Therapeutic Risk Management for Violence: Augmenting Clinical Risk Assessment With Structured Instruments

被引:3
|
作者
Wortzel, Hal S. [1 ,2 ,3 ,4 ]
Borges, Lauren M. [5 ,6 ]
McGarity, Suzanne [7 ,8 ]
Nazem, Sarra [5 ,9 ]
Barnes, Sean M. [5 ,6 ]
Bahraini, Nazanin H. [9 ,10 ]
Clark, Kaily [11 ]
Matarazzo, Bridget B. [12 ,13 ]
机构
[1] Univ Colorado, Neurocognit Dis, Aurora, CO USA
[2] Univ Colorado, Neuropsychiat, Aurora, CO USA
[3] Univ Colorado, Psychiat & Neurol, Aurora, CO USA
[4] VA Rocky Mt Reg Med Ctr RMRMC, Rocky Mt Mental Illness Res Educ & Clin Ctr MIREC, Neuropsychiat Serv, Aurora, CO USA
[5] Univ Colorado, Sch Med, Rocky Mt MIRECC, Aurora, CO USA
[6] Univ Colorado, Sch Med, Dept Psychiat, Aurora, CO USA
[7] Univ Colorado, Sch Med, Dept Phys Med & Rehabil, Aurora, CO USA
[8] VA RMRMC, Rocky Mt MIRECC, Aurora, CO USA
[9] Univ Colorado, Sch Med, Psychiat & Phys Med & Rehabil, Aurora, CO USA
[10] VA RMRMC, Rocky Mt MIRECC, Educ, Aurora, CO USA
[11] Rocky Mt MIRECC, Aurora, CO USA
[12] VA RMRMC, Clin Serv Rocky Mt MIRECC, Aurora, CO USA
[13] Univ Colorado, Sch Med, Psychiat, Aurora, CO USA
关键词
violence; aggression; risk assessment; risk management; forensic psychiatry; therapeutic risk assessment; PREDICTIVE-VALIDITY; CLASSIFICATION;
D O I
10.1097/PRA.0000000000000495
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Violence risk assessment is a requisite component of mental health treatment. Adhering to standards of care and ethical and legal requirements necessitates a cogent process for conducting, and then documenting, other-directed violence risk screening, assessment, and management. In this 5-part series, we describe a model for achieving therapeutic risk management of the potentially violent patient, with essential elements involving: clinical interview augmented by structured screening or assessment tools; risk stratification in terms of temporality and severity; chain analysis to intervene on the functions of violent ideation and behavior; and a personalized safety plan to mitigate/manage risk. This second column in the series describes the advantages of, and offers suggestions for, incorporating structured tools into violence risk assessment.
引用
收藏
页码:405 / 410
页数:6
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