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Journal article
Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup
The Western Journal of Emergency Medicine, v 13(1), pp 17-25
01 Feb 2012
PMID: 22461917
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Agitation is an acute behavioral emergency requiring immediate intervention. Traditional methods of treating agitated patients, ie, routine restraints and involuntary medication, have been replaced with a much greater emphasis on a noncoercive approach. Experienced practitioners have found that if such interventions are undertaken with genuine commitment, successful outcomes can occur far more often than previously thought possible. In the new paradigm, a 3-step approach is used. First, the patient is verbally engaged; then a collaborative relationship is established; and, finally, the patient is verbally deescalated out of the agitated state. Verbal de-escalation is usually the key to engaging the patient and helping him become an active partner in his evaluation and treatment; although, we also recognize that in some cases nonverbal approaches, such as voluntary medication and environment planning, are also important. When working with an agitated patient, there are 4 main objectives: (1) ensure the safety of the patient, staff, and others in the area; (2) help the patient manage his emotions and distress and maintain or regain control of his behavior; (3) avoid the use of restraint when at all possible; and (4) avoid coercive interventions that escalate agitation. The authors detail the proper foundations for appropriate training for de-escalation and provide intervention guidelines, using the "10 domains of deescalation.''
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Details
- Title
- Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup
- Creators
- Janet S. Richmond - Tufts UniversityJon S. Berlin - College Station Medical CenterAvrim B. Fishkind - JSA Hlth Telepsychiat LLC, Houston, TX USAGarland H. Holloman - University of MississippiScott L. ZellerMichael P. Wilson - College Station Medical CenterMuhamad Aly Rifai - Drexel UniversityAnthony T. Ng - Acad Hosp, Bangor, ME USA
- Publication Details
- The Western Journal of Emergency Medicine, v 13(1), pp 17-25
- Publisher
- Westjem
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000422593600004
- Scopus ID
- 2-s2.0-84863393161
- Other Identifier
- 991021864209004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Emergency Medicine