The Assessment and Management of Stalking Perpetrated by Clients Against Their Counselors

2020 ◽  
pp. VV-D-18-00107
Author(s):  
Jennifer E. Storey ◽  
Stephen D. Hart
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Risk Management ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Management Strategies ◽  
Empirically Supported ◽  
Risk Management Strategies ◽  
Management Plans ◽  
Perpetrators And Victims

Mental health professionals are at heightened risk of stalking victimization, however minimal research has examined empirically supported risk factors for stalking and the efficacy of risk management strategies. Three hundred and six counselors were surveyed, and the present study focuses on the 7% (n = 23) who had been stalked by clients. Results describe the characteristics of stalking, perpetrators, and victims and the perceived efficacy of management strategies employed. Stalking behaviors tended to be of lower severity. Common perpetrator risk factors included relationship problems, anger, and obsession. Victim vulnerabilities were identified, where many victims engaged in behavior considered ineffective in response to stalking. Victims often encountered problems coping with victimization due to inadequate access to resources. Results indicate that risk management plans must be individualized and highlight ways that mental health professionals can and would like to be protected from stalking.

Malpractice Issues for the Private Practitioner

2017 ◽  
pp. 459-476
Author(s):  
David L. Shapiro ◽  
Jeffrey N. Younggren
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Management Strategies ◽  
Standard Of Care ◽  
Standards Of Care ◽  
Professional Relationship ◽  
Malpractice Litigation ◽  
Risk Management Strategies ◽  
Comparative Negligence

This chapter provides an overview of major concerns for practicing mental health professionals regarding issues of negligence. It discusses the concept of a professional relationship, the standard of care that derives from that relationship, the deviations from standards of care, and damages directly due to the deviations. Frequent areas of malpractice litigation are reviewed with illustrative cases presented. Common defenses against malpractice are discussed, focusing on challenging whether all four elements of malpractice have been met, and whether or not there have been contributions to the unfortunate outcomes by the patient or client herself or himself (contributory or comparative negligence). The guidance in this chapter also reduces the likelihood of administrative legal actions like board complaints. Do you want to narrow it so much. Risk management strategies are presented to assist practitioners to minimize the risk of malpractice occurring.

The Effects of Decision Aid Orientation on Risk Factor Identification and Audit Test Planning

2002 ◽  
Vol 21 (2) ◽  
pp. 39-56 ◽  
Author(s):  
Jean C. Bedard ◽  
Lynford E. Graham
Keyword(s):  
Risk Factors ◽  
Risk Management ◽  
Decision Aid ◽  
Decision Aids ◽  
Management Strategies ◽  
Risk Identification ◽  
Matched Pair ◽  
Audit Planning ◽  
Audit Firms ◽  
Risk Management Strategies

In auditing, risk management involves identifying client facts or issues that may affect engagement risk, and planning evidence-gathering strategies accordingly. The purpose of this paper is to examine whether auditors' identification of risk factors and planning of audit tests is affected by decision aid orientation, i.e., a “negative” focus wherein client risk and its consequences are emphasized, or a “positive” focus where such factors are not emphasized. Specifically, we expect that auditors will identify more risk factors using a negatively oriented risk identification decision aid, but only when engagement risk is relatively high. We address this issue in the context of auditors' knowledge of actual clients, manipulating decision aid orientation as negative or positive in a matched-pair design. Results show that auditors using the negative decision aid orientation identify more risk factors than do those using a positive orientation, for their higher-risk clients. We also find that decisions to apply substantive tests are more directly linked to specific risk factors identified than to direct risk assessments. Further, our results show that auditors with repeat engagement experience with the client identify more risk factors. The findings of this study imply that audit firms may improve their risk management strategies through simple changes in the design of decision aids used to support audit planning.

scholarly journals Evaluation of Physical Risk during Necropsy and Morgue Activities as Risk Management Strategy

2021 ◽  
Vol 18 (16) ◽  
pp. 8266
Author(s):  
Zoe Del Fante ◽  
Nicola Di Fazio ◽  
Adriano Papale ◽  
Paola Tomao ◽  
Fabio Del Duca ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Management ◽  
Management Strategies ◽  
Risk Management Strategy ◽  
Work Related ◽  
Activity Measurements ◽  
Risk Management Strategies ◽  
Physical Risk ◽  
Critical Issues ◽  
Load Handling

