Risk-Need-Responsivity Meets Mental Health: Implementation Challenges in Probation Case Planning

This study examined the feasibility of and fidelity to risk/needs assessment, mental health screening, and risk-need-responsivity (RNR)-based case planning within juvenile probation in two states. The researcher-guided implementation effort included the Massachusetts Youth Screening Instrument-2 (MAYSI-2), Structured Assessment of Violence Risk in Youth (SAVRY), and policies to prioritize criminogenic needs while using mental health services only when warranted. Data from 53 probation officers (POs) and 553 youths indicated three of five offices had high fidelity to administration and case planning policies. The interrater reliability ( n = 85; intraclass correlation coefficient [ICC][A, 1] = .92 [Northern state] and .80 [Southern state]) and predictive validity ( n = 455; Exp[B] = 1.83) of SAVRY risk ratings were significant. There was an overreliance on mental health services; 48% of youth received these referrals when only 20% screened as having mental health needs. Barriers to fidelity to RNR practices in some offices included assessments not being conducted before disposition, lack of service availability, and limited buy-in from a few stakeholders.

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Violence risk assessment training for local mental health services

The British Journal of Forensic Practice ◽

10.1108/14636646200400014 ◽

2004 ◽

Vol 6 (3) ◽

pp. 13-17 ◽

Cited By ~ 1

Author(s):

Tanya Garrett ◽

Renarta Rowe

Keyword(s):

Mental Health ◽

Risk Assessment ◽

Mental Health Services ◽

Health Services ◽

Violence Risk ◽

Violence Risk Assessment ◽

Local Mental Health ◽

Assessment Training

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Assessing Protective Factors for Violence Risk in U.K. General Mental Health Services Using the Structured Assessment of Protective Factors

International Journal of Offender Therapy and Comparative Criminology ◽

10.1177/0306624x17749449 ◽

2017 ◽

Vol 62 (12) ◽

pp. 3965-3983

Author(s):

Alina Haines ◽

Andrew Brown ◽

Syed Fahad Javaid ◽

Fayyaz Khan ◽

Steve Noblett ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Protective Factors ◽

Area Under The Curve ◽

Violence Risk ◽

General Mental Health ◽

Psychopathy Checklist ◽

Mental Health Settings ◽

Community Mental Health Settings

Violence risk assessment and management are key tasks in mental health services and should be guided by validated instruments covering both risk and protective factors. This article is part of an international effort to validate the Structured Assessment of Protective Factors (SAPROF) for violence. The SAPROF, Historical, Clinical, Risk Management–20 (HCR-20) and the Psychopathy Checklist–Screening Version (PCL-SV) were administered in a sample of 261 patients in U.K. forensic, general inpatient, and community mental health settings. There was significant variation between these groups on SAPROF scores with fewer protective factors in the forensic group. The prospective validity of the SAPROF for nonviolence in the general inpatient and community samples was moderate (area under the curve [AUC] = .60). Adoption of the SAPROF or similar instruments as a supplement to risk-focused assessments has the potential to improve awareness of protective factors and enhance therapeutic engagement in a range of mental health services.

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Validation of the Perception of Change Scale - Family Version (EMP-F) as a treatment outcome measure in mental health services

Brazilian Journal of Psychiatry ◽

10.1590/s1516-44462010005000010 ◽

2010 ◽

Vol 32 (3) ◽

pp. 283-287 ◽

Cited By ~ 1

Author(s):

Marina Bandeira ◽

Cynthia Mara Felicio ◽

Luciana Cesari

Keyword(s):

Mental Health ◽

Treatment Outcome ◽

Mental Health Services ◽

Health Services ◽

Family Caregivers ◽

Convergent Validity ◽

Psychiatric Patients ◽

Intraclass Correlation ◽

Family Satisfaction ◽

Scale Family

OBJECTIVE: This study aimed to validate the Perception of Change Scale - Family Version, which evaluates the perception of family caregivers in regard to the treatment outcomes of psychiatric patients in mental health services. METHOD: Family caregivers (N = 300) of psychiatric patients attending mental health services completed the Perception of Change Scale - Family Version. The scale has 19 items rated in a three-point Likert scale that evaluate changes perceived in the patient's life as a result of treatment. RESULTS: The factorial analysis revealed a four-factor structure, with the following dimensions: 1) occupation, 2) psychological factors, 3) relationships, and 4) physical health. In the internal consistency analysis, Cronbach's alpha coefficient was 0.85. The test-retest temporal stability analysis yielded a significant intraclass correlation coefficient (r = 0.96; p < 0.005). The convergent validity analysis revealed a positive significant correlation with another scale evaluating a distinct but theoretically related construct of family satisfaction with services (r = 0.41; p < 0.05). CONCLUSION: The Perception of Change Scale - Family Version has adequate reliability and construct and convergent validity. It can be used to evaluate treatment outcome in mental health services from the perspective of family caregivers, indicating targets to improve treatment.

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