Today we have knowledge about certain psychiatric diagnoses, for example, schizophrenia, which are related to an increased risk of violent behaviour by the ill individual and that this among other things can affect the individuals own risk of victimization, quality of life and general health. In Swedish in-patient, psychiatry staff use structured risk assessment instruments to assess the risk of repeated violence by the patient. However, this is currently not done by staff in social psychiatry.

Consequences of that structured risk assessments instruments are not used in social psychiatry can be that staff are forced to work reactive instead of proactive, are exposed to increased stress and insecurity at the workplace which can mean that the work environment is negatively affected. From international research, it is known that relatives to individuals with psychiatric diagnoses can have experiences of violence by a relative with a psychiatric diagnosis, which can affect their own health and quality of life. However, this is so far an uncharted area in Sweden. In the light of this, the present project has its focus on LSS-housings and housing support in Swedish social psychiatry and those who are in contact with LSS-housings/housing support as users, staff and relatives to users.

Within the frame of the project, we will try to implement risk assessments instruments for violence in a number of LSS-housings/housing supports in the South of Sweden and study how this affects users use of violence, health and quality of life, as well as the staffs, work environment, health and quality of life. Relatives to users will also be interviewed to collect new and deepened knowledge about their situation with a focus on experiences of violence, health and quality of life.

The project can hopefully give positive effects on users, staff and relatives. Besides predicting violence, the use of risk assessment instruments could give staff more knowledge about users’ well-being and health and in that way be used by staff to give improved and more individually adjusted support and service. New knowledge about why, when and how some individuals with psychiatric diagnoses use violence can also be of value to decrease the stigmatization of this group of individuals.

The work environment may improve for the staff in the social psychiatry after the implementation of risk assessment instruments, which could lead to better health and quality of life among the staff and in that way possibly lead to less absence due to illness and higher continuity among staff. Finally, new knowledge about relatives’ experiences of violence could hopefully serve as a ground for better support and help to the relatives, and methods for them to manage and treat the ill family member. In that way, the relatives own stigmatization and alienation, as well as health and quality of life, could possibly improve. The relationship between the relative and the ill individual may also improve.

Facts

Contact person:
Linn Persson
Financer:
  • Malmö University
Responsible at Malmö University:
Linn Persson
Project members:
Time frame:
01 November 2018 - 31 December 2023
Faculty/department:
Research subject: