Violence prevention in the mental health setting: the New York state experience.
In 1996 the NewYork State Office of Mental Health issued a policy requiring all State-operated psychiatric facilities to develop and implement a proactive violence-prevention program based on guidelines issued by the US Occupational Safety and Health Administration. This presented an opportunity to evaluate the impact of the guidelines on worker health and safety. The authors report the findings of a mixed-method study to evaluate the feasibility and impact of a participatory intervention to prevent workplace violence. They describe the implementation of the intervention in 3 in-patient facilities, including an extensive worksite analysis, staff focus groups, and a baseline and post-intervention survey of changes in staff perception of the quality of the program's elements and physical assault following implementation of the program. The authors provide evidence for the feasibility and positive impact of a comprehensive violence-prevention program in the in-patient mental health workplace. Staff perception of the quality of management commitment and employee involvement in violence-prevention was significantly improved in all worksites post-implementation.
Lipscomb
Jane
J
School of Nursing, University of Maryland, Baltimore, USA.
McPhaul
Kathleen
K
Rosen
Jonathan
J
Brown
Jeanne Geiger
JG
Choi
Mona
M
Soeken
Karen
K
Vignola
Victor
V
Wagoner
Deborah
D
Foley
Janet
J
Porter
Peggy
P
D001291:Attitude of Health Personnel; D019985:Benchmarking; D005240:Feasibility Studies; D017144:Focus Groups; D017408:Guidelines as Topic; D006291:Health Policy; D006778:Hospitals, Psychiatric / Q000458:organization & administration*; D006783:Hospitals, State / Q000458:organization & administration; D006801:Humans; D009518:New York / Q000453:epidemiology; D009786:Occupational Health Services / Q000458:organization & administration*; D010564:Personnel, Hospital / Q000193:education / Q000523:psychology; D010865:Pilot Projects; D011159:Population Surveillance; D016730:Program Development; D015397:Program Evaluation; D017751:Safety Management / Q000458:organization & administration*; D014481:United States; D014489:United States Occupational Safety and Health Administration; D014754:Violence / Q000517:prevention & control* / Q000706:statistics & numerical data; D017132:Workplace / Q000458:organization & administration / Q000523:psychology