All Other Instructor

Oregon Intervention

Certificate

The holder of this certificate has demonstrated an understanding of the content within the OIS modules. They have been advised that the use of any physical skills taught within the workshop must be approached with the utmost care and responsibility. Protective Physical Interventions (also known as restraints) should only be used as a last resort when all other less restrictive interventions have failed and only when it is necessary to ensure the immediate physical safety of the individual or others. The holder of this certificate understands that they must know the rules and regulations of the support setting prior to using any Protective Physical Interventions (also known as restraints). Instructor Signature: Has successfully completed 12 training hours in the Dates:08/14-15/2025

Certified Instructor: ADIAM ASSEFA

Certified Instructor Number:092314

Co-Instructor:

Initial Workshop Level: GENERAL.

Expiration Date: 08/2027

This certificate indicates that

DEYAS WORKU TESEMA

Mark the skills in which the participant demonstrated competency. Updated training for techniques learned after initial training Date

Instructor

Name/Number

List of upgraded skills (list here and check above) No physical skills taught 2 Person Lateral Body Mass Control All foundations, deflections, and releases 2 Person Belt/Arm Control Barriers (Physical positioning/buffers) 1 Person One Arm with a 1 Person Standing Limb Shadowing 1 Person into a 2 Person Standing

Limb Control 3 Person Seated

Belt/Shirt- All variations 3 Person Standing/Escort Belt/Arm Pivot Approved PPI Modification(s)

1 Person One-Arm/Two Arm

2 Person Standing

2 Person Escort

2 Person Couch

2 Person Wall

Bear Hugs- In/Out

Hand Choke- Front/Back

Forearm Choke

1 Person Lateral Body Mass Control

AA

AA

Participant name: DEYAS WORKU TESEMA Certificate expiration date:08/2027