Child Care Okehampton

Safe Touch / Safe Holding Policy

Posted on Monday, February 22, 2016 in Our Policies

Stepping Stones Policy on Safe Touch / Safe Holding

In our setting, Thrive case-work with individuals is monitored generally by the Senior Manager (Clare Acton). This monitoring is also a feature of Thrive-Online and regular reports and updates of Action Plans, together with evidence of impact, can be generated on demand.

In training, all Thrive Practitioners have their case-work closely mentored by Thrive Licensed Trainers. It is a feature of their on-going licensing that all Thrive Practitioners meet annual Continuing Professional Development (CPD) requirements which should include an element of mentoring.

If ‘safe touch’ is to be used, it must be done (i) with the full knowledge and consent of parents/carers by trained and (ii) by supervised staff in carefully monitored situations where its use has been agreed because it addresses an identified developmental need on the part of the child.

The use of ‘safe touch’ by designated adults needs to be supervised, monitored and reviewed on a regular basis, as indeed does the policy, to ensure that it continues to meet the needs of children, parents/carers and staff. In addition, Thrive Licensed Practitioners are given specific guidance on ‘Containment and Safe Holding as a response to High Scale behaviour’.

The developmentally necessary experience of safe touch Children learn who they are (and how the world is) within their significant relationships. The quality of the child’s relationships with significant adults is key to their healthy development and emotional health and wellbeing. Touch is recognised as being a physical way of soothing, calming and containing distress. Berne1 identified touch as a human ‘hunger’2 necessary for survival and well – being.  Many research studies have indicated the necessity of human contact and touch in the healthy development of children.It is a factor in children who experience neglect and ‘fail to thrive’3.

Context

1 Berne, E (1964 rep. 2010) ‘Games People Play’ pub Penguin 2 Stewart and Van Joines, (1987) TA Today pub Life space

3 See www.livescience.com/21778-early- neglect-alters-kids-brains.html or www.bbc.co.uk/programmes/b015p62y or www.romania-insider.com

Our policy on Safe Touch (sometimes termed ‘Safe Holding’) has been developed in the context of the local authorities’ Child Protection Procedures and Policies and Government guidance4.5 (See Appendix)

It takes into account the extensive neurobiological research and other empirical studies relating to attachment theory and child development that identify safe touch as a positive contribution to brain development, emotional regulation, mental health and the development of pro-social skills.

Why have a policy on touch? 

In order to protect children and staff from allegations under Child Protection procedures many schools, education authorities and academies have adopted ‘No Touch’ policies. However such policies do not address the emotional health and social wellbeing needs of children.

Therefore Stepping Stones Day Nursery and Pre-school is adopting an informed, evidence-based decision to allow safe touch in special cases as a developmentally appropriate intervention that will aid healthy emotional growth and learning.

Research 

Research shows clearly that healthy pro-social brain development requires access to safe touch as one of the means of calming, soothing and containing distress for a frightened, sad or angry child. It is essential for all children to learn the difference between safe and unsafe touch and to experience having their strongest emotions contained, validated, accepted and soothed by a significant adult.

4 ©Crown (2013) DE Advice for Headteachers, Staff and Governing Bodies ‘Use of Reasonable Force in schools.’ www.gov.uk

5 © Crown NHS www.legislation.gov.uk/uksi/2003/2824 Management of Abusive, Difficult and Violent Patients

If children are behaving in unacceptable, threatening, dangerous, aggressive or out of control ways, they have not yet learned how their strongest emotional reactions can be contained, channelled and communicated safely.

In recognition of this, under special, agreed and supervised conditions, specially trained staff will consider using safe touch as one of the means available to them, for example to calm a distressed child, to contain an angry or wild child and/or encourage or affirm an anxious child or to support a child with low self-esteem.

Safe touch used to calm, soothe and regulate a child’s emotions is a needed developmental experience. The brain does not develop neuronal pathways to initiate calming and self-soothing unless and until this safe emotional regulation has been experienced within a positive relationship with a significant adult. Where children have had insufficient experience of safe touch and calming regulation, this may be a priority to help their brains to develop access to thinking, judging, evaluating and choosing mechanisms. These are sometimes known as ‘higher executive skills’ and they are an intrinsic part of cognitive regulation.

Safe touch is one of the key ways of regulating children’s emotions, but it is a strategy that fully trained staff will use only under supervision and in line with a whole school Policy on Touch.

