[PDF] De Escalation And Safety Intervention In Mental Health Crisis eBook

Author : Rebecca N Mitz
Publisher :
Page : pages
File Size : 16,26 MB
Release : 2017
Category :
ISBN :

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The aims of this CNL Internship Project are to decrease the number of incidents in which patients are escorted out of the clinic via staff or SFPD due to violent/aggressive behavior, are put on a 5150 hold, or who are absent without official leave (AWOL) or leave against medical advice (AMA) by 70% within 12 months of initiating an evidence-based staff training program on therapeutic communication and de-escalation techniques and implementing a de-escalation and safety intervention protocol and to achieve 100% improvement in staff perception of preparedness to manage escalating patient events and maintain safety. This project is being implemented in a psychiatric urgent care clinic San Francisco, where rest and rehabilitation is provided for individuals experiencing an exacerbation of a mental illness. Staff education and training in-service sessions were conducted regarding de-escalation techniques and the utilization of an evidence-based, standardized de-escalation and safety protocol. Results from a Likert-type scale survey administered before and after training in-service sessions and implementation of the De-Escalation and Safety Intervention protocol revealed significant improvement in staff perception of preparedness individually and as a team to safely manage escalating patient crises as well as in usefulness of the protocol. Results from a post-teaching effectiveness survey revealed 100% of staff feel strongly (5/5) that the de-escalation techniques taught and the implementation of the standardized protocol are effective methods to incorporate into practice. Results regarding 70% decrease in adverse patient discharges are still pending as post-implementation patient discharge data collection is in progress until April 2018.

Author : George Everly, Jr.
Publisher :
Page : pages
File Size : 25,89 MB
Release : 2017-04
Category :
ISBN : 9781943001149

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Psychological Crisis Intervention: The SAFER-R Model is designed to provide the reader with a simple set of guidelines for the provision of psychological first aid (PFA). The model of psychological first aid (PFA) for individuals presented in this volume is the SAFER-R model developed by the authors. Arguably it is the most widely used tactical model of crisis intervention in the world with roughly 1 million individuals trained in its operational and derivative guidelines. This model of PFA is not a therapy model nor a substitute for therapy. Rather it is designed to help crisis interventionists stabile and mitigate acute crisis reactions in individuals, as opposed to groups. Guidelines for triage and referrals are also provided. Before plunging into the step-by-step guidelines, a brief history and terminological framework is provided. Lastly, recommendations for addressing specific psychological challenges (suicidal ideation, resistance to seeking professional psychological support, and depression) are provided.

Author : S. E. McKnight
Publisher : Nursing Knowledge
Page : 277 pages
File Size : 19,27 MB
Release : 2019-08
Category : Medical
ISBN : 9781948057493

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"This book is a comprehensive guidebook of therapeutic de-escalation techniques for nurses and other healthcare professionals to improve safety in healthcare facilities. Readers will explore the concepts of aggression (including risk factors), de-escalation, and therapeutic communication. They will also learn how to perform mental status assessments, manage and even prevent aggressive behavior, and practice conflict resolution, and--when faced with individuals with depressive disorders, suicidal ideation, and/or self-injurious behavior (SIB)--engage in crisis intervention. Specific therapeutic interventions for difficult behavioral issues associated with schizophrenia, dementia, bipolar disorder, cognitive impairment, anxiety and panic disorders are also covered, as are stress-management techniques to help patients cope, tips for creating a caring and healing environment to stop violence before it starts, and a framework for building a healthcare violence prevention program. Nursing students and healthcare professionals of all educational levels will find this book to be immensely valuable. De-escalation is one of the most valuable skills a healthcare worker can possess. Indeed, all healthcare workers need this vital skill to help ensure their safety in the healthcare environment. It's not uncommon for healthcare professionals to encounter an agitated or aggressive person. How that healthcare worker responds will dictate whether the situation is defused or escalated--perhaps even resulting in physical violence. The goal of this book is to ensure the result is the former--to prevent healthcare violence, and to foster a safe healthcare workplace that benefits all and promotes peace and safety for everyone"--

Author : Donald E. Wiger
Publisher : John Wiley & Sons
Page : 245 pages
File Size : 13,49 MB
Release : 2003-07-30
Category : Psychology
ISBN : 0471417556

