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NICE round up: Managing violence and aggression in community settings

NICE has updated it's previous guidance on managing short-term violence and aggression.

The guideline was updated following violence and aggression being recognised as a serious and common issue in health and social care settings. Statistics showed that from 2013-2014 a total of 68,683 assaults were reported against NHS staff in England with the highest percentage being 69% in mental health settings.

Reducing the risk of violence and aggression through anticipation and prevention methods was examined as well as restrictive interventions being highlighted, for example restraint and seclusion. 

The guideline recommended that staff who work in community and primary care should be trained to do the following techniques: avoid, anticipate, prevent and de-esculate violence and aggression. For example, recognising early signs of irritation and anger, understanding the causes of aggression/violence, using techniques to distract and calm the patient and recognising the need for personal space, which can help prevent the situation from escalating. 

Additionally, new recommendations were added focusing on children and young people under the age of 16, carers and family members, as these groups were restricted in the previous guidance. 

For the full guidance visit: