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The
required readings for this unit are:
Australia |
Required
Reading(s)
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Insert article
here
Canada |
Required
Reading(s)
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Insert article
here
International |
Required
Reading(s)
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Insert article
here
United Kingdom |
Required
Reading(s)
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Murphy,
D. (2002). Risk assessment as collective clinical judgment.
Criminal Behaviour & Mental Health, 12(2),
169-178. Retrieved December 20, 2002, from Academic
Search Premier database: http://search.epnet.com/direct.asp?an=8590050&db=aph
- Introduction
Risk assessment occupies an increasingly important
position in psychiatry. This paper contends that
collective judgement is the optimal method of assessing
risk. The meaning of risk Risk has a dual meaning:
emotional and judgemental. Risks faced by staff
Assaults, threats and survival anxiety. The effects
of danger on the group Staff wariness and resistance,
attribution of blame. The ambiguous task For a group
to function well it must have a clear task. Custodial
roles can lead to ambiguity. The emotions of larger
groups Externally directed hostility, internal homoge-nization
of views. Social defences Rituals can develop in
forensic institutions, as well as militarism. Anti-therapeutic
culture Sadism may develop where a marked power
differential develops. The role of the leader Danger
intensifies the feelings about leaders, perhaps
idealization, perhaps disaffection. Leaders and
others need to agree on risk assessment or fragmentation
will occur. The modification of risk The assessment
of risk may modify it. Mutual hostility must be
reduced. Dialogue and understanding are needed.
A climate for risk assessment The environment should
be less authoritarian and more democratic, so that
patients can join a group and internalize its values.
Reflective space is also required. Conclusions Risk
assessment is best described in terms of human endeavour,
not in the language of scientific measurement.
Rumgay,
J., & Munro, E. (2002). The lion's den: Professional
defences in the treatment of dangerous patients. Journal
of Forensic Psychiatry, 12(2), Retrieved December
20, 2002, from Academic Search Premier database:
http://search.epnet.com/direct.asp?an=5180662&db=aph
- The
spate of inquiries after homicides by mentally ill
people in Britain since 1992 has stimulated concerns
to improve management of the risk of violence. These
reports repeatedly describe poor-quality care by
professionals, citing a seeming disregard of personal
distress and an unwillingness to permit access to
support services. Despite the number of examples
of such professional 'carelessness', there has been
little attempt to understand them theoretically.
This paper considers a theoretical framework which
suggests that apparently insensitive behaviour stems
from the deployment of rationalizations for denying
care to mentally ill individuals, in situations
in which professionals experience powerlessness
to intervene effectively. Examples of such rationalizations
are drawn from a study of 40 published inquiries
after homicide. The authors conclude by considering
the implications of their analysis for policy and
professional development
|
United States |
Required
Reading(s)
|
|
Insert article
here
Databases
For the full text article online,
sleuth the 'University
of Calgary/ Library/ Article Indexes':
Directions:
- Select
- Indexes and abstracts with links to full text articles
- Select
- Academic Search Premier or Expanded Academic ASAP
- Select
- Connect
-
Fill in
User ID and Pin
- Fill
in search words:
- anger
and aggression
- risk and
assessment
- dangerous
and offender
Top of Page
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The
'recommended only' readings for this unit are the following:
Australia
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Recommended
Reading(s)
|
|
Insert article/book/chapter
here
Canada
|
Recommended
Reading(s)
|
|
Insert article/book/chapter
here
International
|
Recommended
Reading(s)
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Almvik,
R., Woods, P., & Rasmussen, K. (2000). The Broset
Violence Checklist: Sensitivity, specificity, and interrater
reliability. Journal of Interpersonal Violence, 15(12),
1284-1296. Retrieved July 2, 2002 from ProQuest database.
- The
Brosed Violence Checklist (BVC) assesses confusion,
irritability, boisterousness, verbal threats, physical
threats and attacks on objects as either present
or absent. It is hypothesized that an individual
displaying two or more of these behaviors is more
likely to be violent in the next 24-hour period.
It is concluded that the BVC is a useful instrument
in predicting this and that the psychometric properties
of the instrument are satisfactory.
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United Kingdom
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Recommended
Reading(s)
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Borum,
R. (1996) Improving the clinical practice of violence
risk assessment: Technology, guidelines, and training.
American Psychologist, 51 (9), 945-956.
Buchanan,
A. (1997) The investigation of acting on delusions
as a tool for risk assessment in the mentally disordered.
British Journal of Psychiatry Supplement, 170 (32),
12-16.
Chandley,
M. (2001). Before the experts arrive. Journal of
Psychosocial Nursing & Mental Health Services,
39(6), 12-20. Retrieved July 2, 2002, from Proquest
database.
- This
article addresses the rare event of the hostage
situation in a forensic psychiatric nursing setting.
