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Modifying the behavior of the violent patient

G G Ball1

  • 1Dept. of Psychiatry, Columbia University Medical College, New York, NY.

The Psychiatric Quarterly
|January 1, 1993
PubMed
Summary
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Effective behavioral interventions can significantly reduce violent patient behavior in hospitals. Careful assessment and trained staff are crucial for successful implementation of these evidence-based techniques.

Area of Science:

  • Behavioral Psychology
  • Clinical Psychiatry
  • Healthcare Management

Background:

  • Hospital settings frequently encounter patient violence.
  • Managing violent behavior requires structured interventions.
  • Existing methods need systematic evaluation.

Purpose of the Study:

  • To outline behavioral techniques for treating violent patients.
  • To emphasize the importance of assessment and staff training.
  • To highlight research-based methodologies for violence reduction.

Main Methods:

  • Review of various behavioral intervention strategies.
  • Emphasis on situational assessment and staff preparedness.
  • Description of techniques: environmental changes, relaxation, systematic desensitization, differential reinforcement, token economies, response cost, time out, social skills training, and multi-component programs.

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Main Results:

  • Behavioral techniques offer a systematic approach to managing patient violence.
  • Proper staff training is essential for the success of these interventions.
  • Environmental modifications and specific behavioral strategies can reduce violent incidents.

Conclusions:

  • Violent behavior in hospitals can be substantially reduced through systematic, research-based behavioral interventions.
  • Thorough assessment and adequate staff training are prerequisites for effective treatment.
  • A combination of techniques may offer the most comprehensive approach to patient safety.