THE ASSAULTED STAFF ACTION PROGRAM
(ASAP) AND DECLINES IN RATES OF
ASSAULT: MIXED REPLICATED FINDINGS
Raymond B. Flannery, Jr., Ph.D., Elaine Anderson, R.N.C.,
Louise Marks, L.I.C.S.W., and Laurie L. Uzoma, R.N., M.B.A.
The Assaulted Staff Action Program (ASAP) is a crisis intervention program
that has been associated with providing both needed support for employee vic-
tims of patient assault and declines in rates of assaults in traditional state hos-
pital and community mental health settings. This study examined the possible
role of ASAP and declines in rates of assault in three community-based services
impacted by privatization and managed care approaches: community residences,
an acute care rural community mental health center, and an urban inter-
mediate/extended care facility. ASAP was associated with a statistically signiﬁ-
cant decline in the rate of assault in the intermediate/extended care facility.
The community residence program was not a true test because of structural
issues associated with managed care. The community mental health center
appeared to be a true failed replication. The extended care facility’s decline in
the rate of assault was interrupted by the aftermath of one serious clinical inci-
Raymond B. Flannery, Jr., Ph.D., is Director of Training, Massachusetts De-
partment of Mental Health (DMH), and Associate Clinical Professor of Psychol-
ogy, Department of Psychiatry, Harvard Medical School, Boston. Elaine Ander-
son, R.N.C., is Charge Nurse, Pocasset Mental Health Center, Pocasset, MA.
Louise Marks, L.I.C.S.W., is Director of Residential Services, The DMH Cam-
bridge-Somerville Center, Cambridge, MA. Laurie L. Uzoma, R.N., M.B.A., is
Assistant Director of Nursing, Bay Cove Community Mental Health Center, Bos-
ton, MA. All authors are ASAP team leaders.
Address correspondence to Raymond B. Flannery, Jr., Ph.D., Department of
Mental Health, 25 Staniford Street, Boston, MA 02114.
PSYCHIATRIC QUARTERLY, Vol. 71, No. 2, Summer 2000
0033-2720/00/0600-0165$18.00/0 2000 Human Sciences Press, Inc.