scholarly journals Quality of Resident Violence Risk Assessments in Psychiatric Emergency Settings

2012 ◽  
Vol 57 (6) ◽  
pp. 375-380 ◽  
Author(s):  
Leslie Wong ◽  
Andrew Morgan ◽  
Treena Wilkie ◽  
Howard Barbaree
Author(s):  
Piyal Sen ◽  
Simone Lindsey ◽  
Nilanjan Chatterjee ◽  
Rajesh Rama-Iyer ◽  
Marco Picchioni

AbstractIntroductionThe HCR-20 is one of the most popular structured clinical judgement tools used in forensic settings; yet, there are no published tools to assess the quality of its use. This study used the CAI-V, a tool to assess the competency of those carrying out risk assessment, to develop a quality tool for the use of HCR-20.MethodThe audit was carried out between July 2012 and July 2013 on all patients resident in St Andrew’s Essex, a low secure unit. The results of the first audit led to an action plan for clinical improvement, subsequently re-audited a year later.ResultsMost of the HCR-20 ratings scored in the competent range in both audits, but the greatest weakness was identified in the treatment planning section. The re-audit showed improvement, but there remained areas for development.DiscussionThe audit highlighted broad areas of improvement like the need for full multidisciplinary involvement, more attention to formulation, and the need for greater consultation and information gathering from outside professionals and family members. The quality tool developed could be adapted to the requirements of any service, and used accordingly.


2017 ◽  
Vol 48 (3) ◽  
pp. 608-641 ◽  
Author(s):  
Akos Rona-Tas ◽  
Antoine Cornuéjols ◽  
Sandrine Blanchemanche ◽  
Antonin Duroy ◽  
Christine Martin

Recently, both sociology of science and policy research have shown increased interest in scientific uncertainty. To contribute to these debates and create an empirical measure of scientific uncertainty, we inductively devised two systems of classification or ontologies to describe scientific uncertainty in a large corpus of food safety risk assessments with the help of machine learning (ML). We ask three questions: (1) Can we use ML to assist with coding complex documents such as food safety risk assessments on a difficult topic like scientific uncertainty? (2) Can we assess using ML the quality of the ontologies we devised? (3) And, finally, does the quality of our ontologies depend on social factors? We found that ML can do surprisingly well in its simplest form identifying complex meanings, and it does not benefit from adding certain types of complexity to the analysis. Our ML experiments show that in one ontology which is a simple typology, against expectations, semantic opposites attract each other and support the taxonomic structure of the other. And finally, we found some evidence that institutional factors do influence how well our taxonomy of uncertainty performs, but its ability to capture meaning does not vary greatly across the time, institutional context, and cultures we investigated.


2009 ◽  
Vol 33 (4) ◽  
pp. 129-132 ◽  
Author(s):  
Reena Khiroya ◽  
Tim Weaver ◽  
Tony Maden

Aims and MethodWe surveyed the usage and perceived utility of standardised risk measures in 29 forensic medium secure units (a 62% response rate).ResultsThe most common instruments were Historical Clinical Risk–20 (HCR–20) and Psychopathy Checklist – revised (PCL–R); both were rated highly for utility. the Risk Matrix 2000 (RM2000), Sex Offender Risk Appraisal Guide (SORAG) and Static-99 were the most common sex offender assessments, but the Sexual Violence Risks–20 (SVR–20) was rated more positively for its use of dynamic factors and relevance to treatment.Clinical ImplicationsMost medium secure units use structured risk assessments and staff view them positively. As HCR–20 and PCL–R/PCL–SV (Psychopathy Checklist – Screening Version) are so widely used they should be the first choices considered by other services.


2018 ◽  
Vol 69 (4) ◽  
pp. 438-447 ◽  
Author(s):  
Daniel M. Blonigen ◽  
Luisa Manfredi ◽  
Adrienne Heinz ◽  
Xiaoyu Bi ◽  
Paola Suarez ◽  
...  

2007 ◽  
Vol 10 (4) ◽  
pp. 2156759X0701000
Author(s):  
Kerry B. Bernes ◽  
Angela D. Bardick

There have been numerous publications devoted to preventing violence and bullying in schools, resulting in school counselors being well equipped with school-wide violence prevention ideas and programs. Despite these violence prevention efforts, some students may pose a threat to others and thus may require a comprehensive assessment for violence risk, especially targeted violence. The purpose of this article is to provide school counselors with a framework for assessing students who may be at risk for violence in general or who may be at risk specifically for targeted violence.


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