# Committee Name: Violence Prevention Technical Advisory Committee \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Chair: \_Linda Belton / Michael Hodgson\_

**Annual Briefing: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

## Semi-annual update: \_XX

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| 1.  Committee    | Unchanged from last time                          |
|     Membership   |                                                   |
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| 2.  Purpose      | Review existing violence programs and plans,      |
|                  | identify weaknesses, develop short- and long-term |
|                  | strategies for improvement                        |
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| 3.  Goals and    | 2003 Goals (as presented at the last annual       |
|                  | meeting) and status                               |
| accomplish-ments |                                                   |
|                  | •**FY 2003 Performance monitor Completion**       |
|                  |                                                   |
|                  | --Training network: all facilities trained 2      |
|                  | trainers for hands-on training                    |
|                  |                                                   |
|                  | --Training plan: 15 of 142 facilities developed   |
|                  | plans that failed to meet all of the              |
|                  | pre-determined criteria for acceptability. This   |
|                  | plan was to address high risk occupations         |
|                  | (nursing) and high risk areas (geriatrics, mental |
|                  | health, emergency departments). Those facilities  |
|                  | have been asked to revise their plans             |
|                  |                                                   |
|                  | •**FY2004** **Performance monitor: Flagging and   |
|                  | Training**                                        |
|                  |                                                   |
|                  | \--The FY2004 Performance Monitor consists of two |
|                  | parts: implementation of patient record flags,    |
|                  | with the formation of a Disruptive Behavior       |
|                  | Committee under senior clinical leadership with   |
|                  | appropriate training and progress on the training |
|                  | plan                                              |
|                  |                                                   |
|                  | \--10N supported the implementation of the        |
|                  | Patient Record Flags, with M Hodgson identified   |
|                  | as a stakeholder. Software has been released.     |
|                  |                                                   |
|                  | \-- An introductory clinical tape was developed   |
|                  | (in addition to the originally planned IO         |
|                  | training tape) for roll-out. An initial version   |
|                  | of the clinical tape was withdrawn because of a   |
|                  | recognized                                        |
|                  |                                                   |
|                  | \--A curriculum for formal threat assessment is   |
|                  | under development. A set of training calls for    |
|                  | the PRF Committees have been scheduled starting   |
|                  | January 2004. Four satellite broadcasts are       |
|                  | planned for mid to late 2004.                     |
|                  |                                                   |
|                  | \-- Supporting educational materials were sent    |
|                  | out to all committees                             |
|                  |                                                   |
|                  | •**Process evaluation (NIOSH)**                   |
|                  |                                                   |
|                  | \- Field work completed but progress on receiving |
|                  | a report                                          |
|                  |                                                   |
|                  | •**Development of Post incident f/u**             |
|                  |                                                   |
|                  | \-- The National Center for PTSD (Dr Ruzek)       |
|                  | received funding to develop this manual and is    |
|                  | reportedly making progress.                       |
|                  |                                                   |
|                  | ##                                                |
|                  | •Violence prevention through environmental design |
|                  |                                                   |
|                  | Slide show and text completed and presented to    |
|                  | Engineering Advisory Board for consideration. The |
|                  | goal is to make this mandatory for all engineers  |
|                  | and before any renovation                         |
|                  |                                                   |
|                  | **Identification of causes**                      |
|                  |                                                   |
|                  | \-- The project "Violence Assessment and          |
|                  | Management Program" (VAMP), by Drs Zeiss (Palo    |
|                  | Alto) and Lanza (Bedford) is underway in Bedford, |
|                  | Marion (VISN 11), and San Antonio, as planned.    |
|                  |                                                   |
|                  | Additional projects                               |
|                  |                                                   |
|                  | •Data summary                                     |
|                  |                                                   |
|                  | \-- A manuscript on assaults in VHA was written,  |
|                  | cleared with OQP and 10, and is under final       |
|                  | review (after revisions) at a peer-reviewed       |
|                  | journal.                                          |
|                  |                                                   |
|                  | •Dom Task Force:                                  |
|                  |                                                   |
|                  | \-- The project "Violence Assessment and          |
|                  | Management Program" (VAMP), by Drs Zeiss (Palo    |
|                  | Alto) and Lanza (Bedford                          |
|                  |                                                   |
|                  | \-- The Dom Task Force requested help from the    |
|                  | Violence Prevention Task force to develop and     |
|                  | implement a violence prevention strategy in the   |
|                  | Domiciliaries as part of the Dom task force work. |
|                  | A formative and summative tool was developed and  |
|                  | implemented, after piloting, through a series of  |
|                  | meetings, site visits, and a satellite broadcast. |
|                  | The National Dom Program will develop a formal    |
|                  | report which will be shared with the HR Committee |
|                  |                                                   |
|                  | • New EES Training Modules                        |
|                  |                                                   |
|                  | \-- EES is working with Jim Scaringi, Dan         |
|                  | Kowalski, and an NSF-funded group to develop      |
|                  | scenario-based anti-aggression training modules.  |
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| 4.  Status       | See 3.                                            |
| /Accomplishments |                                                   |
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| 5.  Areas        | None at present                                   |
|     requiring HR |                                                   |
|     Committee    |                                                   |
|     Support      |                                                   |
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| 6.  Next Steps   | Discussions for next years performance monitor    |
|                  | are under way                                     |
|                  |                                                   |
|                  | Planning on how to use committee minutes from the |
|                  | DBC are under way                                 |
|                  |                                                   |
|                  | Discussions with two private sector organizations |
|                  | on developing innovative training materials for   |
|                  | threat assessment are under way.                  |
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