Prevention and Management of Violence: Guidance for Mental Healthcare Professionals
Author: Edited by Masum Khwaja and Dominic Beer
Publication Date: July 2013
Publisher's Title Information
This presents new evidence-based guidance on the prevention and management of aggression and violence by patients with mental disorder. It provides a comprehensive overview of best practice and will be of practical use to a wide range of mental health professionals working in community, in-patient or prison settings.
Such sensitive issues as violence in patients from minority ethnic backgrounds, ways to apply physical and pharmaceutical methods of restraint safely, and preserving patients' dignity in highly volatile situations, are addressed. The guidance also covers:
Assessment and management of risk of violence in different settings.
Specific populations, including older adults and people with intellectual disabilities.
Both non-pharmacological management techniques and use of medication.
Liaison with the police, Crown prosecution service and MAPPA (Multi-Agency Public Protection Arrangements).
Clinical governance for improving the overall care provided by organisations.
This guidance is official policy recommended by the Royal College of Psychiatrists. It has been produced by an expert working group including psychiatrists from forensic, older adult, learning disability and general adult specialties, plus colleagues from nursing, psychology and pharmacology. Health service managers, as well as clinicians dealing with potentially violent incidents day to day, will find the report informative and the guidelines contained within clear and easy to follow.
Mental health professionals and health service managers working in community, in-patientprison settings.
Masum Khwaja - Consultant General Adult Psychiatrist, South Westminster Mental Health Services, Central and North West London NHS Foundation Trust, and Honorary Senior Lecturer, Imperial College London.
Dominic Beer - Consultant Psychiatrist in Psychiatric Intensive Care and Challenging Behaviour, Oxleas NHS Foundation Trust, Bracton Centre, Kent (recently deceased).
List of boxes and tables
Legislation relevant to the management of violence by persons with mental disorders
Safeguarding vulnerable adults and children exposed to violence
Risk assessment and management
Risk prevention and non-pharmacological management of violence in acute settings
Use of medication and ECT in the management of violence
Management of the risk of violence in the community
Management of violence in older adults
Management of violence in people with intellectual disability
Management of violence in prisons
Liaison with the police, Crown Prosecution Service and MAPPA
Information-sharing with victims of crime committed by persons with mental disorders
Appendix I: Organisations that victims of crime can contact
A Clinician's Brief Guide to the Mental Capacity Act
Editors: Nick Brindle, Tim Branton, Alison Stansfield and Tony Zigmond
Publishers: RCPsych Publications
Publication Date: June 2013
Publisher's Title Information
This easy-to-read book explains for clinicians the nuts and bolts of the Mental Capacity Act 2005 that they need to understand and use in their daily practice. This Act now gives all clinicians the authority to provide medical care and treatment for people over 16 years of age who lack the capacity to consent for themselves.
How to assess whether a person lacks capacity.
The range, scope and limitations of the various authorities to treat (including 'best interests' decisions, advance decisions and lasting powers of attorney).
The range of safeguards in place (such as the Deprivation of Liberty Safeguards (DoLs), the Court of Protection and Independent Mental Health Advocates).
Relevant aspects of the Human Rights Act 1998, the Mental Health Act (including all recent amendments) and illustrative case law.
This book is aimed at all clinicians (in England and Wales) - especially those working with the elderly and those with intellectual disabilities (this includes GPs, nurses and the allied disciplines).
It will also aid understanding for everyone who helps care for people who cannot make decisions for themselves (such as elderly relatives) or who wishes to make legal provision for their own future care.
Dr Nick Brindle - Old Age Consultant Psychiatrist, The Mount (Mental Health Centre), Leeds.
Dr Tim Branton - Old Age Consultant Psychiatrist, The Mount, Leeds and a former Associate Medical Director for Mental Health Legislation, Leeds and York Partnership NHS Foundation Trust.
Alison Stansfield - Consultant Psychiatrist, Parkside Lodge, Leeds and Associate Medical Director for Learning Disabilities and Clinical Lead for Leeds Autism Diagnostic Service Leeds and York Partnership NHS Foundation Trust.
Tony Zigmond - Consultant Psychiatrist and retired Senior Clinical Lecturer, University of Leeds.
Common abbreviations and terms
The legal framework: the Mental Capacity Act, the Human Rights Act and common law
The Mental Capacity Act and the authority to treat
Assessment of capacity
Alternative authority - planning for the future
The Independent Mental Capacity Advocate
Deprivation of Liberty Safeguards
The Court of Protection and Court Appointed Deputies
The Mental Health Act