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Mod2 Participant

Mod2 Participant

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A safer place to work \u2013
Preventing and managing violent
behaviour in the Health workplace

Module 2
AMT002
Aggression minimisation in high-risk
environments
Participant manual
NSW Health is a zerotolerance zone
NSW DEPARTMENT OF HEALTH
73 Miller Street
NORTH SYDNEY NSW 2060

Tel. (02) 9391 9000 Fax. (02) 9391 9101 TTY. (02) 9391 9900

www.health.nsw.gov.au

This work is copyright. It may be reproduced in whole or in part for study training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above, requires written permission from the NSW Department of Health.

\u00a9 NSW Department of Health 2003
SHPN (CMH) 030207
ISBN 0 7347 3591 X
July 2003
updated August 2004
MODULE 2
Aggression minimisation in high-risk environments
NSW Health
A safer place to work \u2013 preventing and managing violent behaviour in the Health workplace Module 2 AMT002
Aggression minimisation in high-risk environments (Version 1) \u00a9 July 2003 updated August 2004
i
Contents

Acknowledgments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 Modular structure of the aggression minimisation program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Learning outcomes for Module 2 \u2013 Aggression minimisation in high-risk environments. . . . . . . . . . . . . . . .4 Part 1 Working in high-risk environments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

What are high-risk environments?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Why are they high-risk?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Zero tolerance approach to aggression. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Some legal and ethical issues and scenarios in high-risk environments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Part 2 Prevention in high-risk environments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Keeping your area secure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Some principles for recognising and dealing with unauthorised visitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Working in the community and outreach environments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Working in isolated areas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 How to maintain safety when approaching a patient who is aggressive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Ensuring the safety of self and others when interviewing patients or others. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Part 3 Understanding aggression in high-risk environments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Triggers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Cycle of aggression. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Some possible responses at each stage of the aggression cycle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Self-control plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Part 4 Managing aggression in high-risk environments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Core values and skills. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Options when a person has been identified as being high-risk. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Short-term options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Long-term options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Strategies during hostage or armed hold up situations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Related NSW Health policies and guidelines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

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