{ "media_type": "text", "post_content": "I work in a psychiatric office and was wondering what protocols you have in place for security. My boss does not want cameras so the front desk can see who is coming in the office. We have even asked for a mirror to see the front door but she won't even allow that. The only thing we have for safety is thin glass windows and a emergency button all the way at the 3rd desk. By the way there is a wall separating the first desk to the second and third one. I was just wondering what you have in play?", "post_id": "62c0d7c80d0e86002d934c26", "reply_count": 4, "vote_count": 3, "bowl_id": "5e77c585cba148001ab93ed9", "bowl_name": "Healthcare", "feed_type": "crowd" }

I work in a psychiatric office and was wondering what protocols you have in place for security. My boss does not want cameras so the front desk can see who is coming in the office. We have even asked for a mirror to see the front door but she won't even allow that. The only thing we have for safety is thin glass windows and a emergency button all the way at the 3rd desk. By the way there is a wall separating the first desk to the second and third one. I was just wondering what you have in play?

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In that case, the first desk needs to have emergency button. You and your coworkers’ safety should be taken seriously. If your boss is not making adjustments to make you feel safe at work, it’s time to look somewhere else.

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You are so right. We have discussed our concerns about safety in the office and management is more or less like if has never happened here before. That doesn't mean that it won't though.

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What's her reasoning for not having those kinds of safety protocols in place? Is it to protect the patients?

An emergency response system is so important. Even if it’s not a button, but an alert that gets sent to all the staff regarding an unsafe situation, this would help. The buttons are great in setting off silent alarms or triggering a police response.

I stand by the belief that every team member in any mental health or healthcare facility should have some background training in non-violent crisis intervention. While most facilities avoid these trainings because they include restraint training and most facilities are insured for this intervention, all staff should feel comfortable using verbal deescalation techniques with the individual while awaiting assistance. Facilities should have a plan in place for who the lead is in those situations, and a backup in case that person is out of office.

At my last facility, I was the crisis clinician lead, so when things got escalated, my job was to come and deescalate the situation, get the person away from other patients and staff, and await police presence to escort them off the property. Anyone who is communicating with the individual to get them away from everyone else should always make sure to have an exit in whatever room they’re in, this goes for any staff as well. Crises can began in therapeutic spaces as well and therapists/psychiatrists, doctors, etc. should always know how to deflect hits in order to exit the room first for safety.

Keep advocating for safer workplace practices! There are lots of non-violent crisis intervention trainings like Mandt or CPI. A psychiatrist comfortable in training others on verbal deescalation can also be used, as the goal os that everyone knows strategies to use that don’t further escalate the person. The same strategies can also be used in phone calls, so the skills are helpful!

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