Violent Incidents in a Secure Service for Individuals with Learning Disabilities : Incident Types, Circumstances and Staff Responses

Malda Castillo, Javier and Smith, Ian Craig and Morris, Lucy and Perez Algorta, Guillermo Daniel (2018) Violent Incidents in a Secure Service for Individuals with Learning Disabilities : Incident Types, Circumstances and Staff Responses. Journal of Applied Research in Intellectual Disabilities, 31 (6). pp. 1164-1173. ISSN 1360-2322

[thumbnail of Castillo_et_al_preprint (1)]
PDF (Castillo_et_al_preprint (1))
Castillo_et_al_preprint_1_.pdf - Accepted Version
Available under License Creative Commons Attribution-NonCommercial.

Download (499kB)


Background: The issue of violence in secure services has long been recognised both in the UK and worldwide. However, there is currently scarce literature available about violence within Learning Disability (LD) secure settings. Methods: Secondary data analysis was conducted on violent incidents, using information routinely collected by the staff over a one-year period. Results: Physical assaults were the most frequent type of incident, the distribution in terms of days or months was homogenous and incidents were concentrated in the corridors, lounges, and dining rooms of secure facilities. Antipsychotic medication was not regularly prescribed. Generalised linear modelling analyses revealed significant predictors that increased the chances of seclusion and physical restraint, such as being female or directing the violence towards staff. Conclusions: These findings can inform staff training on violence prevention, and suggest that increased ward-based supervision and enhanced use of psychological formulations may help in reducing violence within this service context.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Applied Research in Intellectual Disabilities
Additional Information:
This is the peer reviewed version of the following article: Malda Castillo J, Smith I, Morris L, Perez‐Algorta G. Violent incidents in a secure service for individuals with learning disabilities: Incident types, circumstances and staff responses. J Appl Res Intellect Disabil. 2018;31:1164–1173. which has been published in final form at This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
Uncontrolled Keywords:
?? incidentsldsecuresettingstaffviolenteducationdevelopmental and educational psychology ??
ID Code:
Deposited By:
Deposited On:
24 May 2018 08:42
Last Modified:
15 Jul 2024 17:53