Abstract:Little research has focused on assessing the risk of mentally ill offenders (MIOs) released from state prisons. Here we report findings for 333 mentally ill offenders released from Washington State prisons. Logistic regression identified sets of variables that forecasted felony and violent reconviction as accurately as state-of-the-art risk assessment instruments. Sums of simple recoded versions of these variables predicted reoffense as well as complex logistic regression equations. Five of these 9 variables w… Show more
“…However, the extant literature still lacks a conceptual framework explaining why and how protective factors interact with or affect risk. Studies that have included protective factors have noted that determining whether a factor is considered a risk or strength depends largely on the researcher's intuition (e.g., Gagliardi, Lovell, Peterson, & Jemelka, 2004). How protective factors are defined and operationalized has not been standardized, leading researchers to define these variables in different ways.…”
Section: Protective Factors In Risk Assessmentmentioning
With the increased need to assess and manage risk in inpatient settings, the Short-Term Assessment of Risk and Treatability (START) was implemented on a civil psychiatric unit. The goal of the present study was to examine the tool's predictive validity when completed by clinical teams as part of routine practice. Data were collected for 34 patients hospitalized for a minimum of 30 days prior to and after a START evaluation. Several challenging behaviors, such as aggression towards others, self-harm, and substance abuse were assessed using the START Outcomes Scale . Results from multilevel logistic regression and Receiver Operating Characteristics analyses lend partial support for the predictive validity of the START. A limited set of START items combined was significantly better at predicting the challenging behaviors than the original total Strength and Vulnerability scales. Results are discussed in terms of the clinical use of risk assessment.
“…However, the extant literature still lacks a conceptual framework explaining why and how protective factors interact with or affect risk. Studies that have included protective factors have noted that determining whether a factor is considered a risk or strength depends largely on the researcher's intuition (e.g., Gagliardi, Lovell, Peterson, & Jemelka, 2004). How protective factors are defined and operationalized has not been standardized, leading researchers to define these variables in different ways.…”
Section: Protective Factors In Risk Assessmentmentioning
With the increased need to assess and manage risk in inpatient settings, the Short-Term Assessment of Risk and Treatability (START) was implemented on a civil psychiatric unit. The goal of the present study was to examine the tool's predictive validity when completed by clinical teams as part of routine practice. Data were collected for 34 patients hospitalized for a minimum of 30 days prior to and after a START evaluation. Several challenging behaviors, such as aggression towards others, self-harm, and substance abuse were assessed using the START Outcomes Scale . Results from multilevel logistic regression and Receiver Operating Characteristics analyses lend partial support for the predictive validity of the START. A limited set of START items combined was significantly better at predicting the challenging behaviors than the original total Strength and Vulnerability scales. Results are discussed in terms of the clinical use of risk assessment.
“…As Hanson and Harris (2000) explained, ''Dynamic risk factors are characteristics that can change, and when changed, result in a corresponding increase or decrease in recidivism risk'' (p. 7). While some scientific research suggests that dynamic factors can predict recidivism as well as or better than static factors (Gagliardi, Lovell, Peterson, & Jemelka, 2004;Gendreau, Little, & Goggin, 1996;Gilgun, Klein, & Pranis, 2000), further research is required. Clearly, dynamic variables are particularly relevant in the immediate and short term and are expected to be good proximal indicators of future violence (McNiel et al, 2003).…”
Section: Dynamic Variablesmentioning
confidence: 99%
“…The methodologies of existing studies have been unable to inform this issue. Gagliardi et al (2004) put it well in saying ''Unhappily, when clinical or dynamic factors have been compared with static factors in risk forecasting studies they have generally been assessed only once, which necessarily forces them to function like static variables in prediction equations'' (p. 150; also see Douglas & Skeem, 2005). Similarly, Gagliardi et al (2004), in discussing mentally ill offenders (MIOs), noted that no tool is yet available that ''truly satisfies the needs of clinical providers charged with treating MIOs in the community; namely the need to assess risk on a continuing basis over months or even years'' (p. 151).…”
Section: Dynamic Variablesmentioning
confidence: 99%
“…Theoretical advances (Seligman & Steen, 2005), conceptual debates in forensic psychology and criminology (Andrews & Bonta, 2003;Ward & Stewart, 2003), critiques of current practice (see, e.g., Rogers, 2000), and growing empirical evidence (Gagliardi et al, 2004;Haggård et al, 2001;Hanson & Harris, 2000) demonstrate that state-of-the art risk assessment and management should include an examination of clients' strengths. Belfrage, Fransson, and Strand (2004) found no difference in risk scores despite a significant decrease in institutional violence, citing the need to consider protective factors.…”
The Short-Term Assessment of Risk and Treatability (START) is a new structured professional judgment scheme intended to inform multiple risk domains relevant to everyday psychiatric clinical practice (e.g. risk to others, suicide, self-harm, self-neglect, substance abuse, unauthorized leave, and victimization). The article describes the processes involved in establishing an interdisciplinary approach to risk assessment and management. The authors present a review of the rationale for START, including the value of dynamic variables, the importance of strengths, and the extent to which clinicians must be attentive to multiple risk domains, reflecting theoretical and scientific evidence of the overlap among risks. Using the development, validation, and implementation of START as an example, the authors describe the processes by which other researchers, clinicians, and administrators could adapt existing assessment schemes or create new ones to bridge some remaining gaps in the risk assessment and management continuum.
“…Many researchers now agree that by focusing solely on risk factors, important information concerning the other side of the violence risk equation, the possible risk reducing effect of protective factors, is wrongfully ignored and that a balanced risk assessments including both risk-and protective factors is vital for an accurate appraisal of the risk of relapse into violence (e.g., DeMatteo, Heilbrun, & Marczyk, 2005;Gagliardi, Lovell, Peterson, & Jemelka, 2004;Haggård-Grann, 2005;Salekin & Lochman, 2008). However, as of yet the specific assessment of protective factors remains understudied and the concept of protective factors is still ambiguous (Braithwaite, Charrette, Crocker, & Reyes, 2010;De Vogel, De Ruiter, Bouman, & De Vries Robbé, 2011).…”
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