In the past 10 years, there has been an impressive proliferation of information regarding the prediction of violence risk. Much of the information is devoted to describing the empirical basis of risk prediction and the various instruments available for the assessment of risk. Yet, there has been little discussion of how risk assessments can inform the therapeutic process. This article describes the application of risk assessment to clinical practice in a maximum-security forensic hospital. A brief discussion of the forensic systems issues is also included.
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References
1.
American Psychiatric Association. (1974). Clinical aspects of the violent individual. Washington,DC: Author.
2.
Barefoot v. Estelle, 463 U.S. 880 (1983).
3.
Blackburn, R. (1998). Psychopathy and the contribution of personality to violence. In T. Millon,E. Simonsen, M. Birket-Smith, & R. D. Davis (Eds.), Psychopathy: Antisocial, criminal and violent behavior (pp. 50-68). New York: Guilford.
4.
Boer, D. P., Hart, S. D., Kropp, P. R. & Webster, C. D. (1997). Manual for the sexual violence risk—20.Burnaby, Canada: Simon Fraser University.
5.
Bonta, J., Law, M., & Hanson, K. (1998). The prediction of criminal and violent recidivism among mentally ill disordered offenders: A meta-analysis. Psychological Bulletin,123(2), 123-142.
6.
Borum, R. (1999) Advances in the assessment of dangerousness and risk. In American PsychologicalAssociation (Ed.), Psychological expertise and criminal justice (pp. 465-484). Washington, DC: American Psychological Association.
7.
Brennan, P. A., Mednick, S. A., & Hodgins, S. (2000). Major mental disorders and criminal violence in a Danish birth cohort. Archives of General Psychiatry, 57, 494-500.
8.
Burke, J. D., & Regier, D. A. (1996). Epidemiology of mental disorders. In R. E. Hales & S. C.Yudosky (Eds.), Synopsis of psychiatry (pp. 79-102), Washington, DC: American Psychiatric Press.
9.
Cirincione, C., Steadman, H. J., Robbins, P. C., & Monahan, J. (1992). Schizophrenia as a contingent risk factor for criminal violence. International Journal of Law and Psychiatry, 15, 347-358.
10.
Cocozza, J. J., & Steadman, H. J. (1978). Prediction in psychiatry: An example of misplaced confidence in experts. Social Problems, 25(3), 265-276.
11.
Dawes, R. M., Faust, D., & Meehl, P. E. (1989). Clinical versus actuarial prediction. Science, 243,1668-1674.
12.
Groth-Marnat, G. (1999). Handbook of psychological assessment, 3rd edition. New York: John Wiley.
13.
Grove, W. M., & Meehl, P. E. (1996). Comparative efficiency of informal (subjective, impressionistic) and formal (mechanical, algorithmic) prediction procedures: The clinical-statistical controversy. Psychology, Public Policy and Law, 2(2), 293-323.
14.
Hanson, R. K., & Thornton, D. (1999). Static 99: Improving actuarial risk assessments for sex offenders. User report. Ottawa, Canada: Solicitor General.
15.
Hare, R. D. (1991). The Psychopathy Checklist–Revised. Toronto, Canada: Multi-Health Systems.
16.
Harris, G. T., & Rice, M. E. (1996). A typology of mentally disordered firesetters. Journal of Interpersonal Violence, 11, 351-364.
17.
Harris, G. T., & Rice, M. E. (1997). Risk appraisal and management of violent behavior. Psychiatric Services, 48(9), 1168-1176.
18.
Harris, G. T., Rice, M. E., & Quinsey, V. L. (1998). Appraisal and management of risk in sexual aggressors. Psychology, Public Policy and Law, 4, 73-115.
19.
Hart, S. D., Hare, R. D., & Forth, A. E. (1994). Psychopathy as a risk marker for violence: Development and validation of the screening version of the revised psychopathy checklist. In J. Monahan &H. J. Steadman (Eds.), Violence and mental disorder: Developments in risk assessment (pp. 81-98). Chicago: University of Chicago Press.
20.
Hayes, S. C., Nelson, R. O., & Jarrett, R. B. (1987). The treatment utility of assessment: A functional approach to evaluating assessment quality. American Psychologist, 42(11), 963-974.
21.
Heilbrun, K. (1997). Prediction versus management models relevant to risk assessment: The importance of legal decision-making context. Law and Human Behavior, 21(4), 347-359.
22.
Jones v. United States, 463 U.S. 354 (1983).
23.
Klasson, D., & O’Connor, W. (1988). A prospective study of predictors of violence in adult male mental patients. Law and Human Behavior, 12, 143-158.
24.
Klasson, D., & O’Connor, W. (1990). Assessing the risk of violence in released mental patients: A cross-validation study. Psychology Assessment: A Journal of Consulting and Clinical Psychology, 1, 75-81.
25.
Korchin, S. J., & Schuldberg, D. (1981). The future of clinical assessment. American Psychologist, 36,1147-1158.
26.
Lessard v. Schmidt, 340 F. Supp. 1078 (1972).
27.
Meehl, P. E. (1954). Clinical versus statistical prediction. Minneapolis: University of MinnesotaPress.
