the way they THINK. However, it is Co-production that changes the way people FEEL. This is why all onsite NAPPI trainers see the NAPPI Co-Production training team on Initial training, and recertification courses. We encourage, support and even nag our onsite trainers to develop their own Co-trainers from the Experts-by-Experience within their own organisations and have training to support this.

We are confident that the majority of organisations that embed Level 1 (Foundation) training, including Co-Production, will not need to train their employees in additional physical skills. However, we recognise that at times, even the best services will need additional training and that is why we provide optional Level 1 (Advanced) skills, including Bite Avoidance and Release; Hair-Pull Avoidance and Release and Front-Choke Escape. A few organisations will identify the need for Physical Restraint or Clinical Holding skills. See Level 2, Level 3, and Safety Pod trainer programmes.

Trainer Assessments

All trainers go through robust assessment process determine the depth of ongoing support and coaching that is provided.

• Attitude (holistic assessment).
• Ability to teach Psychological Modules, through a 15 minute micro-teach presentation (summative assessment).
• Ability to teach Physical Skills, through a practical micro-teach delivery (summative assessment).

All trainers leave the programme with:

• A bag (affectionally known as a NAPPI bag) with items to get started.
• A large paper roll to deliver interactive training (avoiding death by power-point).
• A comprehensive Trainer manual.
• A pack of Crayola pens – ask any NAPPI trainer!
• Access to a trainer account for materials, including outlines; workbooks; risk assessments and to process courses including certification.

All trainers (and line managers) receive:

• Attitude assessment report.
• Micro teach assessment report.
• Physical skill assessment report.
• An invitation to CPD dates such as completing Course Submissions; Organisation Accounts.
• CPD events at no additional charge.

All Organisations receive:

Access to an Organisation Account, with ability to track employee’s training records, and generate service user specific NAPPI PBS Model Behaviour Scales (all fully inclusive).

See an example outline that a Level 1 Onsite trainer can deliver.

NAPPI PBS Module (6 hours – no physical skills)

NAPPI Level 1 (9 hours – with physical skills)

NAPPI Level 1 (12 hours – pre-requisite for RRN compliance)