Purpose The assessment and management of risk towards others is an integral part of clinical practice, particularly in forensic and other psychiatric settings. Version 3 of the HCR-20 is the latest version of a comprehensive set of professional guidelines based on the Structured Professional Judgement model. It is the most widely used and best validated tool available to assess risk of violence; however, clinicians perceive it as an additional task with limited clinical usefulness, which requires undergoing expensive training and takes considerable time to implement. The paper aims to discuss these issues. Design/methodology/approach Training was delivered to 148 clinicians to improve perceptions with regard to risk formulation and the HCR-20v3 as an effective and clinically useful tool in generating individual and robust care plans to minimise risk of violence. Findings Results indicated significant score increase post-training, indicating higher regard for the HCR-20 in terms of its usefulness, anticipated impact upon working, anticipated impact upon managing risk, ease of completion and perceived relevance to clinical practice. This was also consistent with qualitative feedback indicating improved risk management and care planning with reference to how learning would support respective roles. Feedback also highlighted the added value of certain aspects of the training provided, which may be useful to consider when designing HCR-20 training packages. Research limitations/implications - This study demonstrates the importance of engaging clinicians in bespoke training on the practicalities of HCR-20 completion and the fundamentals of risk formulation. Practical implications - This study highlights the importance of incorporating a training package for staff of all disciplines in changing perceptions of risk management tools and thus their use in the practical management of violence. The useful aspects of training may assist changing perceptions of the role that risk formulation and the HCR-20v3 play in the assessment and management of violence. Originality/value This research suggests that if this can be done successfully, it may lead to a change in the perception of the role that the HCR-20v3 can play in assessing risk of violence and generating meaningful management plans to reduce the future likelihood of violence.
机构:
City Univ Hong Kong, Dept Social & Behav Sci, Teaching Lab Forens & Criminol, Hong Kong, Peoples R China
City Univ Hong Kong, Dept Social & Behav Sci, Teaching Lab Forens & Criminol, Kowloon, Hong Kong, Peoples R ChinaUniv Ghana, Sch Nursing & Midwifery, Dept Mental Hlth, Accra, Ghana
机构:
Simon Fraser Univ, Dept Psychol, Burnaby, BC V5A 1S6, Canada
Mid Sweden Univ, Dept Social Sci, Sundsvall, SwedenSimon Fraser Univ, Dept Psychol, Burnaby, BC V5A 1S6, Canada
Douglas, Kevin S.
Hart, Stephen D.
论文数: 0引用数: 0
h-index: 0
机构:
Simon Fraser Univ, Dept Psychol, Burnaby, BC V5A 1S6, CanadaSimon Fraser Univ, Dept Psychol, Burnaby, BC V5A 1S6, Canada
Hart, Stephen D.
Webster, Christopher D.
论文数: 0引用数: 0
h-index: 0
机构:
Simon Fraser Univ, Dept Psychol, Burnaby, BC V5A 1S6, Canada
Univ Toronto, Dept Psychiat, Toronto, ON, Canada
Forens Psychiat Serv Commiss British Columbia, Vancouver, BC, Canada
Inst Child Dev, Toronto, ON, Canada
Ctr Mental Hlth & Addict, Toronto, ON, CanadaSimon Fraser Univ, Dept Psychol, Burnaby, BC V5A 1S6, Canada
Webster, Christopher D.
Belfrage, Henrik
论文数: 0引用数: 0
h-index: 0
机构:
Mid Sweden Univ, Dept Social Sci, Sundsvall, Sweden
Vadstena Forens Psychiat Hosp, Vadstena, SwedenSimon Fraser Univ, Dept Psychol, Burnaby, BC V5A 1S6, Canada
Belfrage, Henrik
Guy, Laura S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Massachusetts, Sch Med, Dept Psychiat, Worcester, MA 01655 USA
ProAct Resolut Inc, Vancouver, BC, CanadaSimon Fraser Univ, Dept Psychol, Burnaby, BC V5A 1S6, Canada
Guy, Laura S.
Wilson, Catherine M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ British Columbia, Dept Psychiat, Vancouver, BC, Canada
British Columbia Forens Psychiat Serv Commiss, Port Coquitlam, BC, Canada
British Columbia Mental Hlth & Subst Use Serv, Vancouver, BC, CanadaSimon Fraser Univ, Dept Psychol, Burnaby, BC V5A 1S6, Canada
机构:
Eastern State Hosp, Williamsburg, VA 23188 USAEastern State Hosp, Williamsburg, VA 23188 USA
Grossi, Laura M.
Green, Debbie
论文数: 0引用数: 0
h-index: 0
机构:Eastern State Hosp, Williamsburg, VA 23188 USA
Green, Debbie
Griswold, Hali
论文数: 0引用数: 0
h-index: 0
机构:
Eastern State Hosp, Williamsburg, VA 23188 USAEastern State Hosp, Williamsburg, VA 23188 USA
Griswold, Hali
Cabeldue, Mollimichelle
论文数: 0引用数: 0
h-index: 0
机构:
Fairleigh Dickinson Univ, Teaneck, NJ USAEastern State Hosp, Williamsburg, VA 23188 USA
Cabeldue, Mollimichelle
Belfi, Brian
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Sch Med, Dept Psychiat, New York, NY 10003 USA
Kirby Forens Psychiat Ctr, Operations, New York, NY USAEastern State Hosp, Williamsburg, VA 23188 USA
Belfi, Brian
[J].
JOURNAL OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW,
2019,
47
(03):
: 286
-
298
机构:
Vadstena Forens Psychiat Hosp, Vadstena, Sweden
Linkoping Univ, Dept Med & Hlth Sci, Linkoping, SwedenKarolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Belfrage, Henrik
Fredriksson, Bjorn
论文数: 0引用数: 0
h-index: 0
机构:
Natl Board Forens Med, Dept Forens Psychiat, Stockholm, SwedenKarolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Fredriksson, Bjorn
Kristiansson, Marianne
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Natl Board Forens Med, Dept Forens Psychiat, Stockholm, SwedenKarolinska Inst, Dept Clin Neurosci, Stockholm, Sweden