Workplace Violence Prevention: A Multidisciplinary Approach



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January 21, 2010 Workplace Violence Prevention: A Multidisciplinary Approach Prince & Phelps Consultants Patrick Prince, M.A. & Ann Phelps, Ph.D.

What Can We Learn from Prior Incidents of Violence? U.S. Post Office, Dana Point, California May 6, 1993 City of Los Angeles, Piper Technical Center July 19, 1995 United States Department of Agriculture, LAX April 22, 1998 Raisin Processing Plant, Fresno, California October 20, 2000 City of Los Angeles, Bureau of Street Services February 24, 2005 City of Los Angeles, Office of Public Safety January 10, 2008

What Is the Recommended Strategy to Prevent Violence? Create a Safe & Healthy Work Environment Predict Toxic Situations React to a Threat of Violence Ignore Actual or Potential Threats to Safety Prevention Early Intervention Late Stage Intervention Post Incident Trauma Response

Pathway to Violence IDEA ACTION

What is Threat Assessment? What Is the Distinction Between...? Assessment Investigation What Is the Distinction Between...? Risk of Violence Assessment Fitness for Duty Evaluation

What is Threat Management? Intervention Case Management Is Risk Assessment an Intervention?

Lessons Learned from Workplace Shootings 1. Threat assessment requires a conceptual framework that is readily understandable. The framework must consider multivariate factors (the individual, the environment and the complex interactive dynamic) which are predictive of violence.

PPC Framework for Risk Assessment & Threat Management Potentially Dangerous Person + Perceived Hostile Environment + Triggering Event VIOLENT ACTING OUT

Lessons Learned 1. Threat assessment requires a conceptual framework that is readily understandable. The framework must consider multivariate factors (the individual, the environment and the complex interactive dynamic) which are predictive of violence. Failure to address all three boxes or choosing to focus on only one aspect (e.g., the individual employee) of the violence equation, can lead to disastrous consequences. If either box (person or environment) is full enough, it will begin to impact the other box in a dynamic, negative manner. Managers, supervisors and employees need to understand how they individually and collectively impact workplace safety.

Lessons Learned 2. There is a difference between threatening and imminently dangerous and there must be a tolerance for the ambiguous aspects of how we define and respond to threats.

What do we mean by Violence or Threat of Violence? WORKPLACE VIOLENCE Workplace violence is any type of behavior or incident in which an individual is intimidated, threatened, verbally or physically harassed, bullied, assaulted, injured, or killed at work or in relation to their employment. THREAT OF VIOLENCE A threat of violence is a direct or implied expression of intent to inflict physical harm and/or actions that a reasonable person would perceive as a threat to physical safety or property.

What do we mean by Zero Tolerance? ZERO TOLERANCE Zero tolerance is a commitment to maintaining a workplace that is free from violence or threats of violence. Threats, threatening behavior or acts of violence against an employee or any other individual cannot be tolerated. All threats must be taken seriously and every report of threatening behavior thoroughly and promptly investigated. Depending on the findings of the assessment, appropriate action must be taken.

Risk of Violence Levels Intent and Means to Do Harm Communication of a Threat to Do Harm Inappropriately Aggressive, Hostile or Intimidating Behavior HIGH RISK MODERATE RISK LOW RISK

LEVEL III: High Risk of Violence Specific verbal threat (intent + means to do harm) Physical altercation or assault upon another person Recurrent suicidal threats Brings weapon to the workplace Stalking LEVEL II: Moderate Risk of Violence Vague or veiled threats Verbalizes desire to hurt others Threatening or harassing phone calls or documents Physically intimidating behavior or body language Sabotage or damage to physical property Sees self as victimized (by organization or targeted individual) LEVEL I: Low Risk of Violence Challenging, bullying or intimidating statements Argumentative or belligerent Frequent profanity Noncompliance or refusal to cooperate Hostile or defiant attitude toward authority

Lessons Learned 3. Information is available about threats and threatening behavior, but it is often not reported or, if it is, appropriate steps may not be taken.

Did you see it? Did you report it? 90 80 70 60 50 40 30 20 10 0 Threat Communicated to Others Threat Communicated to Target

Lessons Learned 4. Domestic violence and stalking are significant problems that impact the workplace. They are often hidden and won t go away without appropriate intervention.

DOMESTIC VIOLENCE & STALKING: WORKING WITH THE VICTIM Maliciously and repeatedly following or harassing someone when there is a credible threat to place that person in fear of death or great bodily harm. STALKER BEHAVIOR: Mailing Cards, Leaving Messages Leaving Flowers on Doorstep Trespass, Break into Home or Car Theft of Items, e.g. Mail, Keepsakes Harassing Phone Calls, Frequent Hang Ups Surveillance and Following Vandalism and Destruction of Property VICTIM BEHAVIORS WHICH INCREASE RISK: Attempts to placate the stalker Argues with the stalker or otherwise engages stalker in a hostile manner Feels sorry for the stalker Communicates or has contact with the stalker or a third party Protects the stalker from prosecution

USE OF RESTRAINING ORDERS How restraining orders can be used as a threat management tool Types of restraining orders: 1. 2. 3. 4. Advantages and disadvantages of using restraining orders

Lessons Learned 5. It is essential to assess risk before any course of action is taken. Assessment requires analytic capacity and clinical judgment to put the pieces of assessment data together to connect the dots meaningfully. Intervention must match the level of risk and utilize a multidisciplinary approach. Everything we do has an impact on the overall safety of the situation. Risk assessment should begin long before termination and it continues well after an employee is off your premises.

