This article is a revision and update of Reid, D.J. & Reid, W.H. (2005). Terrorism-related risk management for health care facilities. Behavioral Sciences & the Law, 23, 591–601.
Special Issue Article
Managing Facility Risk: External Threats and Health Care Organizations†
Version of Record online: 14 APR 2014
Copyright © 2014 John Wiley & Sons, Ltd.
Behavioral Sciences & the Law
Special Issue: Terrorism in the 21st Century
Volume 32, Issue 3, pages 366–376, May/June 2014
How to Cite
Reid, D. J. and Reid, W. H. (2014), Managing Facility Risk: External Threats and Health Care Organizations. Behav. Sci. Law, 32: 366–376. doi: 10.1002/bsl.2107
- Issue online: 2 JUN 2014
- Version of Record online: 14 APR 2014
- Manuscript Accepted: 29 JAN 2014
- Manuscript Revised: 23 JAN 2014
- Manuscript Received: 9 NOV 2013
Clinicians and clinical administrators should have a basic understanding of physical and financial risk to mental health facilities related to external physical threat, including actions usually viewed as “terrorism” and much more common sources of violence. This article refers to threats from mentally ill persons and those acting out of bizarre or misguided “revenge,” extortionists and other outright criminals, and perpetrators usually identified as domestic or international terrorists. The principles apply both to relatively small and contained acts (such as a patient or ex-patient attacking a staff member) and to much larger events (such as bombings and armed attack), and are relevant to facilities both within and outside the U.S. Patient care and accessibility to mental health services rest not only on clinical skills, but also on a place to practice them and an organized system supported by staff, physical facilities, and funding. Clinicians who have some familiarity with the non-clinical requirements for care are in a position to support non-clinical staff in preventing care from being interrupted by external threats or events such as terrorist activity, and/or to serve at the interface of facility operations and direct clinical care. Readers should note that this article is an introduction to the topic and cannot address all local, state and national standards for hospital safety, or insurance providers’ individual facility requirements. Copyright © 2014 John Wiley & Sons, Ltd.