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The NIMHE

Violent behaviour is observed more frequently in some people than others. younger (James et al. 1990),violent prior to admission (Conn

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The NIMHE

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    1. The NIMHE/NPSA Violence Project The 3rd International Conference on the Care and Treatment of Offenders with a Learning Disability   Thursday 15th April 2004, University of Central Lancashire

    2. Violent behaviour is observed more frequently in some people than others younger (James et al. 1990), violent prior to admission (Conn & Lion 1983) severe forms of mental illness (Pearson 1986) confusional states (Whittington et al. 1996) non-compliance with medication (Whittington1996) short hospital stays in overcrowded wards (Edwards & Reid 1983) poor staff-patient ratios (Yates 1981) increased rates of admission (Adler et al. 1983) especially clients with criminal histories and personality disorders (Hansen 1996)

    3. Analysis of Public Inquiries amongst the conditions likely to lead to violent incidents was the practice of entrusting large numbers of seriously mentally ill patients to the care of a few poorly trained staff for prolonged periods in a therapeutically impoverished environment Martin (1984)

    4. Some Staff are Assaulted More Frequently – Why? Approximately 5% of staff are involved in 20% of reported violent incidents authoritarian attitudes failing to involve medical staff poor communication demoralization and incompetence Younger staff with limited experience (especially those on permanent night duty) Community nurses male nurses with managerial responsibilities were particularly at risk.

    5. A pressure for Change The Standing Midwifery Advisory Committee: Mental health Nursing – Addressing Acute Concerns (SNMAC 1999) UKCC Nursing in Secure Environments (1999) UKCC Recognition, Prevention and Therapeutic Management of Violence in mental health Care (20002) Mental Health Act Bi-ennial Reports (1999, 2001, 2003) National Audit Office: A safer place to work – protecting NHS hospitals and ambulance staff from violence and aggression (2003)

    6. Concerns: too much emphasis on Physical management rather than: Recognition, prevention and De-escalation Organisational, environmental and clinical risk assessment Risk management Care Programme Approach and Care Co-ordination The Use of Advanced directives or negotiated care plans

    7. The Wider Context The National Patient Safety Agency (NPSA) The Counter Fraud and Security Management Service (CFSMS)

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