Psychiatric Quarterly [psaq] ph071-psaq-346686 November 7, 2001 8:33 Style ﬁle version Nov. 19th, 1999
Psychiatric Quarterly, Vol. 73, No. 1, Spring 2002 (
CHARACTERISTICS OF ASSAULTIVE
PSYCHIATRIC PATIENTS: TEN YEAR
ANALYSIS OF THE ASSAULTED STAFF
ACTION PROGRAM (ASAP)
Raymond B. Flannery, Jr, Ph.D., Anne P. Schuler, R.N.,
Ellen M. Farley, R.N., and Andrew P. Walker, B.A.
Nearly thirty years of published research has documented the continuing pres-
ence of patient assaults on staff. These studies have included the traditional
male patient with a diagnosis of schizophrenia and histories of violence and sub-
stance use disorder and the newer female, personality-disordered individual.
This study reports on a ten-year longitudinal analysis of assaultive patients
in one public-sector mental healthcare system during a period which included
the national shift toward managed care initiatives. Data were gathered in the
context of the Assaulted Staff Action Program, a crisis intervention program for
staff victims. Patient assailants in both inpatient and community settings in-
cluded both the traditional and newer personality-disordered individuals. The
Raymond B. Flannery, Jr., Ph.D., is Director of Training, The Massachusetts Depart-
ment of Mental Health, Boston, MA, and Director, The Assaulted Staff Action Pro-
gram. Dr. Flannery is on the faculties of Harvard Medical School and the University
of Massachusetts Medical School.
Anne P. Schuler, R.N., and Ellen M. Farley, R.N., are members of the Department of
Nursing, Taunton State Hospital, Taunton, MA, and both are ASAP team leaders.
Andrew P. Walker, B.A., is an Automated Information Technology specialist, The
Massachusetts Department of Mental Health, Boston, MA.
Address correspondence to Raymond B. Flannery, Jr., Ph.D., Department of Mental
Health, 25 Staniford Street, Boston, MA 02114.
2002 Human Sciences Press, Inc.