ABSTRACT

The number of aggressive incidents requiring seclusion and restraints on a crisis stabilization unit in a Southwest state has been increasing over the past three years. The project proposed to reduce the risk for violence in adult patient ages 18 and older by assessing with the Bröset Violence Checklist (BVC) and implementing evidenced informed patient-centered, non-pharmacological escalation prevention intercedes. All crisis stabilization adult patients were assessed with the BVC upon admission over 12 weeks. Those scoring 2 or higher had evidenced informed patient-centered, non-pharmacological escalation prevention intervention plans put in place. Use of the BVC risk assessment tool and patient-centered, evidenced-based interventions for escalating behaviors showed a reduction in violence risk scores in a behavior health crisis setting.