b'ChapterBehavioural disturbance in children Behavioural disturbance in children The effective management of behavioural disturbance in children is difficult and requires specialised training and extensive experience, increasing the need to seek appropriate support and assistance early. The same general principles of management apply as described above modified to the childs age and needs. The initial focus of management should be on your safety, the safety of others and the safety of the child.Involvement of the childs family/ carer (if available and appropriate) will generally be helpful in the first aid setting. The childs family / carer will be able to provide advice and assistance to determine the most likely effective de-escalation strategies such as age appropriate distraction techniques (e.g. toys). Physical restraint This is associated with potential harm to the first aider and both the aggressive or agitated / behaviourally disturbed patient and the care provider. The risks of physical restraint typically outweigh the benefits. It is recommended to avoid any form of physical restraint.264 The Agitated Patient'