# Presentation: 007988

## VA Violence in the Workplace Task Force Meeting

- September 19 - 20, 2000
- Washington, DC

## Catalog of Courses

- Justification and Direction
- Policy, Procedure, Training, Reporting, and After Action
- Workshops
- Video
- Web-Based and Informational

## Catalog of Courses

- Justification and Direction:
- Department of Veterans Affairs
- Veterans Health Administration, February 3, 1997
- Under Secretary for Health’s Information Letter
- Violent Behavior Prevention Program IL 10-97-006
- Secretary’s Letter Regarding Violence Prevention.
- The Secretary of Veterans Affairs, March 20, 1997

## Catalog of Courses

- Justification and Direction:
- VA Handbook 7700.1 paragraph 8.b., specifies that facilities must have a **"Violent Behavior Prevention Program." **All employees that could be exposed to violent behavior, as part of their work assignments, shall successfully complete specialized annual violent behavior prevention training. Violent behavior prevention requires the efforts of a multidisciplinary group(s), such as Mental Health Service, Security and Law Enforcement, and Occupational Safety and Health. VA documents defining the violent behavior prevention program can be accessed through this page. AFGE contract also specifies agreement for a violence prevention program.

## Catalog of Courses

- Justification and Direction:
- The Joint Commission on Accreditation of Healthcare Organizations
- Occupational Safety and Health Administration

## Catalog of Courses

- Workplace Violence:
- Workshops
- Videos
- Web-Based and Informational

## Workshops

**Prevention and Management of Disruptive Behavior**
**Train the Trainer Program**
**Strategic Initiative Category**: D2 – Occupational Safety
**Type of Product**: Workshop
**Audience**: Physicians, Nursing, Pharmacists, Dentists, Social Workers, Psychiatry Staff, Emergency Department, Admissions, Home Health/Hospice, Chaplain, Patient Representative Advocate, Human Resources, other Clinical Health Care Providers and Police and Security.

## Workshops

**Purpose:**
- This program is designed to teach participants to serve as trainers for other Medical Center employees in the verbal and physical intervention skills needed in the prevention and management of disruptive behavior.

## Workshops

**Objectives:**
- recognize predisposing and precipitating warning signs of violence
- utilize appropriate verbal intervention techniques to de-escalate threatening behavior
- utilize appropriate personal safety skills for physical protection as well as identify environmental risk factors
- utilize appropriate physical contact skills when a therapeutic containment becomes necessary
- utilize a team approach when dealing with the prevention and management of disruptive behavior

## Workshops

**CE Credit:**
- ANCC 36.6 hrs. Nursing, 28 hrs. Social Work,
- AMCCE 28 hrs. Category 1 Physicians, APA 28 hrs.
- Psychologists, Department of Veteran Affairs Certificate to all
- participants
- Primary Contact:
- Richard Reed, MSW
- Director, NTC/PMDB
- Richard.Reed2@med.va.gov
- Pager: 1-888-517-0677

## Workshops

**VIOLENCE IS PREDICTABLE**
**Strategic Initiative Category**: D2 – Occupational Safety
**Type of  Product**: Lecture
**Audience**: All Employees

## Workshops

**Description**:
- Core Message; Design, Develop, Implement & Support a comprehensive Workplace Violence Prevention Program that stresses safety and emergency preparedness.  Cornerstone of the program, "Universal Zero Tolerance".

## Workshops

**Objectives**:
- The program stresses safety first and emergency preparedness, second.  The training provides each employee with tools that will help them recognize a problem before it is allowed to escalate.   Education and training on recognizing the 4 major categories of workplace violence, identifying warning signs, proper intervention (non-verbal, verbal de-escalation), personal safety and security (reporting problems & emergency procedures) are very important to a successful and comprehensive prevention program.   The program will not eliminate the threat, it will help the organization effectively manage the risk.

