{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T23:20:14Z","timestamp":1756682414622,"version":"3.37.3"},"reference-count":62,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T00:00:00Z","timestamp":1530144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The issue of violence in secure services has long been recognized both in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> and worldwide. However, there is currently scarce literature available about violence within learning disability (<jats:styled-content style=\"fixed-case\">LD<\/jats:styled-content>) secure settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Secondary data analysis was conducted on violent incidents, using information routinely collected by the staff over a 1\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Physical assaults were the most frequent type of incident, and the distribution in terms of days or months was homogenous and incidents were concentrated in the corridors, lounges and dining rooms of secure facilities. Antipsychotic medication was not regularly prescribed. Generalized linear modelling analyses revealed significant predictors that increased the chances of seclusion and physical restraint, such as being female or directing the violence towards staff.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings can inform staff training on violence prevention and suggest that increased ward\u2010based supervision and enhanced use of psychological formulations may help in reducing violence within this service context.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jar.12490","type":"journal-article","created":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T20:13:32Z","timestamp":1530216812000},"page":"1164-1173","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Violent incidents in a secure service for individuals with learning disabilities: Incident types, circumstances and staff responses"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6059-2912","authenticated-orcid":false,"given":"Javier","family":"Malda Castillo","sequence":"first","affiliation":[{"name":"Furness College Lancaster University  Lancaster England"},{"name":"Division of Health Research Faculty of Health and Medicine Lancaster University Furness College  Lancaster England"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1333-2090","authenticated-orcid":false,"given":"Ian","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Health Research Faculty of Health and Medicine Lancaster University Furness College  Lancaster England"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Morris","sequence":"additional","affiliation":[{"name":"Mersey Care NHS Foundation Trust  Lancaster England"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Perez\u2010Algorta","sequence":"additional","affiliation":[{"name":"Division of Health Research Faculty of Health and Medicine Lancaster University Furness College  Lancaster England"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,6,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1978.tb06872.x"},{"issue":"3","key":"e_1_2_10_3_1","first-page":"34","article-title":"Violence against mental health professionals: When the treater becomes the victim","volume":"8","author":"Anderson A.","year":"2011","journal-title":"Innovations in Clinical Neuroscience"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.05.001"},{"key":"e_1_2_10_5_1","unstructured":"Bowers L. Stewart D. Papadopoulos C. Dack C. Ross J. Khanom H. &Jeffery D.(2011).Inpatient violence and aggression: a literature reviewReport from the Conflict and Containment Reduction Research Programme. Retrieved fromhttp:\/\/www.kcl.ac.uk\/ioppn\/depts\/hspr\/research\/ciemh\/mhn\/projects\/litreview\/LitRevAgg.pdf6th April 2016."},{"key":"e_1_2_10_6_1","unstructured":"British Psychological Society(2011).Commissioning Clinical Psychology Services for Adults with Learning Disabilities. Retrieved from BPS\/RCPsych (2009). Dementia guidelines for people with learning disabilities.www.dcp-ld.bps.org.uk\/dcp-ld\/publications\/publications_home.cfm26th October 2016."},{"issue":"3","key":"e_1_2_10_7_1","first-page":"319","article-title":"Prevalence of physical violence in a forensic psychiatric hospital system during 2011\u20102013: Patient assaults, staff assaults and repeatedly violent patients","volume":"20","author":"Broderick C.","year":"2015","journal-title":"Violence in the Psychiatric Setting"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.175.6.528"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/002580248902900206"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2006.01.011"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/1478994031000074306"},{"key":"e_1_2_10_12_1","unstructured":"Department of Health(2007).Services for people with learning disabilities and challenging behaviour or mental health needs. Retrieved fromhttps:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_08012926th October 2016"},{"key":"e_1_2_10_13_1","unstructured":"Department of Health(2012).Transforming care: A national response to Winterbourne View Hospital. Retrieved fromhttps:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/213215\/final-report.pdf1st February 2017."},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1108\/JFP-09-2012-0017"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1982.04290010009002"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2006.08.014"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2013.04.008"},{"issue":"5","key":"e_1_2_10_18_1","first-page":"249","article-title":"Violence and personality disorders: Clinical and forensic implications","volume":"38","author":"Esbec E.","year":"2010","journal-title":"Actas Espa\u00f1olas de Psiquiatr\u00eda"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199003000-00013"},{"issue":"4","key":"e_1_2_10_20_1","first-page":"170","article-title":"Violence by psychiatric inpatients","volume":"7","author":"Haider I. I.","year":"1997","journal-title":"Journal of the College of Physicians & Surgeons Pakistan"},{"key":"e_1_2_10_21_1","unstructured":"Health and Social Care Information Centre(2015).Learning disability Census Report: England 2015 experimental statistics. Retrieved fromhttp:\/\/content.digital.nhs.uk\/catalogue\/PUB19428\/ld-census-initial-sep15-rep.pdf10th January 2017."