{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:56:59Z","timestamp":1790521019973,"version":"4.1.0"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Am Psychiatr Nurses Assoc"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>High levels of workplace violence occur in inpatient behavioral health settings, where verbal and physical aggression frequently test direct frontline staff, specifically nurses. Simultaneously, staff stress reactivity moderates the risk of assault, as does staff experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This pilot study examined whether a novel educational intervention concerning the implementation of mock behavioral crisis codes could improve staff skills, competence, and comfort in simulated workplace violence events and reduce the frequency of workplace violence episodes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Behavioral mock codes were held monthly over 2\u2009years, involving the entire multidisciplinary team on an urban inpatient psychiatric unit. An ad hoc rating scale applied by a multidisciplinary panel of experienced behavioral health clinical and security staff measured performance through team communication, proper patient escort, and prevention of patient and staff injury, while events of real-life workplace violence were monitored alongside qualitative data on staff knowledge, skills, and attitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We observed an improvement in team performance measures as well as a reduction in reportable incidents of workplace violence over the intervention time period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our behavioral mock code intervention further demonstrated that consistent experiential learning enabled staff in this setting to safely and effectively manage crisis situations, while its success could suggest opportunities for application in other behavioral health systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10783903261487390","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T09:54:16Z","timestamp":1790330056000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mock Codes Improve Multidisciplinary Behavioral Health Crisis Management in Inpatient Psychiatry"],"prefix":"10.1177","author":[{"given":"Melissa","family":"D\u2019Agostino","sequence":"first","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2044-1538","authenticated-orcid":false,"given":"Timothy","family":"Rice","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai, New York, USA"},{"name":"Columbia University Vagelos College of Physicians and Surgeons, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Arbury S. Hodgson M. Zankowski D. Lipscomb J. (2017). Workplace violence training programs for health care workers: An analysis of program elements. Workplace Health & Safety 65(6) 266\u2013272. https:\/\/doi.org\/10.1177\/2165079916671534","DOI":"10.1177\/2165079916671534"},{"key":"e_1_3_2_3_1","doi-asserted-by":"crossref","unstructured":"Bloom S. L. (2017). The sanctuary model: Through the lens of moral safety. In Gold S. N. (Ed.) APA handbook of trauma psychology: Trauma practice (pp. 499\u2013513). American Psychological Association. https:\/\/doi.org\/10.1037\/0000020-024","DOI":"10.1037\/0000020-024"},{"key":"e_1_3_2_4_1","doi-asserted-by":"crossref","unstructured":"Celofiga A. Kores Plesnicar B. Koprivsek J. Moskon M. Benkovic D. Gregoric Kumperscak H. (2022). Effectiveness of de-escalation in reducing aggression and coercion in acute psychiatric units. A cluster randomized study. 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