The Problem Behaviour Program

2021 ◽  
pp. 536-553
Author(s):  
Troy E. McEwan ◽  
Rajan Darjee
Keyword(s):  
Risk Assessment ◽  
Problem Behaviors ◽  
Threat Assessment ◽  
Governance Structure ◽  
Evidence Based ◽  
Problem Behaviour ◽  
Specialist Service ◽  
Assessment And Treatment ◽  
And Function

The Problem Behaviour Program (PBP) in Melbourne, Australia, is a specialist service that provides assessment and treatment to people who engage in violence, stalking, harmful sexual behavior, fire-setting, or other problem behaviors, regardless of the presence or absence of clients’ mental illness. The purpose of the PBP is to provide comprehensive and evidence-based assessment of, advice about, and treatment for people presenting with these difficult and sometimes frightening behaviors. Given the nature of the clientele, staff expertise in threat assessment, as well as risk assessment more generally, is a key requirement for working in the PBP. This chapter describes the establishment and function of the clinic and the underlying model of care, governance structure, and staffing profile. A detailed case study of a client referred because of concern about the potential for serious sexual violence is used to show how threat and risk assessment is essential to the functioning of the PBP and how such assessment can inform effective intervention for a range of problematic and harmful behaviors.

Fever

2007 ◽  
Vol 18 (1) ◽  
pp. 76-87
Author(s):  
Richard Henker ◽  
Karen K. Carlson
Keyword(s):  
Critically Ill ◽  
Critical Care Nurses ◽  
Critically Ill Patient ◽  
Evidence Based ◽  
Patient Morbidity ◽  
Salient Points ◽  
Assessment And Treatment ◽  
Fever Management ◽  
Planning Intervention

Fever occurs frequently in critically ill patients and requires knowledgeable assessment and treatment by critical care nurses. Fever can result from infection or inflammation and should be differentiated from simple hyperthermia. Although temperature measurement and fever management are not often priorities in the management of a critically ill patient, the physiologic consequences of fever may affect patient morbidity. This article defines and describes fever and its pathophysiology. An evidence-based plan of care for the assessment, planning, intervention, and evaluation of the patient with fever is outlined, using levels of recommendation based on the strength of the available evidence. A case study is presented to illustrate application to clinical practice. Commentary about the case is provided to review the salient points of care.

Risk Assessment and Treatment Guide for Obstetric Thromboprophylaxis: Comprehensive Review of Current Guidelines

2018 ◽  
Vol 36 (02) ◽  
pp. 130-135 ◽  
Author(s):  
Shad Deering ◽  
Lisa Thiel ◽  
Allison Eubanks
Keyword(s):  
Risk Assessment ◽  
Absolute Risk ◽  
Evidence Based ◽  
Saturation Point ◽  
Comprehensive Review ◽  
Medline Search ◽  
Vte Prophylaxis ◽  
Assessment And Treatment ◽  
Current Guidelines ◽  
Different Sources

Objective Currently, there are numerous recommendations and often conflicting guidance provided for venous thromboembolism (VTE) prophylaxis in pregnancy. Our objective was to create a one-page risk assessment and treatment guide based on a review of the most recent and evidence-based publications on this subject to simplify the approach and allow all obstetric patients to be properly assessed for risk of VTE and treated if indicated. Study Design We identified studies by completing a PubMed and MEDLINE search from January of 1980 through March 2017 with articles utilizing a specific combination of the selected general keywords (thrombophilia, pregnancy, VTE, prophylaxis, hypercoagulability, antepartum, postpartum, risk, etc.). We completed the search at the saturation point, meaning that all combinations of the relevant words were directing us to the same articles. After collecting the relevant sources and reviewing them, a total of 10 articles/guidelines were selected for inclusion in the analysis. Results We outlined every recommendation in the identified articles and guidelines and included any recommendation that was cited in at least three different sources in the final guide. We used American College of Obstetrics and Gynecology recommendations as the base for screening and dosing guidelines and utilized known and published absolute risk values and odds ratios to stratify risk factors. This stratification was used for both antepartum and postpartum recommendations and a single-page guideline was created. Conclusion This compilation of guidelines integrates the complicated topic into a simple comprehensive guide where women can be identified early and accurately for appropriate VTE prophylaxis to protect them during and after pregnancy.