## Workshops

**Primary Contact:**
- Paul D. Kim, MD  (518) 462-3311, ext. 2364
- 	(800) 366-6949 pager _[Paul.Kim@med.va.gov](mailto:Paul.Kim@med.va.gov)_

## Workshops

**Violence Behavior Awareness/Prevention for Staff and Supervisors**
**Strategic Initiative Category:** D-2 Occupational Safety
**Audience:** Staff and Supervisors
**Description**: Workshop conducted via multi-disciplinary speakers; HR, Safety, Police, Administration, MH, Union, and EAP. Each discussing issues relative to their roles. Workshop designed to provide facility with tools for program design/implementation.
-  **CE Credit:** Certification of completion awarded by Little Rock Engineering Training Center
**Primary contact**: John Sabourin, (561) 882-6714

## Workshops

**Intervention into Violent Behavior**
**Strategic Initiative Category:** Employer of Choice
**Audience:** Nursing
- Description: Assessment and Prevention of Violent Behavior – half lecture – discussion and half-active participation. Discussion focuses on identification of individuals with high violence potential, clues, and common precipitance of violence and non-physical intervention skills. Role playing and practicing self-protective techniques, learn non-abuse method of protection from chokes, hair pulls, bites, punches, grabs and bear hugs.
**CE Credit:** PNA
**Primary contact:** Jessica Steckler (814) 868-6225

## Workshops

**Violent Behavior Prevention **
**Strategic Initiative Category:** Employer of Choice
**Audience:** All employees at a level determined by the Safety Committee
**Description:** VA policy, procedure and establishment of a violence prevention program at medical centers in accordance with OSHA publication 3148, Guidelines for Preventing Workplace Violence for Health Care and Social Service Workers. Training Methodology: Cascade program using slide/lecture and video presentations. Keyword: Safety
**CE Credit:** .2 CEU issued by EES Little Rock Center
**Primary Contact:** Safety Manager, Nirmal Shastri (501) 257-4199

## Workshops

**Workplace Violence: VA’s Response**
**Strategic Initiative Category:** Employer of Choice
**Audience:** This program will be of value and interest to all employees wanting to learn more about prevention of workplace violence
**Description**: this program package consists of a two-hour film, print material, test, registration form, and evaluation form. The time allowance for completion is stated above
**CE Credit:** ACCME-2 hours, ANCC-2.4 hours, and APA-2 hours.
**Primary Contact:** June Wright (314) 894-5703

## Workshops

**Assessing Potential for Violence in Juveniles & Adults**
**Strategic Initiative Category:** Patient Care Delivery Systems
**Audience:** Psychologists, physicians, nurses, social workers, crisis counselors, vet center staff, case workers, and other mental health professionals
**Description:** This final program in the Assessment Series will focus on improving clinician’s assessment of future risk of violence among persons with mental disorders. Particular attention will be paid to patients returning to the community following periods of inpatient psychiatric care. The program will discuss the limitations of previous efforts, the guidance contained in the literature, and strategies and tools that can be used. The MacArthur Violence Risk Study will be used as foundational knowledge towards improvement of risk assessment.

## Workshops

**Assessing Potential for Violence in Juveniles & Adults**
**CE Credit:** ANCC, APA, ACCME
**Primary Contact:** Beth Johnson (207) 632-5744

## Workshops

**Assessing the Potential for Sexual Violence**
**Strategic Initiative Category:** Patient Care Delivery Systems
**Audience:** Psychologists, nurses, physicians, social workers, vet center staff, crisis workers, caseworkers, and other mental health professionals
**Description:** This program will assess the current status of strategies and tools used to assess the potential for sexual violence. Expected outcome is improvement in the accuracy of clinician’s assessments.
**CE Credit:** ACCME, ANCC, APA
**Primary Contact:** Beth Johnson (207) 623-5744

## Videos

**Current Videos Available at Each VISN:**
- The Respectful Workplace: Redefining workplace violence
- VA police response to assaultive situations
- Violence in health care
- Workplace violence, first line of defense: An educational presentation
- Conflict: The rules of engagement
- How to handle the irate, angry, rude, unhappy, and sometimes abrasive caller

