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Violence and aggression

News and presentations from today’s conference focusing on short-term management of violent and physically threatening behaviour among adults, children and young people with a mental health problem.

Working with people to move the focus to prevention: Developing positive behavioural support and supporting people with challenging behavior
Dr Peter Baker
, Senior Lecturer in Intellectual Disability, University of Kent, and Editor, The International Journal of Positive Behavioural Support

In his presentation Peter concluded; 

We are hard wired to conceptualise behavior management in terms of reactive responses.

Thus moving to a genuinely preventative agenda represents a major paradigm shift

PBS has enjoyed a good deal of success in intellectual disability services and mainstream education

Does it fit other specialities? 

If not, another ‘big idea’ model needed to shift paradigm

Pre-conference Abstract
This presentation looks at the theoretical model regarding the causation of challenging behaviour that underpins the positive behavioural support model and highlights the implications of this for devising a comprehensive approach to prevention and intervention. It is argued that both historically and currently, services have relied upon reactive strategies to manage and intervene with challenging behaviour. This focus has proven to be ineffective and has often resulted in abuse and neglect of people who are recipients of services. Positive Behavioural Support has prevention as a key element. The approach is now widely accepted within learning disability services, with a growing evidence base. Questions are asked in regard to the applicability of PBS for specialties outside of learning disabilities if the substantial paradigm shift from reaction to prevention is to be realised.  

Full PowerPoint Presentation

De-escalation techniques, planning and advance statements
Gifty Markey
, Nurse Consultant Acute Services Inpatient Mental Health, Dorset Healthcare University NHS Foundation Trust
Laura Smith, Patient Safety Advisor Nursing & Quality Directorate, Dorset Healthcare University NHS Foundation Trust

Pre-Conference Abstract
Dorset HealthCare University NHS Foundation Trust provides mental health and community services  at over 350 sites to a population of over  700, 000. As a Trust we have been working to reduce the use of restrictive interventions in our mental health inpatient units for some time through a variety of interventions such as the Tidal Model, Star Wards, and learning from incidents.  
The 2014 publication of Positive and Proactive Care: Reducing the Need for Restrictive Interventions provided the Trust an opportunity to reflect on how various work streams could be pulled together to provide an overarching strategy in this area. This presentation looks at how Dorset Health Care University NHS Foundation Trust has integrated de-escalation, engagement and learning from incidents into daily practice to reduce conflict in ward areas.

Full PowerPoint Presentation

Also of interest:

Improving Mental Health Crisis Care
Friday 24 November 2017 
De Vere West One Conference Centre, London

IAPT: Improving Psychological Therapies for Older People
Monday 27 November 2017 
De Vere West One Conference Centre, London

Dual Diagnosis: Implementing the NICE Guidance
Friday 1 December 2017 
De Vere West One Conference Centre, London

Improving Psychological Therapies For Mental Health Trauma National Summit 2017
Friday 8 December 2017 
De Vere West One Conference Centre, London

Masterclass: Deprivation of Liberty Safeguards
Monday 22 January 2018 
De Vere West One Conference Centre, London

Implementing the 2017 Quality standard on Transition between Mental Health Settings
Monday 5 February 2018 
De Vere West One Conference Centre, London

Depression in adults: treatment and management
Friday 9 February 2018 
De Vere West One Conference Centre, London

Transforming Mental Health Services for Children & Young Adults
Monday 26 February 2018 
De Vere West One Conference Centre, London

Psychological Therapies in the NHS
Wednesday 21 March 2018 — Thursday 22 March 
Millenium Conference Centre, London

Masterclass: The Use of Restrictive Interventions: The legal framework
Tuesday 17 July 2018 
De Vere West One Conference Centre





13 November 2017


    Partner Organisations

    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
    GGI (Good Governance Institute) accredited conferences CPD Member ASGBI (Association of Surgeons of Great Britain and Ireland) professional partner BADS (British Association of Day Surgery) accredited conferences