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Type of bind: Hardcover
Dewey Decimal Number: 616.89075
EAN num: 9780195138825
ISBN number: 0195138821
Label: Oxford University Press, USA
Manufacturer: Oxford University Press, USA
Quantity: 1
Page Count: 197
Printing Date: January 15, 2001
Publishing house: Oxford University Press, USA
Sale Popularity Level: 479277
Studio: Oxford University Press, USA
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Product Description:
The presumed link between mental disorder and violence has been the driving force behind mental health law and policy for centuries. Legislatures, courts, and the public have come to expect that mental health professionals will protect them from violent acts by persons with mental disorders. Yet for three decades research has shown that clinicians' unaided assessments of 'dangerousness' are barely better than chance. Rethinking Risk Assessment: The MacArthur Study of Mental Disorder and Violence tells the story of a pioneering investigation that challenges preconceptions about the frequency and nature of violence among persons with mental disorders, and suggests an innovative approach to predicting its occurrence. The authors of this massive project -- the largest ever undertaken on the topic -- demonstrate how clinicians can use a 'decision tree' to identify groups of patients at very low and very high risk for violence. This dramatic new finding, and its implications for the every day clinical practice of risk assessment and risk management, is thoroughly described in this remarkable and long-anticipated volume. Taken to heart, its message will change the way clinicians, judges, and others who must deal with persons who are mentally ill and may be violent will do their work.
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Rated by buyers -
The review below is very good and accurate information. This book is an easy and quick read and it is packed with useful information. The authors discuss the risk of untreated mental illness combined with substance abuse. Also discussed are actuarial assessments, psychopathy, childhood abuse and anger. Great basic reference for anyone in the field of risk assessment.
Rated by buyers -
In detailing the largest and most significant research study of its type (i.e. The MacArthur Study of Mental Disorder and Violence), Rethinking Risk Assessment describes what is surely to become the seminal work in the area violence and mental illness. The authors point to the methodological flaws in many earlier studies that failed to establish clear links between mental illness and violence. It moves beyond previous studies to point to a clear link between serious mental illness and an increased risk of violence.
Although based upon a North American population (i.e. with its higher societal rates of violence generally) the size of the study, and the relationships it demonstrates suggest that this work has significant implications for other jurisdictions. The book illustrates tools clinicians can use to assist with identification of those with higher for risk of violence.
Although actuarial methods do not offer a panacea for problems associated with risk prediction, they nevertheless provide pointers for increasing the precision with which such assessments can be made. Monahan et. al. acknowledge the limitations of such methods, and point to the complexity of clinical risk assessment for violence potential. The authors also point to the broader contextual, and problematic issues associated with false positives and negatives, in terms of prediction.
Armed with the information contained within this text, clinical staff will have a thorough grounding in the most up to date evidence in the field. This should provide a solid foundation from which staff can approach the complex issue of considering risk assessment generally.
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