@article{Coid:2016:10.3310/pgfar04160,
author = {Coid, JW and Ullrich, S and Kallis, C and Freestone, M and Gonzalez, R and Bui, L and Igoumenou, A and Constantinou, A and Fenton, N and Marsh, W and Yang, M and DeStavola, B and Hu, J and Shaw, J and Doyle, M and Archer-Power, L and Davoren, M and Osumili, B and McCrone, P and Barrett, K and Hindle, D and Bebbington, P},
doi = {10.3310/pgfar04160},
journal = {Programme Grants for Applied Research},
pages = {1--408},
title = {Improving risk management for violence in mental health services: a multimethods approach},
url = {http://dx.doi.org/10.3310/pgfar04160},
volume = {4},
year = {2016}
}

Download

TY  - JOUR
AB  - <jats:sec id="abs1-1"><jats:title>Background</jats:title><jats:p>Mental health professionals increasingly carry out risk assessments to prevent future violence by their patients. However, there are problems with accuracy and these assessments do not always translate into successful risk management.</jats:p></jats:sec><jats:sec id="abs1-2"><jats:title>Objectives</jats:title><jats:p>Our aim was to improve the accuracy of assessment and identify risk factors that are causal to be targeted by clinicians to ensure good risk management. Our objectives were to investigate key risks at the population level, construct new static and dynamic instruments, test validity and construct new models of risk management using Bayesian networks.</jats:p></jats:sec><jats:sec id="abs1-3"><jats:title>Methods and results</jats:title><jats:p>We utilised existing data sets from two national and commissioned a survey to identify risk factors at the population level. We confirmed that certain mental health factors previously thought to convey risk were important in future assessments and excluded others from subsequent parts of the study. Using a first-episode psychosis cohort, we constructed a risk assessment instrument for men and women and showed important sex differences in pathways to violence. We included a 1-year follow-up of patients discharged from medium secure services and validated a previously developed risk assessment guide, the Medium Security Recidivism Assessment Guide (MSRAG). We found that it is essential to combine ratings from static instruments such as the MSRAG with dynamic risk factors. Static levels of risk have important modifying effects on dynamic risk factors for their effects on violence and we further demonstrated this using a sample of released prisoners to construct risk assessment instruments for violence, robbery, drugs and acquisitive
AU  - Coid,JW
AU  - Ullrich,S
AU  - Kallis,C
AU  - Freestone,M
AU  - Gonzalez,R
AU  - Bui,L
AU  - Igoumenou,A
AU  - Constantinou,A
AU  - Fenton,N
AU  - Marsh,W
AU  - Yang,M
AU  - DeStavola,B
AU  - Hu,J
AU  - Shaw,J
AU  - Doyle,M
AU  - Archer-Power,L
AU  - Davoren,M
AU  - Osumili,B
AU  - McCrone,P
AU  - Barrett,K
AU  - Hindle,D
AU  - Bebbington,P
DO  - 10.3310/pgfar04160
EP  - 408
PY  - 2016///
SN  - 2050-4322
SP  - 1
TI  - Improving risk management for violence in mental health services: a multimethods approach
T2  - Programme Grants for Applied Research
UR  - http://dx.doi.org/10.3310/pgfar04160
VL  - 4
ER  - 

Download