Early Recognition
The Early Recognition Method (ERM) was developed in order to create an effective risk management intervention for the prevention of aggression in forensic care. Most characteristic of this risk management method is that the focus is on the early warning signs of aggression. With competent nursing attention, the signs can be detected during daily care. In addition, the method helps patient and nurse attune their perspectives on the risk of aggression and how to manage this risk with a particular patient.Phases of the ERM*
The Early Recognition Package, exists of training program, a protocol and relapse prevention plan. This provides a clear structure for the four phases of the ERM.First, the introduction of the method to the patient(s) and explanation of what is expected. Second the main warning signs for the patient are listed and described within the Early detection plan (which is a relapse prevention plan based on early signs). Third, the patient learns to monitor his behaviour in order to recognize early warning signs. And fourth, preventive actions are outlined. In the protocol is explained how to anticipate and manage hostility or a lack of motivation on the part of the patient.
The forensic application of this scientifically methodology is developed by Frans Fluttert from The Netherlands. The combination of the ERM with BVC and SOAS-R is the ‘Golden Triangle’ in risk management and prediction of inpatient aggression.
In Europe the EViPRG, European Violence in Psychiatry Research Group, is founded to share knowledge and experiences.
* ERM = Early Recognition Methodology
This scientifically methodology is developed by Linaker, Busch-Iversen and Almvik
from Norway.
