Open Access Violence Prevention in the Mental Health Setting: The New York State Experience Prévention de la violence en soins de santé mentale: le cas de l'État de New York

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Abstract:

In 1996 the New York State Office of Mental Health issued a policy requiring all State-operated psychiatric facilities to develop and implement a proactive violence-prevention program based on guidelines issued by the US Occupational Safety and Health Administration. This presented an opportunity to evaluate the impact of the guidelines on worker health and safety. The authors report the findings of a mixed-method study to evaluate the feasibility and impact of a participatory intervention to prevent workplace violence. They describe the implementation of the intervention in 3 in-patient facilities, including an extensive worksite analysis, staff focus groups, and a baseline and post-intervention survey of changes in staff perception of the quality of the program's elements and physical assault following implementation of the program. The authors provide evidence for the feasibility and positive impact of a comprehensive violence-prevention program in the in-patient mental health workplace. Staff perception of the quality of management commitment and employee involvement in violence-prevention was significantly improved in all worksites post-implementation.

French
En 1996, le New York State Office of Mental Health adoptait une politique obligeant tous les établissements psychiatriques administrés par l'État à se doter d'un programme proactif de prévention de la violence fondé sur les lignes directrices imposées par la U.S. Occupation Safety and Health Administration. Cette décision a fourni une occasion d'évaluer l'effet de ce type de lignes directrices sur la santé et la sécurité au travail. Les auteurs rapportent ici les résultats d'une étude à plusieurs volets dont le but était d'évaluer la faisabilité et les répercussions d'une intervention participative destinée à prévenir la violence au travail. Ils décrivent la mise en œuvre d'un programme de prévention dans trois établissements hospitaliers, en se fondant sur : une analyse approfondie du milieu de travail; des groupes de discussion réunissant des employés; des sondages menés avant et après l'instauration du programme dans le but d'évaluer les changements de perception à l'égard des agressions physiques et de la qualité des différents volets du projet. Les résultats attestent de la faisabilité de ce type de programme et de ses répercussions favorables au sein des établissements de santé mentale. On a constaté chez les employés de tous les milieux de travail concernés une amélioration notable des perceptions concernant l'engagement de la direction et la participation du personnel en matière de prévention de la violence.

Keywords: OCCUPATIONAL HEALTH; PSYCHIATRIC HOSPITALS; STAFF ASSAULTS; VIOLENCE PREVENTION; WORKPLACE VIOLENCE; WORKSITE ANALYSIS

Document Type: Research Article

Publication date: December 1, 2006

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  • CJNR is a peer-reviewed, quarterly journal published by the McGill University School of Nursing since 1969. With world-wide circulation, CJNR's primary mandate is to publish original nursing research that develops basic knowledge for the discipline and examines the application of the knowledge in practice. Research related to education and history is also welcomed, as are methodological, theoretical, and review papers that advance nursing science. Letters or commentaries about published articles are encouraged. Learn more.
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