ABSTRACT

Violence directed towards others and violence directed towards oneself cause an immense amount of physical and psychological damage – to the harmed and the harmful person alike, to their families, and to the public at large. Managing clinical risk is an authoritative manual for practitioners working with harmful men, women, and young people, containing up-to-date information and guidance on what to do and how they can assess and manage clinical risk, communicate their concerns about risk, and account for their decisions about risk management to their clients and to the Courts. 

This book provides an evidence-based understanding of risk in key areas of practice – violence, sexual violence, firesetting, suicide, and self-harm, working with individuals and organisations alike – and among special groups: women, young people, serving and former military personnel, clients with comorbid presentations, and clients with cognitive impairment. Further, it suggests and describes the skills practitioners need to understand and communicate their concerns to all who need to know about them through coverage of interviewing and risk formulation skills. 

This is a guidebook to effective practice. All its contributors have a record of research, practice, and considered thinking in the area of clinical risk assessment and management. They all have a wide range of knowledge and experience about the notion of risk, conducting risk management in real world mental health, correctional, and community settings, and about working with clients with a label of high risk. Together, they combine theoretical and research knowledge with a wealth of practical skills in care and management, emphasising the collaborative and recovery-focused nature of modern risk management. 

 

part I|25 pages

The need for change

chapter 1|23 pages

Violence risk assessment

From prediction to understanding — or from what? To why?

part II|154 pages

Part II Key areas of practice

chapter 2|27 pages

2 Violence risk assessment and management

Putting structured professional judgment into practice

chapter 3|32 pages

3 Working with complex cases

Mental disorder and violence

chapter 4|27 pages

4 Managing the risk posed by personality-disordered sex offenders in the community

A model for providing structured clinical guidance to support criminal justice services

chapter 5|27 pages

5 Suicide and self-harm

Clinical risk assessment and management using a structured professional judgement approach

chapter 6|23 pages

6 Pathological firesetting by adults

Assessing and managing risk within a functional analytic framework

chapter 7|16 pages

7 Risk management

Beyond the individual

part III|75 pages

Part III Key client groups

chapter 9|25 pages

9 Making delinquency prevention work with children and adolescents

From risk assessment to effective interventions

chapter 10|18 pages

10 Working with women

Towards a more gender-sensitive violence risk assessment

chapter 11|14 pages

11 Clinical risk assessment and management with military personnel and veterans

The tip of a camouflaged iceberg

part IV|54 pages

Part IV Key practice skills

chapter 12|34 pages

12 Risk assessment

Specialist interviewing skills for forensic practitioners

chapter 13|18 pages

13 Protective factors for violence risk

Bringing balance to risk assessment and management

chapter |2 pages

Afterword