Structured risk assessment for reduction of multiple risk outcomes in a secure mental health setting:use of the START
Background: Structured risk assessment is commonly used in secure settings to aid prediction and prevention of risky behaviours; the expected benefits have rarely been investigated. Aims: The aim of the study is to determine whether adverse outcomes (physical and verbal aggression, self-harm, victim...
| Authors: | ; ; |
|---|---|
| Format: | Electronic Book |
| Language: | English |
| Published: |
2018
|
| In: | Year: 2018 |
| Online Access: |
Volltext (kostenfrei) Volltext (kostenfrei) |
| Check availability: | HBZ Gateway |
| Keywords: |
MARC
| LEADER | 00000cam a22000002c 4500 | ||
|---|---|---|---|
| 001 | 1866134477 | ||
| 003 | DE-627 | ||
| 005 | 20250114054905.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231018s2018 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1002/cbm.2036 |2 doi | |
| 035 | |a (DE-627)1866134477 | ||
| 035 | |a (DE-599)KXP1866134477 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 2,1 |2 ssgn | ||
| 100 | 1 | |a Dickens, Geoffrey L. |e VerfasserIn |4 aut | |
| 245 | 1 | 0 | |a Structured risk assessment for reduction of multiple risk outcomes in a secure mental health setting:use of the START |
| 264 | 1 | |c 2018 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a Background: Structured risk assessment is commonly used in secure settings to aid prediction and prevention of risky behaviours; the expected benefits have rarely been investigated. Aims: The aim of the study is to determine whether adverse outcomes (physical and verbal aggression, self-harm, victimisation, self-neglect, unauthorised leave and substance abuse) reduced after patients were assessed with the Short-term Assessment of Risk and Treatability (START). Methods: In a naturalistic study, anonymised demographic and clinical information was collected from 50 male patients. Data included START assessment and frequency of target behaviour for 3 months before and after first assessment. Chi-square and linear mixed models analyses were used to determine whether there was any change in the behaviours of interest. Results: There were no significant changes in physical or verbal aggression over time, although a tendency towards fewer incidents was apparent. Other adverse behaviours were very infrequent at baseline, precluding adequate analysis. Conclusions: In this small sample, START did not achieve its primary purpose of significant reduction in adverse behaviours. Although our sample size was informed by a power calculation, we may have over-estimated the size of anticipated change. Further, the 3-month comparison periods before and after the assessment follow-up period were rather short. Accordingly, we recommend more research on the value of this tool in practice rather than discontinuing its use | ||
| 650 | 4 | |a Research | |
| 700 | 1 | |a O'Shea, Laura E. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Gunenc, Cevher |e VerfasserIn |4 aut | |
| 856 | |u https://rke.abertay.ac.uk/en/publications/711d7a66-40c6-45d0-b265-909ad95ec1ad |x unpaywall |z Vermutlich kostenfreier Zugang |h repository [deprecated] | ||
| 856 | 4 | 0 | |u https://core.ac.uk/download/158350946.pdf |x Verlag |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u https://doi.org/10.1002/cbm.2036 |x Resolving-System |z kostenfrei |3 Volltext |
| 935 | |a mkri | ||
| 951 | |a BO | ||
| ELC | |a 1 | ||
| LOK | |0 000 xxxxxcx a22 zn 4500 | ||
| LOK | |0 001 4391815230 | ||
| LOK | |0 003 DE-627 | ||
| LOK | |0 004 1866134477 | ||
| LOK | |0 005 20231018043651 | ||
| LOK | |0 008 231018||||||||||||||||ger||||||| | ||
| LOK | |0 035 |a (DE-2619)CORE18522207 | ||
| LOK | |0 040 |a DE-2619 |c DE-627 |d DE-2619 | ||
| LOK | |0 092 |o n | ||
| LOK | |0 852 |a DE-2619 | ||
| LOK | |0 852 1 |9 00 | ||
| LOK | |0 935 |a core | ||
| OAS | |a 1 | ||
| ORI | |a SA-MARC-krimdoka001.raw | ||
