Client history and violence on direct care workers in the home care setting

Ha Do Byon, Carla Storr, Lori Edwards, Jane Lipscomb

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Background: Health care workers providing home care are frequently unaware of their client's history of violence or mental illness/substance abuse disorder, recognized risk factors for workplace violence. This study estimated the associations between these factors and experiencing client violence among direct care workers in the home settings (DCWHs). Methods: Acts and threats of violence were estimated using data from an anonymous survey among DCWHs (n = 876) working at two large home care agencies. Logistic regressions were performed to produce odds ratios. Results: Physical acts and physical or verbal threats of client violence were associated with providing homecare to clients with a violence history (adjusted ORs = 6.60 and 10.78, respectively), whereas threats of client violence (adjusted OR = 5.80) were associated with caring for clients with a mental illness/substance abuse disorder. Conclusions: Policy and practices that support the communication of appropriate client risk information may reduce the likelihood of workplace violence among DCWHs. Am. J. Ind. Med. 59:1130–1135, 2016.

Original languageEnglish (US)
Pages (from-to)1130-1135
Number of pages6
JournalAmerican Journal of Industrial Medicine
Issue number12
StatePublished - Dec 1 2016


  • direct care worker
  • home care
  • mental illness
  • substance abuse disorder
  • workplace violence

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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