scholarly journals Is Knowledge Contagious? Diffusion of Violence-Risk-Reporting Practices Across Clinicians’ Professional Networks

2021 ◽  
pp. 216770262095479
Author(s):  
Yanick Charette ◽  
Ilvy Goossens ◽  
Michael C. Seto ◽  
Tonia L. Nicholls ◽  
Anne G. Crocker
Keyword(s):  
Risk Assessment ◽  
Assessment Tools ◽  
Assessment Instruments ◽  
Assessment Practices ◽  
Violence Risk ◽  
Professional Networks ◽  
Reporting Practices ◽  
Risk Assessment Tools ◽  
Knowledge Practice ◽  
Forensic Psychiatric

The knowledge–practice gap remains a challenge in many fields. Health research has shown that professional networks influence various aspects of patient care, including diffusion of innovative practices. In the current study, we examined the potential utility of professional networks to spread the use of violence-risk-assessment tools in forensic psychiatric settings. A total of 6,664 reports, written by 708 clinicians, were used to examine the effect of clinicians’ use of risk-assessment tools on subsequent reports by other clinicians with whom they share patients. Results show that professional networks serve as an important channel for the spread of assessment practices. Simulation of a continuing education program showed that targeting more influential clinicians in the network could be 3 times more efficient at disseminating best practices than randomly training clinicians. Decision-makers may consider using professional networks to identify and train influential clinicians to maximize diffusion of the use of risk-assessment instruments.

Factors Predicting Desistance From Reoffending: A Validation Study of the SAPROF in Sexual Offenders

2016 ◽  
Vol 62 (3) ◽  
pp. 697-716 ◽  
Author(s):  
Dahlnym Yoon ◽  
Daniel Turner ◽  
Verena Klein ◽  
Martin Rettenberger ◽  
Reinhard Eher ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Sexual Offenders ◽  
Interrater Reliability ◽  
Predictive Accuracy ◽  
Negative Relationship ◽  
Incremental Validity ◽  
Assessment Tools ◽  
Violence Risk ◽  
Limited Extent ◽  
Risk Assessment Tools

The present study aims at validating the German version of the Structured Assessment of PROtective Factors (SAPROF) for violence risk in a representative sample of incarcerated adult male sexual offenders. Sexual offenders ( n = 450) were rated retrospectively with the SAPROF using the database of the Federal Evaluation Centre for Violent and Sexual Offenders (FECVSO) in the Austrian Prison System. Interrater reliability and predictive validity of the SAPROF scores concerning desistance from recidivism were calculated. Concurrent and incremental validity were tested using the combination of the SAPROF and the Sexual Violence Risk–20 (SVR-20). Interrater reliability was moderate to excellent, and predictive accuracy for various types of recidivism was rather small to moderate. There was a clear negative relationship between the SAPROF and the SVR-20 risk factors. Whereas the SAPROF revealed itself as a significant predictor for various recidivism categories, it did not add any predictive value beyond the SVR-20. Although the SAPROF itself can predict desistance from recidivism, it seems to contribute to the risk assessment in convicted sexual offenders only to a limited extent, once customary risk assessment tools have been applied. Implications for clinical use and further studies are discussed.

Validity of Risk Assessment Instruments Among Juveniles Who Sexually Offended: Victim Age Matters

Sexual Abuse ◽  
2020 ◽  
pp. 107906322091071
Author(s):  
Chiara Krause ◽  
Alexander Roth ◽  
Markus A. Landolt ◽  
Cornelia Bessler ◽  
Marcel Aebi
Keyword(s):  
Risk Assessment ◽  
Sexual Offender ◽  
Assessment Tools ◽  
Professional Judgment ◽  
Assessment Instruments ◽  
Child Victim ◽  
Assessment Protocol ◽  
Significant Difference ◽  
Risk Assessment Tools ◽  
Sexually Offended

