Implementing the START:AV in a Dutch residential youth facility: Outcomes of success.

Beuf, Tamara L. F. De; Vogel, Viviënne de; Ruiter, Corine de

doi:10.1037/tps0000193

Cited by 8 publications

(22 citation statements)

References 22 publications

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“…Moreover, adherence is just one component in the successful implementation of a structured risk assessment instrument. We have previously addressed other implementation outcomes such as acceptability, adoption, appropriateness, feasibility, and penetration (De Beuf et al, 2019). In closing, we would like to reiterate the importance of applying the existing knowledge base of implementation science to risk assessment research and practice, to further improve the delivery of forensic mental health services.…”

Section: Discussionmentioning

confidence: 99%

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Adherence to Structured Risk Assessment Guidelines: Development and Preliminary Evaluation of an Adherence Scale for the START:AV

Beuf

Vogel

Ruiter

2020

Journal of Forensic Psychology Research and Practice

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Risk assessment instruments are widely used to predict risk of adverse outcomes, such as violence or victimization, and to allocate resources for managing these risks among individuals involved in criminal justice and forensic mental health services. For risk assessment instruments to reach their full potential, they must be implemented with fidelity. A lack of information on administration fidelity hinders transparency about the implementation quality, as well as the interpretation of negative or inconclusive findings from predictive validity studies. The present study focuses on adherence, a dimension of fidelity. Adherence denotes the extent to which the risk assessment is completed according to the instrument's guidelines. We developed an adherence measure, tailored to the Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV), an evidence-based risk assessment instrument for adolescents. With the START:AV Adherence Rating Scale, we explored the degree to which 11 key features of the instrument were adhered to in 306 START:AVs forms, completed by 17 different evaluators in a Dutch residential youth care facility over a two-year period. Good to excellent interrater reliability was found for all adherence items. We identified differences in adherence scores on the various START:AV features, as well as significant improvement in adherence for those who attended a START:AV refresher workshop. Outcomes of risk assessment instruments potentially impact decision-making, for example, whether a youth's secure placement should be extended. Therefore, we recommend fidelity monitoring to ensure the risk assessment practice was delivered as intended.

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Section: Discussionmentioning

confidence: 99%

“…Within the present setting, the comprehensive rating form was implemented: this form includes text boxes in which evaluators are expected to write a rationale for their ratings. For more details on the implementation and the use of the START:AV within this service, we refer to De Beuf et al (2019).…”

Section: Methodsmentioning

confidence: 99%

Adherence to Structured Risk Assessment Guidelines: Development and Preliminary Evaluation of an Adherence Scale for the START:AV

Beuf

Vogel

Ruiter

2020

Journal of Forensic Psychology Research and Practice

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“…Inpatient Incidents. The adverse outcomes are measured with the START:AV Outcome Scale: Adolescent Version-Institutional (SOS-AVI;De Beuf et al, 2019), an adjusted version of the adult START Outcome Scale (SOS; Nicholls et al, 2007). The original SOS (Nicholls et al, 2007) is based on the Overt Aggression Scale (OAS; Yudofsky et al, 1986) supplemented with other outcomes relevant to the adult version of the START (e.g., self-harm, suicidal behaviors, self-neglect).…”

Section: Methodsmentioning

confidence: 99%

Prospective Field Validation of the START:AV in a Dutch Secure Youth Care Sample

et al. 2021

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The Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV) is a risk assessment instrument for adolescents that estimates the risk of multiple adverse outcomes. Prior research into its predictive validity is limited to a handful of studies conducted with the START:AV pilot version and often by the instrument’s developers. The present study examines the START:AV’s field validity in a secure youth care sample in the Netherlands. Using a prospective design, we investigated whether the total scores, lifetime history, and the final risk judgments of 106 START:AVs predicted inpatient incidents during a 4-month follow-up. Final risk judgments and lifetime history predicted multiple adverse outcomes, including physical aggression, institutional violations, substance use, self-injury, and victimization. The predictive validity of the total scores was significant only for physical aggression and institutional violations. Hence, the short-term predictive validity of the START:AV for inpatient incidents in a residential youth care setting was partially demonstrated and the START:AV final risk judgments can be used to guide treatment planning and decision-making regarding furlough or discharge in this setting.

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“…In a multisite study, probation officers in most offices completed between 80% and 100% of the required risk assessments, but at one site the completion rate was only 42% due to lack of judicial buy-in (Vincent et al, 2016). Another study highlighted variability between assessors; from 100% completion among some assessors to as few as 29% for others (De Beuf et al, 2019).…”

Section: Penetrationmentioning

confidence: 99%

Risk assessments for violence and reoffending: Implementation and impact on risk management.

Viljoen¹,

Vincent²

2024

Clinical Psychology: Science and Practice

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Implementing the START:AV in a Dutch residential youth facility: Outcomes of success.

Cited by 8 publications

References 22 publications

Adherence to Structured Risk Assessment Guidelines: Development and Preliminary Evaluation of an Adherence Scale for the START:AV

Adherence to Structured Risk Assessment Guidelines: Development and Preliminary Evaluation of an Adherence Scale for the START:AV

Prospective Field Validation of the START:AV in a Dutch Secure Youth Care Sample

Risk assessments for violence and reoffending: Implementation and impact on risk management.

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