Service user involvement in risk assessment and management: The Transition Inventory

Kroner, Daryl G.

doi:10.1002/cbm.1825

Cited by 15 publications

(9 citation statements)

References 43 publications

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“…Involving and educating patients in the risk assessment and management process could potentially aid and improve such assessments (Skeem et al, 2013), improve patient satisfaction with care (Dixon, 2012;Livingston et al, 2013) and care outcome (Holliday et al, 2013). Patient involvement could also improve understanding of patient perspectives and encourage a sense of responsibility (Kroner, 2012), support resilience, confidence and self-management, promotes collaboration in their care plan and supports them in managing their own risk factors for violence (Gough, et al, 2015). Eidhammer et al (2014) point out that some information can only be provided by patients themselves.…”

Section: Patient Participation and Perspectivesmentioning

confidence: 99%

“…However, patients' perceptions in forensic and psychiatric in-settings have traditionally often not been included in research or in clinical risk assessments (Judges et al, 2016;Gough, et al, 2015;Langan, 2010;Dixon, 2012;Kroner, 2012;Sullivan, 2005;Olsson et al, 2015) or in risk management intervention programmes (Eidhammer et al, 2014). Some patients are not even aware that assessments of their future risk for violence are being conducted and communicated to other stakeholders (Gough, et al, 2015;Dixon, 2012;Langan, 2010).…”

Section: Patient Participation and Perspectivesmentioning

confidence: 99%

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The challenges of using structured risk assessment instruments in forensic psychiatric care

Levin

2019

Linköping University Medical Dissertations

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Background: The purpose of psychiatric forensic care is to provide treatment for mentally ill offenders and to prevent future acts of violence and other adverse events. During care, the type of restrictions of freedom, the patient's continuous need for involuntary treatment and readiness for discharge, are continuously evaluated based on the assessment of risk the patient pose to themselves and others as well as the progress achieved with treatment. The use of structured risk assessment instruments is recommended in clinical guidelines to assess such risks. However, unstructured clinical assessments, considered to be less valid, are often used in clinical practice. There is insufficient research evidence concerning several aspects related to the clinical use of structured risk assessment instruments in terms of guiding the planning and realization of care and risk management interventions. There is also a lack of knowledge about what patients themselves perceive to be mediating factors for their use of violence. The challenges of using structured risk assessment instruments 8 al care givers. Patients are often actively striving and struggling to understand and manage their own risk of acting out in violence. Real-life experiences in forensic psychiatric care sparked my interest in trying to understand more about the barriers and facilitators of the clinical use of structured risk assessments to prevent violence and other adverse events as well as the patient perspectives on factors that contribute to or inhibit violence. This PhD thesis is the product of this endeavour. NICE, 2007; Risk Management Authority, 2006). SRAIs have been developed for and implemented and used in forensic mental health services, secure psychiatric in-care services and correctional services to assess the risk of adverse events. Much of the research of risk assessment instruments comes from these different types of services.

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Section: Patient Participation and Perspectivesmentioning

confidence: 99%

Section: Patient Participation and Perspectivesmentioning

confidence: 99%

The challenges of using structured risk assessment instruments in forensic psychiatric care

Levin

2019

Linköping University Medical Dissertations

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“…Similarly, if they were involved previously and there is no new risk information to record, there may have been a reluctance from staff to consult them again (even though they may have brought a unique risk perspective at that particular point in time). 5,6 Even if service users do not wish to be involved, it is worth considering the disappointment that carers have expressed at their lack of involvement in the risk assessment process. 7 If service users do not wish to be involved, then consent could be sought from them to involve their carer instead.…”

Section: Procedural Challengesmentioning

confidence: 99%

“…3 When service users have been interviewed about their involvement in risk assessment, most said that they were not told that risk assessments about them had been completed, or assumed that they had been without their involvement. 4 Because service users may have appropriate self-knowledge to predict their own future attitudes and actions, 5 involvement in risk assessment offers the benefit of self-prediction compared to prediction by others. 3,6 A recent national inquiry into suicide and safety within the UK indicated that service users and carers emphasised the importance of their involvement in risk assessment.…”

Section: Introductionmentioning

confidence: 99%

<p>A Clinical Audit Of Service User And Carer Involvement In An NHS Community Mental Health Team Risk Assessment Tool</p>

Dunlop¹

2019

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Objectives: Service user involvement in mental health risk assessment is good practice for several reasons, including allowing service users to be in control of their own care and allowing the contribution of information potentially not known by staff. The objective of this audit was to ascertain how many service users and carers were being involved in their risk assessment in one Community Mental Health Team in the NorthWest of England. Methods: Data were extracted from the service user's risk assessment form on the host Trust's electronic record system. Of 194 service users accepted into the service within a 12month period, 83 were included in this audit. Findings: Results indicate that 70% of the sample were involved in their risk assessment, and 70% indicated agreement/disagreement with outcomes. Evidence of collaboration between staff and service user in identifying interventions was found to be lacking. Conclusion: Service user involvement in this audit fell short of expected standards. In light of this, recommendations are made to improve service user involvement in risk assessment. These include allowing staff to clarify barriers to involvement and adding service user involvement to routine clinical risk training. Other mental health services should audit service user involvement in risk assessment to ascertain if involvement in this area is being achieved.

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“…It may lead to a better understanding of the patient's perspective. It also increases the likelihood that patients take responsibility for their own actions and further development (Kroner ).…”

Section: Introductionmentioning

confidence: 99%

User involvement in structured violence risk management within forensic mental health facilities – a systematic literature review

Eidhammer

Fluttert

Bjørkly

2014

Journal of Clinical Nursing

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Service user involvement in risk assessment and management: The Transition Inventory

Abstract: The TI provides a way to increase service user involvement in the assessments that determine when and how they transfer to settings where they will have more independence.

Cited by 15 publications

References 43 publications

The challenges of using structured risk assessment instruments in forensic psychiatric care

The challenges of using structured risk assessment instruments in forensic psychiatric care

<p>A Clinical Audit Of Service User And Carer Involvement In An NHS Community Mental Health Team Risk Assessment Tool</p>

User involvement in structured violence risk management within forensic mental health facilities – a systematic literature review

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