Chapter 14 - Violent Behavior in Institutions

Question 1

What are the precipitating factors of violence in human services?

Answer 1

1) Substance Abuse
2) Deinstitutionalization
3) Mental Illness
4) Gangs
5) Required Reporting
6) Older Adults

Question 2

What are the causes and predictors of violence?

Answer 2

Age as a Predictor: Men aged 15-30 are the most violent subgroup, with behaviors such as early violent incidents and bullying victimization signaling potential violence.

Substance Misuse Correlation: Strong relationship between drug/alcohol misuse and violence, with misuse in young men significantly raising violence risk.

Predisposing History of Violence: Any background that includes a history of aggressive behavior, witnessing violence, and early childhood abuse is an indicator of potential for violence.

Psychological Disturbance and Social Stressors: A variety of mental disorders may be predisposing to violence. Job loss, relationship breakdowns, and a violent family history can also model future violent behaviors.

Question 3

True or False: The CDC and OSHA classify workplace violence as a national health issue.

Answer 3

True

Question 4

What ethical obligation and dilemma does the Tarasoff Case highlight?

Answer 4

The Tarasoff decision underscores the ethical obligation to breach confidentiality when foreseeing harm, presenting a dilemma between patient autonomy and public safety.

Question 5

What does effective violence prevention and intervention entail?

Answer 5

Effective violence prevention integrates management commitment to security planning, employee involvement, hazard analysis, and continuous program evaluation.

Question 6

What security measures are essential?

Answer 6

Access control and surveillance

Question 7

What are the security planning components?

Answer 7

1) Management Commitment
2) Employee Involvement
3) Worksite Analysis
4) Hazard Prevention
5) Safety Training

Question 8

What are TAMTs and what do they do?

Answer 8

Threat Assessment and Management Teams (TAMTs) assess dangerousness using a multidisciplinary approach including information gathering, interviewing, evaluation, decision-making, and follow-up on potential threats.

Question 9

What are some physical setting safety measures?

Answer 9

Other than controlled access and surveillance, there should be comfortable waiting areas and offices that are structured to prevent entrapment of staff.

Question 10

What is face validity and why is it important?

Answer 10

It refers to the importance of professional appearance in conveying competence and seriousness to clients.

It’s important because it can influence perception and interaction with clients.

Question 11

What is the intervention process?

Answer 11

1) Education
2) Avoidance of conflict
3) Appeasement
4) Deflection

Question 12

What are the advanced intervention strategies?

Answer 12

1) Time Out
2) Show of Force
3) Seclusion
4) Restraints
5) Sedation

Question 13

What type of staff faces a higher risk of assault?

Answer 13

New staff members, especially within their first ten years

Question 14

Staff rarely overestimate their actions or institutional policies that may provoke client violence.

Answer 14

False.

Staff OFTEN underestimate their actions or institutional policies that may provoke client violence.

Question 15

What are some institutional security risks?

Answer 15

• poor risk management
• communication problems - inadequate care planning
• lack of interagency cooperation
• procedural failures
• insufficient resources