Research has identified meaningful subtypes among the heterogeneous population of juveniles who sexually offended (JSO). However, studies that test the validity of risk assessment tools with JSO subtypes are limited. This study compared JSO who offended against a child victim (JSO-C) and JSO who offended against an adolescent/adult victim (JSO-A) with regard to rates of recidivism and the predictive validity of two risk assessment tools (Estimate of Risk of Adolescent Sexual Offense Recidivism [ERASOR] and Juvenile Sexual Offender Assessment Protocol-II [J-SOAP-II]). Data were analyzed from case files of 185 JSO-C and 297 JSO-A aged 12 to 18 years ( M = 14.11, SD = 1.44) from a consecutive sample of JSO with contact sexual offenses. A total of 34 (7.1%) juveniles reoffended sexually, with no significant difference between the subtypes. The present results suggest that the ERASOR, particularly the structured professional judgment, and to a lesser degree the J-SOAP-II are better suited to predicting sexual recidivism in JSO-A than in JSO-C.

scholarly journals Good (or bad) vibrations: clinical intuition in violence risk assessment

2012 ◽  
Vol 18 (6) ◽  
pp. 447-456 ◽  
Author(s):  
Andrew Carroll
Keyword(s):  
Risk Assessment ◽  
Cost Benefit ◽  
Assessment Tools ◽  
Violence Risk ◽  
Analytic Thinking ◽  
Assessment Task ◽  
Intuitive Thinking ◽  
Risk Assessment Tools ◽  
Managing Risk ◽  
Modes Of Thought

SummaryAssessment and management of the risk of violence in psychiatry inevitably and appropriately draws on emotionally laden ‘intuitive’ modes of thought, as well as deliberative analytic thinking. This article discusses the concept of ‘intuition’ and proposes a brief set of guidelines, derived from work by the cognitive psychologist Robin Hogarth, by which intuitive thinking may be applied by clinicians when undertaking risk assessment work. The guidelines are: consider the learning structure relevant to the risk assessment task; use your own emotions as a source of data; impose ‘circuit breakers' such as cost–benefit analyses and validated structured risk assessment tools; and use a narrative approach to develop formulations. The guidelines are intended to provide a framework for ongoing reflective practice in assessing and managing risk.

The pursuit of standardization in domestic violence social work: A multiple case study of how the idea of using risk assessment tools is manifested and processed in the Swedish social services

2017 ◽  
Vol 18 (3) ◽  
pp. 458-474 ◽  
Author(s):  
Mikael Skillmark ◽  
Lotta Agevall Gross ◽  
Cecilia Kjellgren ◽  
Verner Denvall
Keyword(s):  
Risk Assessment ◽  
Domestic Violence ◽  
Social Workers ◽  
Social Services ◽  
Multiple Case Study ◽  
Assessment Tools ◽  
Assessment Practices ◽  
Risk Assessment Tools ◽  
Multiple Case

This multiple case study examines how the idea of using risk assessment tools is manifested and processed in Swedish social services. Based on the analysis of interviews with different stakeholders and of organizational documents in two social service organizations, we investigate the actors who control local risk assessment practices. The findings illustrate that a relatively small group of social workers in the organizations have been able to forward their claims and decide how risk assessment work should be carried out without much intrusion from local managers or politicians. The findings also validate other studies that found that increased standardization can strengthen social workers’ ability to perform their professional task rather than lead to de-professionalization. This article ends with a discussion of what risk assessment practices might mean for domestic violence victims.

A twist in Intimate Partner Violence Risk Assessment Tools: Gauging the contribution of exogenous and historical variables

2021 ◽  
pp. 107586
Author(s):  
Lara Quijano-Sánchez ◽  
Federico Liberatore ◽  
Guillermo Rodríguez-Lorenzo ◽  
Rosa E. Lillo ◽  
José L. González-Álvarez
Keyword(s):  
Risk Assessment ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Assessment Tools ◽  
Violence Risk ◽  
Violence Risk Assessment ◽  
Risk Assessment Tools

scholarly journals Use of risk assessment instruments to predict violence in forensic psychiatric hospitals: a systematic review and meta-analysis

