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Published in: Psychiatric Quarterly 1/2007

01-03-2007 | Original Paper

Characteristics of Staff Victims of Pschiatric Patient Assaults: 15-Year Analysis of the Assaulted Staff Action Program (ASAP)

Authors: Raymond B. Flannery Jr., Ph.D., Ellen Farley, R.N., C., Stephany Rego, Andrew P. Walker, B.A.

Published in: Psychiatric Quarterly | Issue 1/2007

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Abstract

Psychiatric patient assaults on staff victims are a worldwide occupational hazard. This paper reports on a 15-year study of the characteristics of staff victims of patient assaults and a crisis intervention procedure to ameliorate the aftermath of theses incidents. The debate on the efficacy of early interventions is outlined and the present 15-year findings are presented, findings demonstrating remarkable consistency in victim characteristics over time. The crisis intervention procedures were associated with sharp declines in disrupted victim functioning. The validity of the study’s findings are noted and the implications for enhanced risk management training and staff victim crisis intervention procedures are discussed.
Literature
1.
go back to reference Davis S: Violence in psychiatric patients: A review. Hospital and Community Psychiatry 42:585–590, 1991PubMed Davis S: Violence in psychiatric patients: A review. Hospital and Community Psychiatry 42:585–590, 1991PubMed
2.
go back to reference Flannery RB Jr, Hanson MA, Penk WE: Risk factors for psychiatric inpatient assaults on staff. Journal of Mental Health Administration 21:24–31 1994,PubMedCrossRef Flannery RB Jr, Hanson MA, Penk WE: Risk factors for psychiatric inpatient assaults on staff. Journal of Mental Health Administration 21:24–31 1994,PubMedCrossRef
3.
go back to reference Busch AB, Shore MF: Seclusion and restraint: A review of the literature. Harvard Review of Psychiatry 8:261–270, 2000PubMedCrossRef Busch AB, Shore MF: Seclusion and restraint: A review of the literature. Harvard Review of Psychiatry 8:261–270, 2000PubMedCrossRef
4.
go back to reference Flannery RB Jr: Characteristics of assaultive psychiatric inpatients: Updated review of findings, 1995–2000. American Journal of Alzheimer’s Disease and Other Dementias 16:153–156, 2001PubMedCrossRef Flannery RB Jr: Characteristics of assaultive psychiatric inpatients: Updated review of findings, 1995–2000. American Journal of Alzheimer’s Disease and Other Dementias 16:153–156, 2001PubMedCrossRef
5.
go back to reference Flannery RB Jr: Characteristics of staff victims of psychiatric patient assaults: Updated review of findings, 1995–2001. American Journal of Alzheimer’s Disease and other Dementias 19:35–38, 2004PubMedCrossRef Flannery RB Jr: Characteristics of staff victims of psychiatric patient assaults: Updated review of findings, 1995–2001. American Journal of Alzheimer’s Disease and other Dementias 19:35–38, 2004PubMedCrossRef
6.
go back to reference Blair DT: Assaultive behavior: Does provocation begin in the front office? Journal of Psychosocial Nursing 29:21–26, 1991 Blair DT: Assaultive behavior: Does provocation begin in the front office? Journal of Psychosocial Nursing 29:21–26, 1991
7.
go back to reference Hansen W: Workplace violence in the hospital psychiatric setting: An occupational health perspective. American Association of Hospital Nurses Journal 44:575–580, 1996 Hansen W: Workplace violence in the hospital psychiatric setting: An occupational health perspective. American Association of Hospital Nurses Journal 44:575–580, 1996
8.
go back to reference California Health and Safety Code Sections 1257.7 and 1257.8, 1993 California Health and Safety Code Sections 1257.7 and 1257.8, 1993
9.
10.
go back to reference Occupational Safety and Health Administration: Guidelines for Preventing Workplace Violence in Health Care and Social Service Workers. Publication #3148. Washington, DC: United States Department of Health and Human Services, 1996 Occupational Safety and Health Administration: Guidelines for Preventing Workplace Violence in Health Care and Social Service Workers. Publication #3148. Washington, DC: United States Department of Health and Human Services, 1996
11.
go back to reference McPhaul KM, Lipscomb JA: Workplace violence in health care: Recognized but not regulated. Online Journal of Issues in Nursing 30:7, 2004 McPhaul KM, Lipscomb JA: Workplace violence in health care: Recognized but not regulated. Online Journal of Issues in Nursing 30:7, 2004
12.
go back to reference Flannery RB Jr: The Assaulted Staff Action Program: Coping with the Psychological Aftermath of Violence. Ellicott City, MD: Chevron Publishing, 1998 Flannery RB Jr: The Assaulted Staff Action Program: Coping with the Psychological Aftermath of Violence. Ellicott City, MD: Chevron Publishing, 1998
13.
go back to reference Flannery RB Jr, Stone P, Rego S, et al.: Characteristics of staff victims of patient assault: Ten year analysis of the Assaulted Staff Action Program (ASAP). Psychiatric Quarterly 72:237–248 ,2001PubMedCrossRef Flannery RB Jr, Stone P, Rego S, et al.: Characteristics of staff victims of patient assault: Ten year analysis of the Assaulted Staff Action Program (ASAP). Psychiatric Quarterly 72:237–248 ,2001PubMedCrossRef
14.
go back to reference Everly GS Jr, Flannery RB Jr, Mitchell FT: Critical Incident Stress Management (CISM): A review of the literature. Aggression and Violent Behavior 5:23–40, 2001CrossRef Everly GS Jr, Flannery RB Jr, Mitchell FT: Critical Incident Stress Management (CISM): A review of the literature. Aggression and Violent Behavior 5:23–40, 2001CrossRef
