Handling Aggressive or Violent Behavior: Safety Guidelines for LTC Workers

Trust Your Instincts

• Do not ignore threats or feelings that something is “off.”
• Trust your instincts and respond early to signs of aggression or violence.

Aggressive individuals have three options:

• Attack
• Retreat
• Compromise

Goal: Encourage retreat or compromise to de-escalate the situation.

Sudden aggression may result from:

• Medication side effects.
• Infections (e.g., urinary tract infections).
• Medical conditions or mental health issues.

Action: Work with the care team to ensure immediate medical attention when needed.

If You Do NOT Feel in Immediate Danger

Remain Calm: Stay in control and project calmness.

Offer Support: Remind the person that you are a friend and want to help.

Listen Actively: Use a calm voice to listen and validate feelings without condoning behavior.

Avoid Aggressive Body Language: Do not cross arms, point fingers, or stand over the person. 

Maintain Distance: Avoid standing too close and ensure you have an escape route.

Avoid Touching: Do not place your hand on an angry person.

Set Boundaries: Politely but firmly state that threatening behavior is not acceptable.

Plan an Exit Strategy: Be prepared to leave if the situation escalates.

If You Feel in Danger or Violence is Likely

Excuse Yourself: Use reasons like, “I need to take this call outside” or “I forgot something in my car.”

Back Away Slowly: Do not turn your back—move gradually backward.

Avoid Dangerous Areas: Stay away from stairs or locations with weapons (e.g., heavy objects or furniture).

Seek Help: Once safe, report the incident immediately.

Reporting Violence or Abuse

Mandated Reporter: You are required by law to report:

• Physical or sexual assault to law enforcement.
• Suspected abuse to your supervisor or Adult Protective Services (APS).

Early recognition and de-escalation can prevent violence. Stay alert, follow procedures, and prioritize safety—both for yourself and your clients.