Skip to main content
×
×
Home

Management of psychiatric in-patient violence in the Anglia region: Implications for record-keeping, staff training and victim support

  • J. H. Dowson (a1), J. Butler (a1) and O. Williams (a2)
Abstract
Aims and method

A total of 384 incidents of violence against the person (six ‘serious' and 378 ‘mild’), by adult in-patients in general psychiatric units (GPUs) and learning disability units (LDUs) in 10 National Health Service trusts in the Anglia region, were evaluated by Interviews with staff and examination of records.

Results

The findings, when compared with standards derived from previous recommendations, showed deficiencies in the documentation of incidents (there was no satisfactory written record of physical restraint for 97% of incidents in GPUs and 86% in LDUs), in the training of staff in ‘control and restraint’ procedures (If two or more staff were involved In physical restraint, for 3% of incidents in GPUs and 100% in LDUs, the staff had received no training within the previous 12 months) and in policies for victim support (there was no written policy that included procedures for victim support in relation to 84% of incidents in GPUs and 44% in LDUs).

Clinical implications

Trusts should consider reviewing their policies on the prevention and management of violence, particularly in relation to staff training.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Management of psychiatric in-patient violence in the Anglia region
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Management of psychiatric in-patient violence in the Anglia region
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Management of psychiatric in-patient violence in the Anglia region
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence
References
Hide All
Atakan, Z. (1995) Violence on psychiatric in-patient units: what can be done? Psychiatric Bulletin, 19, 593 595.
Haller, R. & Deluty, R. (1988) Assaults on staff by psychiatric in-patients: a critical review. British Journal of Psychiatry, 152, 174 179.
Kaye, R., Wolkenfeld, F. & Murrill, L. M. (1988) Profile of aggression among psychiatric patients. Journal of Nervous and Menial Disease, 176, 539 546.
Lodge, G. J. (1997) Assessing the risk of violent behaviour. Psychiatric Bulletin, 21, 703 706.
Mortimer, A. (1995) Reducing violence on a secure ward. Psychiatric Bulletin, 19, 605 608.
Powell, G., Caan, W. & Crowe, M. (1994) What events precede violent incidents in psychiatric hospitals? British Journal of Psychiatry, 165, 107 112.
Royal College of Psychiatrists (1995) Strategies for the Management of Disturbed and Violent Patients in Psychiatric Units, Council Report CR41. London: Royal College of Psychiatrists.
Royal College of Psychiatrists (1998) Management of Imminent Violence, Occasional Paper OP41. London: Royal College of Psychiatrists.
Thomas, C., Bartlett, A. & Mezey, G. C. (1995) The extent and effects of violence among psychiatric in-patients. Psychiatric Bulletin, 19, 600 604.
Walker, Z. & Siefert, R. (1994) Violent incidents in a psychiatric intensive-care unit. British Journal of Psychiatry, 164, 826 828.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 1 *
Loading metrics...

Abstract views

Total abstract views: 12 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 17th July 2018. This data will be updated every 24 hours.

Management of psychiatric in-patient violence in the Anglia region: Implications for record-keeping, staff training and victim support

  • J. H. Dowson (a1), J. Butler (a1) and O. Williams (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *