Strategies to De-escalate Aggressive Behavior in Acute Care Settings
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.
This course content is based on a publication that has been peer-reviewed, the scientific standard for evaluating academic work. All studies and scientifically derived evidence have limitations that should be considered. If you have any questions about the accuracy or limitations of the content, please contact us at
support@ce-classes.com and we will get back to you.
This Ce-Classes.com course is approved for CE credit by:
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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 to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Ce-Classes.com maintains responsibility for this course. ACE provider approval Period: 1/5/2029
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.
- California Board of Behavioral Sciences. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by nationally recognized certifying bodies, such as APA, to satisfy renewal requirements.
- California Board of Registered Nursing. CEP 15647 Expires 11/30/2026.
- California Association of DUI Treatment Programs (CADTP) Provider Number 231
- California Consortium of Addiction Programs and Professionals (CCAPP) Provider Number OS-12-174-0627 Expires 6-2027
- Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP-Expires 3/31/2027
- Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2028 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.
- Illinois – CE-Classes.com is a registered social work CE sponsor by the State of Illinois. License 159.001607 Expires 11/30/2027
- Massachusetts Authorization Number: 1778%2Fstrategies-to-de-escalate-aggressive-behavior-in-acute-care-settings
- New York Mental Health Practitioners Board CE-Classes.com, Inc. is recognized by the New York State Education Departments State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0260.
- New York Psychology Board CE-Classes.com, Inc. is recognized by the New York State Education Departments State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0211
- 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.
- Ohio Counselor, Social Worker and Marriage and Family Therapist Board – Approval from a state licensing board for counselors, social workers, marriage and family therapists is accepted by the OH CSWMFTB.
- Oklahoma Board of Behavioral Health Licensure (LPCs, LMFTs and LBCs)
- South Carolina – CE-Classes.com is approved by the S.C. Board of Examiners for Licensure of Professional Counselors, Marriage & Family Therapist, Addiction Counselors, and Psycho-Educational Specialists (#4696).
- Texas Board of Marriage & Family Therapists CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
- Texas Board of Professional Counselors – CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
- Texas Board of Social Work Examiners – CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
