Service users’ strategies for managing risk in the volatile environment of an acute psychiatric ward

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• 作者：Quirk ; Alan ; Lelliott ; Paul ; Seale ; Clive
• 关键词：Psychiatric hospital ; Risk management strategies ; Ethnography ; UK
• 刊名：Social Science and Medicine
• 出版年：2004
• 出版时间：December, 2004
• 年：2004
• 卷：59
• 期：12
• 页码：2573-2583
• 全文大小：253 K

文摘

Previous research shows that too often acute psychiatric inpatient care is neither safe nor therapeutic for patients. Earlier studies focused on promoting safety through good ward design, staff being able to anticipate and prevent violence, and use of medication. The current evidence base overwhelmingly reflects a staff perspective on risk management, and there is little evidence on how service users cope in this environment or about the strategies they employ to manage the risks they face or pose to others. This paper presents findings on this from two studies: (a) ethnographic research on three UK acute psychiatric wards, undertaken between 2000 and 2002, and (b) a content analysis of qualitative data from a 1999/2000 survey of psychiatric wards in England.