Changing clinicians' perceptions of the role that risk formulation and the HCR-20v3 play in the assessment and management of violence

被引:0
|
作者
Covernton, Emma Elizabeth [1 ]
Moores, Amy [1 ]
Lowenstein, Joseph Aaron [1 ]
机构
[1] Dorset HealthCare Univ NHS Fdn Trust, STRIVE Team, Poole, Dorset, England
关键词
Risk management; Risk assessment; Staff training; HCR-20v3; Staff perceptions; Risk formulation; VERSION; 3; IMPACT;
D O I
10.1108/JFP-05-2019-0019
中图分类号
DF [法律]; D9 [法律];
学科分类号
0301 ;
摘要
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.
引用
收藏
页码:212 / 227
页数:16
相关论文
共 16 条
  • [1] Protective Factors in Violence Risk Assessment: Predictive Validity of the SAPROF and HCR-20V3
    Neil, Clare
    O'Rourke, Suzanne
    Ferreira, Nuno
    Flynn, Liz
    [J]. INTERNATIONAL JOURNAL OF FORENSIC MENTAL HEALTH, 2020, 19 (01) : 84 - 102
  • [2] Version 3 of the Historical-Clinical-Risk Management-20 (HCR-20V3): Relevance to Violence Risk Assessment and Management in Forensic Conditional Release Contexts
    Douglas, Kevin S.
    [J]. BEHAVIORAL SCIENCES & THE LAW, 2014, 32 (05) : 557 - 576
  • [3] Cross-Cultural Violence Risk Assessment: Adapting the HCR-20V3 for Incarcerated Offenders in Mexico
    Nijdam-Jones, Alicia
    Garcia-Lopez, Eric
    Merchan Rojas, Libertad
    Ruiz Guarneros, Aura
    Rosenfeld, Barry
    [J]. INTERNATIONAL JOURNAL OF FORENSIC MENTAL HEALTH, 2023, 22 (01) : 39 - 55
  • [4] Risk assessment of criminal offenders in Ghana: An investigation of the discriminant validity of the HCR-20V3
    Adjorlolo, Samuel
    Chan, Heng Choon
    [J]. INTERNATIONAL JOURNAL OF LAW AND PSYCHIATRY, 2019, 66
  • [5] Evaluating the HCR-20V3 violence risk assessment measure with mentally disordered offenders and civil psychiatric patients in China
    Chen, Yifan
    Douglas, Kevin S.
    Zhang, Zhuo
    Xiao, Cunli
    Wang, Haiyan
    Wang, Yuhao
    Ma, Ai
    [J]. BEHAVIORAL SCIENCES & THE LAW, 2023, 41 (04) : 186 - 206
  • [6] Historical-Clinical-Risk Management-20, Version 3 (HCR-20V3): Development and Overview
    Douglas, Kevin S.
    Hart, Stephen D.
    Webster, Christopher D.
    Belfrage, Henrik
    Guy, Laura S.
    Wilson, Catherine M.
    [J]. INTERNATIONAL JOURNAL OF FORENSIC MENTAL HEALTH, 2014, 13 (02) : 93 - 108
  • [7] Predicting Post-Discharge Community Violence in England and Wales Using the HCR-20V3
    Doyle, Michael
    Power, Laura Archer
    Coid, Jeremy
    Kallis, Constantinos
    Ullrich, Simone
    Shaw, Jenny
    [J]. INTERNATIONAL JOURNAL OF FORENSIC MENTAL HEALTH, 2014, 13 (02) : 140 - 147
  • [8] Assessing Inpatient Victimization Risk Among Insanity Acquittees Using the HCR-20V3
    Grossi, Laura M.
    Green, Debbie
    Griswold, Hali
    Cabeldue, Mollimichelle
    Belfi, Brian
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW, 2019, 47 (03): : 286 - 298
  • [9] Violence Risk Assessment with the HCR-20(V3) in Legal Contexts: A Critical Reflection
    de Vogel, Vivienne
    De Beuf, Tamara
    Shepherd, Stephane
    Schneider, Richard D.
    [J]. JOURNAL OF PERSONALITY ASSESSMENT, 2022, 104 (02) : 252 - 264
  • [10] Violence During Imprisonment, Forensic Psychiatric Care, and Probation: Correlations and Predictive Validity of the Risk Assessment Instruments COVR, LSI-R, HCR-20V3, and SAPROF
    Persson, Mats
    Belfrage, Henrik
    Fredriksson, Bjorn
    Kristiansson, Marianne
    [J]. INTERNATIONAL JOURNAL OF FORENSIC MENTAL HEALTH, 2017, 16 (02) : 117 - 129