AAPP Pharmacist Toolkit: Agitation and Aggression in Practice

Course Description

About AAPP Toolkits 

AAPP toolkits highlight both the evidence base available as well as strategies of clinical decision making used by expert psychiatric pharmacist clinicians. The content reflects the views and practice of the authors as substantiated with evidence-based facts as well as opinion and experience. Toolkits are peer reviewed by psychiatric pharmacists. Authors and AAPP review and update toolkits annually and strive to use up-to-date, non-stigmatizing language. Terminology does evolve rapidly and often regionally such that there may be differences between reader experiences and expectations and those of the author(s). AAPP members receive complimentary, continuous access to toolkits. Non-members can purchase for a fee for a period of 3 months. 

This toolkit provides a resource for recognizing, understanding, and managing episodes of agitation and forms of aggression encountered in clinical practice. Various assessment tools and nonpharmacologic and pharmacologic interventions are reviewed as a means to improve outcomes and safety. The toolkit is not intended to replace facility specific guidance but provides a resource for mental health professionals, including psychiatric pharmacists, to integrate necessary principles into their practice. This toolkit includes:

  • Background
  • Understanding aggression risk
  • Nonpharmacologic treatment options
  • Additional prevention strategies
  • Clinical Pearls: Tips for practice
  • Medication Treatment of Acute Agitation and Aggression
  • Medication Treatment of Chronic Agitation and Aggression
  • References