Thirty-five years of empirical research have continuously documented t
he potential negative impact of patient assaults on staff. The Assault
ed Staff Action Program (ASAP) is a voluntary, peer-help, systems-wide
crisis intervention debriefing approach for employee victims of these
assaults. ASAP has been associated with providing needed clinical sup
port for victims, declines in violence, and cost-effectiveness in serv
ice delivery. A previous paper outlined the basic steps needed to fiel
d an ASAP team. This paper continues to address this need by outlining
the most commonly encountered ASAP problems and solutions that have e
volved in the first eight years of ASAP programs. The implications are
discussed.