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Pharmacological Management of Acute Behavioural Disturbance

June 21, 2021


Acute Behavioural Disturbance is behaviour that puts the patient/others at immediate risk of serious harm.  Pharmacological Management is initiated after exhausting Non Pharmacological Management.

Alignment to Western Health Best Care Framework

Safe Care

Why is this important

Immediate action to de-escalate verbally is imperative and if this isn’t successful, pharmacologic intervention must be employed to reduce their behaviour which can cause serious distress, harm, injury or even death to the patient or others.

What does this look like in practice


Risk Assessment using BOC Chart


General Management Principles of Escalating BOC


General Precautions Applicable to All Patients


  • Riskman
  • Clinical Audits
  • Morbidity and Mortality Meeting

Associated Documents

Policies, Procedures and Guidelines (PPG’s)


External Links