Physical risk assessments allow us to understand work-related critical issues, thus representing a useful tool in risk management strategies. In particular, our study focuses on the identification of already known and emerging physical risks related to necropsy and morgue activities, as well as crime scene investigations. The aim of our study is, therefore, to identify objective elements in order to quantify exposure to such risk factors among healthcare professionals and working personnel. For the research of potentially at-risk activities, data from the Morgue of Policlinico Umberto I Hospital in Rome were used. The scientific literature has been reviewed in order to assess the risks associated with morgue activity. Measurements were performed on previously scheduled days, in collaboration with the activities of different research units. The identified areas of risk were: microclimate; exposure to noise and vibrations; postural and biomechanical aspects of necropsy activities. The obtained results make it possible to detect interindividual variability in exposure to many of the aforementioned risk factors. In particular, the assessment of microclimate did not show significant results. On the contrary, exposure to vibrations and biomechanical aspects of load handling have shown potential risk profiles. For this reason, both profiles have been identified as possible action targets for risk management strategies.

Approach to Prioritizing the Commercial Real Estate Development Risk

2021 ◽  
Vol 15 (2) ◽  
pp. 114-126
Author(s):  
Malka Thilini ◽  
Nishani Champika Wikcramaarachchi ◽  
P.A.N.S. Anuradha
Keyword(s):  
Risk Factors ◽  
Risk Management ◽  
Real Estate ◽  
Management Strategies ◽  
Commercial Real Estate ◽  
Property Development ◽  
Analytic Hierarchy ◽  
Investment Projects ◽  
Risk Management Strategies ◽  
Development Risk

After 30 years of war in Sri Lanka, the demand for real estate has increased tremendously across the nation. Similarly, numerous real estate sub-sectors have avidly participated in the worldwide boom. However, with failures and poor functioning of many investment projects, the industry's risk management reputation has been put in jeopardy, followed by the coronavirus (COVID-19). Though it is less popular among Sri Lankan property developers, risk management strategies in development projects have become a pressing requirement. This paper's goal is to look at commercial property development risk elements from the perspective of a real estate developer in relation to Social, Economic, Environmental, Technological, Political, and Pandemic Risks. The research first evaluates risk variables using a super decision software model based on the Analytic Hierarchy Process (AHP), then prioritizes the most important risk factors, and lastly examines effective risk management measures for successful real estate developments. The data collection has been carried out using interviews through telephone conversations with the help of a structured questionnaire. Accordingly, 35 risk factors have been assessed altogether. For the three projects, the synthesized values were 1.0000, 0.510763, and 0.604037, respectively. Based on the analysis of superMatrix calculation, project A is regarded as the best alternative project in such circumstances. Pandemic Risk, Economic Risk, and Political Risk have all had a significant impact on the primary risk criteria. Therefore, COVID-19 Pandemic Risk Emergence, Workforce Availability, Duration, Delays in Council Approval/License Approval Process and Natural Disaster Impact were identified as the highest influenced sub-risk factors. Identifying the risk factors on this avenue will also help in making better investment decisions while increasing the unpredictable nature of the real estate field and future satisfaction of loan team investment goals within the country.

scholarly journals Risk Management in Oil and Gas (EPC) Industry

2021 ◽  
Vol 9 (9) ◽  
pp. 1255-1264
Author(s):  
Prashant Pralhad Kadam
Keyword(s):  
Risk Factors ◽  
Risk Management ◽  
Oil And Gas ◽  
Safety Management ◽  
Management Strategies ◽  
Oil And Gas Industry ◽  
Construction Costs ◽  
Defective Items ◽  
Gas Industry ◽  
Risk Management Strategies

Abstract: The five most important risk factors identified in the design phase are 1] scope uncertainty, 2] failed management and planning, 3] changes in errors and omissions, 4] inadequate projectS team structure, 5] inadequate quality requirements. The top five risk factors determined by the procurement category are 1] Inadequate online resources and equipment, 2] Distribution of suppliers, 3] Uncertainty in design and style, codes, requirements and standards, 4] Defective items, and 5] Compromise. The 5 most important risk factors identified in the construction phase are 1] weak project capability, 2] excessive construction costs, 3] major construction delays, 4] strong project plan, and 5] poor safety management .This was initiated by the link between risk factors and the effects on price, quality and timing, as well as the potential for expensive, common, and high-quality outcomes. Keywords: Disaster risk management, risk management strategies, project risk management, oil and gas industry.