2018 ◽  
Vol 52 ◽  
pp. 47-53 ◽  
Author(s):  
Taanvi Ramesh ◽  
Artemis Igoumenou ◽  
Maria Vazquez Montes ◽  
Seena Fazel
Keyword(s):  
Risk Assessment ◽  
Performance Measures ◽  
Predictive Accuracy ◽  
Psychiatric Inpatient ◽  
Psychiatric Hospitals ◽  
Assessment Tools ◽  
Assessment Instruments ◽  
Predictive Values ◽  
Meta Regression ◽  
Forensic Psychiatric

AbstractBackground and Aims:Violent behaviour by forensic psychiatric inpatients is common. We aimed to systematically review the performance of structured risk assessment tools for violence in these settings.Methods:The nine most commonly used violence risk assessment instruments used in psychiatric hospitals were examined. A systematic search of five databases (CINAHL, Embase, Global Health, PsycINFO and PubMed) was conducted to identify studies examining the predictive accuracy of these tools in forensic psychiatric inpatient settings. Risk assessment instruments were separated into those designed for imminent (within 24 hours) violence prediction and those designed for longer-term prediction. A range of accuracy measures and descriptive variables were extracted. A quality assessment was performed for each eligible study using the QUADAS-2. Summary performance measures (sensitivity, specificity, positive and negative predictive values, diagnostic odds ratio, and area under the curve value) and HSROC curves were produced. In addition, meta-regression analyses investigated study and sample effects on tool performance.Results:Fifty-two eligible publications were identified, of which 43 provided information on tool accuracy in the form of AUC statistics. These provided data on 78 individual samples, with information on 6,840 patients. Of these, 35 samples (3,306 patients from 19 publications) provided data on all performance measures. The median AUC value for the wider group of 78 samples was higher for imminent tools (AUC 0.83; IQR: 0.71–0.85) compared with longer-term tools (AUC 0.68; IQR: 0.62-0.75). Other performance measures indicated variable accuracy for imminent and longer-term tools. Meta-regression indicated that no study or sample-related characteristics were associated with between-study differences in AUCs.Interpretation:The performance of current tools in predicting risk of violence beyond the first few days is variable, and the selection of which tool to use in clinical practice should consider accuracy estimates. For more imminent violence, however, there is evidence in support of brief scalable assessment tools.

scholarly journals Improving risk assessment in schizophrenia: epidemiological investigation of criminal history factors

2015 ◽  
Vol 206 (5) ◽  
pp. 424-430 ◽  
Author(s):  
Katrina Witt ◽  
Paul Lichtenstein ◽  
Seena Fazel
Keyword(s):  
Risk Assessment ◽  
Predictive Validity ◽  
Hospital Admissions ◽  
Criminal History ◽  
Assessment Tools ◽  
Violence Risk ◽  
Hazard Ratios ◽  
Violent Offence ◽  
Risk Assessment Tools ◽  
Incremental Predictive Validity

BackgroundViolence risk assessment in schizophrenia relies heavily on criminal history factors.AimsTo investigate which criminal history factors are most strongly associated with violent crime in schizophrenia.MethodA total of 13 806 individuals (8891 men and 4915 women) with two or more hospital admissions for schizophrenia were followed up for violent convictions. Multivariate hazard ratios for 15 criminal history factors included in different risk assessment tools were calculated. The incremental predictive validity of these factors was estimated using tests of discrimination, calibration and reclassification.ResultsOver a mean follow-up of 12.0 years, 17.3% of men (n=1535) and 5.7% of women (n=281) were convicted of a violent offence. Criminal history factors most strongly associated with subsequent violence for both men and women were a previous conviction for a violent offence; for assault, illegal threats and/or intimidation; and imprisonment. However, only a previous conviction for a violent offence was associated with incremental predictive validity in both genders following adjustment for young age and comorbid substance use disorder.ConclusionsClinical and actuarial approaches to assess violence risk can be improved if included risk factors are tested using multiple measures of performance.

Sign in / Sign up

Export Citation Format

Share Document