Predictive Validity and Other Psychometric Properties of the Short-Term Assessment of Risk and Treatability (START) in a Norwegian High Secure Hospital

Nonstad, Kåre; Nesset, Merete Berg; Kroppan, Erik; Pedersen, Truls W.; Nøttestad, J. Aa.; Almvik, Roger; Palmstierna, Tom

doi:10.1080/14999013.2010.534958

Cited by 66 publications

(63 citation statements)

References 17 publications

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“…Nonstad et al (2010) found that patients showed increases in strengths and decreases in vulnerability over the course of treatment. In addition, Wilson et al (2010) found that START scores performed particularly well in predicting aggression over periods of nine months or less compared to a longer-term period of 12 months.…”

Section: Taking Stock: the State Of Adolescent Violence And Recidivismentioning

confidence: 99%

“…Research shows that both START total scores and overall risk estimates predict aggression towards others, including physical aggression and violence, verbal aggression, aggression towards objects, and sexually inappropriate behavior (Braithwaite, Charette, Crocker, & Reyes, 2010; Chu, Thomas, Ogloff, & Daffern, 2011; Desmarais, Nicholls, Wilson, & Brink, 2012; Gray et al, 2011; Nonstad et al, 2010; Nicholls et al, 2006; Wilson, Desmarais, Nicholls, & Brink, 2010). Moreover, they also have been shown to predict a broader range of outcomes, such as self-harm (Gray et al, 2011; Nicholls et al, 2006), substance use (Braithwaite et al, 2010), victimization (Gray et al, 2011), self-neglect (Gray et al, 2011), and unauthorized leave (Braithwaite et al, 2010; see also Nicholls et al, 2006).…”

Section: Taking Stock: the State Of Adolescent Violence And Recidivismentioning

confidence: 99%

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Taking Stock and Taking Steps: The Case for an Adolescent Version of the Short-Term Assessment of Risk and Treatability

Viljoen

Cruise

Nicholls

et al. 2012

International Journal of Forensic Mental Health

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The field of violence risk assessment has matured considerably, possibly advancing beyond its own adolescence. At this point in the field’s evolution, it is more important than ever for the development of any new device to be accompanied by a strong rationale and the capacity to provide a unique contribution. With this issue in mind, we first take stock of the field of adolescent risk assessment in order to describe the rapid progress that this field has made, as well as the gaps that led us to adapt the Short-Term Assessment of Risk and Treatability (START; Webster, Martin, Brink, Nicholls, & Desmarais, 2009) for use with adolescents. We view the Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV; Nicholls, Viljoen, Cruise, Desmarais, & Webster, 2010; Viljoen, Cruise, Nicholls, Desmarais, & Webster, in progress) as complementing other risk measures in four primary ways: 1) rather than focusing solely on violence risk, it examines broader adverse outcomes to which some adolescents are vulnerable (including self-harm, suicide, victimization, substance abuse, unauthorized leave, self-neglect, general offending); 2) it places a balanced emphasis on adolescents’ strengths; 3) it focuses on dynamic factors that are relevant to short-term assessment, risk management, and treatment planning; and 4) it is designed for both mental health and justice populations. We describe the developmentally-informed approach we took in the adaptation of the START for adolescents, and outline future steps for the continuing validation and refinement of the START:AV.

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Section: Taking Stock: the State Of Adolescent Violence And Recidivismentioning

confidence: 99%

Section: Taking Stock: the State Of Adolescent Violence And Recidivismentioning

confidence: 99%

Taking Stock and Taking Steps: The Case for an Adolescent Version of the Short-Term Assessment of Risk and Treatability

Viljoen

Cruise

Nicholls

et al. 2012

International Journal of Forensic Mental Health

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show abstract

“…However, only a handful of studies have examined the reliability and validity of START assessments (Braithwaite, Charette, Crocker, & Reyes, 2010: Chu et al, 2011; Gray et al, 2011; Nicholls, Brink, Desmarais, Webster, & Martin, 2006; Nonstad et al, 2010). The original validation study was published by Nicholls and colleagues (2006).…”

Section: Short-term Assessment Of Risk and Treatabilitymentioning

confidence: 99%

Using dynamic risk and protective factors to predict inpatient aggression: Reliability and validity of START assessments.

Desmarais

Nicholls

Wilson

et al. 2012

Psychological Assessment

119

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The Short-Term Assessment of Risk and Treatability (START) is a relatively new structured professional judgment guide for the assessment and management of short-term risks associated with mental, substance use, and personality disorders. The scheme may be distinguished from other violence risk instruments because of its inclusion of 20 dynamic factors that are rated in terms of both vulnerability and strength. This study examined the reliability and validity of START assessments in predicting inpatient aggression. Research assistants completed START assessments for 120 male forensic psychiatric patients through review of hospital files. They additionally completed Historical-Clinical-Risk Management – 20 (HCR-20) and the Hare Psychopathy Checklist: Screening Version (PCL:SV) assessments. Outcome data was coded from hospital files for a 12-month follow-up period using the Overt Aggression Scale (OAS). START assessments evidenced excellent interrater reliability and demonstrated both predictive and incremental validity over the HCR-20 Historical subscale scores and PCL:SV total scores. Overall, results support the reliability and validity of START assessments, and use of the structured professional judgment approach more broadly, as well as the value of using dynamic risk and protective factors to assess violence risk.

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“…The START is intended to be used for short-term assessments of acute risk and is repeated bimonthly. In recent studies the START strengthsscale (the total score of the strength side of all items) showed to be predictive of less violence in the short-term and of successful community reintegration (Braithwaite et al, 2010;Nonstad et al, 2010;Viljoen, Nicholls, Greaves, De Ruiter, & Brink, 2011;Wilson, Desmarais, Nicholls, & Brink, 2010).…”

Section: Assessment Tools For Protective Factorsmentioning

confidence: 99%

Protective Factors for Violence Risk: The Value for Clinical Practice

Robbé¹,

Vogel²,

Stam³

2012

PSYCH

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Predictive Validity and Other Psychometric Properties of the Short-Term Assessment of Risk and Treatability (START) in a Norwegian High Secure Hospital

Cited by 66 publications

References 17 publications

Taking Stock and Taking Steps: The Case for an Adolescent Version of the Short-Term Assessment of Risk and Treatability

Taking Stock and Taking Steps: The Case for an Adolescent Version of the Short-Term Assessment of Risk and Treatability

Using dynamic risk and protective factors to predict inpatient aggression: Reliability and validity of START assessments.

Protective Factors for Violence Risk: The Value for Clinical Practice

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