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Zero tolerance; measured response: responding to violence in mental health or learning disability care settings
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2012
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
Although workplace violence is unacceptable, when it relates to mental ill-health within a care setting the issues are complex. Staff may be caught between providing appropriate and sensitive care for people whose mental disorder results in violence, and reporting significant incidents to the police in order to protect the person, other service users and themselves. This guidance looks at best practice in responding to incidents of violence in learning disability and mental health settings. It reflects the findings of a national consultation with a wide range of stakeholders using a number of anonymised case examples. The guidance questions the traditional idea of ‘zero tolerance’ and aims towards developing a more measured response. The 2 essential outcomes from all incidents of violence in mental health and learning disability care settings are: ensuring the safety of all persons; and ensuring that the needs of the person for care and treatment (and the needs of any others affected by the incident, including staff) continue to be met in a safe and appropriate care setting. A number of recommendations are provided on the development of policies in response to violent incidents. [An updated version titled 'Responding to violence in a mental health or learning disability care setting' was published in 2017].
Managing the impact of violence on mental health, including among witnesses and those affected by homicide: position statement
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
Physical violence, including sexual violence, is a major cause of mental health morbidity among individuals injured in violence, witnesses and those affected by homicide. The purpose of this Position Statement is to improve mental health outcomes for those affected by violence across genders, all age groups and all violence categories. Cost-effective interventions have been developed but pathways in which they can be delivered have been identified only recently. Guidance is therefore necessary which defines and promotes a care pathway across all relevant agencies. This Position Statement outlines a stratified, stepped care model for people injured in or affected by violence in other ways. It is intended for psychiatrists, mental health service commissioners and managers, Victim Support and other support providers and commissioners, government victim service commissioners and planners, general practitioners and emergency physicians.
Autism in adults: diagnosis and management
- Author:
- NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2012
- Place of publication:
- London
Clinical guideline which provides best practice advice on the care of adults with autism. The guidance covers the following key areas: general principles of care; identification and assessment; and interventions for autism, challenging behaviour, coexisting mental disorders. Assessment and interventions for families, partners and carers and organisation and delivery of care are also covered. Recommendations for future research include the need for more evidence on the clinical and cost effectiveness of: self-help for anxiety and depression, cognitive behavioural therapy for anxiety disorders and pharmacological treatments for depression in adults with autism. The full guideline, 'Autism: the NICE guideline on recognition, referral, diagnosis and management of adults on the autism spectrum' contains details of the methods and evidence used to develop the guideline.
Autism: recognition, referral, diagnosis and management of adults on the autism spectrum
- Author:
- NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE
- Publisher:
- National Institute for Clinical Excellence
- Publication year:
- 2012
- Pagination:
- 57p.
- Place of publication:
- Manchester
This NICE Guideline offers best practice advice on the care of adults with autism. It covers the care provided by primary, community, secondary, tertiary and other health and social care professionals who have direct contact with, and make decisions concerning the care of, adults with autism. The term autism is used generically to cover all autism spectrum conditions. With an emphasis on person-centred care, the guidance covers: identification and assessment; correct interventions and monitoring their use, interventions for challenging behaviour, managing coexisting mental disorders, assessment and interventions for families, partners and carers; and the organisation and delivery of care. Research recommendations are also discussed.