Risk assessment and risk management are top of every mental health trust's agenda. This concise and easy-to-read book provides an informative and practical guide to the process of undertaking a risk assessment, arriving at a formulation and then developing a risk management plan.
Covering everything a practitioner may have to think about when undertaking risk assessments in an accessible, logical form, the book includes practice recommendations rooted in the latest theory and evidence base. Attractively presented, plentiful clinical tip boxes, tables, diagrams and case examples make it easy to identify key information. Samples of authentic dialogue demonstrate ways in which to formulate questions and think about complex problems with the person being assessed. A series of accompanying films, professionally made and based on actual case studies, are available on a companion website, further illustrate key risk assessment and management skills.
This accessible guidebook is designed for all mental health professionals, and professionals-in-training. It will also be a useful reference for healthcare practitioners who regularly come into contact with people experiencing mental health problems.
Chris Hart is a Senior Lecturer at Kingston University and St George's, University of London, UK and retired nurse consultant for South West London & St George's Mental Health NHS Trust. He has extensive experience in the areas of forensic psychiatry, liaison psychiatry and psychiatric intensive care and has taught risk assessment to a wide range of health professionals, from consultant psychiatrists to paramedics, over the past decade.
Introduction 1. About This Guide 2. Cultural Diversity 3. Gender and Sexuality 4. A Note about Terminology Part 1: Risk Assessment: An Overview 1. Introduction 2. Key Issues to Determine from a Risk Assessment 3. Organisational Issues and Risk Assessment and Risk Management 4. Risk of Suicide and Self Harm 5. Risk of Dangerousness, Violence and/or Homicide 6. Developing a Common Language for Assessing and Communicating Risk Part 2: General Principles of Risk Assessment 1. Different Approaches to Risk Assessment 2. Making Use of the Information Gained from Assessment 3. Translating the Assessment into a Formulation 4. The Safety of the Clinician and Patient 5. Taking a Referral Part 3: Undertaking a Risk Assessment 1. First Impressions 2. Initial Communications and Developing a Rapport 3. Key Interview Skills 4. Other Interview Techniques 5. Things to Avoid 6. Closing, or Finishing, the Interview 7. Risk Assessment in the Context of a Full Mental Health Assessment 8. Defining the Risk 9. Short Assessments and Re-Assessments - The Key Principles 10. Developing a Formulation Part 4: Developing a Risk Management Plan 1. Introduction 2. Mental Capacity 3. Negotiating and Writing a Care Plan for the Purposes of Writing a Care Plan 4. Therapeutic Risk Taking or Positive Risk Management 5. Relapse Profiles and Crisis Plans 6. Record Keeping and Good Documentation Summary and Conclusions