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Implementation of anger management interventions in a psychiatric intensive care unit

Published online by Cambridge University Press:  06 October 2010

Heather Wilson ,
Libby Barton  and
Tess Maguire
Heather Wilson*
Affiliation:
Mayflower Ward, Department of Psychiatry, RSH, Southampton, UK
Libby Barton
Affiliation:
Mayflower Ward, Department of Psychiatry, RSH, Southampton, UK
Tess Maguire
Affiliation:
Mayflower Ward, Department of Psychiatry, RSH, Southampton, UK
*
Correspondence to: Heather Wilson, Occupational Therapy Department, Antelope House, Southampton, Hampshire, SO14 0YG, UK. Tel: 02380 835549; E-mail: [email protected]
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Abstract

Evidence suggests violence and aggression are key reasons for admission to Psychiatric Intensive Care Units (PICUs). Research and national guidelines highlight the potential benefits of anger management interventions in this setting, however such interventions are often only offered in a minimal number of units. This paper describes the implementation of a two session cognitive behaviour therapy informed anger management intervention within a PICU setting. Twelve service users completed the sessions. There was a statistically significant reduction in the frequency of violent and aggressive incidents instigated by these patients in the two week period post intervention compared to the two weeks prior. It is possible that participation in anger management sessions contributed to the reduction in violence and aggression; however, large scale, longer term research is necessary controlling for other contributing variables, in order to establish the true effectiveness of this approach.

Keywords

PICUanger management
Type
Original Article
Information
Journal of Psychiatric Intensive Care , Volume 7 , Issue 1 , June 2011 , pp. 35 - 39
Copyright
Copyright © NAPICU 2011

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References

Barlow, K., Greeyer, B. and Ilkiw-Lauvalle, O. (2000) Prevalence and precipitants of aggression in psychiatric inpatient units. Australian and New Zealand Journal of Psychiatry. 34(6): 967–974.CrossRefGoogle ScholarPubMed
Beck, S. and Fernandez, E. (1998) Cognitive-behavioural therapy in the treatment of anger: a meta-analysis. Cognitive Therapy and Research. 22: 63–74.CrossRefGoogle Scholar
Beck, J.S. (1995) Cognitive Therapy: Basics and beyond. Guildford Press.Google Scholar
Bradbury, K.E. and Clarke, I. (2006) Cognitive behavioural therapy for anger monument effectiveness in adult mental health services. Behavioural and Cognitive Psychotherapy. 35: 1–8.Google Scholar
Dawson, P., Kingsley, M. and Pereira, S. (2005) Violent patients within psychiatric intensive care units: treatment approaches resistance and the impact upon staff. Journal of Psychiatric Intensive Care. 1(1): 45–53.CrossRefGoogle Scholar
Deffenbacher, J.L. (1999) Cognitive-behavioral conceptualization and treatment of anger. Journal of Clinical Psychology. 55(3): 295–309.3.0.CO;2-A>CrossRefGoogle ScholarPubMed
Department of Health (2002) Mental Health Policy Implementation Guide National Minimum Standards for General Adult Services in Psychiatric Intensive Care Units (PICU) and Low Secure Environments. London: Department of Health.Google Scholar
Novaco, R.W. (1975) Anger control: The development and evaluation of an experimental treatment. Oxford: Lexington.Google Scholar
Novaco, R.W. (1994) Anger as a risk factor for violence among the mentally disordered. In: Monahan, J., Steadman, H. (eds). Violence and Mental Disorder. University of Chicago Press. pp 21–60.Google Scholar
O'Loughlin, S., Evans, J. and Sherwood, J. (2004) Providing an anger management service through psychoeducational classes – and avoiding therapy. Clinical Psychology. 33: 17–20.Google Scholar
Pereira, S.M., Sarson, M., Bhui, K. and Paton, C. (2005) The London Survey of Psychiatric Intensive Care Units: psychiatric intensive care; patient characteristics and pathways for admission and discharge. Journal of Psychiatric Intensive Care. 1(1): 17–24.CrossRefGoogle Scholar
Renwick, S.J., Black, L., Ramm, M. and Novaco, R.W. (1997) Anger treatment with forensic hospital patients. Legal and Criminological Psychology. 2(1): 103–116.CrossRefGoogle Scholar
Taylor, E. (1988) Anger intervention. American Journal of Occupational Therapy. 42(3): 147–155.CrossRefGoogle ScholarPubMed
Watt, B.D. and Howells, K. (1999) Skills training for aggression control: evaluation of anger management programme for violent offenders. Legal and Criminological Psychology. 4: 285–300.CrossRefGoogle Scholar