The National Audit of Violence: in-patient care for adults of working age release_fmkll263afbnfnkmi2t4kectki

Abstract

<jats:sec> <jats:title>Aims and Method</jats:title> We audited 184 psychiatric wards against clinical practice guidelines for the management of violence. Staff and service users completed anonymous questionnaires. Environmental inspections were performed by two teams. </jats:sec> <jats:sec> <jats:title>Results</jats:title> There were 4460 questionnaires returned. Nurses (78%) were significantly more likely to report the experience of violence than service users (37%). Drugs were reported by 72% of nurses and alcohol by 61% as causing problems. Other standards frequently not met included staffing levels, training, provision of activities, ward design and ambience. </jats:sec> <jats:sec> <jats:title>Clinical Implications</jats:title> Specific issues are identified that must be addressed by national and local action. A baseline is set against which the impact of this action can be judged. Priorities must include tackling drug and alcohol use in psychiatric wards. </jats:sec>
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