Despite great improvement in service delivery, patient violence remains a major problem at mental health facilities. Focusing equally on causes, management, and prevention, this groundbreaking book represents the state of knowledge on this crucial topic.
Violence in Mental Health Settings brings together salient theories, valuable data, and real-world interventions in one accessible volume. The contributors include psychiatrists, nurses, researchers, and academics (many affiliated with the European Violence in Psychiatry Research Group), offering an integrative context for understanding patient aggression and identifying areas where research is lacking. Chapters review the latest theories of violence, proven prevention strategies, and examples of positive organizational change. Practical highlights include:
-Assessing and measuring risk: self- versus other-reporting scales
-How the ward environment can contribute to violence – or its prevention
-Best practice guidelines for verbal, physical, and pharmaceutical interventions
-Training issues and course development in violence management
-Professional coping after patient attacks
-Developing a non-violent culture at the institutional level
Throughout, the material is illustrated liberally with graphs and clinical case examples, and coverage bridges the patient-rights and zero-tolerance ends of the spectrum.
Therapists, nurses, social workers, and counselors in hospitals and other inpatient and community facilities will find Violence in Mental Health Settings a source of vital insights and ideas for future policy. Regardless of one’s setting or specialty, the authors share a critical aim with their readers: a safer and more humane experience.
Innehållsförteckning
Measurement and Epidemiology.- Assessing Aggression of Psychiatric Patients: Methods of Measurement and Its Prevalence.- The Psychology and Sociology of the Violent Incident.- Psychological Theories of Aggression: Principles and Application to Practice.- From the Individual to the Interpersonal: Environment and Interaction in the Escalation of Violence in Mental Health Settings.- Users’ Perceptions and Views on Violence and Coercion in Mental Health.- Prediction and Management.- Diversity and Consistency in the Legal Management of Involuntary Admission and Treatment Across Europe.- Prediction of Violence in Inpatient Settings.- Nonphysical Conflict Management and Deescalation.- Coercive Measures in the Management of Imminent Violence: Restraint, Seclusion and Enhanced Observation.- The Pharmacological Management of Aggression.- Improving Staff Skills in Handling Management.- Aggression Management Training Programs: Contents, Implementation, and Organization.- The Effects of Aggression Management Training for Mental Health Care and Disability Care Staff: A Systematic Review.- The Organizational Context.- Locating Training Within a Strategic Organizational Response to Aggression and Violence.- Safety and Security in Psychiatric Clinical Environments.- Ward Culture and Atmosphere.- Consequences: Handling the Aftermath.- Psychological Responses Following Exposure to Violence.
Om författaren
Richard Whittington, Ph D, is a senior lecturer in the School of Health Sciences, University of Liverpool, United Kingdom. He is a psychologist and researcher with a background as a mental health nurse in intensive care and general acute psychiatric settings. He has published widely on the psychological and social causes and effects of aggression in mental health care. Current projects include systematic reviews of risk assessment and interventions in forensic mental health funded by the UK NHS R&D programme.
Dirk Richter, Ph D, nurse (with working experience in mental health) and sociologist, currently researcher and quality manager at Westphalian Hospital in Muenster, Germany, and associate professor (’Privatdozent’) at the Institute of Sociology, University of Muenster. In German, Dirk Richter has authored and edited three books on violence in health care. He has co-authored a widely spread booklet on conflict management in psychiatric settings and has written several research papers and book chapters on the topic. Dirk Richter has also published in fields such as social psychiatry, evaluation and quality management, medical philosophy, nursing science, social theory and nationalism research. His last book on the sociology of mental disorders in the era of life sciences has been published in 2003(in German).
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