15.
go back to reference McNally RJ, Bryant RA, Ehlers A: Does early psychological intervention promote recovery from posttraumatic stress disorder? Psychological Science in the Public Interest 4:45–75, 2001CrossRef McNally RJ, Bryant RA, Ehlers A: Does early psychological intervention promote recovery from posttraumatic stress disorder? Psychological Science in the Public Interest 4:45–75, 2001CrossRef
16.
go back to reference Everly GS Jr, Mitchell JT: Critical Incident Stress Management (CISM): A New Era and Standard of Care in Crisis Intervention. 2 Ed. Ellicott City, MD: Chevron Publishing, 1999 Everly GS Jr, Mitchell JT: Critical Incident Stress Management (CISM): A New Era and Standard of Care in Crisis Intervention. 2 Ed. Ellicott City, MD: Chevron Publishing, 1999
17.
go back to reference Mitchell JT, Everly GS Jr: Critical Incident Stress Debriefing: An Operations Manual for CISD, Debriefing, and Other Group Crises Intervention Services. 3 Ed. Ellicott City, MD: Chevron Publishing, 2001 Mitchell JT, Everly GS Jr: Critical Incident Stress Debriefing: An Operations Manual for CISD, Debriefing, and Other Group Crises Intervention Services. 3 Ed. Ellicott City, MD: Chevron Publishing, 2001
18.
go back to reference Foa EB, Meadows EA: Psychosocial treatments for post-traumatic stress: A critical review. Annual Review of Psychology 48:449–480, 1997PubMedCrossRef Foa EB, Meadows EA: Psychosocial treatments for post-traumatic stress: A critical review. Annual Review of Psychology 48:449–480, 1997PubMedCrossRef
19.
go back to reference Foa EB, Rothbaum BO: Treating the Trauma of Rape: Cognitive-Behavioral Therapy for PTSD. New York: Guilford Press, 1998 Foa EB, Rothbaum BO: Treating the Trauma of Rape: Cognitive-Behavioral Therapy for PTSD. New York: Guilford Press, 1998
20.
go back to reference Litz B. (Ed): Early Interventions for Trauma and Traumatic Loss. New York: Guilford Press, 2004 Litz B. (Ed): Early Interventions for Trauma and Traumatic Loss. New York: Guilford Press, 2004
21.
go back to reference Brewin CR: Cognitive and emotional reactions to traumatic events: Implications for short-term interventions. Advances in Mind-Body Medicine 17:160–195, 2001 Brewin CR: Cognitive and emotional reactions to traumatic events: Implications for short-term interventions. Advances in Mind-Body Medicine 17:160–195, 2001
22.
go back to reference National Child Traumatic Stress Network and National Center for PTSD: Psychological First Aid: Field Operations Guide. September, 2005. www.ncptsd.va.gov/pfa/pfa.html National Child Traumatic Stress Network and National Center for PTSD: Psychological First Aid: Field Operations Guide. September, 2005. www.ncptsd.va.gov/pfa/pfa.html
23.
go back to reference Raphael B, Wilson JP (Eds): Psychological Debriefing: Theory Practice, and Evidence. Cambridge, UK: Cambridge University Press , 2000 Raphael B, Wilson JP (Eds): Psychological Debriefing: Theory Practice, and Evidence. Cambridge, UK: Cambridge University Press , 2000
24.
go back to reference Lion JR, Snyder W, Merrill GC: Underreporting of assaults on staff in a state hospital. Hospital and Community Psychiatry 32:497–498, 1981PubMed Lion JR, Snyder W, Merrill GC: Underreporting of assaults on staff in a state hospital. Hospital and Community Psychiatry 32:497–498, 1981PubMed
25.
go back to reference Winstanley S, Whittington R: Aggression toward health care staff in a UK general hospital: Variation among professions and departments. Journal of Clinical Nursing 13:3–10, 2004PubMedCrossRef Winstanley S, Whittington R: Aggression toward health care staff in a UK general hospital: Variation among professions and departments. Journal of Clinical Nursing 13:3–10, 2004PubMedCrossRef
26.
go back to reference Stapleton AB, Lating J, Kirkhart M, et al.: Effects of medical crisis intervention on anxiety, depression, and posttraumatic stress symptoms: A meta-analysis. Psychiatric Quarterly 77(3), 2006, in press Stapleton AB, Lating J, Kirkhart M, et al.: Effects of medical crisis intervention on anxiety, depression, and posttraumatic stress symptoms: A meta-analysis. Psychiatric Quarterly 77(3), 2006, in press
27.
go back to reference Linhorst DM, Scott CP: Assaultive behavior in sate psychiatric hospitals: Differences between forensic and nonforensic patients. Journal of Interpersonal Violence 19:857–874, 2004PubMedCrossRef Linhorst DM, Scott CP: Assaultive behavior in sate psychiatric hospitals: Differences between forensic and nonforensic patients. Journal of Interpersonal Violence 19:857–874, 2004PubMedCrossRef
28.
go back to reference Medical Directors Council, National Association of State Mental Health Program Directors: Reducing the use of seclusion and restraint: Findings, strategies, and recommendations. Emergency Psychiatry 6:7–13, 2000 Medical Directors Council, National Association of State Mental Health Program Directors: Reducing the use of seclusion and restraint: Findings, strategies, and recommendations. Emergency Psychiatry 6:7–13, 2000
Metadata
Title
Characteristics of Staff Victims of Pschiatric Patient Assaults: 15-Year Analysis of the Assaulted Staff Action Program (ASAP)
Authors
Raymond B. Flannery Jr., Ph.D.
Ellen Farley, R.N., C.
Stephany Rego
Andrew P. Walker, B.A.
Publication date
01-03-2007
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 1/2007
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-006-9024-9

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