Abstract

This study aimed to explore staff and patients’ views on the violence prevention climate in civil and forensic mental health settings. We conducted a cross-sectional survey of 110 inpatients and 198 staff members from three civil mental health hospitals (including two forensic units) and one forensic mental health hospital in Canada. Staff and patients’ perceptions of the violence prevention climate on civil and forensic mental health units were measured using the modified violence prevention climate scale, French version (VPC-M-FR). Multiple analyses of variance (ANOVAs) were performed to assess differences in the VPC-M-FR total and subscale scores (staff action, patient action, therapeutic environment) between patients and staff, settings (civil vs. forensic), restrictive practices (presence vs. absence of seclusion or restraints), incidents of violence during hospitalization (presence vs. absence), and victimization (presence vs. absence). In both settings, patients’ views of the violence prevention climate were significantly more positive than those of the staff. Staff in forensic mental health settings had a more positive perception of the violence prevention climate than those in civil mental health units. The results contribute to a better understanding of the violence prevention climate among staff and patients and will guide future interventions within civil and forensic settings.

摘要

本研究旨在探讨工作人员和患者对民事和法医心理健康环境中暴力预防氛围的看法。我们对加拿大三所民用精神卫生医院（包括两所法医中心）和一间法医精神卫生医院的 110 名住院患者和 198 名工作人员进行了横断面调查。使用修订后的暴力预防氛围量表法文版 (VPC-M-FR) 测量了民事和法医精神卫生单位的工作人员和患者对暴力预防氛围的看法。进行多重方差分析 (ANOVA)，以评估患者和工作人员、环境（民事与法医）、限制性做法（存在）之间的 VPC-M-FR 总分和子量表评分（工作人员行为、患者行为、治疗环境）的差异与缺乏隔离或限制），住院期间的暴力事件（在场与不在场）和受害事件（在场与不在场）。在这两种情况下，患者对暴力预防氛围的看法明显比工作人员更积极。法医心理健康机构的工作人员对暴力预防氛围的看法比民间心理健康机构的工作人员更为积极。研究结果有助于更好地了解工作人员和患者的暴力预防氛围，并将指导未来民事和法医环境中的干预措施。法医心理健康机构的工作人员对暴力预防氛围的看法比民间心理健康机构的工作人员更为积极。研究结果有助于更好地了解工作人员和患者的暴力预防氛围，并将指导未来民事和法医环境中的干预措施。法医心理健康机构的工作人员对暴力预防氛围的看法比民间心理健康机构的工作人员更为积极。研究结果有助于更好地了解工作人员和患者的暴力预防氛围，并将指导未来民事和法医环境中的干预措施。