Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2006-1-30
pubmed:abstractText
Twenty-seven patients undergoing treatment in a high-secure forensic facility participated in focus group interviews to elicit their perceptions of (1) the factors leading to aggressive behaviour; and (2) strategies to reduce the risk of such behaviour. The focus group interviews were audiotaped, transcribed and analysed using content analysis. The participants identified that a combination of patient, staff and environmental factors contributed to violence in the study wards. The cause of aggressive behaviour centred around five major themes: the environment; empty days; staff interactions; medication issues; and patient-centred factors. Potential strategies identified by patients to reduce aggressive behaviour included: early intervention; the provision of meaningful activities to reduce boredom; separation of acutely disturbed patients; improved staff attitudes; implementation of effective justice procedures; and a patient advocate to mediate during times of conflict. Findings suggested that social and organizational factors need to be addressed to change the punitive subculture inherent in forensic psychiatric facilities, and to ensure a balance between security and effective therapy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
N
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1351-0126
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
19-25
pubmed:meshHeading
pubmed-meshheading:16441389-Aggression, pubmed-meshheading:16441389-Attitude of Health Personnel, pubmed-meshheading:16441389-Attitude to Health, pubmed-meshheading:16441389-Boredom, pubmed-meshheading:16441389-Causality, pubmed-meshheading:16441389-Conflict (Psychology), pubmed-meshheading:16441389-Female, pubmed-meshheading:16441389-Focus Groups, pubmed-meshheading:16441389-Forensic Psychiatry, pubmed-meshheading:16441389-Health Facility Environment, pubmed-meshheading:16441389-Hospitals, Psychiatric, pubmed-meshheading:16441389-Humans, pubmed-meshheading:16441389-Male, pubmed-meshheading:16441389-Mental Disorders, pubmed-meshheading:16441389-Negativism, pubmed-meshheading:16441389-Negotiating, pubmed-meshheading:16441389-Nurse-Patient Relations, pubmed-meshheading:16441389-Nursing Methodology Research, pubmed-meshheading:16441389-Organizational Culture, pubmed-meshheading:16441389-Patient Advocacy, pubmed-meshheading:16441389-Patient Participation, pubmed-meshheading:16441389-Prisoners, pubmed-meshheading:16441389-Psychiatric Nursing, pubmed-meshheading:16441389-Risk Management
pubmed:year
2006
pubmed:articleTitle
Aggressive behaviour in the high-secure forensic setting: the perceptions of patients.
pubmed:affiliation
University of Queensland, Service Evaluation & Research Unit, The Park, Centre for Mental Health, Wacol, Qld, Australia. Thomas_Meehan@health.qld.gov
pubmed:publicationType
Journal Article