Ways of regulating children’s emotions
Other means of calming, soothing and containing children’s strong emotions include:

 †Slowing one’s pace

 †Lowering the voice

 †Breathing more deeply

 †Initially matching the pitch and volume of the child’s emotional display (shout, cry etc) and then regulating it down

 †Talking slowly firmly and quietly in an unhurried unflustered way

 †Providing clear predictable consistently held boundaries
The developmentally appropriate (and reparative) use of safe touch is defined by situations in which abstinence would actually be inhumane, unkind and potentially psychologically or neuro-biologically damaging. Examples include the empirically backed beneficial use of touch in the comforting of a child who is an acute state of distress and/or out of control. Not to reach out to the child in such circumstances could be re-traumatising and neuro-biologically damaging as well as confirming or inviting anti-social behaviour patterns.

Refraining from physically, safely holding a child in the face of their intense grief, stress and/or rage reactions can lead to a state of hyper-arousal, in which toxic levels of stress chemicals are released in the body and brain. The severely damaging long-term effects of this state have been intensively researched worldwide and are well documented.

Moreover, gentle safe holding is appropriate if a child: 

 †is hurting himself/herself or others,

 †(or is likely to hurt himself/herself and/or others) or

 †is damaging property, and/or

 †is incensed and out of control, so that all verbal attempts to engage him/her have failed.

Trained staff team members are trained in the safest and gentlest means of holding a child that is entirely designed to enable the child to feel safe and soothed, and to bring him or her down from uncontrollable states of hyper-arousal.
Whilst limits and boundaries in such circumstances can be a vital corrective emotional experience, without such an intervention (holding) the child can be left at risk of actual physical or psychological damage.
Such necessary interventions are fully in line with guidelines set out in the Government Document, ‘New Guidance on the Use of Reasonable Force in School.’ (DfEE 1998) and ‘Use of Reasonable Force’ (2013)
What about other physical contact with pupils? (2013, Crown op cit)
It is not illegal to touch a pupil. There are occasions when physical contact, other than
reasonable force, with a pupil is proper and necessary.

Examples of where touching a pupil might be proper or necessary:

 Holding the hand of the child at the front/back of the line when walking together around the setting;
 When comforting a distressed child;
 When a child is being congratulated or praised;
 To demonstrate how to use a musical instrument;
To demonstrate exercises or techniques during play sessions and

 To give first aid.

Appropriate and inappropriate touch 

We are highly aware of the current atmosphere where due to fears of abuse, touch as a natural and important form of human connection has been almost vetoed in some school contexts. Our policy rests on the belief that every member of staff needs to appreciate the difference between appropriate and inappropriate touch. Hence all staff members need to demonstrate a clear understanding of the difference. They need to show themselves to be highly aware of both the damaging and unnecessary uses of touch in an educational context. Touch is not to be used as an ill-thought out or impulsive act of futile reassurance/gratification or as a block to referral for psychological assessment.

Equally, when a child is in deep distress, the Thrive Licensed Practitioner is trained to know when and how sufficient connection and psychological holding have been or can be provided/established without touching.

Guidelines for the use of Safe Touch
To ensure touch is only used appropriately the following guidelines are to be followed:

 †Parents/carers should be informed of the settings policy on Touch.

 †Parents/carers should provide signed consent for their child to be part of the Thrive program

 †Parents/carers wherever possible should be involved in the Thrive Assessments and Action Plans and be regularly updated as to their child’s progress through the program

 †Teachers/support staff should be trained in the Thrive approach

 †Teachers/support staff should be trained in all aspects of safe touch

 †Staff members should agree the use of safe touch in discussion with their manager.

 †Child should be consulted, appropriate to their understanding, and involved in the
development of a plan, based on a comprehensive risk assessment.

 †Strategies should be rehearsed and practised ( as is possible) with the child in preparation.

 †A Behaviour Management Policy should be completed and its use recorded and monitored. This will supplement the Thrive Action Plan which will also include the use of safe touch as a strategy.

 †TWO Adult rule: No adult should use safe holding when alone with a child. Both adults should have the closest / best relationship with the child.
Where touch is used, contact should be brief and gentle, on clothed or publicly visible parts of the body: hands, arms, shoulders, head, hair, shoes.

Unsafe touch

 †At no point and under no circumstances should staff members use touch to satisfy their own need for physical contact or reassurance.

 †No unsafe touch: All staff are trained to be fully cognisant of touch that is invasive or which could be confusing, traumatising or experienced as eroticising in any way whatsoever.

 †Serious Breach: Should any such touch be used it would be deemed as the most serious breach of the Code of Ethics warranting the highest level of disciplinary action.

Other Policies related to this Policy

Safeguarding Policy

Behaviour for Learning Policy

Specific Needs Policy

%d bloggers like this: