Conflict Tolerance Scale (CTS)

More will follow…

The Conflict Tolerance Scale (CTS)

The aim of this project is to gain evidence of the psychometric properties of a forensic ward CTS – a new
conflict tolerance assessment instrument in forensic psychiatry as part of the basis for further initiatives to
reduce the prevalence of mechanical restraint.

Forensic Mental Health Research Unit Middelfart (RFM),Department of Regional Health Research, Faculty of Health Science, University of Southern Denmark & Psychiatric dept. Middelfart, Mental Health Services in the Region of Southern Denmark

Project Core Group

Frederik A.Gildberg
Professor in Forensic Mental Health, PhD, MScN, RN. Institute of Regional Health Research, Faculty of
Health Science, University of Southern Denmark. Head of Research, Dept. of Psychiatry Middelfart, Region
of Southern Denmark.

Søren Fryd Birkeland; Ph.D, Lecturer at the University of Southern Denmark, Chief physician at Odense
Patient data Explorative Network-OPEN.

Jens Peter Hansen, Assistant Professor, PhD, MScn, RN Mental Health Department Esbjerg, University
Clinic & Center for Psychiatric Nursing and Health Research, Institute of Regional Health Research, SDU.

John Baker, Professor, PhD, MPhil, MSc, BNurs (hons), RN. Chair of Mental Health Nursing, School of
Healthcare, University of Leeds, Leeds, UK.


Gildberg, F., Petersen Fallesen, J., Vogn, D., Baker, J. & Fluttert, F., 2021. Conflict management: A qualitative study of mental health staff’s perceptions of factors that may influence conflicts with forensic mental health inpatients. Archives of Psychiatric Nursing. 10.1016/j.apnu.2021.06.007 Status: Published

This article makes up the fundamental model for the further development of the CTS

Internationally, clinical services are under pressure to reduce their use of restrictive practices. The aim was to explore how mental health nurses and nursing assistants perceive conflict and their use of restrictive practices with mental health inpatients in forensic mental health care. A total of 24 semi-structured interviews with forensic mental health staff were conducted and analysed using thematic analysis. The findings propose a dynamic model that explains how tolerance of potential conflict situations changes depending on individual staff members’ perceptions of patients and colleagues, and their relationships.