Citation

Cutcliffe JR, Riahi S. Int. J. Ment. Health Nurs. 2013; 22(6): 558-567.

Affiliation

Faculty of Health Sciences, University of Ottawa, Ottawa; School of Nursing, University of Coimbra, Coimbra, Portugal; Department of Nursing, University of Malta, Msida, Malta; Cutcliffe Consulting, Hampden, Maine, USA.

Copyright

(Copyright © 2013, Australian College of Mental Health Nurses Inc., Publisher John Wiley and Sons)

DOI

10.1111/inm.12029

PMID

23750881

Abstract

Aggression and violence (A/V) in mental health care are all too frequent occurrences; they produce a wide range of deleterious impacts on the individual client, staff, organizations, and the broader community. A/V is a multifaceted and highly-complex problem, and is associated empirically with a wide range of phenomena. However, most attempts to reduce A/V in mental health care have invariably focused on one or two aspects of the problem at the expense of a more comprehensive, systemic approach; these have produced inconclusive results. As a result, this two-part paper seeks to: (i) recognize the wide range of phenomena that have been found to have an association with A/V in mental health care; (ii) synthesize these propositions according to fit or congruence into a systemic model of A/V; (iii) explore empirical evidence pertaining to these propositions; and (iv) begin to consider the application of this model to better inform our individual and/or organizational responses to A/V in mental health care. The paper advances a systemic model of these phenomena comprised of four thematic categories, with Part 1 of this paper focusing on the first two categories: environmental and intrapersonal (client-related) phenomena.

Language: en