DUNDRUM Restriction-Intrusion of Liberty Ladders (DRILL) Audit Toolkit

Hdl Handle:
http://hdl.handle.net/10147/302526
Title:
DUNDRUM Restriction-Intrusion of Liberty Ladders (DRILL) Audit Toolkit
Authors:
Kennedy, Harry G; Timmons, David; Gill, Pauline; McKenna, Paul; Braham, Paul; Mullaney, Ronan
Publisher:
Academic Department of Psychiatry, University of Dublin, Trinity College
Issue Date:
Sep-2011
URI:
http://hdl.handle.net/10147/302526
Abstract:
This series of rating 'ladders' is intended to allow a quantitative and qualitative analysis of the use of restrictive and intrusive interventions as part of the therapeutic management of violence and aggression in psychiatric hospital settings. This is an evolving handbook. The ladders are currently organised to facilitate a behavioural analysis. Context, antecedents, behaviour, interventions, consequences are conceptualised as a series of events organised in temporal sequence so that causes, interactions and effects can be considered. The complexity of analysis possible is limited by the statistical power of the numbers of cases and events available. The use of the DUNDRUM-1 triage security scale may enable some benchmarking of patient groups according to their average need for therapeutic security for comparative purposes, when combined with measures of risk such as the DASA and HCR-20, while the quantitative relational security in a given unit provides an essential further aspect of context.
Item Type:
Article; Other
Language:
en
Keywords:
PSYCHIATRIC HOSPITALS; VIOLENCE; BEHAVIOUR; HEALTHCARE AND HEALTH SERVICES
Local subject classification:
THERAPY

Full metadata record

DC FieldValue Language
dc.contributor.authorKennedy, Harry Gen_GB
dc.contributor.authorTimmons, Daviden_GB
dc.contributor.authorGill, Paulineen_GB
dc.contributor.authorMcKenna, Paulen_GB
dc.contributor.authorBraham, Paulen_GB
dc.contributor.authorMullaney, Ronanen_GB
dc.date.accessioned2013-10-01T08:48:18Z-
dc.date.available2013-10-01T08:48:18Z-
dc.date.issued2011-09-
dc.identifier.urihttp://hdl.handle.net/10147/302526-
dc.description.abstractThis series of rating 'ladders' is intended to allow a quantitative and qualitative analysis of the use of restrictive and intrusive interventions as part of the therapeutic management of violence and aggression in psychiatric hospital settings. This is an evolving handbook. The ladders are currently organised to facilitate a behavioural analysis. Context, antecedents, behaviour, interventions, consequences are conceptualised as a series of events organised in temporal sequence so that causes, interactions and effects can be considered. The complexity of analysis possible is limited by the statistical power of the numbers of cases and events available. The use of the DUNDRUM-1 triage security scale may enable some benchmarking of patient groups according to their average need for therapeutic security for comparative purposes, when combined with measures of risk such as the DASA and HCR-20, while the quantitative relational security in a given unit provides an essential further aspect of context.en_GB
dc.language.isoenen
dc.publisherAcademic Department of Psychiatry, University of Dublin, Trinity Collegeen_GB
dc.subjectPSYCHIATRIC HOSPITALSen_GB
dc.subjectVIOLENCEen_GB
dc.subjectBEHAVIOURen_GB
dc.subjectHEALTHCARE AND HEALTH SERVICESen_GB
dc.subject.otherTHERAPYen_GB
dc.titleDUNDRUM Restriction-Intrusion of Liberty Ladders (DRILL) Audit Toolkiten_GB
dc.typeArticleen
dc.typeOtheren
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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