Risk Assessment & Intervention Outcome ASSESSMENT INTERVENTION OUTCOME Underestimate Risk Under-respond or Ignore Situation Escalates Overestimate Risk Over-respond or Knee-jerk Situation Escalates Accurately Assess Risk Apply Appropriate Strategy Situation De-escalates to Match Level of Risk

CASE MANAGEMENT DILEMMAS: BALANCING OF LEGAL, ETHICAL and SAFETY CONCERNS + + + + + + - - - - - - In all cases, every effort must be made to maintain INDIVIDUAL PRIVACY (to the extent possible) while at the same time insuring individual, organizational and community SAFETY.

Pathway to Violence KNOWN or SEEN LOW MOD HIGH IDEA Troubled, Difficult or Seriously Annoying UNKNOWN NOT SEEN ACTION Hostile Threat Assault

Pathway to Violence: Case Management Options IDEA Troubled, Difficult or or Troubled, Difficult Seriously Annoying Seriously Annoying ACTION Hostile Hostile Work Expectations Accountability Tools Root Problem Analysis EAP Counseling Conflict Mediation Organizational Assessment Assess Leadership Capacity Threat Threat For Cause Testing Behavioral Contracting Investigation & Discipline Fitness for Duty Work Environment Audit Workgroup Intervention Supervisory Coaching Assault Assault ROV Interview Administrative Leave Work Relocation Enhance Facility Security Surveillance Executive Protection Restraining Order

Summary of Lessons Learned 1. Threat assessment needs a conceptual framework that is readily understandable. 2. There is a difference between threatening and imminently dangerous and there must be a tolerance for the ambiguous aspects of how we define and respond to threats. 3. Information is available about threats and threatening behavior, but it is often not reported or, if it is, appropriate steps may not be taken. 4. Domestic violence and stalking are significant problems that impact the workplace. They are often hidden and won t go away without appropriate intervention. 5. It is essential to assess risk before any course of action is taken. 6. Individuals within the organization discharge their duties but there is often a failure to manage the case.

What Do You Need in Your Violence Prevention Tool Kit?

What Does It Take to Prevent Workplace Violence? 1. Collaborative, team approach utilizing a single point of contact to coordinate input from psychological, legal, security, management and administrative resources. 2. Effective training at all levels of the organization to not only build awareness but also to create a culture willing to recognize and intervene at the earliest opportunity. 3. Expert consultation from a threat assessment professional who has the analytic capacity and clinical judgment to put the pieces of assessment data together to connect the dots meaningfully, to articulate viable intervention plans and to advise on case management. 4. Understanding that threat assessment is an ongoing process (not just a point in time) and requires ongoing case management until risk is mitigated or eliminated.

About Prince & Phelps Consultants: Pr ince & Phelps Consultants ( PPC) is a corporate training and management consulting company specializing in w orkplace violence prevention, conflict resolution, recognition and management of w orkplace substance abuse, trauma response and other related occupational health and safety issues. Mr. Prince and Dr. Phelps have w orked as independent contractors both individually and in partnership since 1985. During this time, they have consulted on more than 1,000 cases of threatening situations or acts of violence in the w orkplace. Their consultations have been in response to a w ide array of situations ranging from intimidation, harassment and verbal threats to physical assaults, acts of sabotage, felony stalking, discharging firearms in the w orkplace and on-the-job homicide. Mr. Prince and Dr. Phelps have been primary responders to several incidents involving multiple homicides including the United States Post Office, Dana Point, CA (May, 1993), the City of Los Angeles Piper Technical Center (July, 1995), the United States Department of Agriculture, Port of Los Angeles (April, 1998), and the City of Los Angeles Bureau of Street Services (February, 2005). Consultation includes risk of violence assessment, participation on corporate threat assessment teams, supervisor coaching and ongoing assistance in case management. Mr. Prince and Dr. Phelps have designed and conducted violence prevention training programs for numerous organizations, both in the pr ivate and public sector. They have trained over 30,000 managers, supervisors and employees in civil service organizations such as the City of Los Angeles, the U.S. Postal Service, the U.S. Department of Agriculture, and numerous Southern California municipalities on issues of workplace safety, threat management, and the prediction and prevention of w orkplace violence. They have provided briefings on this subject for the City of Los Angeles City Attorney s Office, the Civil Service Commission and the California District Attorneys Association. The PPC model is a dynamic approach that broadens the number of variables considered and that provides for ongoing assessment of a situation rather than relying solely on a point-in-time psychological assessment. As well, Mr. Prince and Dr. Phelps have responded to over 200 occupational accidents and other traumatic events. In addition to incidents involving multiple homicides, fatal w orkplace electrocutions and explosions, severe burns, and armed robbery, PPC has provided services for organizational recovery to earthquakes, w ildfires and community riots. PPC trauma services include management consultation on organizational recovery, group debriefings and individual counseling. PPC also provides training for managers, supervisors and emergency response teams to enhance organizational stability during traumatic events. PPC also have extensive professional and public lecture experience, speaking on the topics of w orkplace violence prevention, occupational stress and trauma, and organizational disaster recovery. They have served as keynote and motivational speakers for national and international professional conferences and business gatherings. They have served as subject matter experts in the design and production of training videos regarding occupational trauma, substance abuse and dealing w ith difficult people. Television and radio netw orks have interview ed both Mr. Prince and Dr. Phelps and they have provided court testimony for their expertise on these topics.

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