Hi Tara, Ienjoyed reading your DNP project. It isa very interesting topic to me since I have been working in behavioral healthservices (BHS) for the past 21 years and I had experienced workplace violence (WPV)first hand both in inpatient settings and in psychiatric emergency rooms. Healthcareworkers are expected to be 4 times more likely open to workplaceviolence 4 times more than non-healthcare settings (OSHA, 2015). Organizations’commitment and staffs’ participation are crucial elements of an effective WPVprevention program (OSHA, 2015). Regulatoryagencies expect employers to assess their employees’ work environment for therisk factors they are actually or potentially exposed to. Althoughagitated and violent clients can be found throughout healthcare settings, BHS isexpected to deal with those types of clients on a daily basis.
As an Officeof Mental Health (OMH) operated facility, our hospital usesthe annual training program Preventing and Managing Crisis Situations (PMCS) toprovide specific skills for preventing, de-escalating and managing aggressivebehavior in BHS. It is mandatory for alldirect care staff of BHS to attend this initial two-day program, and an annualone-day program training successively. Our hospital is in the process ofexpanding PMCS program to the medical emergency room staff including thehospital police. PMCS, which providesessentials of trauma-informed and recovery-oriented care, has proven to be asuccessful tool in enhancing the safety of both staff and recipients in an emergencysituation, with the main focus on prevention through the development of staffcompetencies in day-to-day effective interactions (OMH, 2001).