28.
Monahan, J. (1981). Predicting violent behavior: An assessment of clinical techniques. Beverly Hills,CA: Sage.
29.
Monahan, J. (1984). The prediction of violent behavior: Toward a second generation of theory and policy. American Journal of Psychiatry, 141, 141-145.
30.
Monahan, J. (1991). Mental disorder and violent behavior. American Psychologist, 47(4), 511-521.
31.
Monahan, J., & Shah, S. A. (1989). Dangerousness and the commitment of the mentally disordered in the United States. Schizophrenia Bulletin, 15(4), 541-553.
32.
Moran, M. J., Fragala, M. R., Wise, B. F., & Novak, T. L. (1999). Factors affecting length of stay on maximum security in a forensic psychiatric hospital. International Journal of Offender Therapy and Comparative Criminology, 43(3), 262-274.
33.
Norko, M. A. (2000). Commentary: Dangerousness—A failed paradigm for clinical practice and service delivery. Journal of the American Academy of Psychiatry and the Law, 28, 282-289.
34.
Patterson, R. F., & Wise, B. F. (1998). The development of internal forensic review boards in the management of hospitalized insanity acquittees. Journal of the American Academy of Psychiatry and Law, 26, 661-664.
35.
Peszke, M. (1975). Is dangerousness an issue for physicians in emergency commitments? American Journal of Psychiatry, 132, 825-828.
36.
Pope, K. S. (1992). Responsibilities in providing psychological test feedback to clients. Psychological Assessment, 4, 268-271.
37.
Prentky, R. A., Lee, A.F.S., Knight, R. A., & Cerce, D. (1997). Recidivism rates among child molesters and rapists: A methodological analysis. Law and Human Behavior, 21, 635-659.
38.
Quinsey, V. L., Harris, G. T., Rice, M. E., & Cormier, C. A. (1998). Violent offenders: Appraising and managing risk. Washington, DC: American Psychological Association.
39.
Rice, M. E., & Harris, G. T. (1997). Cross validation and extension of the violence risk appraisal guide for child molesters and rapists. Law and Human Behavior, 21, 231-241.
40.
Rogers, R. (2000). The uncritical acceptance of risk assessment in forensic practice. Law and Human Behavior, 24(5), 595-605.
41.
Schopp, R. F. (1996). Communicating risk assessments: Accuracy, efficacy and responsibility. American Psychologist, 51(9), 939-944.
42.
Sepejak, D., Menzies, R., Webster, C., & Jensen, F. (1983). Clinical predictions of dangerousness:Two year follow-up of 408 pre-trial cases. Bulletin of the American Academy of Psychiatry and Law, 11, 171-181.
43.
Serin, R. C. (1996). Violent recidivism in criminal psychopaths. Law and Human Behavior, 20(2),207-217.
44.
Shostakovich, B. V. (1989). On dangerousness of mental patients. Schizophrenia Bulletin, 15, 555-558.
45.
Steadman, H. J. (1980). The right not to be false positive: Problems in the application of the dangerousness standard. Psychiatric Quarterly, 52, 84-99.
46.
Steadman, H. J. (2000). From dangerousness to risk assessment of community violence: Taking stock at the turn of the century. Journal of the American Academy of Psychiatry and the Law, 28, 265-281.
47.
Steadman, H. J., & Morrisey, J. P. (1982). Predicting violent behavior: A note on a cross-validation study. Social Forces, 61, 475-483.
48.
Swanson, J. W. (1994). Mental disorder, substance abuse and community violence: An epidemiological approach. In J. Monahan & H. J. Steadman (Eds.), Violence and mental disorders: Developments in risk assessment (pp. 101-136). Chicago: University of Chicago Press.
49.
Swanson, J. W., Holzer, C. E., Ganju, V. K., & Jono, R. T. (1990). Violence and psychiatric disorder in the community: Evidence from the epidemiologic catchment area surveys. Hospital and Community Psychiatry, 41, 761-770.
50.
Sweda, M. G., & Moran, M. J. (2000, December). Forensic risk factors profile: Preliminary psychometric and validity data. Paper presented at the National Association of State Mental Health Program Directors Forensic Division Annual Conference, Chandler, AZ.
51.
Tigue, P., & Greane, J. (1994). Performance measurement: The link to effective government. Government Finance Officers Association Bulletin.
52.
U.S. Government Accounting Office. (1992). Performance measurement: An important tool in managing for results. Washington, DC: U.S. Government Printing Office.
53.
Webster, C. D., Douglas, K. S., Eaves, D., & Hart, S. D. (1997). HCR-20: Assessing risk for violence, version 2. Burnaby, Canada: Simon Fraser University.
54.
Webster, C. D., Harris, G. T., Rice, M. E., Cormier, C., & Quinsey, V. L. (1994). The violence prediction scheme: Assessing dangerousness in high risk men. Toronto, Canada: University of Toronto.
55.
Woody, G. E., McLellan, A. T., Rubersky, L., & O’Brien, C. P. (1985). Sociopathy and psychotherapy outcome. Archives of General Psychiatry, 42, 1081-1086.
