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Tom Burns

, and Mike Firn

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date: 14 July 2020

This chapter discusses the politics, incidence, assessment, and management of challenging, hostile, and violent behaviour from the perspective of practising community outreach with people with more severe and enduring mental health problems. As a way of establishing risk factors, data are presented on incidence of hostility in both community and inpatient settings along with the research evidence on associations between severe mental illnesses, such as psychosis, substance misuse, and violence. Methods and frameworks for risk assessment are presented and critiqued. Risk management techniques with individuals are demonstrated and illustrated through case studies. Community team training, policies, procedures, support, and supervision are presented as examples of best practice.

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