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Veltro, Franco; Falloon, Ian R. H.; Vendittelli, Nicola; Oricchio, Ines; Scinto, Antonella; Gigantesco, Antonella; Morosini, Pierluigi

doi:10.1186/1745-0179-2-16

Cited by 16 publications

(5 citation statements)

References 14 publications

(11 reference statements)

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“…This demonstrates that a policy to reduce coercive interventions should aim at different targets – not only training, culture, and attitudes can be a successful strategy, but also focusing on the needs of different groups of patients. There is some evidence that systematic implementation of psychotherapeutic elements such as groups with cognitive-behavioural therapy or relationship management therapy can help to reduce coercive interventions [ 18 , 19 ]. In contrast to such interventions described before, we did not introduce single psychotherapeutic interventions but a different organisational structure as a whole.…”

Section: Discussionmentioning

confidence: 99%

Successful interventions on an organisational level to reduce violence and coercive interventions in in-patients with adjustment disorders and personality disorders

Steinert

Eisele

Goeser³

et al. 2008

Clinical Practice and Epidemiology in Mental Health

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Section: Discussionmentioning

confidence: 99%

Successful interventions on an organisational level to reduce violence and coercive interventions in in-patients with adjustment disorders and personality disorders

Steinert

Eisele

Goeser³

et al. 2008

Clinical Practice and Epidemiology in Mental Health

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“…The high rate of coercion as response to aggression underscores the need for research on preventive or less restrictive interventions vis-à-vis aggressive behaviour (see e.g. [ 46 ]).…”

Section: Discussionmentioning

confidence: 99%

Frequency and severity of aggressive incidents in acute psychiatric wards in Switzerland

Abderhalden

Needham

Dassen

et al. 2007

Clinical Practice and Epidemiology in Mental Health

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BackgroundAggression and violence and negative consequences thereof are a major concern in acute psychiatric inpatient care globally. Variations in study designs, settings, populations, and data collection methods render comparisons of the incidence of aggressive behaviour in high risk settings difficult.ObjectiveTo describe the frequency and severity of aggressive incidents in acute psychiatric wards in the German speaking part of Switzerland.MethodsWe conducted a prospective multicentre study on 24 acute admission wards in 12 psychiatric hospitals in the German speaking part of Switzerland. Aggressive incidents were recorded by the revised Staff Observation Aggression Scale (SOAS-R) and we checked the data collection for underreporting. Our sample comprised 2344 treatment episodes of 2017 patients and a total of 41'560 treatment days.ResultsA total of 760 aggressive incidents were registered. We found incidence rates per 100 treatment days between 0.60 (95% CI 0.10–1.78) for physical attacks and 1.83 (1.70–1.97) for all aggressive incidents (including purely verbal aggression). The mean severity was 8.80 ± 4.88 points on the 22-point SOAS-R-severity measure; 46% of the purely verbally aggression was classified as severe (≥ 9 pts.). 53% of the aggressive incidents were followed by a coercive measure, mostly seclusion or seclusion accompanied by medication. In 13% of the patients, one ore more incidents were registered, and 6.9% of the patients were involved in one ore more physical attack. Involuntary admission (OR 2.2; 1.6–2.9), longer length of stay (OR 2.7; 2.0–3.8), and a diagnosis of schizophrenia (ICH-10 F2) (OR 2.1; 1.5–2.9) was associated with a higher risk for aggressive incidents, but no such association was found for age and gender. 38% of the incidents were registered within the first 7 days after admission.ConclusionAggressive incidents in acute admission wards are a frequent and serious problem. Due to the study design we consider the incidence rates as robust and representative for acute wards in German speaking Switzerland, and thus useful as reference for comparative and interventional research. Implications for clinical practice include the recommendation to extend the systematic risk assessment beyond the first days after admission. The study confirms the necessity to differentiate between types of aggressive behaviour when reporting and comparing incidence-data.

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“…Lauriello Lauriello and Pallanti (2012) suggested that family space needed members who participate in family psychoeducational programs experience lower levels of subjective burden, improved life satisfaction and acquire greater knowledge, hope and empowerment. Interventions should be patient-oriented and facilitated by trained personnel (Veltro et al 2006). Here patients are taught how to recognize events and situations that may be highly stressful, highlighting early-warning signs of stress overload and impending recurrences.…”

Section: Introductionmentioning

confidence: 99%

Schizophrenia: its psychological effects on family caregivers

Riley-McHugh¹,

Brown²,

Lindo

2016

IJANS

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Purpose: Caregivers of patients diagnosed with schizophrenia experience moderate to severe caregiver burden and are at risk for developing mental disorders. This study explores the psychological effects and coping strategies of family caregivers of relatives diagnosed with schizophrenia in the developing world. Methods: This qualitative study used the register of a community mental health clinic at a Jamaican hospital to purposively select and recruit five primary family caregivers of clients diagnosed with schizophrenia (based on the DSM IV). Consenting participants were interviewed using a semi-structured interview guide. Data were analyzed using thematic content analysis. Results: Four of the five caregivers studied were females. Participants were either parents (4) or siblings (1) of the client diagnosed with schizophrenia and aged 42 -57years. Participants experienced feelings of anger, sadness, loss of libido, loss of appetite and depression. They expressed feelings of fear, guilt, stigma and stress related to financial responsibilities in caring for their relatives. Coping mechanisms included social support from family members and their strong faith in God. Conclusion: Participants reported experiencing major psychological distress and ineffective coping. Community based management of individuals with schizophrenia should include strategies to support family caregivers.

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Cited by 16 publications

References 14 publications

Successful interventions on an organisational level to reduce violence and coercive interventions in in-patients with adjustment disorders and personality disorders

Successful interventions on an organisational level to reduce violence and coercive interventions in in-patients with adjustment disorders and personality disorders

Frequency and severity of aggressive incidents in acute psychiatric wards in Switzerland

Schizophrenia: its psychological effects on family caregivers

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