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Related Experiment Videos

Reducing aggressive behaviour and staff injuries: a multi-strategy approach.

Tom Meehan1, Kevin Fjeldsoe, Terry Stedman

  • 1Service Evaluation and Research Unit, University of Queenslands. Thomas_Meehan@health.qld.gov.au

Australian Health Review : a Publication of the Australian Hospital Association
|May 2, 2006
PubMed
Summary

A multi-strategy program significantly reduced staff injuries from patient aggression in a mental health facility. The comprehensive approach, including training and support, proved effective despite rising client acuity.

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Area of Science:

  • Mental Health Services
  • Healthcare Management
  • Patient Safety

Background:

  • Patient aggression poses significant risks to staff in mental health settings.
  • Effective management strategies are crucial for maintaining a safe therapeutic environment.
  • Previous interventions have shown variable success in mitigating aggression-related harm.

Purpose of the Study:

  • To assess the effectiveness of a multi-strategy aggression management program.
  • To evaluate the program's impact on staff injury rates and patient aggression incidents.
  • To determine if the intervention mitigates risks associated with increasing client acuity.

Main Methods:

  • A comprehensive program with four components was implemented over two years: staff education/training, staff support, risk assessment tools, and incident monitoring.

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  • Data on aggressive incidents and staff injuries were collected for two years pre-implementation and three years post-implementation.
  • Statistical analysis compared pre- and post-intervention rates of patient aggression and staff injuries.

    • Main Results:

    • A statistically significant reduction in staff injuries resulting from patient aggression was observed post-implementation.
    • While patient aggressive incidents showed a downward trend, this decrease did not reach statistical significance.
    • Compensation payments to staff for injuries also decreased, aligning with the reduction in reported injuries.

    Conclusions:

    • The multi-strategy aggression management program effectively reduced staff injuries, even with a rise in patient acuity.
    • The integrated approach appears to counteract potential violence, suggesting synergistic effects of the combined strategies.
    • This study highlights the value of a holistic intervention for enhancing safety in mental health facilities.