The Brøset Violence Checklist (BVC) is one of very few risk assessment tools that can predict aggression in a 24 hour perpective. The BVC has proven its value scientifically and practically. The BVC is in use in more than 40 countries and in a variety of settings in health care and beyond in order to improve workplace safety and to save costs.Request More about the BVC method
The Brøset Violence Checklist is a 6-item checklist which assists in the prediction of imminent violent behaviour (24 hrs perspective). The BVC found its origin in Mental Health care and can be used by all staff working with patients or clients. When used appropriately it helps to predict and prevent unwanted behaviour among in a variety of setting, also outside Mental Health care. The checklist is well underpinned by research including several RCT’s in a number of countries and settings. As a result it improves the therapeutic climate among fellow patients and staff and even saves lives and therefor cuts down heavily on safety costs. The BVC can also work well in other organisations in other sectors than healthcare that deal with aggression and other unwanted behaviour as well as reducing use of restrictive measures such as restraint and seclusion - in line with political ambitions on national and international level.
A brief explenation, how to use the BVC
When using the BVC professionals are observing 6 items/behaviours in their usual interaction with clients/patients. With the BVC the observations are systematized and documented using an evidence based tool for violence risk assessment.
The BVC uses 6 different items that reflect that mood setting.
Appears obviously confused and disoriented. May be unaware of time, place or person.
Easily annoyed or angered. Unable to tolerate the presence of others.
Behaviour is overtly 'loud' or noisy. For example slams doors, shouts out when talking etc.
Where there is a definite intent to physically threaten another person. For example talking of an aggressive stance; the grabbing of another persons clothing; the raising of an arm, leg, making of a fist or modelling of head-butt directed at another.
A verbal outburst which is more than just a raised voice; and where there is a definite intent to intimidate or threaten another person. For exampe verbal attcks, abuse, name calling, verbally neutra comments uttered in a snarling aggressive manner.
An attack directed at an object and not an individual. For example the indiscriminate throwing of an object; banging or slamming windows; kicking, banging or head-butting an object; or the smashing of furniture.
The BVC is quick and easy-to-use, one needs to score on 6 items only, which can be done within a minute. Absence of behavior gives a score of 0. Presence of behavior gives a score of 1.
For example, if a well know client normally is confused (has been so far a long time) this will give a score of 0. If an increase in confusion is observed this gives a score of 1.
The total sum of scores indicates that the risk of violence is either small (0), moderate (1-2) preventive measures should be taken, or high (>2) preventive measures should be taken and plans about how to manage an attack should be made. After a period of time policies can be adjusted on
different organisational levels in order to minimize the risk of violence. This will result in a friendly work floor, less aggression and even saves lives.
No, BVC was originally developed at a forensic/secure hospital but several studies show that BVC is a valid risk assessment tool in a variety of settings. In fact, it seems like BVC works very well in all kind of settings (also outside institutional care) where introduced. Please see references on the webpage and/or the references in the e-learning module.
Yes, you are free to adjust the form to your/your organisations needs regarding shifts.
No, not without written consent from the authors. It is most important the BVC remains with its original 6 items. However, in certain settings it might be valuable to add a few items – please contact Frensz or the author.
Yes, that is possible against an hourly wage. However the BVC is explained thoroughly in the e learning in the website http://www.riskassessment.no/
There is no straight forward reply to that. The BVC is so easy to learn and remember that “scoring” is an ongoing process. However, some/most do the formal scoring on the sheet or electronically related to ward/shift handover etc.
No, not at all. This is an issue for the whole treatment group to decide based on general risk assessment factors. It is important that staff don’t do “paperwork” they feel/experience is of no use; i.e. scoring patients etc zero day in and day out.
Such including criteria could be a known history of violence, active psychosis, certain personality disorders etc.