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Violence Aggression Assessment Checklist

The Violence/Aggression Assessment Checklist (VAAC) is used to assess a patient's history and risk of violence or aggression. It collects information about past violent incidents, current behaviors like verbal abuse or threats, and known risk factors. Scores are used to determine the patient's risk level, and mitigation strategies like observation protocols or delayed admission are proposed.

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Stella Gašparuš
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536 views

Violence Aggression Assessment Checklist

The Violence/Aggression Assessment Checklist (VAAC) is used to assess a patient's history and risk of violence or aggression. It collects information about past violent incidents, current behaviors like verbal abuse or threats, and known risk factors. Scores are used to determine the patient's risk level, and mitigation strategies like observation protocols or delayed admission are proposed.

Uploaded by

Stella Gašparuš
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Violence/Aggression

Assessment Checklist (VAAC)


To be completed by referral source

Patient’s name: Date of birth: DD / MM / YY

Known history of violence q No q Yes If yes, please provide the date and a brief description of the last known incident.

Date Description

TYPE OF BEHAVIOUR EXHIBITED Yes / No DESCRIPTORS

Uncooperative q No Easily annoyed or angered. Unable to tolerate the presence of others. Will
q Yes not follow instructions.

Verbal Abuse q No Verbal attacks, abuse, name calling, verbally neutral comments uttered in a
q Yes snarling, aggressive manner

Hostile/Attacking Objects q No Overtly loud or noisy, i.e. slams doors, shouts out when talking, etc. An
q Yes 
attack directed at an object and NOT at an individual i.e. the indiscriminate
throwing of of an object, banging or smashing windows, kicking, banging,
head-banging, smashing of furniture

Threats q No A verbal outburst which is more than just a raised voice; and where there
q Yes is definite intent to intimidate or threaten another person. A definite intent
to physically threaten another person, i.e. raising of arm/leg, aggressive
stance, making a fist, etc.

Assaultive/Combative q No An application of force or attack directed at an individual, i.e. kick, punch,


q Yes spit, grabbing of clothing, use of a weapon or weapon of opportunity.

Known risk factors/triggers

Mitigation strategies for known


risk factors/triggers

BEHAVIOUR Level of Risk CURRENT RISK MITIGATIONSTRATEGIES/INTERVENTIONS

No observed behaviour Low


Uncoorperative OR
verbal abuse/aggression Moderate
One or more of the above shaded
Both of the non-shaded OR High
significant history of violence

Print name: Signature:

Date/Time received from Referral Source:

Update - Date/Time received from Referral Source:


Violence/Aggression
Assessment Checklist (VAAC)
To be completed by The Royal Managers - PCS

Patient’s name: Receiving unit:

Date received: Date posted on unit:

VACC RECEIVED MY MANAGER

Print name: Signature:

Date: Time:

Risk assessment q Low q Moderate q High

INTERPROFESSIONAL PLAN AND MITIGATION STRATEGIES

q Routine observation and procedures GPA q No q Yes

q Intermittent observation q PRNs/Medications administered at/prior to admission

q Constant observation q Equipment needs

q Flagging protocol/yellow dot q Gender specific staff

q Extra staff

q Other

Admission delayed q No q Yes

Rationale:

COMMUNICATION TO STAFF

q Direct communication to staff

q Posted on unit flow/VAAC board

q Safety huddle discussion

Accuracy of information from Referral Source:

Adapted from: Broset Violence Checklist (R. Almvik & P. Woods, 2000) : Alert System risk Indicators (R. King et al., 2006) , Correlates of accuracy in the assessment of Psychiatric Inpatients’
risk of violence (D. McNeil & R. Binder, 1995) and Violence/Aggression Assessment Checklist (VAAC) PSHSA 2010. All rights reserved

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