How do you assess the risks of violence?
Assessing the risks of violence by using the latest research on violence assessment to evaluate risk and protective factors. (Information about these factors is often available on a limited basis in general clinical practice.
What are the best violence risk assessment approaches and tools?
The best violence risk assessment approaches and tools include assessment of both protective and risk factors. Protective factors counterbalance violence risk factors. For example, consider an outpatient who feels rage at the boss who fired him and is having dreams and fantasies about killing the boss.
What is the acceptance of couple violence assessment?
This assessment measures acceptance of couple violence. It has three subscales: male on female violence, female on male violence, and acceptance of general dating violence. Respondents are asked to circle the answer that corresponds with their beliefs.
What is an outcome question?
Outcomes must be measurable, realistic, and philosophically tied to program activities. Outcome questions should be designed to discover whether or not women attained outcomes they identified as important to them. It is important to review outcome information with staff, volunteers, funders, and survivors.
What is the treatment outcome package?
The Treatment Outcome Package (TOP) is a comprehensive well-being assessment that is used in behavioral health and child welfare settings. The Adult version of the TOP assess several domains including Depression, Psychosis, Sleep Problems, Violence, and Suicidality.
What is treatment outcome?
Treatment outcome research was defined by Mowrer (1953) as a situation whereby the “emphasis is upon measuring significant aspects of personality before and after treatment and noting the nature and extent of the resulting changes” (p. 4).
What is a treatment outcome study?
research designed to evaluate the efficacy of interventions and to investigate the mechanism by which effective interventions produce change.
What is the purpose of a treatment outcome study?
Treatment outcome studies are designed to answer commonsense questions. To determine whether a treatment accomplishes anything, we have to know how patients who have not received the treatment fare. Perhaps untreated patients do just as well, implying that the treatment does not influence outcome at all.
Why is danger assessment scale important?
A danger assessment scale is helpful for ascertaining the risk of assault or homicide. The use of such a scale is important because it established a standard and consistent framework for evaluation.
What is risk assessment tool?
Risk assessment tools provide a standard against which to evaluate individuals for potential violence, enabling all healthcare providers to share a common frame of reference and understanding. This minimizes the possibility that communications regarding a person's potential for violence will be misinterpreted.
How many classification tree models are there in the Covr?
Research in developing and validating the COVR was performed in conjunction with the MacArthur Violence Risk Assessment Study. While the COVR contains 10 classification tree models, the authors state that it can estimate risk reliably using only 5 of them.
How to avoid hurried assessments?
Avoid very hurried or pressured assessments, or those based on partial information, because it invites inaccuracy. Obtain a good understanding of the conditions under which the person will live after discharge or release. Remember that risk is relative to the base rate of violence in a particular population.
What is the job of a psychiatrist in an inpatient unit?
Psychiatrists who work in inpatient units are faced with daily decisions about predicting which patients will be violent, both in the hospital and after discharge. These decisions are often made using unstructured clinical judgment based on the clinician's experience and knowledge of the literature. How long such judgment stays the standard of care ...
Is violence in psychiatric hospitals a reality?
Violence in hospital psychiatric units is a terrifyingly well-known worldwide reality. In addition to the physical danger that violent inpatients present to themselves and to hospital staff, their actions are frightening to all involved and at the very least, significantly disrupt the therapeutic environment.
Is the relationship between the number of risk factors present and the risk for violence nonlinear?
The relationship between the number of risk factors present and risk for violence is probably distinctly nonlinear; risk likely depends on the specific combination, not just the number, of risk factors present.
Is BVC a psychiatric test?
Because the BVC was tested in psychiatric hospitals, it is likely to be generally applicable to inpatients, despite differences in diagnoses or comorbidities. The BVC relies on common, universal human behaviors that are often displayed before a violent episode.
What is the International Violence against Women Survey?
The International Violence against Women Survey also provides useful measures of violence against women by intimate partners or ex-partners or others. See pp. 9-10 of Mouzos and Makkai (2004) for its definitions of violence.
How many items are in the Bystander Decisional Balance Scale?
Victoria Banyard and colleagues have developed a series of scales, including the Bystander Efficacy Scale (18 items), Bystander Willingness to Help Scale (12 items), and the Bystander Decisional Balance Scale (11 items). Longer versions of these scales include over 145 items.
What is the gender equality scale?
