scholarly journals Risk assessment and management: forensic methods, human results

2013 ◽  
Vol 19 (5) ◽  
pp. 358-365
Author(s):  
John Baird ◽  
Ruth Stocks

SummaryRisk assessment and management is an integral part of modern clinical practice. In this article we discuss best practice in the assessment and management of risk of harm to others. Unstructured clinical judgement methods have been used for many years, but it is only more recently that actuarial and structured clinical judgement methods have been introduced. These methods are discussed and compared. We describe a process that could be followed by a clinical team and give an illustrative case example. Last, we reflect on aspects of current practice and consider the possible direction of developments in the field.

1997 ◽  
Vol 170 (S32) ◽  
pp. 32-34 ◽  
Author(s):  
Peter Snowden

It is debatable whether the notion of dangerousness now has any utilitarian value for psychiatry. The presence or absence of dangerousness is very much in the eye of the beholder. It is an all or nothing term – you either have it or you do not! While there is usually little disagreement about the few very violent individuals “who, for 24 hours a day, and in any situation, are likely to cause harm to others” (Chiswick, 1995), most patients are not in this category and “little bit dangerous” is unlikely to be of much comfort to clinical staff. It is unhelpful to deny that dangerousness is any more than an adjective which has been elevated into a pseudoscientific construct whose definitions (Scott, 1977; Walker, 1978; Home Office & DHSS, 1975) amount to little more than “past harm predicts future behaviour”.


Author(s):  
Lorraine Sheridan ◽  
David V. James

False allegations account for a proportion of most forms of reported crime, complicating the tasks of law enforcement personnel, prosecutorial authorities, and those involved in risk assessment and management. This chapter examines the research evidence on false claims of victimization in three specific areas, namely rape, stalking, and the associated phenomenon of “gang-stalking.” Studies of false allegations are beset with methodological difficulties that until comparatively recently have not been directly addressed, and this chapter focuses on the better designed research exercises. In particular, motivations for making false accusations are examined, as well as differences between identified true and false accusations, which are of practical interest to threat assessors. The most salient factors from the literature that may indicate a need for suspicion regarding the veracity of a claim are highlighted within practice boxes, which are accompanied by illustrative case examples.


2005 ◽  
Vol 45 (2) ◽  
pp. 93-109 ◽  
Author(s):  
Herschel Prins

Two earlier contributions to this journal on the topic of `dangerous behaviour' are updated in the light of recent theoretical and practical developments in the assessment and management of risk in criminal justice and psychiatry. Such assessment and management need to be viewed against the background of current over-preoccupation with avoiding the hazards of daily living. `Never predict anything, particularly the future' (Statement attributed to Sam Goldwyn, Film Producer)


Author(s):  
Daniel C. Murrie ◽  
Sharon Kelley

Although concerns about violence risk emerge regularly in routine clinical practice, many clinicians feel underprepared to assess and manage violence risk. One problem is that the rich knowledge base underlying violence risk assessment has largely remained in the specialties of forensic psychology and psychiatry, where it has been less familiar to clinicians in general practice. In this chapter we review the legal and ethical parameters that guide clinician appraisals of violence risk, and then we summarize the foundational knowledge and techniques—from both the forensic psychology approach and the emerging field of threat assessment. By integrating basic knowledge and practices from these specialized disciplines, clinicians can more comfortably incorporate violence risk assessment and management into their routine care for patients, better infuse risk assessment into the start of treatment, monitor risk over the course of treatment, and respond appropriately to any threats of violence that emerge.


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