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The management of aggression care plans: implementation and efficacy in a forensic learning disability service

Cathy Thomas (St John's House Hospital, Norfolk)
Dave Kitchen (St John's House Hospital, Norfolk)
Adam Smith (St John's House Hospital, Norfolk)

The British Journal of Forensic Practice

ISSN: 1463-6646

Article publication date: 1 May 2005

238

Abstract

This article describes the design and implementation of the management of aggression care plans (MOACAP) in a secure service for people with learning disability and severe challenging behaviour. The MOACAP is a five‐part document, which has sections for descriptions of challenging behaviour, escalation patterns of the behaviour, non‐physical interventions, physical interventions and post‐incident briefing.Preliminary evaluations suggest that use of MOACAP leads to a reduction in aggressive incidents in the service. The approach should also be relevant to other forensic, mental health and challenging behaviour services and brain injury units. The MOACAP may also be relevant to services that will be affected by the National Institute for Clinical Excellence (NICE) and the National Institute for Mental Health in England (NIMHE) guidelines on the short‐term management of disturbed (violent) behaviour.

Citation

Thomas, C., Kitchen, D. and Smith, A. (2005), "The management of aggression care plans: implementation and efficacy in a forensic learning disability service", The British Journal of Forensic Practice, Vol. 7 No. 2, pp. 3-9. https://doi.org/10.1108/14636646200500008

Publisher

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Emerald Group Publishing Limited

Copyright © 2005, Emerald Group Publishing Limited

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