The Gender-Equitable Men (GEM) Scale is intended to measure attitudes toward manhood and gender norms related to sexual and reproductive health promotion and disease prevention, partner violence, and sexual and intimate relationships, among other topics.
What is the attitude towards women scale?
The Attitudes Toward Women Scale is a 55-item measure that was originally designed to assess opinions about the rights and roles of women. It focuses on family and economic roles mostly, and on norms and obligations of one gender to the other. It has been widely use, in its long form and also in a shorter 15-item version (see Spence & Hahn, 1973; 1997). Items include:
What is a 7-item measure?
This 7-item measure is used to assess pretest-posttest changes in behavioral intention following a dating violence prevention program used in several Canadian high schools. Students are asked to indicate how they would respond if they became aware of, or were witness to abuse among their peers.
What is the sexual relationship power scale?
The Sexual Relationship Power Scale (SRPS) was developed by Pulerwitz, Gortmaker, and DeJong to measure power in sexual relationships and to investigate the role of relationship power in sexual decisionmaking and HIV risk. The SRPS contains two subscales that address two conceptual dimensions of relationship power: Relationship Control and Decisionmaking Dominance. Among others, the scale includes questions about control over decisionmaking, commitment to the relationship, condom negotiation ability, and freedom of action within the relationship. Most items use a four-point Likert scale, ranging from “strongly agree” to “strongly disagree.”
What is a 31 item scale?
31-item scale developed to measures attitudes and beliefs about wife beating. Covers issues including attitudes toward appropriate intervention (none, arrest the husband, social agencies do more to help), attributions of responsibility for battering (e.g., the husband, because.....; the wife, because....), and the value of wife-beating (improves a marriage). Items include:
What is the question about emotional issues?
The question refers to the client’s perception of emotional problems, not a clinical diagnosis by the counselor. The question addresses having emotional problems in the past 30 days due to use of alcohol or other drugs, even if there has been no alcohol or drug use in the past 30 days.
How long is a brief therapy?
The duration of brief therapies is reported to be anywhere from 1 session (Bloom, 1997) to 40 sessions (Sifneos, 1987), with the typical therapy lasting between 6 and 20 sessions.
What is a GPRA interview?
A GPRA discharge interview is required even if a client has lost contact with the program, so grantees must attempt to contact the client for the interview. If the client is discharged and a GPRA interview cannot be obtained, the program must complete and submit sections A, J, and K for the purpose of the discharge.
How long do you have to contact GPRA after discharge?
have 14 days after discharge to contact the client and conduct the in-person GPRA discharge interview. If the GPRA interview has not been conducted by day 15, conduct an administrative discharge. For Access to Recovery (ATR) Grants Only.
When is a GPRA discharge interview?
Discharge—A GPRA discharge interview is to be conducted at the time the client is discharged from the program. The CSAT GPRA definition of discharge should follow the grantee’s definition. If the grantee does not have a discharge policy, the client should be discharges after 30 days of inactivity.
When should a CSAT discharge interview be completed?
If the grantee does not have a definition of discharge, the discharge interview should be completed when the client has had no contact with the program for 30 days.
What are the first four items to be completed for an administrative discharge?
For an administrative discharge when the interview is not conducted, interviewers must complete the first four items in Section A (Client ID, Client Type, Contract/Grant ID, Interview Type), Section J (Discharge), and Section K (Services Received) and mark that the interview was not completed.
Background
The Nature of Violence Risk and Protective Factors
- Clinical prediction of violence remains challenging for all mental health professionals. Results of recent research have underscored the importance of identifying factors and base rates that are associated with the risk of violence in various populations and in various settings. Risk factors may be static, such as gender, age, a history of violence...
Approaches to Violence Risk Assessment
- The superiority of an actuarial approach to violence risk assessment over a purely clinical approach has been demonstrated in numerous studies over the past thirty years. However, recent studies have shown that an approach that combines clinical judgment with actuarial projections is superior to the actuarial approach alone. This approach is known as “structured professional (o…
Treatment Planning with The Potentially Violent Client
- Of course, the determination of high, medium, or low risk of violence is not the end point for the psychologist who is faced with a potentially dangerous patient. Once a risk of serious or moderately serious violence is identified, a plan for addressing the risk must be crafted, documented, and followed-up on. This is where success or failure in pursuing the dual objective…