Legal and Ethical Risk Management with Behavioral Emergencies

2015 ◽  
Author(s):  
Dana Lockwood ◽  
Houri Parsi ◽  
Wendy Packman ◽  
Bruce Bongar
Keyword(s):  
Mental Health ◽  
Risk Management ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Standard Of Care ◽  
Treatment Providers ◽  
Behavioral Emergencies ◽  
Ethical Risk Management

Working with patients presenting with serious harm to themselves or others is an experience many mental health professionals will have during their careers. The possibility of working with this population might cause some apprehension for treatment providers because of the patient and professional risks involved. In this chapter we review the applicable legal theories of professional negligence and focus on the potential legal and professional ramifications that occur when mental health professionals do not rise to the applicable standard of care when working with suicidal or aggressive patients. Additionally, this chapter provides an outline of the legally imposed duties that treatment providers have to their patients so as to promote effective and ethical treatment of those presenting with the possibility of serious harm to themselves and others.

scholarly journals A collaboration between service users and professionals for the development and evaluation of a new program for cardiovascular risk management in persons with a diagnosis of severe mental illness: French multicenter qualitative and feasibility studies

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Antoine Baleige ◽  
Jean-François Besnard ◽  
Nicolas Meunier-Beillard ◽  
Vincent Demassiet ◽  
Alain Monnier ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Mental Illness ◽  
Risk Management ◽  
Cardiovascular Risk ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Promotion Program ◽  
Cardiovascular Risk Management

Abstract Background Persons with a diagnosis of severe mental illness have a life expectancy that is 20 years lower than the general population, and they are disproportionately affected by cardiovascular disorders. Improving the management of cardiovascular risk is one of the main challenges for the public health system. In the care pathway of persons with a diagnosis of severe mental illness, a better understanding of limiting and facilitating factors is required. The objective was to include persons with a diagnosis of severe mental illness, carers, and primary and mental health professionals in the creation and evaluation (feasibility) of a health promotion program designed to improve cardiovascular risk management through empowerment. Methods This study combines a mixed methodology with qualitative and quantitative components. A multicenter prospective qualitative study was conducted in seven mental health units in France and was coordinated by a steering committee composed of persons with a diagnosis of severe mental illness, carers, and primary and mental health professionals. Results This health promotion program must enable persons with a diagnosis of severe mental illness to assert their right to self-determination and to exercise greater control over their lives, beyond their diagnosis and care. Following a preliminary feasibility study, the effectiveness of this new tool will be evaluated using a randomized controlled trial in a second study. Conclusions The findings can be used by health organizations as a starting point for developing new and improved services for persons with a diagnosis of severe mental illness. Trial registration Clinical Trials Gov NCT03689296. Date registered September 28, 2018

scholarly journals Implementation and Effectiveness of Interpersonal Psychotherapy in a Community Mental Health Service

2003 ◽  
Vol 11 (3) ◽  
pp. 284-289 ◽  
Author(s):  
Rebecca Reay ◽  
Scott Stuart ◽  
Cathy Owen
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Post Partum ◽  
Training Programme ◽  
Interpersonal Psychotherapy ◽  
Community Mental Health Service ◽  
Community Practice ◽  
Empirically Supported

Objective: Although the efficacy of a number of psychotherapeutic interventions has been well established in tightly controlled, randomized trials, there remains a paucity of literature examining the effectiveness of these interventions in community practice settings. In light of this, the Australian Capital Territory Mental Health Services (Canberra, ACT) set out to investigate the effectiveness of an empirically supported psychotherapeutic intervention, interpersonal psychotherapy (IPT). The present study describes a pilot evaluation of the training programme for health professionals and the IPT treatment programme. Methods: Forty community mental health professionals participated in intensive IPT training. Clinicians who completed a course of supervision were asked to apply the treatment with non-psychotic acutely depressed patients. Measures of patients’ health outcomes were taken before and after treatment using a standardized outcome measure. Results: A total of 17 out of 21 patients who were selected completed a course of 12–16 weeks of IPT. The majority of the patients had a depression originating in the post-partum period. A comparison of pre- and post-treatment scores of treatment completers revealed a significant decrease in mean depression scores. Clinicians who completed a course of training and supervision found that they were able to confidently apply IPT in a clinical setting. Conclusions: Although there were a number of barriers and obstacles to the introduction of an evidenced-based treatment, the results are promising and demonstrate that IPT can be readily taught to experienced mental health professionals. Further study is required to determine the feasibility of IPT in other non-academic settings using larger sample sizes and homogenous groups of patients.

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