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.
Data on aggressive incidents that occurred in the past, provide opportunities to enhance safety on the wards by searching for patterns in the occurrence of aggression with the aim of developing preventive strategies. A way to ensure attention is continually given to safety on the ward is to put the SOAS-R registrations on the agenda of the regular team meetings (for example, once a week or every two weeks). The SOAS-R software from Frenzs provides a great number of options to make graphs and tables concerning the aggressive incidents that have take place in any given period.
No, only one SOAS-R form has to be completed for each incident. In case multiple staff members witness the same incident, they can complete the form together, or one of the staff members can complete one SOAS-R form on behalf of all of them.
Yes, Aggressive behaviour which the patient directs at himself or herself (for example, self-inflicted injuries) can also be registered with the SOAS-R.
Yes, in each of the five SOAS-R columns at least one of the answering options needs to be endorsed, but it is allowed, and often necessary, to mark more than one of the answering options in a column of the SOAS-R. So yes, using more than one answer per column is permitted.
The following definition of aggressive behaviour derived from Morrison (1990) is used to define which types of behaviours should be recorded with the SOAS-R:
“Aggressive behaviour is any verbal, non-verbal or physical behaviour that was threatening (to self, others or property), or physical behaviour that actually did harm (to self, others, or property)”.
This definition of aggressive behaviour shows, that both verbal and physical aggression against individuals and objects are expected to be registered, as well as aggression which the patient directs to itself.
Try to complete the SOAS-R form as soon as possible after any aggressive behavior took place (as soon as it safe to do so). Don’t wait till the end of the shift, but complete a form directly after each incident. This ensures that no incidents, and no information, will be missed in the database.
The SOAS and the SOAS-R was originally used in emergency psychiatiatric inpatient care and geriatric institutions. In addition, it is also used in forensic psychiatric institutions as well as institutions for substance users. There are now adaptions for the care for clients with intellectual disabilities, social services, primary and emergency healthcare available. Basically the framework of the SOAS-R (the five column structure) can be used in any sector in a way, oftentimes some adjustments are to be made by the authors of the SOAS-R. There is also a version being used in a large warehouse of Delhaize in Belgium. The possibilities are endless. If you have special requests on different contexts and locations, please contact the authors.
Yes, Re-Act is web based, however it runs on servers rather than in the cloud. Frenzs can provide server space, one is also allowed to find there own third party server provider.
Re-Act software has been developed by a team of experts with years of experience in the business, which allows for employees to report incidents super easily and very fast. In this way one can focus on providing healthcare. One can add several different modules to report all incidents that occur. Analysis via Re-Act software can be extracted in various tabels, graphs and can be filtered on all organisational levels, which gives a clear and rapid insight for policymakers to make strategic or operational changes in order to reduce violence. There is always support available during office hours.
Prices are dependant on the type of organisation and size (most of the times in number of beds). However Re-Act is priced in a way that it will always earn itself back, by the cost savings that derive from reporting and managing incidents in organisations.