Detailed contribution information
| Contribution title | 3364 - Managing agression and violence in an inpatient Camhs unit |
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| Contribution code | PS02-35 (P) |
| Authors | |
| Form of presentation | Poster |
| Topic |
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| Abstract |
Background: * It is generally accepted that aggressive behaviour in adolescent psychiatric settings is a neglected research area as most available comprehensive data derive from adult in-patient units. Aggressive behaviour has been shown to be a repetitive behaviour with similar triggers, which lends itself to self-control in many cases. The consequences of aggressive behaviour on nurses, other patients and the therapeutic environment can be profound hence the need for development and implementation of innovative preventive intervention strategies. Prevention, early intervention with de-escalating techniques and emphasis on enhancing patient autonomy and dignity have been stressed in recommendations on management of aggression in child and adolescent psychiatry units This poster will reflect on the therapeutic processes inherent in a milieu-based behavioural and psychological management program designed to reduce the frequency of aggressive behaviours in a child and adolescent mental health inpatient unit. The poster looks at good ward design and the features that bring a sense of coherence to the ward. Increase group interactions between the patients. Encourage staff and patient interactions. Looks at design of seclusion rooms and de-escalation rooms. The latest legal risk requirements for awards in Britain. Recommendations from the quality network for inpatient CAMHS. Emphasis is placed on aforementioned recommendations in addition to choice, individualized patient management plans, staff training, privilege level care and reinforcement of appropriate behaviours. Use of the least restrictive intervention is consistently upheld within the intervention framework. |