WEEK 8 - Violence Prevention SPECO

5 things for Recognize Risks and Behaviours

1. identify risk factors

2. identify stressors

3. identify signs of an emotional crisis and a behavioral emergency

4. identify the relationship between threat and brain function

5. identify self settling strategies

risk factors

characteristics of a person that increase the potential that a violent incident may occur; cannot change or control a person’s risk factors

• h/o violence, abuse, trauma

• medical conditions

• acute withdrawal

stressors

events or conditions that can add stress and impact the risk of violence; can lessen impact of stressors

• pain

• lack of sleep

• unmet needs

emotional crisis

occurs when a person is no longer able to cope

• no one is being physically hurt

• there is time to settle or de-escalate them

behavioural emergency

person behaving in a way that could cause immediate danger of harm or death to self or others

fight, flight, or freeze response

an instinctive response to threatening or crisis situatons

3 things to do for Assess and Plan

1. complete PCRA

2. decide if it’s safe to proceed the plan

3. create behavioural care plans

PCRA - point of care risk assessment

1. person - change in behaviour

2. environment - can i easily get help, safe exit, potential weapons

3. task - does it have to be done right now

4. yourself - am i settled enough, wearing anything that could be grabbed

purpose of BCP - behavioural care plan

a tool used to inform all staff about a person’s violence risk, and to outline safety precautions

four steps of BCP

1. assess - identify target behavior and underlying cause

2. plan - comprehensive, specific, consistent

3. implement - clear communication, accessible, consistent

4. evaluate

3 things to do for Respond to the Risk

1. perform de-escalation strategies

2. determine when and how to call for help

3. apply personal safety techniques

when not to perform de-escalation strategies

• there is immediate danger

• you are escalated

• person is unable to follow simple directions

performing de-escalation strategies

• effective communication

  • non-verbal (most essential)

  • vocal (speed, pitch, tone, volume)

  • verbal

• providing time and space

• redirection

• distraction

• providing options

• providing co-workers support

tension reduction

visible reduction in energy after a person has had a emotional crisis or behavioral emergency

when to call for help

• de-escalation strategies were ineffective

• feeling unsafe

• behavioral emergency

• you don’t feel settled

responds to damaging property

never endanger yourself or others to save property

• clear others from area

• give person time and space

• isolate person if possible

• call for help (code white, 911)

responds to assault with a weapon

do not try to disarm a person

when to call code white

• equipment is being damaged

• danger of physical arm to you or others

• beyond your or co-workers ability

• feel unsafe

when to call 911

• lives are in danger

• beyong the ability of code white

• there is a weapon

• incident takes place outside your facility

info to provide when calling for help

1. state assault in progress

2. state if weapon is involved

3. provide location

4 things to do for Report and Communicate Post-Incident

1. use post-incident support resources

2. report violent incidents including near-misses

3. update and communicate risk of violence to others

4. re-establish relationship with persons in your care

documentation of violent incident

• objective

• accurate

• detailed