It has a specific focus on the initial response
and the accompanying issues for nurses at the clinical
interface as the situation emerges. The intention
of this article is to both offer guidance and raise
the profile of this unique management issue because
little attention is drawn to early-stage hostage
situations at an organizational level (Chandley,
2001).
When
a hostage situation occurs, inadequate preparation
can mean the difference between life and death
for the hostage, negotiator, or hostage taker.
This article provides an overview of the relevant
literature and offers guidance about the actions
required when a nurse suddenly becomes responsible
for managing the early stages of such a traumatic
event. Responses, safety, and communication factors
concerning the hostage taker are covered (Chandley,
2001).
Mason,
T. (1998). Models of risk assessment in mental health
practice: A critical examination. Mental Health
Care, 11 (121), 405-407.
- Note
Tom Mason writes that although risk assessment is
central to to-day's mental health practice, it is
important to be clear about what is being assessed.
|
United States
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Recommended
Reading(s)
|
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Insert article/book/chapter
here
Top of Page
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Additional
references for this unit can be found in 'forensic
references'
of the forensic sourcebooks.
- Sleuth
'forensic reference' database for:
- anger -
aggression
- risk - assessment
Top of Page
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Video's
recommended for this unit are:
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Resources
(Video)
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Insert video
here
Top of Page
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The
required websites to sleuth for this unit are the following:
Australia
|
Resources
(Web)
|
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Insert website
here
Canada
|
Resources
(Web)
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Canadian
Association of Elizabeth Fry Societies (1995). Women's
groups welcome review announcement. Canadian Association
of Elizabeth Fry Societies. Retrieved July 1, 2002,
from CAEFS Website: http://www.web.net/~kpate/bwdnr.htm
- Note
this report on review the cases of women imprisoned
for defending themselves against abusive partners.
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International
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Resources
(Web)
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Insert website
here
Norway |
Resources
(Web)
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Almvik, R. (2002).
The Bröset Violence Checklist. Retrieved June
14, 2002 from the BVC Homepage: http://home.no.net/bvc2/
- Note the
BVC is a user-friendly clinical instrument for predicting
imminent violent behaviour in psychiatric in-patient facilities.
Almvik, R. (2002).
The Bröset Violence Checklist. Retrieved June
14, 2002 from the European Violence in Psychiatry Research
Group (EVIPRG) Website: http://www.city.ac.uk/barts/eviprg/projects/index.htm
- Note Roger
Almvik has developed a brief instrument to predict imminent
violence, has tested it and published his results here.
Almvik, R. (2000).
Strategies for handling aggressive incidents in Norway.
Retrieved June 15, 2002 from Forensic Nursing Resource Homepage:
http://www.fnrh.freeserve.co.uk/
- Note the
link to this study on aggression.
Almvik, R. &
Nottestad, J. A. (2000). Violence In Psychiatry Research
in Norway. Retrieved June 15, 2002 from Forensic Nursing
Resource Homepage: http://www.fnrh.freeserve.co.uk/
- Note the tools
used for the assessment of violence.
United Kingdom
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Resources
(Web)
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Woods P. (2000).
Therapeutic Management of Violence, a summary. Retrieved
June 15, 2002 from Forensic Nursing Resource Homepage: http://www.fnrh.freeserve.co.uk/
- Note the
link to the study on the Therapeutic Management of Violence.
Woods P. (2000).
Therapeutic Management of Violence (full report).
Retrieved June 15, 2002 from Forensic Nursing Resource Homepage:
http://www.fnrh.freeserve.co.uk/
- Note the
link to the study on the Therapeutic Management of Violence.
Woods P. (2000).
Therapeutic Management of Violence literature review.
Retrieved June 15, 2002 from Forensic Nursing Resource Homepage:
http://www.fnrh.freeserve.co.uk/
- Note the
link to the study on the Therapeutic Management of Violence.
Woods, P. &
Reed, V. (1998). Measuring risk and related behaviours with
the Behavioural Status Index (BSI): some preliminary psychometric
studies. International Journal of Psychiatric Nursing
Research, 4 (1), 396-409. Retrieved June 15, 2002 from
Forensic Nursing Resource Homepage: http://www.fnrh.freeserve.co.uk/
- Note the
BSI as a risk assessment tool.
Woods P. (2000).
Behavioural Status Index - an in-depth look at the scales.
Retrieved June 15, 2002 from Forensic Nursing Resource Homepage:
http://www.fnrh.freeserve.co.uk/
- Note the
BSI as a risk assessment tool.
United States
|
Resources
(Web)
|
|
Insert article
here
Top of Page
|
 |
For
additional websites on this unit, sleuth 'forensic
websites' in the forensic sourcebooks.
- anger - aggression
- risk - assessment
Top of Page
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Topic
B - Forensic Psychiatry > Section B.6.0. Forensic Concepts > Unit.B.6.1.
Assault/Violence (anger/aggression) Risk Assessment
