Hi! I believe I can be of help with this issue.
First, let me say I can imagine how confusing and frustrating this situation must be for you. That you are making these efforts on his behalf is really a very wonderful thing and I appreciate very much that you are in our field. You are clearly one of the reasons this is a good field to be part of. I thank you for that.
And this is actually the key to my answer to you that you need to consider and think about. That you are a good person makes the alternatives you most likely have to choose between very difficult. Because they are unpleasant.
I think the psychiatrists and psychologists in charge are going to have to authorize some of this and I encourage you to not feel that the staff has failed when you bring up what will have to be done.
You need to deal with this on two fronts: protecting your staff is your first priority. Second is behavior modification for the patient. Therefore, you need to have the docs in charge order restraints for him or have him relocated to a higher security facility. This will not be pleasant for him either way. I mean having his hands in restraints, tied to his sides. This will work best with a psychologist in place to use it as part of the behavior modification work. But it is first and foremost to protect your staff.
If the docs in charge are worried about restraints being unethical, then you need to ask for the patient to be transferred to a ward or facility where the staff is trained to deal with "violent" patients. Because that is what he is. You need to orient your own thinking this way. Your staff is right to want to quit. This is violence being perpetrated on them. They do not deserve this. You need to orient your thinking in this way so that you can effectively communicate this to the docs in charge. Okay?
So this is what you are facing: #1 is supporting your staff: either restraints or transfer to a higher security facility. #2 is behavior modification. Restraints are good for this IF there is a psychologist available to work with the patient in conjunction with the restraints.
Again, thank you for being part of our field. I wish you the very best!
Please remember to click the green accept button. Feel free to continue the discussion; my goal is to get you the best answers possible. Bonuses are always appreciated! If I can be of further help with any issue, just put "for Dr. Mark" in the front of your new question, and I'll be the one to answer it. All the best, ***** *****