A growing evidence base for management guidelines
- 1 November 2005
- journal article
- Published by Cambridge University Press (CUP) in Advances in Psychiatric Treatment
- Vol. 11 (6), 404-415
- https://doi.org/10.1192/apt.11.6.404
Abstract
We review key recent research and guidance for staff working with acutely disturbed psychiatric patients. Assessment of aggressive patients and their situation should enable full risk assessment, which may ideally involve the use of advance directives. We discuss appropriate use of the Mental Health Act 1983 and consider benefits and adverse effects of rapid tranquillisation. We present a simple protocol for oral or intramuscular rapid tranquillisation. Staff using physical restraint should be properly trained and consider sensitively issues of the patient's diginity, gender and the most appropriate location for restraint to occur. Simple precautions can improve safety when working with potentially disturbed patients. Staff need support during and after the management of an aggressive incident.Keywords
This publication has 23 references indexed in Scilit:
- The management of violence in general psychiatryAdvances in Psychiatric Treatment, 2005
- Psychiatric advance directives: qualitative study of informed deliberations by mental health service usersThe British Journal of Psychiatry, 2005
- Rapid tranquilization: new approaches in the emergency treatment of behavioral disturbancesEuropean Psychiatry, 2004
- Rapid tranquillisation: Time for a reappraisal of options for parenteral therapyThe British Journal of Psychiatry, 2002
- Implementing the HCR-20 scheme for risk assessment in a forensic psychiatric hospital: Integrating research and clinical practiceJournal of Forensic Psychiatry, 1998
- Violence, dissatisfaction and rapid tranquillisation in psychiatric intensive carePsychiatric Bulletin, 1998
- Rapid tranquillisation: are we getting it right?Psychiatric Bulletin, 1997
- The response of nursing staff to psychiatric inpatient misdemeanourJournal of Forensic Psychiatry, 1997
- Guidelines for the management of acutely disturbed patientsAdvances in Psychiatric Treatment, 1996
- Antimanic effects of clonazepamPsychosomatics, 1985