## Web-Based

**Web-Based Violence Prevention Program Information:**
**VA Office of Occupational Safety and Health:**
**http://vaww.va.gov/vasafety/OSH-Training/TrainingMaterials/Violent-Beh-Prevent/mainPage-Violence.htm**
**(Includes slides that are downloadable off the web, is at each VAMC)**
**http://vaww.va.gov/vasafety/OSH-Training/TrainingMaterials/NatCemeteryAdimAtlanta.htm**
**	****(Includes a 150 minute video)**

## Web-Based

**Web-Based Violence Prevention Program Information:**
**	****-****	****Prevention and Management of Distrubed Behavior, ****	****	****Violence, and Suicide - Section 2.11 or M-2, PT X, CHs 1-4 ****	****(6/29/93)**
**http://vaww.va.gov/publ/direc/health/manual/021002.html**
- 	**National Center for PTSD Crisis Counseling Training**

## Web-Based

**Web-Based Violence Prevention Program Information:**
**Joint Commission Computer-Based Competency Training Series to Address Security and Workplace Violence**
**http://wwwb.jcaho.org/news/nb196.html**
**OSHA Workplace Violence – Health Care and Social Service Workers **
**Slide Presentation**
**http://www.osha-slc.gov/SLTC/workplaceviolence/healthcare/index.html#download**

## Web-Based

**Web-Based Violence Prevention Program Information:**
**U.S. Office of Personal Management**
**	****Dealing with Workplace Violence: A Guide for Agency Planners**
**	****http://www.opm.gov/ehs/workplac/index.htm**
**National Institute for Occupational Safety and Health****	****Violence in the Workplace: Risk Factors and Prevention Strategies**
**	****http://ww.cdc.gov/niosh/violcont.html**

## Web-Based

**Web-Based Violence Prevention Program Information:**
**The USDA Handbook on Workplace Violence Prevention and Response**
**	****http://www.usda.gov/news/pubs/violence/wpv.htm**

## Web-Based

**Web-Based Violence Prevention Program Information:**
**Law Enforcement Training Center, Department of Veterans Affairs (LETC)**
_**Violence in the Work Place(2-4 hours):**_ The primary goal of this program is to provide an overview of major workplace violence issues. In the addition, the course provides participants with information on recognizing the "red flag" signs of high-risk individuals and presents managers and supervisors with an eight-step management plan for preventing workplace violence in their agencies.

## Web-Based

**Web-Based Violence Prevention Program Information:**
**Law Enforcement Training Center, Department of Veterans Affairs (LETC)**
- This training course is available to VA staff and staff of other Federal agencies. To get further information about this course, contact the staff at LETC.
- http://www.va.gov/osle/valetc.htm
- Primary Contact: Chris Price (501) 257-4160

## Assessment

- Workplace Violence Prevention Through Administrative, Environmental, and Clinical Design
- Purpose:
_**Reduction**_ of opportunities for violent workplace incidents to occur.  This reduction is achieved by utilizing  physical design features that discourage such acts, while at the same time encouraging legitimate use of the environment as a prevention awareness tool.
- This will complement Violence Prevention Awareness Polices and Procedures – Training etc.
- This assessment process includes administrative, clinical, and environmental  collaboration.
**Primary Contact: John Sabourin, West Palm VAMC, (561) 882-6714**

## Private – Sector Providers: Workplace Violence Seminars

- Crisis Prevention Institute (CPI)
- Crisis Prevention Management (CPM)
- Keller Technical Institute
- C.G. Wright and Associates
- Preston Global
- Cape Storm Enterprises
- Workplace Conflict Resource Center
- Critical Incident Associates
- Workplace Violence Research Institute
- Baron Center, Inc

- Leader and Associates
- Friedman and Ranzenhofer
- Waukesha County Technical College
- Jeopardy Management Group
- Bacal and Associates
- PruSpeak Consulting and Seminars
- Sherman Fridman
- Barry Johansen
- Lance Robnett
- Michael G. McCourt Associates
- Fredrickson Consulting
- Performance Management Associates