5. How to De-Escalate a Risk Situation to Avoid the Use of Coercion

  1. Thomas W. Kallert2,3,4,
  2. Juan E. Mezzich5 and
  3. John Monahan6
  1. Dirk Richter

Published Online: 30 MAR 2011

DOI: 10.1002/9780470978573.ch5

Coercive Treatment in Psychiatry: Clinical, Legal and Ethical Aspects

Coercive Treatment in Psychiatry: Clinical, Legal and Ethical Aspects

How to Cite

Richter, D. (2011) How to De-Escalate a Risk Situation to Avoid the Use of Coercion, in Coercive Treatment in Psychiatry: Clinical, Legal and Ethical Aspects (eds T. W. Kallert, J. E. Mezzich and J. Monahan), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470978573.ch5

Editor Information

  1. 2

    Park Hospital Leipzig, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Morawitzstrasse 2, Leipzig, 04289, Germany

  2. 3

    Soteria Hospital Leipzig, Morawitzstrasse 4, Leipzig, 04289, Germany

  3. 4

    Dresden University of Technology, Faculty of Medicine, Fetscherstrasse 74, Dresden, 01307, Germany

  4. 5

    New York University, Mount Sinai School of Medicine, 5th Avenue and 100th Street, Box 1093, New York, NY, 10029-6574, USA

  5. 6

    University of Virginia, 580 Massie Road, Charlottesville, VA, 22903, USA

Author Information

  1. Bern University of Applied Sciences, School of Health Sciences, Murtenstrasse 10, Berne, CH-3008, Switzerland

Publication History

  1. Published Online: 30 MAR 2011
  2. Published Print: 15 APR 2011

ISBN Information

Print ISBN: 9780470660720

Online ISBN: 9780470978573

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Keywords:

  • Empirical research on the prevention of violence and coercion in mental health care – organizational approaches;
  • Empirical research on preventing violence and coercion – situational and behavioural approaches;
  • De-escalation basics for mental health care – being prepared on an organizational level;
  • De-escalation basics for mental health care – being prepared on a personal level;
  • Strategic options for de-escalation in mental health settings;
  • Generation and exploration of options and alternatives

Summary

This chapter contains sections titled:

  • Introduction

  • Empirical research on the prevention of violence and coercion in mental health care – organizational approaches

  • Empirical research on preventing violence and coercion – situational and behavioural approaches

  • Aggressive situations in mental health care – situational dynamics and escalation

  • De-escalation basics for mental health care – being prepared on an organizational level

  • De-escalation basics for mental health care – being prepared on a personal level

  • Nonverbal communication skills

  • Strategic options for de-escalation in mental health settings

  • Safety and security assessment

  • Building a working relationship

  • Identification of and dealing with substantive demands

  • Dealing with feelings and emotions

  • Generation and exploration of options and alternatives

  • Conclusions and disclaimers

  • Acknowledgement

  • References