Our Research

We ran a survey to find out more about negative experiences with

mental health professionals and it led to the creation of the

Adverse Behaviours in Clinicians (ABC-11) checklist

Uncovering Harmful Behaviours in Mental Health Services:
Introducing the ABC-11

Thank you to all participants who contributed to our research. Your insights have shed light on a critical issue: The often-overlooked negative events that occur when seeking mental health care.


The study helped to create the Adverse Behaviours in Clinicians (ABC-11) checklist, a tool derived from current clinical guidance on domestic abuse. Our research underscores its importance in clinical settings, where identifying practitioner behaviours can prevent iatrogenic harm being caused to those seeking help for their wellbeing.


  • 94% of participants reported experiencing at least one adverse scenario of the eleven listed in the ABC-11.
  • The average ABC Score was six and was consistent across locations and service types.


The ABC-11 enables advocacy for the appropriate standards of care crucial for creating and maintaining wellbeing in healthcare settings. But our work doesn't stop here - We call for further exploration into the ABC-11's practical applications across different demographics, diagnoses, treatments and service environments. Preventing harmful practitioner behaviours is a public health priority and we urge political, managerial, and regulatory stakeholders to take action.


Want to find out more? 

View or download the full report here

Get a printable copy of the ABC-11 checklist here



Questions or Feedback?

We would love to hear your feedback on the research report and the ABC-11. Please use the form below to get in touch.

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Suggested Citation:
Not Alone Collective (2024) Back to basics: Moderating iatrogenic harm by identifying and measuring mental health practitioner behaviours associated with interpersonal violence. Available at: https://doi.org/10.5281/zenodo.10782787



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