The Use of Risk and Need Factors in Forensic Mental Health Decision-Making and the Role of Gender and Index Offense Severity

作者: Catherine M. Wilson , Anne G. Crocker , Tonia L. Nicholls , Yanick Charette , Michael C. Seto

DOI: 10.1002/BSL.2162

关键词: Mental healthHuman factors and ergonomicsSuicide preventionInjury preventionLegislationPoison controlRisk assessmentPsychologyOccupational safety and healthPsychiatryLawClinical psychologyPsychiatry and Mental health

摘要: Canadian legislation makes Review Boards (RBs) responsible for rendering dispositions individuals found Not Criminally Responsible on account of Mental Disorder (NCRMD) after considering public safety, the mental condition accused, and his/her potential community reintegration. We reviewed 6,743 RB hearings 1,794 NCRMD in three largest provinces to investigate whether items from two empirically supported risk assessment measures, Historical Clinical Risk Management-20 Violence Appraisal Guide, were considered. Less than half included expert reports or RBs' reasons dispositions, consideration these differed according gender index offense severity accused. These evidence-based factors and/or legally specified criteria: health, treatment, criminal history. results illustrate gap between research integration this evidence into practice. In particular, we recommend implementation structured measures reduce clinicians be unduly influenced by severity. Copyright © 2015 John Wiley & Sons, Ltd. Language: en

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