title: California State Hospital Violence Assessment and Treatment (Cal-VAT) guideline.
abstract: Here we provide comprehensive guidelines for the assessment and treatment of violence and aggression of various etiologies, including psychotic aggression and impulsive aggression due to schizophrenia, mood disorders, ADHD, or trauma, and predatory aggression due to psychopathy and other personality disorders. These guidelines have been developed from a collection of prescribing recommendations, clinical trial results, and years of clinical experience in treating patients who are persistently violent or aggressive in the California Department of State Hospital System. Many of the recommendations provided in these guidelines employ off-label prescribing practices; thus, sound clinical judgment based on individual patient needs and according to institution formularies must be considered when applying these guidelines in clinical practice.
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Stahl
authors.forename: Debbi A
authors.initials: DA
authors.lastname: Morrissette
authors.forename: Michael
authors.initials: M
authors.lastname: Cummings
authors.forename: Allen
authors.initials: A
authors.lastname: Azizian
authors.forename: Shannon
authors.initials: S
authors.lastname: Bader
authors.forename: Charles
authors.initials: C
authors.lastname: Broderick
authors.forename: Laura
authors.initials: L
authors.lastname: Dardashti
authors.forename: Darci
authors.initials: D
authors.lastname: Delgado
authors.forename: Jonathan
authors.initials: J
authors.lastname: Meyer
authors.forename: Jennifer
authors.initials: J
authors.lastname: O'Day
authors.forename: George
authors.initials: G
authors.lastname: Proctor
authors.forename: Benjamin
authors.initials: B
authors.lastname: Rose
authors.forename: Marie
authors.initials: M
authors.lastname: Schur
authors.forename: Eric
authors.initials: E
authors.lastname: Schwartz
authors.forename: Susan
authors.initials: S
authors.lastname: Velasquez
authors.forename: Katherine
authors.initials: K
authors.lastname: Warburton
mesh_terms: D000374:Aggression / Q000523:psychology; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D000987:Antisocial Personality Disorder / Q000523:psychology / Q000628:therapy*; D002140:California; D006783:Hospitals, State; D006801:Humans; D007175:Impulsive Behavior; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy; D019964:Mood Disorders / Q000523:psychology / Q000628:therapy; D056687:Off-Label Use; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy*; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology; D014754:Violence / Q000517:prevention & control* / Q000523:psychology / Q000706:statistics & numerical data
chemical_list: D014150:Antipsychotic Agents