Development of Clinical Guidelines for the Pharmacological Management of Behavioural Disturbance and Aggression in People with Psychosis

Abstract

Objective: To describe the process underpinning the development of clinical guidelines for the management of behavioural disturbance in psychosis.Method: A structured process was followed, encompassing a literature review, focus groups with key staff, and pilot testing and monitoring of the guidelines in an acute psychiatric setting.Results: The process was well accepted by staff and was found useful in monitoring outcomes in a naturalistic setting. The final guidelines proved safe and effective in the acute setting.Conclusions: The incorporation of a monitoring system for interventions for the management of behavioural disturbance in acute psychiatric settings is beneficial for staff and patients alike.