Risk of money laundering in the US: HSBC case study

2016 ◽  
Vol 19 (3) ◽  
pp. 225-237 ◽  
Author(s):  
Mohammed Ahmad Naheem
Keyword(s):  
Risk Assessment ◽  
Money Laundering ◽  
Corporate Culture ◽  
Financial Services ◽  
Banking Sector ◽  
Internal Audit ◽  
Governance Structure ◽  
Content Type ◽  
Global Banking

Purpose This paper uses a case study approach using the Permanent Sub Committee on Investigations (PSI) report on HBUS to determine where gaps in anti-money laundering (AML) regulation and compliance are within the banking sector. Design/methodology/approach The PSI highlighted five areas of serious weakness and fundamental flaws in the HBUS AML risk assessment. This paper examines the governance response that led to these weaknesses and applies a rationale decision-making theoretical framework to explain it. Findings The report found that corporate culture and attitude at the governance level were key factors in the difficulties that HBUS faced. Research limitations/implications This paper focuses on one case, albeit one of the largest banks in the global banking sector. Although generalisations are limited, the report does highlight areas to consider with all banks. Practical implications The implications that are identified are aimed at banks and auditing firms that have to work alongside governance structure within banks. The role of internal audit is raised and has future implications for how risk assessment is undertaken and how AML compliance frameworks are devised and reported on. Social implications A stronger social corporate responsibility attitude is suggested that considers the wider social impacts of supporting criminal transactions, even inadvertently, by inappropriate and under-resourced AML risk-assessment frameworks. Originality/value The detailed analysis of one case that considers the governance response to AML regulation is new in this paper, and the detailed recommendations for improving and developing stronger AML risk-assessment frameworks apply to the banking, financial services and auditing professions.

Flood Risk Assessment in Asian Flood Prone Area with Limited Local Data – Case Study in Pampanga River Basin, Philippines –

2016 ◽  
Vol 11 (6) ◽  
pp. 1150-1160 ◽  
Author(s):  
Miho Ohara ◽  
◽  
Naoko Nagumo ◽  
Badri Bhakta Shrestha ◽  
Hisaya Sawano ◽  
...  
Keyword(s):  
Risk Assessment ◽  
River Basin ◽  
Flood Risk ◽  
Evidence Based ◽  
Flood Risk Assessment ◽  
Damage Cost ◽  
Local Data ◽  
Prone Area ◽  
Flood Prone Area

Disaster risk assessment is vital to determining needs for disaster countermeasures and promoting their implementation. However, it is difficult to conduct evidence-based risk assessment in flood-prone areas of Asia due to area-specific characteristics such as limited local data on natural and societal conditions and local lifestyles of persons who have adapted to frequent floods. This paper proposes basic flood risk assessment considering these characteristics and explores a case study conducted in a flood-prone area of the Pampanga River basin in the Republic of the Philippines to verify our method. We surveyed local household members as part of the study to understand local situations, finding that past flood damage cost little thanks to building structures adapted to frequent flooding and to local ways of protecting property during floods. We also found that the use of depth-damage curves developed for urban areas may overestimate anticipated damage expected in future floods when these curves are applied to flood-prone rural areas. For this reason, we propose a method of flood risk assessment for evaluating the societal impact on residents’ lives using observed thresholds of inundation depth by flood simulation, rather than using a method that estimates damage cost. Application of our proposal to the case study area confirmed its applicability and effectiveness in evidence-based planning for reducing flood risk.

Evidence-Based Caries, Risk Assessment, and Treatment

2009 ◽  
Vol 53 (1) ◽  
pp. 149-161 ◽  
Author(s):  
Margherita Fontana ◽  
Douglas A. Young ◽  
Mark S. Wolff
Keyword(s):  
Risk Assessment ◽  
Evidence Based ◽  
Caries Risk ◽  
Caries Risk Assessment ◽  
Assessment And Treatment

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Food for Thought on Pediatric Feeding and Swallowing

2008 ◽  
Vol 17 (3) ◽  
pp. 110-118 ◽  
Author(s):  
Joan C. Arvedson
Keyword(s):  
Developmentally Appropriate ◽  
Evidence Based ◽  
Silent Aspiration ◽  
Multiple Systems ◽  
Young Infants ◽  
Adequate Understanding ◽  
Nutrition And Hydration ◽  
Pediatric Feeding ◽  
Areas Of Concern ◽  
And Function

Abstract “Food for Thought” provides an opportunity for review of pertinent topics to add to updates in areas of concern for professionals involved with feeding and swallowing issues in infants and children. Given the frequency with which speech-language pathologists (SLPs) make decisions to alter feedings when young infants demonstrate silent aspiration on videofluoroscopic swallow studies (VFSS), the need for increased understanding about cough and its development/maturation is a high priority. In addition, understanding of the role(s) of laryngeal chemoreflexes (LCRs), relationships (or lack of relationships) between cough and esophagitis, gastroesophageal reflux (GER), and chronic salivary aspiration is critical. Decision making regarding management must take into account multiple systems and their interactions in order to provide safe feeding for all children to meet nutrition and hydration needs without being at risk for pulmonary problems. The responsibility is huge and should encourage all to search the literature so that clinical practice is as evidence-based as possible; this often requires adequate understanding of developmentally appropriate neurophysiology and function.

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