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Violence and the lax milieu?: preliminary data

R B Flannery¹, M A Hanson, W E Penk

¹Massachusetts Department of Mental Health, Faculty of Harvard Medical School, USA.

The Psychiatric Quarterly

|January 1, 1996

Summary

New management initiatives significantly reduced patient assaults on staff in a state mental hospital by strengthening structures and boundaries. This approach improved safety in psychiatric units.

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Area of Science:

Psychiatric care
Healthcare management
Patient safety

Background:

Recent observations indicate a rise in patient assaults on healthcare staff.
This increase is potentially linked to a permissive environment with weakened structures, boundaries, and leadership.

Purpose of the Study:

To report on the impact of new management initiatives on patient violence.
To assess the effectiveness of strengthening structures and boundaries in reducing assaults.

Main Methods:

A case study was conducted on three units within a state mental hospital.
New management implemented specific initiatives to reinforce structures and boundaries.

Main Results:

A notable decrease in patient assaults on staff was observed across the three targeted units.
The implemented interventions demonstrated a positive effect on unit safety.

Conclusions:

Strengthening organizational structures and boundaries can effectively reduce workplace violence in psychiatric settings.
These findings have implications for improving safety and management practices in mental healthcare facilities.

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