title: Violence and the lax milieu?: preliminary data.
abstract: Recently, Rosenbaum noted a rise in the number of patient assaults on staff. He attributed this increase to a lax milieu of impaired structures, boundaries, and leadership. This case study reports on a sharp decline in violence on three lax units in one state mental hospital, when new management fielded initiatives to strengthen the structures and boundaries on these three units. The implications of the findings are discussed.
authors.affiliation: Massachusetts Department of Mental Health, Faculty of Harvard Medical School, USA.
authors.forename: R B
authors.initials: RB
authors.lastname: Flannery
authors.forename: M A
authors.initials: MA
authors.lastname: Hanson
authors.forename: W E
authors.initials: WE
authors.lastname: Penk
authors.forename: G J
authors.initials: GJ
authors.lastname: Flannery
mesh_terms: D006739:Hospital Administration; D006760:Hospitalization; D006778:Hospitals, Psychiatric / Q000458:organization & administration*; D006801:Humans; D001523:Mental Disorders / Q000523:psychology* / Q000534:rehabilitation; D014754:Violence