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Lovestad School provides training and consulting within communication with violence, specializing on professional management of violence in institutions, through the registered and protected system Therapeutic Management of Violence (TMV)®.
TMV® is an alternative to more primitive martial arts based self-defence programs for conflict handling, and offers untraditional and unique solutions that supports and speed up the effect of cognitive treatment programs on aggression and violence.
TMV® is a multichannel approach to prevention and management of violence, through its multimodal interventions that includes behavioral components, emotion-targeted components as well as cognitive components.
Founded by Erik Lovestad, Norway and Linda Gun Lovestad, Iceland.
They have each more than 30 years of experience with teaching hospital staff humane ways of dealing with violence, mostly in Norway (over 30 000 persons). Lectures and teachings in other European countries, the U.S. (N.Y.C., L.A., S.F., Hawaii), Japan (Tokyo), Thailand (Bangkok).
The Lovestads are now working on Ph. D.´s on TMV®, based upon their empiric research and competence in the prevention and solving of conflicts and out-acting behavior.
K. Gunnar Gotestam, MD, PhD, Professor of Psychiatry, University of Trondheim, Departement of Psychiatry and Behavioral Medicine:
» We have since 1983 used the Lovestad school with Erik Lovestad with his courses on conflict reduction, protection techniques and increase of security at the hospital. The courses have increased the coping capacity of our staff with regards to violence among patients and we have since the first course at Ostmarka Hospital had about 10 more one-week courses.
We have good experience with his educationally oriented and valuable courses and will recommend him both for presenting his courses and course experiences, and for training people in these courses.»
Kirsten Rasmussen, Ph.D., Professor of Psychology, University of Trondheim:
» Erik Lovestad has developed and is teaching courses on the prevention and solving of conflicts and out-acting behavior among clients and patients in instittutions. The principal aim of his courses is to help and protect the patient, thereby meeting the staff ‘s need for psychological
as well as physical security. A sense of physical and psychological security is seen as necessary in order to develop a good atmosphere in the relationship between patients and staff. Staff-members feeling tense and insecure can easily appear as a threat to the patient and thereby provoke aggressive behavior.
Rules and regulations within the health system in Norway state that staff-members have not only the right, but also a duty to restrain behavior which is potentially dangerous to self or others. Staff- members are thus required to stop or hold an out-acting person in an emergency situation. Erik Lovestad’ s courses aim at teaching staff-members appropriate and effective use of psychological as well as physical techniques in such situations. Through these technics one learns to minimize the use of physical power, thereby providing a more acceptable ethical solution to the problem. Mr. Lovestad is stressing the importance of paying respect to the patient one is trying to help, as well as creating an attitude towards protection of persons who lack the ability to draw their own limits. His training is also a very practical one, in that the physical technics are practised and trained to the least detail under skilled instruction.
I have personally had the pleasure of participating in one of his courses, as well as collaborating with staff-members having attended his courses, first in an institution for mentally retarded, and a few years later in an in-patint unit for violent/aggressive psychiatric patients. In both places Mr. Lovestad’s courses had a noticeable effect on the staff in changing their behavior and attitudes towards the patients, thereby creating a calmer and more secure athmosphere and greater confidence and skills in handling difficult situations. It is therefore with great pleasure I recommend Erik Lovestad to institutions in the United States, feeling very confident that his courses will be beneficial to you, as they have been to us.»
«Easy to learn, simple to use, documented quality and effect»
THERAPEUTIC MANAGEMENT OF VIOLENCE (TMV) – A MULTICHANNEL APPROACH TO PREVENTION AND MANAGEMENT OF VIOLENCE
Oral paper presentation by:
E. Lovestad and M. Løvstad
Lovestad School (Løvstadskolen), Gofjell, N-3790 HELLE, Norway. firstname.lastname@example.org
+47 35 98 75 75 (phone)
Although rules and regulations within the health system in Norway state that staff have not only the right, but also a duty to restrain behavior which is potentially dangerous to oneself or others, alternatives to the use of force should be the option of choice. Health staff is thus required to take care of a person who is acting aggressively in an emergency situation, in a humane and least restrictive way. Methods to reduce and prevent restraint are legally, ethically and professional required at all levels.
On the other hand, staff feeling tense and insecure can easily appear as a threat to the patient and thereby provoke aggressive behavior. Hence, a sense of physical and psychological security is seen as necessary in order to develop a good atmosphere in the relationship between patients and staff.
To meet these demands, the program Therapeutic Management of Violence (TMV®) has been developed. It is a nation-wide multichannel, practical approach to prevention and management of violence, experienced as a best-practice method over 30 years. Its best evidence based practice with multimodal interventions includes behavioral components, emotion-targeted components as well as cognitive components.
This paper presents the background of TMV, practical examples on the use of TMV, and how a supporting software tool has been used to document the effect of TMV in many institutions and hospitals in Norway over the last 8 years.
TMV has been developed as a practical method with training courses on pro-active prevention and solving of conflicts and aggressive behavior among clients and patients in institutions. The principal aim of the program is to help and protect the patient, at the same time meeting the staff’s need for psychological as well as physical security. The program increases the understanding and awareness of how aggressive behaviour may escalate, and thereby how one may act pro-actively in such situations. TMV also includes psychological as well as physical techniques for the staff. Through these techniques one learns how to minimize the use of physical power, giving several alternatives to restraint, and thereby providing a more acceptable ethical solution to the problem. The method stress the importance of paying respect to the patient one is trying to help, as well as creating an attitude towards protection of persons who lack the ability to draw their own limits. TMV has been shaped from a service user perspective, also for maltreated children and youths with serious behavior problems, and is used at governmental level as the basis for new treatment programs for violent youths.
The guidelines of this unique method, which includes untraditional techniques, has been used with good results within the health sector, including institutions for mentally retarded, autism, dementia, ADHD, drug care, and units for violent/aggressive psychiatric patients. Also, the method has been applied with noticeable effect within schools, social security offices, service institutions and companies.
The paper elaborates further on how the education and training is conducted, including practical examples on how the principles of the method may be practiced on individual and institutional level after getting a detailed demonstration and training under skilled instruction.
Through the use of a software program it has been possible to document the effect of TMV, and how it shows significant effect on the staff in changing their behavior and attitudes towards the patients, thereby creating a calmer and more secure atmosphere. It also documents how TMV has helped staff to gain greater confidence and skills in preventing and handling difficult situations, as well as supporting and speeding up the effect of cognitive treatment programs on aggression and violence.
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