Violence directed towards others and violence directed towards oneself cause an immense amount of physical and psychological damage - to the harmed and the harmful person alike, to their families, and to the public at large. Managing clinical risk is an authoritative manual for practitioners working with harmful men, women, and young people, containing up-to-date information and guidance on what to do and how they can assess and manage clinical risk, communicate their concerns about risk, and account for their decisions about risk management to their clients and to the Courts. This book provides an evidence-based understanding of risk in key areas of practice - violence, sexual violence, firesetting, suicide, and self-harm, working with individuals and organisations alike - and among special groups: women, young people, serving and former military personnel, clients with comorbid presentations, and clients with cognitive impairment. Further, it suggests and describes the skills practitioners need to understand and communicate their concerns to all who need to know about them through coverage of interviewing and risk formulation skills. This is a guidebook to effective practice.
All its contributors have a record of research, practice, and considered thinking in the area of clinical risk assessment and management. They all have a wide range of knowledge and experience about the notion of risk, conducting risk management in real world mental health, correctional, and community settings, and about working with clients with a label of high risk. Together, they combine theoretical and research knowledge with a wealth of practical skills in care and management, emphasising the collaborative and recovery-focused nature of modern risk management.
Foreword, Stephen Hart, Preface, Lorraine Johnstone and Caroline Logan, Part 1: Setting the Scene 1. The History and Mystery of Clinical Risk Assessment and Management, David Cooke Part 2: Key Areas of Practice 2. Violence Risk, Kevin Douglas 3. Sexual Violence, Raj Darjee and Katharine Russell 4. Suicide and Deliberate Self-injury, Caroline Logan 5. Fire-setting, John Taylor 6. Terrorists and Extremists, Andrew Silke 7. Working to Enhance Protective Factors, Michiel de Vries Robbe and Vivienne de Vogel 8. Working with an Awareness of Equality and Diversity, Gill Aitken Part 3: Clinical Risk Assessment and Management Practice with Special Groups 9. Working with Long-sentence Prisoners and Long-stay Forensic Patients, Gill Attrill 10. Working with Women, Vivienne de Vogel 11. Working with Children and Young People, Corine de Ruiter 12. Working with Families, Liz Gilchrist 13. Working with Clients with Learning Difficulties or Cognitive Impairment, Suzanne O'Rourke 14. Working with Comorbidity and Complex Case Presentations, Lorraine Johnstone Part 4: Clinical Risk Assessment in Organisations 15. Situational and Organisational Issues in Risk Assessment and Management, Lorraine Johnstone and David Cooke Part 5: Communication and Legal Issues 16. The Risk Assessment Interview and Report: Clinical Skills and Techniques, Caroline Logan 17. Risk Assessment: A Lawyer's Critique, Michael Carlin Part 6: Future Directions 18. Future Directions in Research into Clinical Risk Assessment and Management, Caroline Logan with Stephen Hart Part 7: Concluding Comments 19. Concluding Comments, Caroline Logan and Lorraine Johnstone