Data-Based Interventions to Reduce Assaults by Geriatric Inpatients

Aggression Among Psychiatric Inpatients

“…Overall, some findings were consistent with existing international research. For example, there were notable increases in violence rates during busy meal, medication, and shift change times in our sample, similar to previous studies (Balderston et al, 1990; Weizmann-Henelius & Suutala, 2000). The current study also showed that patients were more commonly victimized than staff members.…”

“…However, scheduled daily activities may have more relationship to aggression rates than the time on the clock. For example, researchers have found higher inpatient violence rates during shift change and mealtime transitions (Balderston, Negley, Kelly, & Lion, 1990; Weizmann-Henelius & Suutala, 2000).…”

Non-pharmacological interventions for aggressive behavior in older adults living in long-term care facilities

“…Two studies (Namazi and Johnson, 1992;Werner et al, 1994) have reported a reduction of AB in nursing home residents following removal of restraints (physical restraints and confinement). Environmental changes based on clinical observations are also effective in reducing or eliminating AB (Balderston et al, 1990;Moniz-Cook et al, 2001). For example, Moniz-Cook et al (2001) reported four single-case studies in which the interventions based on a clinical assessment were effective to eliminate AB for up to 1 year in three participants and 20 months in another one.…”

Managing the violent patient: A guide for psychologists and other mental health professionals.

“…Clinicians lagging behind patients may incite suspicion or paranoia or precipitate fear-inducing behavior, whereas clinicians forging ahead allow patients clear access to assault them. Assault attacks have been found to take place in corridors rather than in other locations in an acute hospital or medical center setting (Balderstone, Negley, Kelly, & Lion, 1990; Lanza, Kayne, Hicks, & Milner, 1994). Care should be taken at all times with potentially violent patients regarding movement and actions.…”