Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 19306,
    "title": "Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup",
    "subtitle": null,
    "abstract": "Agitation is an acute behavioral emergency requiring immediate intervention. Traditional methods of treating agitated patients, ie, routine restraints and involuntary medication, have been replaced with a much greater emphasis on a noncoercive approach. Experienced practitioners have found that if such interventions are undertaken with genuine commitment, successful outcomes can occur far more often than previously thought possible. In the new paradigm, a 3-step approach is used. First, the patient is verbally engaged; then a collaborative relationship is established; and, finally, the patient is verbally deescalated out of the agitated state. Verbal de-escalation is usually the key to engaging the patient and helping him become an active partner in his evaluation and treatment; although, we also recognize that in some cases nonverbal approaches, such as voluntary medication and environment planning, are also important. When working with an agitated patient, there are 4 main objectives: (1) ensure the safety of the patient, staff, and others in the area; (2) help the patient manage his emotions and distress and maintain or regain control of his behavior; (3) avoid the use of restraint when at all possible; and (4) avoid coercive interventions that escalate agitation. The authors detail the proper foundations for appropriate training for de-escalation and provide intervention guidelines, using the ‘‘10 domains of deescalation.’’ [West J Emerg Med. 2012;13(1):17–25.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "agitation"
        },
        {
            "word": "Agitated"
        },
        {
            "word": "De-escalation"
        },
        {
            "word": "verbal de-escalation"
        },
        {
            "word": "de-escalating"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Mental and Social Health Services and Allied Professions"
        }
    ],
    "section": "Behavioral Emergencies: Best Practices in Evaluation and Treatment of Agitation",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/55g994m6",
    "frozenauthors": [
        {
            "first_name": "Janet",
            "middle_name": "S.",
            "last_name": "Richmond",
            "name_suffix": "",
            "institution": "Tufts University School of Medicine",
            "department": "None"
        },
        {
            "first_name": "Jon",
            "middle_name": "S.",
            "last_name": "Berlin",
            "name_suffix": "",
            "institution": "Medical College of Wisconsin, Milwaukee",
            "department": "None"
        },
        {
            "first_name": "Avrim",
            "middle_name": "B.",
            "last_name": "Fishkind",
            "name_suffix": "",
            "institution": "JSA Health Telepsychiatry, LLC",
            "department": "None"
        },
        {
            "first_name": "Garland",
            "middle_name": "H.",
            "last_name": "Holloman",
            "name_suffix": "",
            "institution": "University of Mississippi Medical Center, Jackson",
            "department": "None"
        },
        {
            "first_name": "Scott",
            "middle_name": "L.",
            "last_name": "Zeller",
            "name_suffix": "",
            "institution": "Alameda County Medical Center",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "P.",
            "last_name": "Wilson",
            "name_suffix": "",
            "institution": "University of California San Diego",
            "department": "None"
        },
        {
            "first_name": "Muhamad Aly",
            "middle_name": "",
            "last_name": "Rifai",
            "name_suffix": "",
            "institution": "Blue Mountain Health System",
            "department": "None"
        },
        {
            "first_name": "Anthony",
            "middle_name": "T.",
            "last_name": "Ng",
            "name_suffix": "",
            "institution": "Acadia Hospital",
            "department": "None"
        }
    ],
    "date_submitted": "2011-07-29T23:51:41Z",
    "date_accepted": "2011-07-29T23:51:41Z",
    "date_published": "2012-02-24T02:41:05Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/19306/galley/9550/download/"
        }
    ]
}