},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1258\/msl.2011.011029"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1108\/AMHID-06-2014-0023"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.47.7.751"},{"volume-title":"The Power Threat Meaning Framework: Towards the identification of patterns in emotional distress, unusual experiences and troubled or troubling behaviour, as an alternative to functional psychiatric diagnosis","year":"2018","author":"Johnstone L.","key":"e_1_2_10_25_1"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/002580249503500209"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638289809166060"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12074"},{"key":"e_1_2_10_29_1","unstructured":"Lillywhite A. &Haines D.(2010).Occupational Therapy and people with learning disabilities: findings from a research study. College of Occupational Therapists. Retrievedfromhttps:\/\/www.cot.co.uk\/sites\/default\/files\/publications\/public\/OT_PLD_Complete.pdf 6th February 2017."},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12830"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2015.12.013"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/136140960000500203"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3148.2004.00213.x"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12189"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.176.2.116"},{"key":"e_1_2_10_36_1","article-title":"Containment strategies for people with serious mental illness","volume":"3","author":"Muralidharan S.","year":"2006","journal-title":"Cochrane Database of Systematic Reviews, Issue"},{"key":"e_1_2_10_37_1","unstructured":"National Health Service England(2015).Supporting people with a learning disability and\/or autism who have a mental health condition or display behaviour that challenges. DRAFT service model for commissioners of health and social care services. Retrieved fromhttps:\/\/www.england.nhs.uk\/wp-content\/uploads\/2015\/07\/ld-draft-serv-mod.pdf20th January 2017."},{"volume-title":"Psychosis and schizophrenia in adults: Prevention and management, (CG178)","year":"2014","author":"National Institute for Health Care and Clinical Excellence","key":"e_1_2_10_38_1"},{"key":"e_1_2_10_39_1","unstructured":"National Institute for Health Care and Clinical Excellence(2015).Violence and aggression: short term management in mental health health and community settings (NG10). Retrieved fromhttps:\/\/www.nice.org.uk\/guidance\/ng10\/chapter\/About-this-guideline2nd December 2016."},{"volume-title":"The Short Term Management of Disturbed\/Violent Behaviour in In\u2010Patient Psychiatric Settings and Emergency Departments \u2013 Guideline 25","year":"2005","author":"National Institute for Health and Clinical Excellence","key":"e_1_2_10_40_1"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12013"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.16.1.42"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.16.1.42"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/ab.20254"},{"issue":"1","key":"e_1_2_10_45_1","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.brat.2014.12.001","article-title":"Reduction of assaultive behaviour following anger treatment of forensic hospital patients with intellectual disabilities","volume":"65","author":"Novaco R.","year":"2015","journal-title":"Behavior Research and Therapy"},{"key":"e_1_2_10_46_1","first-page":"104","article-title":"Risk assessment and risk management: The way forward","volume":"4","author":"O'Rourke M. M.","year":"1997","journal-title":"Psychiatric Care"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-3938.2011.01125.x"},{"volume-title":"People with learning disability and\u00a0mental health, behavioural or forensic problems: The role of in\u2010patient services","year":"2013","author":"Royal College of Psychiatrists","key":"e_1_2_10_48_1"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/1478994032000199086"},{"issue":"3","key":"e_1_2_10_50_1","first-page":"68","article-title":"Incidents in a psychiatric forensic setting: Association with staff and patient characteristics","volume":"38","author":"Rylan F.","year":"2006","journal-title":"Canadian Journal of Nursing Research"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/mrdd.20067"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1108\/14636646200400002"},{"issue":"1","key":"e_1_2_10_53_1","first-page":"CD012034","article-title":"De\u2010escalation techniques for managing aggression","author":"Spencer S.","year":"2016","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_54_1","first-page":"175","article-title":"Incidents in hospitalised forensic patients","volume":"5","author":"Stockman C. L. J.","year":"1980","journal-title":"Victimology"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118329252"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2009.01232.x"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1108\/13619322200900012"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60072-0"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2850.1998.00113.x"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.1080\/080394800448147"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.7748\/mhp.1.6.29.s21"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780199914661.003.0006"},{"key":"e_1_2_10_63_1","unstructured":"World Health Organisation(2012).Risks to Mental Health: An Overview of Vulnerabilities and Risks Factors. Retrieved fromhttp:\/\/www.who.int\/mental_health\/mhgap\/risks_to_mental_health_EN_27_08_12.pdf26th February 2018."}],"container-title":["Journal of Applied Research in Intellectual Disabilities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjar.12490","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jar.12490","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T11:15:36Z","timestamp":1694862936000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jar.12490"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,28]]},"references-count":62,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1111\/jar.12490"],"URL":"https:\/\/doi.org\/10.1111\/jar.12490","archive":["Portico"],"relation":{},"ISSN":["1360-2322","1468-3148"],"issn-type":[{"type":"print","value":"1360-2322"},{"type":"electronic","value":"1468-3148"}],"subject":[],"published":{"date-parts":[[2018,6,28]]},"assertion":[{"value":"2017-10-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}