Dirk Richter - Böcker

Despite great improvement in service delivery, patient violence remains a major problem at mental health facilities. Focusing equally on causes, management, and prevention, this groundbreaking book represents the state of knowledge on this crucial topic.Violence in Mental Health Settings brings together salient theories, valuable data, and real-world interventions in one accessible volume. The contributors include psychiatrists, nurses, researchers, and academics (many affiliated with the European Violence in Psychiatry Research Group), offering an integrative context for understanding patient aggression and identifying areas where research is lacking. Chapters review the latest theories of violence, proven prevention strategies, and examples of positive organizational change. Practical highlights include:-Assessing and measuring risk: self- versus other-reporting scales-How the ward environment can contribute to violence – or its prevention-Best practice guidelines for verbal, physical, and pharmaceutical interventions -Training issues and course development in violence management-Professional coping after patient attacks-Developing a non-violent culture at the institutional levelThroughout, the material is illustrated liberally with graphs and clinical case examples, and coverage bridges the patient-rights and zero-tolerance ends of the spectrum.Therapists, nurses, social workers, and counselors in hospitals and other inpatient and community facilities will find Violence in Mental Health Settings a source of vital insights and ideas for future policy. Regardless of one’s setting or specialty, the authors share a critical aim with their readers: a safer and more humane experience.

Despite great improvement in service delivery, patient violence remains a major problem at mental health facilities. Focusing equally on causes, management, and prevention, this groundbreaking book represents the state of knowledge on this crucial topic.Violence in Mental Health Settings brings together salient theories, valuable data, and real-world interventions in one accessible volume. The contributors include psychiatrists, nurses, researchers, and academics (many affiliated with the European Violence in Psychiatry Research Group), offering an integrative context for understanding patient aggression and identifying areas where research is lacking. Chapters review the latest theories of violence, proven prevention strategies, and examples of positive organizational change. Practical highlights include:-Assessing and measuring risk: self- versus other-reporting scales-How the ward environment can contribute to violence – or its prevention-Best practice guidelines for verbal, physical, and pharmaceutical interventions -Training issues and course development in violence management-Professional coping after patient attacks-Developing a non-violent culture at the institutional levelThroughout, the material is illustrated liberally with graphs and clinical case examples, and coverage bridges the patient-rights and zero-tolerance ends of the spectrum.Therapists, nurses, social workers, and counselors in hospitals and other inpatient and community facilities will find Violence in Mental Health Settings a source of vital insights and ideas for future policy. Regardless of one’s setting or specialty, the authors share a critical aim with their readers: a safer and more humane experience.

This book aims to provide a state-of-the-art overview of the contexts, causes and treatments that relate to the reduction of coercion and the prevention of violence in mental health settings.

The book describes the ethical lines of conflict, shows why coercion can no longer be justified and analyzes the consequences and dilemmas of a possible abolition of coercive measures in psychiatric care. The use of coercion in mental health care is one of the most controversial topics in psychiatric nursing and psychiatry.The conflict line centers around the UN-Convention in the Rights of People with Disabilities (CRPD). Advocates of the CRPD are pushing for the complete abolition of coercion while opponents see central medical and legal aspects of care for people with mental health problems at risk.Clinicians in conventional psychiatry, including many mental health nurses, primarily justify these measures because of the assumed benefits of coercion-associated care and with the argument that many people affected are unable to make appropriate decisions for their own health in a crisis situation. This argument also applies to human rights, for example by basing coercive measures in the event of suicidality on the right to life.Three central topics are developed in the book. First, it is shown that psychiatric coercion can no longer be justified because the current practice of psychiatric care does not meet the ethico-legal requirements for the use of coercion. Second, a human rights-based approach of psychiatric care is outlined, which is fundamentally based on the will and preferences of people with mental health problems. Third, the consequences and dilemmas are indicated, e.g., the issue of how to deal with suicidality or dementia without the use of coercion.This book is aimed to receive a specific attention from the psychiatric nursing community.