The psychogeriatric and risk behavior assessment scale (PARBAS): a new measure for use with older adults living in the community

Nikolova, Р.; Carignan, Mathieu; Moscovitz, Nona; Demers, Louise

doi:10.1016/j.archger.2004.03.003

Cited by 10 publications

(10 citation statements)

References 35 publications

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“…The majority of the literature on the risks relating to older people living in the community describes risk as events that have the potential to cause negative consequences, which Carson and Bain (2008) note is in line with the medical model of practice. These risks include inappropriate nutritional intake, inappropriate medication use, falls, fires, inability to access help, financial abuse, suicide, wandering and traffic accidents (Nikolova, Carignan, Moscovitz, & Demers, 2004;Pavlik, Hyman, Festa, & Dyer, 2001;Poulin de Courval et al, 2006;Tanner, 2003). While the literature is consistent on the types of risk that frail older adults potentially face, the prevalence of these risks with this population compared to the general older adult population is unclear.…”

Section: Perceiving Riskmentioning

confidence: 97%

Risk: ‘I know it when I see it’: how health and social practitioners defined and evaluated living at risk among community-dwelling older adults

MacLeod¹,

Stadnyk

2015

Health, Risk & Society

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Older adults are increasingly choosing to stay and age in their home or other place where they normally live, even when a change in their health reduces their ability to live independently creating concerns about their safety. In this context, community practitioners need to be aware of risk assessment and management strategies as they support their clients' choices when safety is a concern. This requires an understanding of living at risk and an ability to evaluate the client's risk status. This article is based on a qualitative research study in which we interviewed 12 Canadian community practitioners in 2012 and explored how they defined, perceived, assessed and managed risk and how they balanced their client's safety and autonomy. We used a grounded theory methodology to collect and analyse the data. We found that participants tended to define living at risk as a judgement about a client's impairment within an environment that can cause an event that has an increased potential for a negative consequence. We also found practitioners evaluated the client's risk by considering seven factors: the client's capacity and their support, the occurrence, imminency and frequency of the event, the severity of the consequences, and the number of other events co-occurring. In this article, we show that practitioners are comprehensive in their evaluation of the client's risk. Although practitioners saw risk and living at risk from a negative perspective, they were able to acknowledge that it could coexist along a continuum from safe to unsafe.

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Section: Perceiving Riskmentioning

confidence: 97%

Risk: ‘I know it when I see it’: how health and social practitioners defined and evaluated living at risk among community-dwelling older adults

MacLeod¹,

Stadnyk

2015

Health, Risk & Society

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“…Multiple theoretical frameworks have been advanced to explain the co-occurrence of violence against self and violence against others (for a review, see Hillbrand, 2001; also see Korn et al, 1992;Nikolova, Carignan, Moscovitz, & Demers, 2004).…”

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confidence: 99%

The Short-Term Assessment of Risk and Treatability (START)

et al. 2006

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A new assessment scheme--the Short-Term Assessment of Risk and Treatability (START)--presents a workable method for assessing risks to self and others encountered in mentally and personality disordered clients. This study aimed to demonstrate (a) prevalence and severity of risk behaviors measured by the START, (b) psychometric properties of START, (c) similarities and differences in START scores across different mental health professionals, and (d) concurrent validity of START with diverse negative outcomes. Treatment team members completed the 20-item, dynamically focused START for 137 forensic psychiatric inpatients. Prevalence and severity of START risk domains were measured for 51 patients detained in the hospital for 1 year. Results revealed high rates of generally low-level adverse events. With some exceptions, START scores were meaningfully associated with outcomes measured by a modified Overt Aggression Scale.

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“…McNulty et Fisher (2001) ont toutefois observé qu’une évaluation en milieu naturel permet une estimation plus fidèle de la sécurité à domicile des personnes. Certains outils permettent une évaluation multifactorielle et contextualisée (Chiu, Oliver, Marshall et Letts, 2001; CLSC Côte-des-Neiges, 2006; Hébert et al, 2009; Nikolova, Carignan, Moscovitz et Demers, 2004), c’est-à-dire qu’ils considèrent divers facteurs de risque de manière à tenir compte de la globalité d’une situation donnée. Parmi ceux-ci, certains ont été élaborés et validés pour être utilisés auprès des aînés (CLSC Côte-des-Neiges, 2006; Nikolova et al, 2004) et s’attardent à des facteurs de risque qui ne sont pas nécessairement présents chez la clientèle aux prises avec un trouble mental grave, comme les risques liés à l’errance, aux étouffements, ou encore à la mobilité.…”

Section: éValuer La Sécurité à Domicile Des Personnes Aux Prises Avec Un Trouble Mental Graveunclassified

“…Certains outils permettent une évaluation multifactorielle et contextualisée (Chiu, Oliver, Marshall et Letts, 2001; CLSC Côte-des-Neiges, 2006; Hébert et al, 2009; Nikolova, Carignan, Moscovitz et Demers, 2004), c’est-à-dire qu’ils considèrent divers facteurs de risque de manière à tenir compte de la globalité d’une situation donnée. Parmi ceux-ci, certains ont été élaborés et validés pour être utilisés auprès des aînés (CLSC Côte-des-Neiges, 2006; Nikolova et al, 2004) et s’attardent à des facteurs de risque qui ne sont pas nécessairement présents chez la clientèle aux prises avec un trouble mental grave, comme les risques liés à l’errance, aux étouffements, ou encore à la mobilité. Un seul de ces outils considère la symptomatologie associée aux troubles mentaux graves (Nikolova et al, 2004), toutefois il évalue très sommairement les risques liés à l’environnement et à la façon dont les tâches, les activités ou les occupations sont réalisées, ce qui représente une lacune dans l’évaluation de la sécurité à domicile.…”

Section: éValuer La Sécurité à Domicile Des Personnes Aux Prises Avec Un Trouble Mental Graveunclassified

“…Parmi ceux-ci, certains ont été élaborés et validés pour être utilisés auprès des aînés (CLSC Côte-des-Neiges, 2006; Nikolova et al, 2004) et s’attardent à des facteurs de risque qui ne sont pas nécessairement présents chez la clientèle aux prises avec un trouble mental grave, comme les risques liés à l’errance, aux étouffements, ou encore à la mobilité. Un seul de ces outils considère la symptomatologie associée aux troubles mentaux graves (Nikolova et al, 2004), toutefois il évalue très sommairement les risques liés à l’environnement et à la façon dont les tâches, les activités ou les occupations sont réalisées, ce qui représente une lacune dans l’évaluation de la sécurité à domicile.…”

Section: éValuer La Sécurité à Domicile Des Personnes Aux Prises Avec Un Trouble Mental Graveunclassified

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Sécurité à domicile et troubles mentaux graves : élaboration d’un outil d’évaluation

Désormeaux-Moreau¹,

Dumont²,

Aubin³

et al. 2015

Can J Occup Ther

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The psychogeriatric and risk behavior assessment scale (PARBAS): a new measure for use with older adults living in the community

Cited by 10 publications

References 35 publications

Risk: ‘I know it when I see it’: how health and social practitioners defined and evaluated living at risk among community-dwelling older adults

Risk: ‘I know it when I see it’: how health and social practitioners defined and evaluated living at risk among community-dwelling older adults

The Short-Term Assessment of Risk and Treatability (START)

Sécurité à domicile et troubles mentaux graves : élaboration d’un outil d’évaluation

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