Assessment 3 Essay XXXXXXXXXXwords (maximum) (40%) Task: With assaults against health staff increasing, many health services have adopted a policy of ‘zero tolerance’ for aggression and violence in...

Running Head: ASSESSMENT TASK 3 – ESSAY NUR340                1
ASSESSMENT TASK 3 – ESSAY NUR340                        11
ASSESSMENT TASK 3 – ESSAY NUR340
Table of Contents
Introduction    3
The Framework of Zero Tolerance Policy    3
Possible Interventions at Psychiatric Level    5
The Medicinal Grounds and Interventions    6
Environmental Interventions and Safety    6
Interventions and Therapy at Psychiatric Settings    8
Conclusion    9
References    10
Introduction
The physical and mental wellness of individuals is core components of care delivery models. In fact, the mental wellbeing depends greatly on a few intrinsic and extrinsic factors in any psychiatric setting. Violence and aggression, in this context, are two common behavioural approaches, which pose complications to the psychiatric settings.
As mentioned by Pekurinen et al. (2017), it is perceived that the violence, aggression and mental illness are interlinked to a major extent. Apart from the general consequences such as isolation and negative image portrayal in healthcare setting, the patients have to go through social discrimination as well. Thus, the requirement is to work on the designing of the zero tolerance policy against the aggression and violence.
At the same time, the requirement is to keeping the restrains carefully under the limit of positive management strategies. The following paper analyses the conceptual framework of zero tolerance policy against the development of aggressive behaviour and even at the level of strategic management, the way, in which the psychiatric settings can access to positive interventions.
The Framework of Zero Tolerance Policy
At first, it is significant to note here that the concept of aggressive behaviour as a part of some kind of mental disorder is a common perception that psychiatrists confront in routine. The psychiatrists have to attend to the sudden development of aggressive behaviour in patients especially when they are requested to examine the patients in the emergency rooms.
In the past few years, a great number of cases have been registered in terms of violence against the psychiatrists in emergency rooms in hospitals, justifying these places labelled as hazardous to the safety of the experts (Price, Baker, Bee & Lovell, 2018). Under the National Insurance Scheme Act of 2013, the introduction to restrictive practices guides the psychiatrists to ensure that they adhere to the published guidelines, if they reckon that the behavioural outcomes of the mentally ill person are of concern to them.
Secondly, it is also implied by the act that the restrictive practices should be used as the final call against the aggressive behaviour; it should be taken at a crucial time when there is no other alternative is effective. However, the implication of the rule is that in order to safeguard the fundamental rights of care to the psychiatrists as well as to the patients, it is important to see the conditions, in which the provisions of restrictive practices are applicable.
Under restrictive practices, as informed by Baby, Gale and Swain (2018), the strategic decisions at managerial level can be taken; the use of chemical and mechanical restrains is the part of it. When a patient highlights immensely distu
ing behaviour and grows violent to the fullest, the expert and the other staff has the right to use substances and mechanical instruments that subdue their activities. These restrains are ethically permissible to be used because they are competent enough to provide safety to the psychiatrist during the process of care.
Furthermore, as per the observation of the various age ranges, under which the care in psychiatric setting is processed, it is important to follow the rules and regulations that are applicable to various age limits. For example, under Child and Young Persons (care and protection) act of 1998, section 158 permits the use of physical retrains over children and people of young age, if their condition is out of control and it may jeopardise the entire hospital setting, if left unnoticed or if there are not enough amount of precautions taken (Gaynes et al., 2017).
There are several other rules and regulations, which can be applied in the context of seeing what ethical actions, can be taken in order to ensure that the quality care objectives are achieved under the zero tolerance policy. In fact, these provisions are more such as
idging the gaps between the zero tolerance and the range of permissible restrains, to which psychiatric settings can adhere.
Possible Interventions at Psychiatric Level
In the context of examining possible interventions at psychiatric level, the formation of aggressive behaviour and its biological sources cannot be ignored. In other words, the structuring of biological factors such as genetics,...