Patients hearing command hallucinations to harm whose only self-management strategies are to obey these commands, can represent serious safety concerns on inpatient psychiatric units. A comprehensive evidence-based program teaching self-management of auditory hallucinations on inpatient psychiatric units is described that includes five components: suggestions for staff education; patient self-assessment tools; an interview guide and safety protocol; a course to teach strategies for managing distressing voices and commands to harm; suggestions to improve staff communication; and a plan to extend the program from inpatient care settings into the community by sharing materials with community case managers and caregivers when patients are discharged.
Buccheri, R., Trygstad, L., Buffum, M., Lyttle, K., & Dowling, G. (2010). Comprehensive evidence-based program teaching self-management of auditory hallucinations on inpatient psychiatric units. Issues in Mental Health Nursing, 31(3), 223-231.