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Violence and aggression at a substance misuse treatment clinic in Ireland

  • Chinedu J. Iro (a1), Nnamdi Nkire (a2) and John O'Connor (a1)
Abstract
Aims and method

To report the rates of violent and aggressive incidents at a drug treatment clinic using a newly introduced incident reporting tool (STARSWeb) and to describe the management strategies currently employed in the management of incidents at the centre. This involved the review of all completed incident reports for the year 2008 and the examination of relevant patient factors.

Results

There were 276 documented incidents at the centre in 2008. The majority of incidents (72.4%) involved verbal abuse and threatening behaviours. Males were responsible for the majority of incidents. Two-thirds of the clients' urine samples were positive for illicit substances at the time of the incidents.

Clinical implications

Violent and aggressive incidents in healthcare settings continue to pose a real challenge to both service providers and service users. An accurate system of reporting of such incidents is indispensable in guiding policy development and management strategies. The STARSWeb system offers a significant improvement in incident reporting towards the attainment of these goals.

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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
Chinedu J. Iro (ciro@dtcb.ie)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Whitty, P, O'Connor, J. Violence and aggression in the Drug Treatment Centre Board. Ir J Psych Med 2006; 23: 8991.
2 Omérov, M, Edman, G, Wistedt, B. Incidents of violence in psychiatric inpatient care. Nord J Psychiatr 2002; 56: 207–13.
3 Baker, L, Murray, G, Bell, P, Sutton, A, Dean, S. Rural general practitioner experience of work-related violence in Australia. Austr J Rural Health 2003; 11: 231–6.
4 Ryan, D, Maguire, J. Aggression and violence – a problem in Irish accident and emergency departments. J Nurs Management 2006; 14: 106–15.
5 Fahy, S, Brown, R, Sloan, D, Keating, S, O'Connor, J. An audit of violent incidents in the drug treatment center. Ir J Psych Med 2000; 17: 2933.
6 State Claims Agency. Clinical Incident Reporting System – STARSWeb. State Claims Agency (http://www.stateclaims.ie/ClinicalIndemnityScheme/introduction.html).
7 Toolkit of Documentation to Support the Health Services Executive Incident Management. Office of Quality and Risk, March 2009.
8 Iro, C, O'Connor, J. Dual diagnosis in a Dublin tertiary addiction centre – a cross-sectional study. Ir J Psych Med 2009; 26: 191–3.
9 Department of Health. We Don't Have to Take This. NHS Zero Tolerance Zone Campaign. TSO (The Stationery Office), 1999.
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11 National Audit Office. A Safer Place to Work: Protecting NHS from Violence and Aggression. TSO (The Stationery Office), 2003.
12 Royal College of Psychiatrists. Management of Imminent Violence: Clinical Practice Guidelines. Royal College of Psychiatrists, 1998.
13 Prendergast, M, Podus, D, Finney, J, Greenwell, L, Roll, J. Contingency management for treatment of substance use disorders: a meta-analysis. Addiction 2006; 101: 1546–60.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Violence and aggression at a substance misuse treatment clinic in Ireland

  • Chinedu J. Iro (a1), Nnamdi Nkire (a2) and John O'Connor (a1)
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