Disturbed behaviour can sometimes be reduced if patients are, for example, present at their nursing handovers or part of the clinical team meeting and are aware of the views of staff about them. Within the limitations of the smooth running of the service, mental state and legal status, the patient should be given as much autonomy as possible. Patients should be able to see any member of their clinical team upon request and within a reasonable time scale. The experience of being listened to and consulted regarding their own needs and goals can reduce disturbed behaviour. Patients should be given positive feedback about their achievements and coping strategies for dealing with aggression.
Poor information is one of the most frequent criticisms made by patients of mental health services.
Clear information should be given to patients frequently and on request about a number of issues including, for example, their legal status, diagnosis and treatment. Patients should be involved in generating their own care plans and should know what is written about them in case notes and in reports. The selection of staff who work with difficult and disturbed patients is important. There is anecdotal evidence that some individuals are more likely to be assaulted by patients than others. This may indicate a need for more supervision and training, but it is clear that some people are better suited to environments where they are less likely to come into contact with disturbed and violent patients.