Abstract
Violence in healthcare is a prominent global concern. To prevent violence it is necessary to have an organized plan of action against violence. It is vital to learn where violence originates and then to develop an organized interventional plan to prevent violence. This article analyzes the origins [causes and risk factors] of violence and delineates the process and development of an evidence based violence prevention plan designed to negate violence risk factors and prevent violence. Specific techniques are presented for prevention and de-escalation of aggression to prevent violence. Strategies are determined for development and implementation of effective violence prevention plan utilizing holistic evidence based interventions to prevent/reduce healthcare violence for a safe and therapeutic environment for everyone. Implications for practice are strategies for best practice in safety and violence prevention. Environmental, patient and caregiver interventions for prevention of aggression and violence in healthcare facilities is delineated as well as psychosocial management of aggressive behavior for safety in the healthcare environment. An effective violence prevention educational plan is presented for holistic applications for decreasing healthcare violence promoting mental health, wellness and recovery.
Highlights
Violence in mental health facilities is a prominent global healthcare concern
The violence prevention plan developed is based on violence origins [causes] and prevention of violence, focusing interventional strategies to prevent the phenomenon of violence in mental health facilities promoting safety, health, wellness and optimal recovery outcomes
The suggested violence prevention plan when implemented in an inpatient mental health setting over a nine month period of time resulted in a substantial reduction of inpatient violence rates by 100%
Summary
Violence in mental health facilities is a prominent global healthcare concern. An essential safety strategy for violence prevention is the development and implementation of an organized violence prevention plan for mental health care facilities. This article describes the process of the development of an evidence based violence prevention plan with interventional strategies effective to prevent/reduce violence in mental health facilities. Demeo’s proposed that climate change around 4000 BC brought hardship, famine, starvation and migrations which forced humans into violent social patterns over competition for scarce resources for basic survival. These oppressive ecological conditions brought deprivation causing conflict, warfare, and violence to first appear among the ancient peoples. In primate studies it is noted that both violence and peaceful behavior can be learned [6,7]
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