We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy

Clinical Decision Making About Psychopathy and Violence Risk Assessment in Public Sector Mental Health Settings Paper

Words: 797, Paragraphs: 12, Pages: 3

Paper type: Assessment , Subject: Health

Violence in society is not just a law and order problem, for it is a persistent area of concern for mental health professionals as well. Mental healthcare facilities in public sector thus serve a dual role – 1.Helping create a harmonious society and 2. Helping ailing individuals recover from their violent tendencies. Before, mental healthcare professionals can draw up prognostic plans for patients, they first have to assess risk of violence for a particular case. One way of achieving this is by seeking to develop “actuarial risk assessment tools to help improve clinicians’ ability to evaluate patients’ risk of violent behavior in practice by statistically optimizing predictions of violence”. (Elbogen, et.al, 2005, p.133-141)

As research team of Eric Elbogen, Matthew Huss, Alan Tomkins and Mario Scalora suitably illustrate in the article, several such tools are currently being employed by psychiatric practitioners in clinical settings. And a consensus seemed to have emerged among the practitioners and researchers establishing a strong correlation between psychopathy (usually measured by the Psychopath Checklist – PCL; and presently PCL-Revised) and future violent behavior. The results indicate that

“Clinical staff in public sector settings would be very amenable to using the PCL; the PCL would seem to have great intuitive appeal to clinicians. However, that more experienced staff perceived PCL results to be available reveals a need for more effort to target disseminating risk measure results.” (Elbogen, et.al, 2005, p.133-141)

The total psychopathy score is arrived at through chart review and semi-structured interview. Measurements are done across two primary dimensions – “first, an affective-interpersonal factor (characterized by lack of empathy, deceitfulness, lack of remorse, and failure to accept responsibility) and second, a socially deviant factor (characterized by lack of realistic goals, irresponsibility, impulsivity, juvenile delinquency, and poor behavioural controls).” (Elbogen, et.al, 2005, p.133-141)

Don't use plagiarized sources. Get Your Custom Essay on Clinical Decision Making About Psychopathy and Violence Risk Assessment in Public Sector Mental Health Settings
Just from $13,9/Page

Get Essay

This assessment method has the backing of a majority of psychiatrists; and meta-analytic reviews show that “psychopathy is one of the strongest risk factors for assessing violence across a number of populations”. (Elbogen, et.al, 2005, p.133-141) And hence psychopathy should be critically considered for assessing risk of violence in a candidate. The research team of Elbogen et.al, have done precisely this, by way of employing a “multimethod design to investigate clinical decision making about psychopathy and violence risk assessment in public sector mental health settings.” (Elbogen, et.al, 2005, p.133-141)

Hierarchical linear regression was also used by the research team to analyze data on dangerousness judgments. Participants “indicated considering clinical data most often when assessing violence risk, reporting that clinical data were also most readily available. Conversely, clinicians perceived formal testing information (e.g., PCL) to be least available and considered these data least often when they assessed patients’ violence risk.” (Elbogen, et.al, 2005, p.133-141) More importantly, participants with longer clinical experience thought of testing information more often and saw PCL results to be more readily available. Moreover, even though participants did not expressly specify using the PCL when measuring violence risk, they did indirectly rely on psychopathy factors in making judgments of dangerousness. Also, the study found that “clinicians in crisis settings reported less availability of historical data typically needed to complete the PCL.” (Elbogen, et.al, 2005, p.133-141)

Beyond establishing the link between psychopathy and assessment of violence risk, the article reveals other implications for the research. For example, the results suggest that

“Clinicians in public sector mental health settings may rely on readily available clinical information but at the same time discount less readily available historical and testing information, even though the latter variables have been shown to be most predictive of violence… Also, staff training or focus groups on risk assessment can be used to specifically address the need to incorporate historical and testing variables as well as clinical factors into decision making (especially for paraprofessionals)…” (Elbogen, et.al, 2005, p.133-141)

Reference:

By Elbogen, Eric B.; Huss, Matthew T.; Tomkins, Alan J.; Scalora, Mario J., (Sum-Fal 2005), Psychological Services, Vol 2(2), p.133-141.

Violence in society is not just a law and order problem, for it is a persistent area of concern for mental health professionals as well. Mental healthcare facilities in public sector thus serve a dual role – 1.Helping create a harmonious society and 2. Helping ailing individuals recover from their violent tendencies. Before, mental healthcare professionals can draw up prognostic plans for patients, they first have to assess risk of violence for a particular case. One way of achieving this is by seeking to develop “actuarial risk assessment tools to help improve clinicians’ ability to evaluate patients’ risk of violent behavior in practice by statistically optimizing predictions of violence”. (Elbogen, et.al, 2005, p.133-141)

As research team of Eric Elbogen, Matthew Huss, Alan Tomkins and Mario Scalora suitably illustrate in the article, several such tools are currently being employed by psychiatric practitioners in clinical settings. And a consensus seemed .

About the author

This sample is completed by Emma with Health Care as a major. She is a student at Emory University, Atlanta. All the content of this paper is her own research and point of view on Clinical Decision Making About Psychopathy and Violence Risk Assessment in Public Sector Mental Health Settings and can be used only as an alternative perspective.

Emma other papers:

How to cite this page

Choose cite format:

Clinical Decision Making About Psychopathy and Violence Risk Assessment in Public Sector Mental Health Settings. (2019, Feb 21). Retrieved from https://paperap.com/paper-on-clinical-decision-making-about-psychopathy-and-violence-risk-assessment-in-public-sector-mental-health-settings/

Is Your Deadline Too Short?
Let Professionals Help You

Get Help

Our customer support team is available Monday-Friday 9am-5pm EST. If you contact us after hours, we'll get back to you in 24 hours or less.

By clicking "Send Message", you agree to our terms of service and privacy policy. We'll occasionally send you account related and promo emails.
No results found for “ image
Try Our service

Hi, I am Colleen from Paperap.

Hi there, would you like to get such a paper? How about receiving a customized one? Click to learn more https://goo.gl/CYf83b