Evaluating Violence Risk in Children and Adolescents

2015 ◽  
Author(s):  
Randy Borum
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Children And Adolescents ◽  
Health Professionals ◽  
Risk Level ◽  
Evidence Based ◽  
Violence Risk ◽  
Developmental Context ◽  
Emergency Workers ◽  
Behavioral Emergencies

Emergency workers and behavioral health professionals who work in crisis or emergency settings should understand the fundamentals of assessing and managing violence risk in children and adolescents, but violence potential must be considered in its developmental context. This chapter presents an approach for assessing violence risk among youth in the context of behavioral emergencies. It begins with a brief discussion of the developmental context for risk assessment and how to think about violent outcomes among children and adolescents. Then, it covers the information an evaluator would need to collect, how to collect it, and how to reach a sound decision about a youth’s risk level. It encourages evaluators in emergency or crisis settings to rely on evidence-based risk factors, while also applying individualized formulations to give texture to the assessments and to the subsequent forecasts about the nature and degree of risk for violence.

Drawing upon the evidence to develop a multiagency risk assessment and risk management framework for domestic violence

2022 ◽  
Author(s):  
Katie Lamb ◽  
Kirsty Forsdike ◽  
Cathy Humphreys ◽  
Kelsey Hegarty
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Domestic Violence ◽  
Risk Management ◽  
Assessment Tool ◽  
Management Practice ◽  
Management Strategies ◽  
Assessment Tools ◽  
Evidence Based ◽  
Violence Risk

Domestic violence poses a threat to the health, safety and wellbeing of women internationally and is associated with a range of physical injuries, chronic mental and physical health issues and death. In recognition of the serious consequences and to guide the allocation of resources, multiple countries have invested in efforts to measure domestic violence risk. This study aimed to determine whether there was an existing validated risk assessment tool with an actuarial element, or a common set of evidence-based risk factors that could be implemented in Victoria, Australia. A tool was sought which would effectively predict risk of severity, lethality and re-assault and support risk management strategies. The tool needed to be suitable for administration by a variety of professionals. Through an audit and analysis of existing tools, the study found an absence of universal standards or guidance for weighting actuarial tools and clear insight into how risk assessments currently inform risk management practice and multidisciplinary responses. However, the literature provides clarity around the key evidence-based risk factors that most commonly form a validated tool for adult victim survivors. The evidence was less definitive in terms of assessing risk of lethality and re-assault for children and young people.<br /><br />Key messages<br /><ul><li>There has been considerable investment in approaches to measure domestic violence risk.</li><br /><li>Some consistency exists in terms of evidence-based risk factors across existing risk assessment tools.</li><br /><li>There is an absence of universal standards for weighting actuarial tools as well as guidance to inform a response by a broad range of professionals.</li></ul>

scholarly journals MEVA - a new method of occupational health and safety risk assessment

2019 ◽  
Vol 290 ◽  
pp. 12008
Author(s):  
Doru-Costin Darabont ◽  
Eduard Smîdu ◽  
Alina Trifu ◽  
Vicențiu Ciocîrlea ◽  
Iulian Ivan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Occupational Health ◽  
Deductive Reasoning ◽  
Health And Safety ◽  
Occupational Health And Safety ◽  
New Method ◽  
Risk Level ◽  
Simple Method ◽  
Safety Risk

The paper describes a new method of occupational health and safety risk assessment. This method, called MEVA, unlike the old ones, focuses more on reduce or eliminate subjective issues in determining the probability of manifestation of risk factors and is based on a deductive reasoning, with the help of which is studied the chain between two or more events. The novelty of the method consists in combining risk assessment techniques with evaluation of compliance with legal and other requirements, aiming to provide a more objective results of the risk assessment. In the MEVA method, the risk matrix is defined by 5 classes of severity and 5 probability classes, resulting in 5 levels of risk. After quantifying the risk factors, prevention measures are proposed for all the identified risk factors and each partial risk level is recalculated as a result of the proposed measures. The five levels of risk were grouped into three categories: acceptable, tolerable and unacceptable. The MEVA method is a simple method and it can be used for assessing various workplaces, with different characteristics of complexity, activity domain or occupational health and safety recordings.

Matching Services to Criminogenic Needs Following Comprehensive Risk Assessment Implementation in Juvenile Probation

2018 ◽  
Vol 45 (8) ◽  
pp. 1136-1153 ◽  
Author(s):  
Rebecca J. Nelson ◽  
Gina M. Vincent
Keyword(s):  
Risk Assessment ◽  
Probation Officers ◽  
Risk Level ◽  
Assessment Instruments ◽  
Violence Risk ◽  
Juvenile Courts ◽  
Juvenile Probation ◽  
Related Case ◽  
Risk Levels ◽  
Case Planning

One emphasis of juvenile justice reform has been implementation of risk assessment instruments to improve case planning. This study examined the ability of juvenile probation departments to apply the risk-needs-responsivity (RNR) framework into case planning following a comprehensive implementation protocol. Data were collected on 385 adolescent offenders across three probation departments following implementation of the Structured Assessment of Violence Risk for Youth (SAVRY) and an RNR-related case planning policy. As expected, as risk levels of youth increased, probation departments assigned more services and addressed more criminogenic need areas in their case plans. Most case plans (86%) adhered to the policy to limit the number of needs addressed at one time. The quality of service-to-need matching varied by criminogenic need area, risk level, and site. Implications to juvenile courts’ and probation officers’ case planning and the challenges of research on service-to-need matching are discussed.

scholarly journals Campanha Diga Não à Lesão por Pressão

2020 ◽  
pp. 2-32
Author(s):  
Paula Pexe Machado ◽  
Silvia Maria Fraga Piovacari ◽  
Ricardo Ferrer ◽  
Juliana Tepedino Martins Alves ◽  
Thaisa Assis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Health Care ◽  
Health Professionals ◽  
Interdisciplinary Team ◽  
Healing Time ◽  
The Third ◽  
12 Steps ◽  
Prevention And Treatment ◽  
Tissue Characteristics

Pressure ulcer (PU) can be classified according to tissue impairment, etiology, healing time and tissue characteristics. Currently, it is the third type of adverse event most reported by the patient safety centers of health services in the country, according to the National Report of Incidents Related to Health Care. The classification and the identification of risk factors are essential for implementation of preventive and therapeutic actions in susceptible patients. Nutritional status is a fundamental piece for the prevention and development of PU, making it essential to integrate the interdisciplinary team in the prevention and treatment of PU, with a focus on quality, safety and patient experience. In this sense, the objective of this campaign is to disseminate knowledge, providing technical support for patient care and reducing PU rates. A mnemonic was developed with the word “CICATRIZATION”, in which each letter proposes steps that help in the identification of risk, assessment, treatment and monitoring of PU. Thus, the sequence of 12 steps established in this campaign is suggested as a measure to assist health professionals in this management

scholarly journals VIOLENCE RISK ASSESSMENT IN PSYCHIATRY - LITERATURE REVIEW AND PRACTICE COMPARISON BETWEEN LATVIA AND GERMANY

2021 ◽  
Vol 4 ◽  
pp. 357-367
Author(s):  
Karina Konstantinova ◽  
Alina Kuznecova
Keyword(s):  
Risk Assessment ◽  
Community Violence ◽  
Clinical Assessment ◽  
Assessment Tool ◽  
Legal Framework ◽  
Assessment Tools ◽  
Evidence Based ◽  
Violence Risk ◽  
Mentally Disordered Offenders ◽  
Violence Risk Assessment

Evidence-based future community violence risk assessment is a crucial issue in psychiatry. It is a cornerstone of safeguarding the rights of persons with mental health issues. Authors aimed to analyse the modern methods of risk assessment in psychiatry and the current practice and legal framework. Authors undertook a scoped review of the literature with search terms related to future community violence risk prediction for mentally disordered offenders in Latvian, English, German, and Russian languages. Main difficulties in future community violence risk assessment are demonstrated via Latvia’s court decisions analysis. Marked differences were identified: there are no standardized methods available/registered in Latvia, therefore risks assessment is performed via clinical assessment only. In Germany, the risk assessment is performed via structured evidence – based risk assessment tools and clinical assessment; nevertheless, the choice of the assessment tool remains challenging.  

scholarly journals Assessment of violence risk in 440 psychiatric patients in China: examining the feasibility and acceptability of a novel and scalable approach (FoVOx)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shaoling Zhong ◽  
◽  
Rongqin Yu ◽  
Robert Cornish ◽  
Xiaoping Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Risk Assessment ◽  
Decision Making ◽  
Clinical Decision Making ◽  
Psychiatric Patients ◽  
Clinical Decision ◽  
Violence Risk ◽  
Violence Risk Assessment ◽  
Risk Categories

