Barriers and facilitators to the effective de-escalation of conflict behaviours in forensic high-secure settings: a qualitative study.

ABSTRACT:

Background

Violent and aggressive incidents are common within mental health settings and are often managed using high-risk physical interventions such as restraint and seclusion. De-escalation is a first-line technique to manage conflict behaviours and prevent violence and aggression. There is limited research into the use of de-escalation in high-secure settings. This study investigated staff, patient and carer perspectives on the barriers and facilitators to using de-escalation for conflict behaviours.

Methods

Semi-structured individual interviews (n = 12) and focus groups (n = 3) were conducted with eight patients, four carers and 25 staff members in a high-secure hospital in England. Interviews and focus groups were informed by the theoretical domains framework and were

SUBMITTER: Goodman H 

PROVIDER: S-EPMC7397665 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature