Knowledge of and satisfaction with a behavioral intervention team at a large urban southeastern university

2021 ◽  
pp. 1-8
Author(s):  
Amy Gatto ◽  
Emily F. Walters ◽  
Jessica Abbie Garcia ◽  
Jivan James ◽  
Jennifer Bleck ◽  
...  
Keyword(s):  
Behavioral Intervention ◽  
Intervention Team

scholarly journals The Disruptive bEhavior manageMEnt ANd prevention in hospitalized patients using a behaviORal intervention team (DEMEANOR) study protocol: a pragmatic, cluster, crossover trial.

2020 ◽  
Author(s):  
Jay Morrison ◽  
Michele Hasselblad ◽  
Ruth Kleinpell ◽  
Reagan Buie ◽  
Deborah Ariosto ◽  
...  
Keyword(s):  
Disruptive Behavior ◽  
Behavioral Intervention ◽  
Safety Concern ◽  
Medical Center ◽  
Behavioral Health Care ◽  
Hospitalized Patients ◽  
Staff Retention ◽  
Acting Out ◽  
Psychiatric Staff ◽  
Intervention Team

Abstract Background Disruptive behavior in hospitalized patients has become a priority area of safety concern for clinical staff, as well as having consequences for patient management and hospital course. Proactive screening and intervention of patients with behavioral co-morbidities has been reported to reduce disruptive behavior in some settings, but has not been studied in a rigorous way. Methods The D isruptive b E havior manage ME nt AN d prevention in hospitalized patients using a behavi OR al intervention team (DEMEANOR) study is a pragmatic, cluster, cross-over trial being conducted. Each month, the behavioral intervention team, comprised of a psychiatric-mental health advanced practice nurse and a clinical social worker, with psychiatrist consultation as needed, rotates between an adult medicine unit and a mixed cardiac unit at Vanderbilt University Medical Center in Nashville, TN. The team proactively screens patients upon admission utilizing a protocol which includes a comprehensive chart review, and if indicated, a brief interview, seeking to identify those patients who possess risk factors indicative of either a potential psychological barrier to their own clinical progress or a potential risk for exhibiting disruptive, aggressive or self-injurious behavior during their hospitalization. Once identified, the team provides interventions aimed at mitigating these risks, educates and supports the patient care teams (nurses, physicians and others), and assists non-psychiatric staff in the management of patients who require behavioral health care. Patients who are both admitted to and discharged from either unit are included in the study. Anticipated enrollment is approximately 1790 patients. The two primary outcomes are i) a composite of objective measures related to the patients’ disruptive, threatening or acting out behaviors, and ii) staff self-reported comfort with and confidence in their ability to manage patients exhibiting disruptive, threatening or acting out behavior. Secondary outcomes include patient length of stay, patient attendant (sitter) use, and the unit nursing staff retention. Discussion This ongoing trial will provide evidence on the real-world effectiveness of a proactive behavioral intervention to prevent disruptive, threatening or acting out events in adult hospitalized patients.

scholarly journals The Disruptive bEhavior manageMEnt ANd prevention in hospitalized patients using a behaviORal intervention team (DEMEANOR) study protocol: a pragmatic, cluster, crossover trial

2019 ◽  
Author(s):  
Jay Morrison ◽  
Michele Hasselblad ◽  
Ruth Kleinpell ◽  
Reagan Buie ◽  
Deborah Ariosto ◽  
...  
Keyword(s):  
Disruptive Behavior ◽  
Behavioral Intervention ◽  
Behavior Management ◽  
Safety Concern ◽  
Medical Center ◽  
Behavioral Health Care ◽  
Hospitalized Patients ◽  
Acting Out ◽  
Psychiatric Staff ◽  
Intervention Team

Abstract Background Disruptive behavior in hospitalized patients has become a priority area of safety concern for clinical staff, as well as having consequences for patient management and hospital course. Proactive screening and intervention of patients with behavioral co-morbidities has been reported to reduce disruptive behavior in some settings, but has not been studied in a rigorous way.Methods The D isruptive b E havior manage ME nt AN d prevention in hospitalized patients using a behavi OR al intervention team (DEMEANOR) study is a pragmatic, cluster, cross-over trial being conducted. Each month, the behavioral intervention team, comprised of a psychiatric-mental health advanced practice nurse and a clinical social worker, with psychiatrist consultation as needed, rotates between an adult medicine unit and a mixed cardiac unit at Vanderbilt University Medical Center in Nashville, TN. The team proactively screens patients upon admission utilizing a protocol which includes a comprehensive chart review, and if indicated, a brief interview, seeking to identify those patients who possess risk factors indicative of either a potential psychological barrier to their own clinical progress or a potential risk for exhibiting disruptive, aggressive or self-injurious behavior during their hospitalization. Once identified, the team provides interventions aimed at mitigating these risks, educates and supports the patient care teams (nurses, physicians and others), and assists non-psychiatric staff in the management of patients who require behavioral health care. Patients who are both admitted to and discharged from either unit are included in the study. Anticipated enrollment is approximately 1790 patients. The two primary outcomes are i) a composite of objective measures related to the patients’ disruptive, threatening or acting out behaviors, and ii) staff self-reported comfort with and confidence in their ability to manage patients exhibiting disruptive, threatening or acting out behavior. Secondary outcomes include patient length of stay, patient attendant (sitter) use, and the unit nursing staff retention.Discussion This ongoing trial will provide evidence on the real-world effectiveness of a proactive behavioral intervention to prevent disruptive, threatening or acting out events in adult hospitalized patients.

Behavioral intervention team: A multidisciplinary approach to co-morbidity in hospital level care

2011 ◽  
Vol 26 (S2) ◽  
pp. 402-402
Author(s):  
W.H. Sledge ◽  
P. Zimbrean ◽  
P. Desan ◽  
J. Bozzo
Keyword(s):  
Length Of Stay ◽  
Medical Care ◽  
Behavioral Intervention ◽  
Early Recognition ◽  
Medical Center ◽  
Academic Medical Center ◽  
Hospital Level ◽  
Co Morbidity ◽  
Before And After ◽  
Intervention Team

IntroductionPsychiatric illness complicates physical medical care and prolongs hospital stay.ObjectivesTo implement and measure the effect of a multidisciplinary (psychiatry, nursing and social work) team in an academic medical center general hospital.AimsTo test the hypotheses that early recognition and management of co-morbid mental illness threatening to interfere with hospital level care for physical illness will reduce the fiscal burden of hospital level care.MethodsBefore and after comparison of patients on three medical units examining conventional consultation liaison approach vs the Behavioral Intervention Team (BIT) on four outcome measures: length of stay (LOS), denied days (uncompensated days waiting on medical service for hospital level care of psychiatry when the patient no longer requires hospital level medical care), constant companion use, and thirty day readmission rate.ResultConsultation liaison patients from August 1, 2008 through June 30, 2009 were compared to BIT patients on the same three units from August 1, 2009 through June 30, 2010; the BIT patients had a lower length of stay (9.99 days vs 11.33 days, Wilcoxon Two Sample Test = 200953, p < .01, two tailed) with a reduction of constant companion use by 8.7%, and elimination of denied days altogether. Thirty day readmission was reduced 2.5% but was not statistically significantly different.Conservative economic analysis demonstrates that the intervention begins to generate a profit when the hospital reached budgeted census at least 3.5% of the time.ConclusionsInterdisciplinary care can be feasible, effective and efficient in a hospital based consultation liaison setting.

A Behavioral Intervention Team at a Two-Year College: Responding to a Case of Suicidal Ideation

2015 ◽  
Vol 3 ◽  
pp. 48-52 ◽  
Author(s):  
Rufus Larkin ◽  
◽  
Yolanda Fountain ◽  
Ca Trice Glenn ◽  
Loni Crumb ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Behavioral Intervention ◽  
Two Year College ◽  
Intervention Team
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