Abstract Background Violence risk assessment is a routine part of clinical services in mental health, and in particular secure psychiatric hospitals. The use of prediction models and risk tools can assist clinical decision-making on risk management, including decisions about further assessments, referral, hospitalization and treatment. In recent years, scalable evidence-based tools, such as Forensic Psychiatry and Violent Oxford (FoVOx), have been developed and validated for patients with mental illness. However, their acceptability and utility in clinical settings is not known. Therefore, we conducted a clinical impact study in multiple institutions that provided specialist mental health service. Methods We followed a two-step mixed-methods design. In phase one, we examined baseline risk factors on 330 psychiatric patients from seven forensic psychiatric institutes in China. In phase two, we conducted semi-structured interviews with 11 clinicians regarding violence risk assessment from ten mental health centres. We compared the FoVOx score on each admission (n = 110) to unstructured clinical risk assessment and used a thematic analysis to assess clinician views on the accuracy and utility of this tool. Results The median estimated probability of violent reoffending (FoVOx score) within 1 year was 7% (range 1–40%). There was fair agreement (72/99, 73% agreement) on the risk categories between FoVOx and clinicians’ assessment on risk categories, and moderate agreement (10/12, 83% agreement) when examining low and high risk categories. In a majority of cases (56/101, 55%), clinicians thought the FoVOx score was an accurate representation of the violent risk of an individual patient. Clinicians suggested some additional clinical, social and criminal risk factors should be considered during any comprehensive assessment. In addition, FoVOx was considered to be helpful in assisting clinical decision-making and individual risk assessment. Ten out of 11 clinicians reported that FoVOx was easy to use, eight out of 11 was practical, and all clinicians would consider using it in the future. Conclusions Clinicians found that violence risk assessment could be improved by using a simple, scalable tool, and that FoVOx was feasible and practical to use.

scholarly journals ERGONOMIC RISK ASSESSMENT ON SELECTED HOT-WORK WORKERS AT COMPANY XXX

2020 ◽  
Vol 20 (Special1) ◽  
pp. 176-185
Author(s):  
Sivabalan Sanmugum ◽  
Karmegam Karuppiah ◽  
Sivasankar
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
High Risk ◽  
Extreme Temperature ◽  
Effective Control ◽  
Risk Level ◽  
Entire Body ◽  
Very High ◽  
Ergonomic Risk Assessment ◽  
Ergonomic Risk

Company XXX is a factory that involving manufacturing of offshore containers in where the hot works are one of the crucial activities in fabrication and structuring the framework of the containers. This study had been conducted at hot work section to conduct initial and advanced ergonomic risk assessment to identify ergonomic risk factors involved among hot-work workers which cause the significant number of reports on ergonomic related health issues at hot works area from the year 2011 to year 2017. The initial and advanced ergonomic risk assessment had been conducted based on DOSH latest release of guideline on ergonomic risk assessment 2017 and all findings had been tabulated and analysed. Based on the intial ergonomic assessment, total score achived is 17.7 with main risk factors identified through the hot work acticties are including awkward postures, repetitive motions, static and sustained work postures, vibration, insufficient ventilation, exposure of noise and working in extreme temperature. Based on Advanced ERA conducted on selected 3 workers, the study shows Muscle Fatigue Assessment (MFA) with average score for risk level shown ‘High’ and ‘Very High’ categories, Rapid Entire Body Assessment (REBA) with average total score more than 10 which categorized as ‘High Risk’ and Quick Exposure Check (QEC) which shown the workers have very high risk for back and shoulder or arm parts with score level are between 29 to 40 for back static and  41 to 56 for shoulder and arm parts. Based on results of the assessment, company XXX recommended had been to conduct further investigation for improvements to determine effective control measure for the work process in order to reduce that risk level towards the hot work workers.

scholarly journals Assessing Access Control Risk for mHealth: A Delphi Study to Categorize Security of Health Data and Provide Risk Assessment for Mobile Apps

2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Pedro Moura ◽  
Paulo Fazendeiro ◽  
Pedro R. M. Inácio ◽  
Pedro Vieira-Marques ◽  
Ana Ferreira
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Access Control ◽  
Delphi Study ◽  
Mobile Apps ◽  
Real Life ◽  
Health Data ◽  
Security And Privacy ◽  
Risk Level ◽  
Healthcare Data

Background. Smartphones can tackle healthcare stakeholders’ diverse needs. Nonetheless, the risk of data disclosure/breach can be higher when using such devices, due to the lack of adequate security and the fact that a medical record has a significant higher financial value when compared with other records. Means to assess those risks are required for every mHealth application interaction, dependent and independent of its goals/content. Objective. To present a risk assessment feature integration into the SoTRAACE (Socio-Technical Risk-Adaptable Access Control) model, as well as the operationalization of the related mobile health decision policies. Methods. Since there is still a lack of a definition for health data security categorization, a Delphi study with security experts was performed for this purpose, to reflect the knowledge of security experts and to be closer to real-life situations and their associated risks. Results. The Delphi study allowed a consensus to be reached on eleven risk factors of information security related to mobile applications that can easily be adapted into the described SoTRAACE prototype. Within those risk factors, the most significant five, as assessed by the experts, and in descending order of risk level, are as follows: (1) security in the communication (e.g., used security protocols), (2) behavioural differences (e.g., different or outlier patterns of behaviour detected for a user), (3) type of wireless connection and respective encryption, (4) resource sensitivity, and (5) device threat level (e.g., known vulnerabilities associated to a device or its operating system). Conclusions. Building adaptable, risk-aware resilient access control models into the most generalized technology used nowadays (e.g., smartphones) is crucial to fulfil both the goals of users as well as security and privacy requirements for healthcare data.

Sign in / Sign up

Export Citation Format

Share Document