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Published in: Psychiatric Quarterly 1/2011

01-03-2011 | Original Paper

Characteristics of Staff Victims of Psychiatric Patient Assaults: 20-Year Analysis of the Assaulted Staff Action Program

Authors: Raymond B. Flannery Jr., Valerie LeVitre, Stephany Rego, Andrew P. Walker

Published in: Psychiatric Quarterly | Issue 1/2011

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Abstract

Psychiatric patient assaults on healthcare staff are a worldwide occupational hazard. This present 20-year, retrospective study examined the characteristics of these staff victims in one public-sector, health care system and assessed the psychological support provided to these victims by the post-incident Assaulted Staff Action Program (ASAP). An additional analysis compared the victim characteristics in this same health care system at 10-, 15-, and 20-year intervals. The findings were consistent with earlier, worldwide studies. Staff victims tend to be younger, less formally educated, less experienced, and less trained mental health workers, residential house counselors, and trainees of differing disciplines. ASAP provided needed support to staff victims. Risk management strategies for safety, methodological issues, and the problem of denial in fielding a post-incident crisis intervention program for staff victims were discussed.
Literature
1.
go back to reference Peek-Asa C, Howard J, Vargas L, et al.: Incidence of non-fatal workplace assault injuries determined from employer’s reports in California. Journal of Occupational and Environmental Medicine 39:44–50, 1997PubMedCrossRef Peek-Asa C, Howard J, Vargas L, et al.: Incidence of non-fatal workplace assault injuries determined from employer’s reports in California. Journal of Occupational and Environmental Medicine 39:44–50, 1997PubMedCrossRef
2.
go back to reference Alangier H, Yu S, Chavoski N, et al.: Occupational injury among full-time, part-time, and casual health care workers. Occupational Medicine (London) 58:348–354, 2008CrossRef Alangier H, Yu S, Chavoski N, et al.: Occupational injury among full-time, part-time, and casual health care workers. Occupational Medicine (London) 58:348–354, 2008CrossRef
3.
go back to reference Flannery RB Jr, Farley EM, Rego S, et al.: Characteristics of staff victims of psychiatric patient assaults: Fifteen-year analysis of the Assaulted Staff Action Program (ASAP). Psychiatric Quarterly 78:25–37, 2006CrossRef Flannery RB Jr, Farley EM, Rego S, et al.: Characteristics of staff victims of psychiatric patient assaults: Fifteen-year analysis of the Assaulted Staff Action Program (ASAP). Psychiatric Quarterly 78:25–37, 2006CrossRef
4.
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
5.
go back to reference Volpe R, Lewko J: Best Practices in the Prevention and Re-injury. Toronto, Canada, Ontario Neurotrauma Foundation, 2008 Volpe R, Lewko J: Best Practices in the Prevention and Re-injury. Toronto, Canada, Ontario Neurotrauma Foundation, 2008
6.
go back to reference Dhumad S, Wijeratne A, Treasaden, L: Violence against psychiatrists by patients: Survey in a London mental health trust. Psychiatric Bulletin 31:371–374, 2007CrossRef Dhumad S, Wijeratne A, Treasaden, L: Violence against psychiatrists by patients: Survey in a London mental health trust. Psychiatric Bulletin 31:371–374, 2007CrossRef
7.
go back to reference Ferns T, Meerabeau L: Verbal abuse experienced by nursing students. Journal of Advanced Nursing 61:436–444, 2008PubMed Ferns T, Meerabeau L: Verbal abuse experienced by nursing students. Journal of Advanced Nursing 61:436–444, 2008PubMed
8.
go back to reference Pieters G, Speybrouck E, deGucht V, et al.: Assaults by patients on psychiatric trainees: Frequency and training issues. Psychiatric Bulletin 29:168–170, 2005CrossRef Pieters G, Speybrouck E, deGucht V, et al.: Assaults by patients on psychiatric trainees: Frequency and training issues. Psychiatric Bulletin 29:168–170, 2005CrossRef
9.
go back to reference Richter D, Berger K: Post-traumatic stress disorder following patient assaults among staff members of mental hospitals: A prospective longitudinal study. BMC Psychiatry 6:15–19, 2006PubMedCrossRef Richter D, Berger K: Post-traumatic stress disorder following patient assaults among staff members of mental hospitals: A prospective longitudinal study. BMC Psychiatry 6:15–19, 2006PubMedCrossRef
10.
go back to reference Ryan EP, Aaron J, Burnette ML, et al.: Emotional responses of staff to assault in a pediatric state hospital. Journal of the American Academy of Psychiatry and the Law 36:360–368, 2008PubMed Ryan EP, Aaron J, Burnette ML, et al.: Emotional responses of staff to assault in a pediatric state hospital. Journal of the American Academy of Psychiatry and the Law 36:360–368, 2008PubMed
11.
go back to reference Waddell AE, Katz MR, Lofchy J, et al.: A pilot survey of patient-initiated assaults on medical students during clinical clerkship. Academic Psychiatry 29:350–353, 2005PubMedCrossRef Waddell AE, Katz MR, Lofchy J, et al.: A pilot survey of patient-initiated assaults on medical students during clinical clerkship. Academic Psychiatry 29:350–353, 2005PubMedCrossRef
12.
go back to reference Wildgoose J, Briscoe M, Lloyd K: Psychological and emotional problems in staff following assaults by patients. Psychiatric Bulletin 27:295–297, 2003CrossRef Wildgoose J, Briscoe M, Lloyd K: Psychological and emotional problems in staff following assaults by patients. Psychiatric Bulletin 27:295–297, 2003CrossRef
13.
go back to reference Winstanley S, Whittington R: Aggression towards 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 towards health care staff in a UK general hospital: Variation among professions and departments. Journal of Clinical Nursing 13:3–10, 2004PubMedCrossRef
14.
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
15.
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
16.
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
17.
go back to reference Seligman MEP: The effectiveness of psychotherapy. American Psychologist 29:965–974, 1995CrossRef Seligman MEP: The effectiveness of psychotherapy. American Psychologist 29:965–974, 1995CrossRef
18.
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
19.
go back to reference Wassell JT: Workplace violence intervention effectiveness: A systematic review of the literature. Safety Science 47:1049–1055, 2009CrossRef Wassell JT: Workplace violence intervention effectiveness: A systematic review of the literature. Safety Science 47:1049–1055, 2009CrossRef
20.
go back to reference Robertson N, Perry A: Institutionally based health care workers’ exposure to traumatogenic events: Systematic review of PTSD presentation. Journal of Traumatic Stress 23:417–420, 2010PubMed Robertson N, Perry A: Institutionally based health care workers’ exposure to traumatogenic events: Systematic review of PTSD presentation. Journal of Traumatic Stress 23:417–420, 2010PubMed
21.
go back to reference Flannery RB Jr: The Violent Person: Professional Risk Management Strategies for Safety and Care. New York, NY, American Mental Health Foundation, 2009 Flannery RB Jr: The Violent Person: Professional Risk Management Strategies for Safety and Care. New York, NY, American Mental Health Foundation, 2009
Metadata
Title
Characteristics of Staff Victims of Psychiatric Patient Assaults: 20-Year Analysis of the Assaulted Staff Action Program
Authors
Raymond B. Flannery Jr.
Valerie LeVitre
Stephany Rego
Andrew P. Walker
Publication date
01-03-2011
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 1/2011
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-010-9153-z

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