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A practical guide to effective crisis counseling and intervention Essentials of Crisis Counseling and Intervention offers practical, field-tested methods for dealing with traumatic and life-changing events. This helpful manual presents useful strategies for crisis prevention, functioning effectively during a crisis, caring treatment approaches, and aftercare--and describes how to assess the extent to which a crisis has impacted an individual. Important legal aspects of crisis counseling are also highlighted--such as risk, suicidality, and documentation--as well as helpful details on how to prevent potential malpractice issues related to crisis intervention. Essentials of Crisis Counseling and Intervention gives clear explanations of proven practice techniques and examples of effective interventions. It provides an accessible and practical guide to navigating through the complexities of any type of crisis situation, including natural disasters, community violence, and personal tragedy. Unique coverage is presented on such topics as group intervention, incorporating spirituality into treatment, community resources, coordinating efforts of crisis-response personnel, and the roles of various crisis workers, including instructions for how to prepare intellectually and emotionally for crisis situations. As part of the Essentials of Mental Health Practice series, this book provides the information mental health professionals need to practice knowledgeably, efficiently, and ethically in today's behavioral health care environment. Each concise chapter features numerous callout boxes highlighting key concepts, bulleted points, and extensive illustrative material, as well as "Test Yourself" questions that help you gauge and reinforce your grasp of the information covered.

Author : Nicholas RUGGIERO
Publisher :
Page : 121 pages
File Size : 39,37 MB
Release : 2022-01-16
Category :
ISBN :

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The law enforcement proffesion is dynamically changing with the times. Our training must do the same. Mental health interactions are one of the biggest law enforcement struggles. Our training is very limited to the police academy and somtimes field training. Ernest Stevens from the award winning HBO documentary "Ernie & Joe Crisis Cops" and Best selling author Nicholas Ruggiero take you through some great training and resources to learn the skill of de-escalation during mental health calls for service.

Author : Richard Crino
Publisher : Lulu Publishing Services
Page : 204 pages
File Size : 26,17 MB
Release : 2020-02-14
Category :
ISBN : 9781684717552

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The need to assess the mental status and intentions of individuals has become a routine requirement of law enforcement officers nationwide. More often than not, they are the first responders in situations involving a person experiencing a mental health crisis. As a key component of situational awareness, officers need to quickly recognize when a person is experiencing a mental heath crisis, and have the verbal skills necessary, to ensure both officer safety and the safety of an individual in crisis. This ground breaking book, provides information on the various mental health disorder's, treatment options, violence risk assessment, gun violence, innovative verbal de-escalation skills, and situational awareness. Also includes, self-help information on stress management, officer resiliency, critical incident recovery and emotional survival. In his work, Richard Crino, co-designed Rhode Island's first crisis intervention program for law enforcement officers known as CRT.

Author : Liam Donaldson
Publisher : Springer Nature
Page : 496 pages
File Size : 29,44 MB
Release : 2020-12-14
Category : Medical
ISBN : 3030594033

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Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.

Author : Tony W York
Publisher : Butterworth-Heinemann
Page : 760 pages
File Size : 16,92 MB
Release : 2009-10-12
Category : Business & Economics
ISBN : 0080886027

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Hospital and Healthcare Security, Fifth Edition, examines the issues inherent to healthcare and hospital security, including licensing, regulatory requirements, litigation, and accreditation standards. Building on the solid foundation laid down in the first four editions, the book looks at the changes that have occurred in healthcare security since the last edition was published in 2001. It consists of 25 chapters and presents examples from Canada, the UK, and the United States. It first provides an overview of the healthcare environment, including categories of healthcare, types of hospitals, the nonhospital side of healthcare, and the different stakeholders. It then describes basic healthcare security risks/vulnerabilities and offers tips on security management planning. The book also discusses security department organization and staffing, management and supervision of the security force, training of security personnel, security force deployment and patrol activities, employee involvement and awareness of security issues, implementation of physical security safeguards, parking control and security, and emergency preparedness. Healthcare security practitioners and hospital administrators will find this book invaluable. Practical support for healthcare security professionals, including operationally proven policies, and procedures Specific assistance in preparing plans and materials tailored to healthcare security programs Summary tables and sample forms bring together key data, facilitating ROI discussions with administrators and other departments General principles clearly laid out so readers can apply the industry standards most appropriate to their own environment NEW TO THIS EDITION: Quick-start section for hospital administrators who need an overview of security issues and best practices

Author : Linda Flanders
Publisher : Createspace Independent Publishing Platform
Page : 26 pages
File Size : 17,56 MB
Release : 2015-09-05
Category : Crisis intervention (Mental health services)
ISBN : 9781517104009

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"Crisis Intervention 101 gives a simple overview of mental health and the calls first responders most often are called to; reasons why a crisis can happen, and offers basic understanding about how to verbally de-escalate a crisis. These skills are taught in a common sense approach, and are appropriate for law enforcement, emergency responders, school personnel and advocates. They can also be learned by anyone" -- Amazon.com.