Comprehensive evidence-based program teaching self-management of auditory hallucinations on inpatient psychiatric units.
Patients hearing command hallucinations to harm whose only self-management strategies are to obey these commands, can represent serious safety concerns on inpatient psychiatric units. A comprehensive evidence-based program teaching self-management of auditory hallucinations on inpatient psychiatric units is described that includes five components: suggestions for staff education; patient self-assessment tools; an interview guide and safety protocol; a course to teach strategies for managing distressing voices and commands to harm; suggestions to improve staff communication; and a plan to extend the program from inpatient care settings into the community by sharing materials with community case managers and caregivers when patients are discharged.
University of San Francisco, School of Nursing, San Francisco, California 94117, USA. buccherir@usfca.edu
Robin Kay
RK
Buccheri
Louise Nigh
LN
Trygstad
Martha D
MD
Buffum
Kathleen
K
Lyttle
Glenna
G
Dowling
D001364:Awareness; D001521:Behavior Therapy; D003142:Communication; D055318:Evidence-Based Nursing; D006212:Hallucinations / Q000451:nursing* / Q000523:psychology; D006801:Humans; D009730:Nursing Assessment; D010351:Patient Discharge; D011568:Psychiatric Nursing; D011615:Psychotherapy, Group; D012559:Schizophrenia / Q000451:nursing*; D012565:Schizophrenic Psychology; D012648:Self Care / Q000523:psychology*; D014728:Veterans / Q000523:psychology