Prof. Joy Duxbury

Professor in Mental Health Nursing

School of Nursing

Brook Building, BB435

+44 (0) 1772 89 5110

Subject Areas: Mental Health

Joy is Professor in Mental Health Nursing. She is research active in the area of mental health and wellbeing and leads the Centre for Mental Health and Wellbeing within the School of Health. She has a background in forensic and acute inpatient mental health care. Joy has conducted extensive research into staff and patients perspectives on aspects of risk and safety with a specific focus upon aggression, coercive practices and medication management. Her work and publications reflect her interest in applied social justice.

Full Profile

Joy is particularly keen to work with service users and carers to understand the challenges they face when accessing care and their perspectives on therapeutic and non therapeutic relationships. This largely relates to mental health but also includes areas of investigation across the life span including end of life care and dementia. Consequently service users and carers work with Joy and her team on a number of research projects.

Joy was awarded Mental Health Nurse of the Year in 1990.

She has been recently been awarded an Honoray Principal Fellow and Associate Professor title at the University of Melbourne.


2008 MA in Criminology and Social Policy, Open University.
2006 PG Cert HE Research Supervision and Support, UCLAN.
2003 PhD: Faculty of Health, Lancaster University.
1993 Registered Nurse Teacher (ENB)
1993 BSc(Hons) Nursing Studies, University of Hull, First Class
1986 Registered. Mental Health Nurse, Surrey.


Duxbury J, Pulsford D, Hadi M & Sykes S (In press) Staff and relatives perspectives on the aggressive behaviour of older people with dementia in residential care: a qualitative study. Journal of Psychiatric and Mental Health Nursing (available online: DOI: 10.1111/jpm.12018)

Gerdtz, M, F, Daniel C, Dearie V, Prematunga R, Bamert M & Duxbury J (In press) The outcome of a rapid training program on nurses’ attitudes regarding the prevention of aggression in emergency departments: A multi-site evaluation. Int. J. Nurs. Stud. (2013),

Pulsford D, Crumpton A, Baker A, Wilkins T, Wright K & Duxbury J (2013) Aggression in a High Secure Hospital: Staff and Patient Attitudes. Journal of Psychiatric and Mental Health Nursing 20(4): 296-304

Duxbury J, Aiken F & Dale C (2011) Deaths in custody; the role of restraint. Journal of Learning Disabilities and Offending Behaviour, 2 (4), 178-190

More publications

Teaching Activities

Joy supervises a number of full and part time PhD students in the field of mental health.


2011 - pr Steering group adviser to Marie Curie Project; End of Life Care, Liverpool University

2010 - pr European Violence in Psychiatry Research Group (EViPRG) Steering Board Member

2010 - pr Appointed Member to Royal College of Nursing Mental Health Forum Steering Group

2009 - 2010 Chair of Service User and Carer Advisory Group for the Mental Health Improvement Programme, NW SHA

2009 - pr Appointed Member to R&D Committee for Preston Central Lancashire PCT

2011 - pr Appointed to Advisory Group for NIHR project, University of Liverpool, Marie Curie Unit

2009 - 2010 Advisory Group Member for NIHR project at University of Liverpool, Haccru

2007 - Expert Panel member for Review of Seclusion; Merseycare NHS Mental Health Trust, Hesketh House’, Southport.

2007 - pr Member of the Mental Health Academics UK Group

2005-2006 Appointed Member to Cross Government Working Group on the Prevention and Management of Violence in Healthcare, DH


Joy's primary applied research spans three interrelated areas. Combined they reflect an interest in social justice and patient safety in mental health. They are:

Perspectives on aggression and violence
Coercive strategies in inpatient mental health services
Medication management

A substantial part of Joys research explores perspectives on the causes and management of patient aggression. This has resulted in the development of an attitude scale to explore and compare perspectives. The Management of Aggression and Violence Attitude Scale (MAVAS) was published in 2003 and has since been translated into a number of languages. It has also be revised to be used in varied specialist settings including forensics, older people and the general hospital setting.

With regards to coercive practices Joy is an advocate for the reduction in use of coercive practices such as seclusion and restraint to manage aggression and violence. She has recently been funded with partners by the Ministry of Justice to review the medical theories of restraint related deaths in the UK. She is also interested in the implementation of organisational models to facilitate cultural and practical change.

Medication management remains reasonably under researched from a nursing perspective in the UK. Again in line with a patient safety theme and in the pursuit of promoting positive interpersonal relationships between staff and patients , Joy has conducted work on observing medication rounds and exploring associated decision making strategies. All of her work evidences her pursuit to explore patient and carer views on the micro aspects of social justice within a practical and mostly institutional setting. Joy has a number of funded PhD students who research into allied areas of practice.


The following funded projects reflect her work in this area:

2011 £15000 Duxbury J Developing a Patient Safety Academy; 5 Boroughs Mental Health Trust

2011 £10,008 Duxbury J & Taylor J An exploration of the the community engagement of pharmacy services with local self help groups on the Fylde, MedicX

2011 £50,000 Duxbury J, Dale C, Aiken F A Review of Restraint Related Deaths in the UK, Ministry of Justice

2010 £70,000 McKeown, Duxbury & Hacking An appreciative inquiry of participatory models of practice and recovery orientated care on two wards in the REBUILD clinical business unit, Merseycare NHS Mental Health Trust.

2010 £40,000 McKeown, Wright & Duxbury. A case study evaluation of service user involvement initiatives across secure mental health services in Yorkshire & Humberside. Humberside MH Trust

2010 £123,622 McKeown, Lyons & Duxbury. Supporting capacity building for service users and carers to engage with statutory sector initiatives and consultations. Advanced KTP with MHIP/Blackburn with Darwen PCT.

2010 £144,000 Duxbury J, Ellis H, Yates S (2010) Scoping Exercise of End of Life Care in the North West; An Exploration of Stakeholder Service Users and Carer Perspectives, NW SHA

2010 £5, 000 Duxbury J, French B, McKeown M (2010) A narrative review of service user perspectives on coercive practices to manage aggression, Trondheim University, Norway

2009 £130,000 Duxbury J, Cuerden G, Malihi-Shoja L, Harding A, Browning G & McKeown M (2009) Tender for Service User and Carer Engagement Model: Mental Health Improvement Programme, NW SHA,

2009 £63,000 Ramdour S, Duxbury J, Wilson S, Beckett G, and Fewster C (2009) Exploring medication adherence in young people in early intervention services; A comparison of patient and health care professionals’ views, Lancashire Care Mental Health Foundation Trust/NW SHA (Including funded studentship)

2007 £10,000 Duxbury J, Pulsford D An Evaluation of Aggression Management in Older Peoples Services, BUPA, 1 year, Livesey Award, UCLAN

2006 £60,000 Duxbury J, Harris N; Evaluating a course on medication management; testing nurse, patient and clinical outcomes. The Burdett Charitable Trust, 2 years

2004 £120,000 Baker J, Lovell K and Duxbury J; The development and testing of a clinical decision making protocol for the management of 'PRN medication'. University of Manchester, The Health Foundation Fellowship, £120,000, 3 years. Developing areas of interest in line with her research teams interest in social inclusion are:

End of Life Care including older peoples mental health and methods of community/public engagement.