Level | Barriers | Enablers | Opportunities |
---|---|---|---|
Individual Professionals | Incident reporting process: • Lack of reporting • Experience with police | • Staff injuries | |
Individual Perpetrators | Type of perpetrator: • Complex patients, reoffenders and visitors | • Different approach: Prevent mental health patients in ED | |
Social Context | • High frequency violence | • Public education | |
Organisational Context | Initial response: • Accessing previous risk behaviour • Rewarding bad behaviour • Technical problems to report events Organisational action: • Lack of active follow-up | • Organisational culture and support • Tap Out program • Muster Slides • Management plan • Recording risk behaviour • Accountability letter | • Consequences for perpetrators • Apology letter • Security footage • Easier reporting process • Feedback to staff |
Economic and Political context | |||
Innovation (interventions) |