Presentation on theme: "Chapter Fourteen: Violent Behavior in Institutions"— Presentation transcript:
1 Chapter Fourteen: Violent Behavior in Institutions
2 Precipitating Factors Putting workers at risk: Substance AbuseDeinstitutionalization (lack of facilities)Mental IllnessGenderGangsRequired ReportingElderly (no longer passive)
3 Institutional Culpability Readily accessible to clienteleEasy prey for people looking for money or drugsMinimal security system
4 Institutional Culpability Cont. Universities and their Counseling CentersCounseling offices are isolatedDenialDo not want bad publicityCrime Awareness and Campus Security Act of 1990 (Clery Act)
5 Staff CulpabilityBelieve they are immune from the threat because they are supportive and caringClient may act aggressively if they feel they have little control over their treatmentStaff also need to set limits in a positive, firm, fair, and empathic manner
6 Staff Culpability Cont. Staff members who are burned out are more likely to be assaulted than those who are not46% of all assaults involved students or trainees and the incidence of assaults decreased as the workers gained experience
7 Legal LiabilityHealth-care providers may be the victims of assaults but they may also become legally liable for their actionsLiability extends to the institutions and directors of those institutionsFailure to properly diagnose, treat, and control violent clients or protect third parties from assaultive behaviorOne of the better predictors of who will be at risk to become violent is the collective judgment of clinical workers.
9 Bases for Violence -pridictors Age (males 15-30, elderly)Substance AbusePredisposing History of ViolencePsychological DisturbanceSocial Stressors (loss of job, relationship, abuse, financial stress)
10 Bases for Violence Cont. Family History of violenceWork HistoryTime (admission and tenure before help)Presence of Interactive Participants (those brining the person to treatment)Motoric Cues (physical cues, verbal cues, threats)Multiple Indicators
11 Intervention Strategies Security PlanningCommitment and InvolvementWorksite AnalysisHazard Prevention and ControlThreat Assessment TeamsPrecautions in Dealing with the Physical SettingTraining (pages )Anti-Violence InterventionAssumptionsPrecautionsOutreach Precautions
12 Intervention Strategies Cont. Record Keeping and Program Evaluation (recording of incidents)Stages of InterventionEducation (through reasoning and reassurance)Avoidance of ConflictAppeasement (but not be a doormat)Deflection (shifting to less threatening topics)Time-outShow of Force (open to others that can help)Seclusion (severe limit setting)Restraints, for safety not punishmentSedation
Your consent to our cookies if you continue to use this website.