2004
DOI: 10.1080/13698570412331323234
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'You don't tick boxes on a form': A study of how community mental health nurses assess and manage risk

Abstract: Since the early 1990s, a new modality of community mental health care, strongly focussed on the control of risk, has taken shape in Britain. It is argued in this paper that this new regime of community mental health care is highly rational and indicative of what Castel (1991) termed the 'epidemiological clinic'. The study discussed in this paper aimed to develop a greater understanding of how community mental health nurses, who have become frontline operatives of the new regime of community mental health care,… Show more

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Cited by 74 publications
(110 citation statements)
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“…This reflects managerial concerns with systematised processes and procedures (Quirion, 2003), including the move away from assessing the physically present patient to looking at records and collateral sources discussed by Godin (2004). However, while the participants in our study discussed the use of collateral information, they also identified the importance of assessing the physically present consumer.…”
Section: Discussionmentioning
confidence: 80%
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“…This reflects managerial concerns with systematised processes and procedures (Quirion, 2003), including the move away from assessing the physically present patient to looking at records and collateral sources discussed by Godin (2004). However, while the participants in our study discussed the use of collateral information, they also identified the importance of assessing the physically present consumer.…”
Section: Discussionmentioning
confidence: 80%
“…Therefore, a balance between using and not becoming encumbered by the tool was important (Godin, 2004). Both formal and informal training and development was seen to be important to effective risk assessment that balances managerial and therapeutic concerns, with more experienced staff seen as potential resources for young clinicians.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…Broadly speaking, there is a body of work discussing methods of risk assessment (Buchanan, 1999); risk assessment instruments (Phull, 2012); different theoretical approaches to risk assessment (Doctor, 2004;Holloway, 2004;Witteman, 2004); assessment of different kinds of risk, such as risk of violence (Langan, 2010) and risk of suicide (Cutcliffe and Barker, 2004). There is also work that has explored the practice of risk assessment from the perspective of those involved (Aflague and Ferszt, 2010;Godin, 2004;Moerman, 2012), and approaches using poststructuralist ideas to engage with risk (Crowe & Carlyle, 2003;Rose, 1998).…”
Section: Introductionmentioning
confidence: 99%