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California State Hospital Violence Assessment and Treatment (Cal-VAT) guidelines

Published online by Cambridge University Press:  14 August 2014

Stephen M. Stahl ,
Debbi A. Morrissette ,
Michael Cummings ,
Allen Azizian ,
Shannon Bader ,
Charles Broderick ,
Laura Dardashti ,
Darci Delgado ,
Jonathan Meyer  and
Jennifer O’Day
...Show all authors
Stephen M. Stahl
Affiliation:
Department of Psychiatry, University of California–San Diego, San Diego, California, USA Department of Psychiatry, University of Cambridge, Cambridge, UK Neuroscience Education Institute, Carlsbad, California, USA California Department of State Hospitals, California, USA
Debbi A. Morrissette
Affiliation:
Neuroscience Education Institute, Carlsbad, California, USA Department of Biology, California State University, San Marcos, California, USA Department of Biology, Palomar College, San Marcos, California, USA
Michael Cummings
Affiliation:
California Department of State Hospitals, California, USA Department of Psychiatry, Patton State Hospital, California, USA
Allen Azizian
Affiliation:
California Department of State Hospitals, California, USA Department of Psychology, Coalinga State Hospital, California, USA Department of Criminology, California State University, Fresno, California, USA
Shannon Bader
Affiliation:
California Department of State Hospitals, California, USA Department of Psychiatry, Patton State Hospital, California, USA
Charles Broderick
Affiliation:
California Department of State Hospitals, California, USA Department of Psychology, Atascadero State Hospital, California, USA
Laura Dardashti
Affiliation:
California Department of State Hospitals, California, USA Department of Psychology, Metropolitan State Hospital, California, USA
Darci Delgado
Affiliation:
California Department of State Hospitals, California, USA Department of Psychology, Vacaville Psychiatric Program, California, USA
Jonathan Meyer
Affiliation:
Department of Psychiatry, University of California–San Diego, San Diego, California, USA California Department of State Hospitals, California, USA Department of Psychiatry, Patton State Hospital, California, USA
Jennifer O’Day
Affiliation:
California Department of State Hospitals, California, USA Department of Psychology, Metropolitan State Hospital, California, USA
George Proctor
Affiliation:
California Department of State Hospitals, California, USA Department of Psychiatry, Patton State Hospital, California, USA
Benjamin Rose
Affiliation:
California Department of State Hospitals, California, USA Department of Psychology, Napa State Hospital, California, USA
Marie Schur
Affiliation:
California Department of State Hospitals, California, USA Department of Psychology, Atascadero State Hospital, California, USA
Eric Schwartz
Affiliation:
California Department of State Hospitals, California, USA Department of Psychology, Vacaville Psychiatric Program, California, USA
Susan Velasquez
Affiliation:
California Department of State Hospitals, California, USA Department of Psychiatry, Patton State Hospital, California, USA
Katherine Warburton
Affiliation:
California Department of State Hospitals, California, USA Department of Psychiatry, Forensic Division, University of California–Davis, Davis, California, USA
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Abstract

Here we provide comprehensive guidelines for the assessment and treatment of violence and aggression of various etiologies, including psychotic aggression and impulsive aggression due to schizophrenia, mood disorders, ADHD, or trauma, and predatory aggression due to psychopathy and other personality disorders. These guidelines have been developed from a collection of prescribing recommendations, clinical trial results, and years of clinical experience in treating patients who are persistently violent or aggressive in the California Department of State Hospital System. Many of the recommendations provided in these guidelines employ off-label prescribing practices; thus, sound clinical judgment based on individual patient needs and according to institution formularies must be considered when applying these guidelines in clinical practice.

Keywords

Aggressionimpulsivepredatorypsychoticviolence
Type
Guidelines
Information
CNS Spectrums , Volume 19 , Supplement 5 , October 2014 , pp. 449 - 465
Copyright
© Cambridge University Press 2014 

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