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1778

Strategies to De-escalate Aggressive Behavior in Acute Care Settings

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Credit Value: 1
Exam Questions: 10
Passing Grade: 8 correct
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This course addresses interventions to prevent or de-escalate aggressive behavior and to reduce use of seclusion and restraint for aggressive behaviors.  It focuses on studies in acute health care settings, particularly focusing on (1) the effectiveness of different available alternative strategies to prevent aggressive behavior and (2) the effectiveness of alternative strategies compared with each other or with seclusion and restraints to de-escalate aggressive behaviors or improve health outcomes for those who are acutely aggressive.  De-escalation is conceptualized in terms of both preventing aggressive behaviors and reducing use of seclusion and restraints.  Three key questions are addressed:

(1)  What are the comparative benefits of strategies to prevent aggressive behavior, de-escalate aggressive behavior, and reduce the use of seclusion and restraints?

(2)  What are the comparative harms of strategies to prevent aggressive behavior, de-escalate aggressive behavior, and reduce the use of seclusion and restraints?

(3)  What characteristics of patients, intervention components, or acute care settings modify the benefits or harms of interventions for psychiatric patients at risk of, or presenting with, active aggression?

This course is based upon material published by the Effective Health Care Program of the US Agency for Healthcare Research and Quality, as a Comparative Effectiveness Review and is available as an open access article.

This course on preventing and de-escalating aggressive behaviors in psychiatric patients is designed for social workers, professional counselors, psychologists, nurses, and substance abuse counselors, who do clinical work.  This course is appropriate for beginning, intermediate and advanced level practitioners who wish to develop their understanding of interventions to prevent and de-escalate aggressive behaviors with reduced reliance on restraints and seclusion.   The course material includes a literature review of available interventions, as well as their potential benefits and harms.  It may also be useful for licensed clinicians who require clinical continuing education courses for license renewal.  

The course is based on a journal article which includes research.  It contains statistical analysis and data that some clinicians enjoy reading and others do not.  A major benefit of reading research based articles for continuing education is they provide practitioners with the latest findings in their field. 

Authors:  Gaynes, BN, Brown C, et al 

Learning Objectives: This course will provide the practitioner with detailed information regarding the reduction and de-escalation of aggressive behaviors in psychiatric patients.  Specifically, a professional will:

  • Describe the comparative benefits of strategies to prevent aggressive behavior
  • Identify the comparative benefits of strategies to de-escalate aggressive behavior
  • Participants can identify the comparative harms of strategies to de-escalate aggressive behavior.

 

Citation:  Gaynes BN, Brown C, Lux LJ, Brownley K, Van Dorn R, Edlund M, Coker-Schwimmer E, Zarzar T, Sheitman B, Palmieri Weber R, Viswanathan M, Lohr KN. (2016). Strategies To De-escalate Aggressive Behavior in Psychiatric Patients. Comparative Effectiveness Review No. 180. (Prepared by the RTI-UNC Evidence-based Practice Center under Contract No. 290-2015-00011-I) AHRQ Publication No. 16-EHC032-EF. Rockville, MD: Executive Summary excerpted by:  Agency for Healthcare Research and Quality. July 2016. www.effectivehealthcare. ahrq.gov/reports/final.cfm.

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Credits: 1 Exam Fee: $11 Format: Online
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  • The American Psychological Association (APA) Ce-Classes.com is approved by the American Psychological Association to sponsor continuing education for psychologists. Ce-Classes.com maintains responsibility for this program and its content.
  • Association of Social Work Boards (ASWB) CE-Classes.com, provider #1142, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. CE-Classes.com maintains responsibility for the program. ASWB Approval Period: 1/5/2017-1/5/2020. Social workers should contact their regulatory board to determine course approval.
  • Social workers participating in this course will receive 1 Clinical continuing education clock hours.

  • The National Board for Certified Counselors (NBCC) Ce-Classes.com has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6320. Programs that do not qualify for NBCC credit are clearly identified. Ce-Classes.com is solely responsible for all aspects of the programs.
  • The National Association of Addiction Professionals (NAADAC) Provider #96981. Expires 9/1/2019


  • The Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP-Expires 3/31/2019
  • The California Board of Behavioral Sciences. Ce-Classes.com is approved to provide continuing education by the following professional organizations: ASWB and APA. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by these nationally recognized certifying bodies to satisfy renewal requirements.
  • California Consortium of Addiction Programs and Professionals (CCAPP) Provider Number OS-12-174-1116 Expires 11-2018
  • The Texas Board of Social Work Examiners, Continuing Education Provider – 5674 expires 4/30/2019.
  • The Texas Board of Professional Counselors, Continuing Education Provider – 1622 expires 2/28/2019
  • Massachusetts Authorization Number: 1778
  • Ohio Counselor, Social Worker and Marriage and Family Therapist Board – Provider # RCST031201 Expires 5/31/2019
  • New York Social Work Board – Ce-Classes.com is recognized by the New York State Education
    Department’s State Board for Social Work as an approved provider of
    continuing education for licensed social workers #SW-0120.


  • The Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2018 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.
  • The California Board of Registered Nursing. CEP 15647 Expires 11/30/2018.


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