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Travis HollandHolland Thomas & Associates
Outreach Safety: Managing the Safety Challengesof Aggression and Violence
www.hollandthomas.com.au
Number of incidents of aggression and/or violence during the last 30 days?
Aged Care?
Disability?
Family & Youth?
Mental Health?
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Family & Youth
Disabilit
y
Mental Health
Aged Care
2.41.9
1.5
0.7
Number of incidents during last 30 days
Aged CareDisabilityFamily & YouthMental Health
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What percentage of the time were these people the source of the aggression or violence?
Client Colleague Family member Neighbour Random member of the public Worker from another organisation Visitor
86%
6% 3% 3% 2% 1%
Source of the aggression or violence
ClientColleagueFamily memberNeighbourOther WorkerRandom publicVisitor
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Bullying / Harassm
ent / Verbal A
buse
Threats / Threatening Behaviour
Damage to Property
Sexual Harassm
ent
Assault
TheftLock In
56%
21%9% 6% 5% 2% 1%
How many times did incidents involve the following?
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1 in 3 respondents experienced some form of Bullying / Harassment / Verbal Abuse during the last 30 days
FAST FACT … 1
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57% of the incidents involving aggression and/or violence during the last 30 days resulted in the worker suffering a Psychological Injury
FAST FACT … 2The next largest category was 25% of incidents resulting in the worker suffering a Cut, Scratch, Bite or Bruising
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Just 3% think the number of incidents will decrease in a few years time
FAST FACT … 3
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44% felt Very Well Prepared to manage their safety in the future
FAST FACT … 4
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90% feel it is Very Important or Important to receive training
FAST FACT … 5
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36% have not received appropriate training within the last 2 years
FAST FACT … 6
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5% of respondents lost 1 or more days managing one incident during the last 30 days, not including time off work
FAST FACT … 7
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What was the assistance that is valued the most following an incident?
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Reported Incidents Actual Incidents
NATURE OF INCIDENTS
NU
MBE
R O
F IN
CID
ENTS
Reported Incidents Actual Incidents
NATURE OF INCIDENTS
NU
MBE
R O
F IN
CID
ENTS
Reported Incidents Actual Incidents
NATURE OF INCIDENTS
NU
MBE
R O
F IN
CID
ENTS
Reported Incidents Actual Incidents
NATURE OF INCIDENTS
NU
MBE
R O
F IN
CID
ENTS
Repo
rting
of I
ncid
ents
No
Repo
rt
Repo
rt –
No
Actio
n
Man
aged
Inte
rnal
ly
Wor
kCov
er C
laim
33%
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Risk: Occupational Violence
100 Employees1 Serious Incident
$100,000 +~~
CLAIMS COST
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Proactively manage challenges
Reduce no. & severity of incidents
Decrease costs
Increase productivity
Improve employee retention
Enhance wellbeing
Outcomes
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Legal And Moral Framework
THE LAW– Duty of Care– Self Defence
ORGANISATIONAL POLICY
COMMUNITY EXPECTATIONS
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SELF DEFENCEA person may use force that is not excessive or extreme to take and maintain control of the situation where they are justified in the circumstances and there is no other reasonable option.
Legal And Moral Framework
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E
Medical Emergency Plan
C
Emergency Response Plan
Communication Plan
Contingency Plans
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You visit Mike for the first time to provide support. Mike, who has a dual diagnosis, begins pacing up and down the corridor and is becoming upset and angry. At one time he stands close behind you while you are seated at the table.Mike begins to mutter things under his breath and you are sensing that he is becoming more agitated.Mike then walks to the front door and locks it, before returning to his seat and proceeding to make threatening gestures towards you.
Case Study
Warning Signs
Triggers
Impairments
The Aggressor
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Withdrawing
When and why?
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Why not?
Physical Evasion
Adrenaline dump
How can you be attacked?
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anon
“To rise to the occasion is
the exception.
To fall to the level of your
training is the rule.”
Self-Care
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• Rate of Occupational Violence
• Incident Reporting
IMPACT OF EFFECTIVE TRAINING
• Wellbeing
• Costswww.hollandthomas.com.au
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