Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management

This thesis will aim to identify the role of protective factors in clinical risk prediction and management of inpatients in secure services. Chapter one provides an introduction to the field of forensic risk assessment, and a justification for the importance of including protective factors to create...

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Main Author: Jansen, Krista
Format: Thesis (University of Nottingham only)
Language:English
Published: 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/42909/
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author Jansen, Krista
author_facet Jansen, Krista
author_sort Jansen, Krista
building Nottingham Research Data Repository
collection Online Access
description This thesis will aim to identify the role of protective factors in clinical risk prediction and management of inpatients in secure services. Chapter one provides an introduction to the field of forensic risk assessment, and a justification for the importance of including protective factors to create a more balanced assessment of patient risk. Chapter two presents a systematic review exploring the role of protective factors in various risk assessment tools. The aims of this review is to identify risk assessment tools that incorporate a measure of protective strengths, and the predictive validity of these tools for the outcome of inpatient aggression or violence. Chapter three provides a critical review of the START, specifically focused on its strengths and weaknesses as a risk prediction tool, demonstrating good validity, reliability, in addition to excellent inter-rater reliability. Findings will be reported in terms of the clinical utility of this tool. Chapter four presents the findings from a research project that aimed to identify the predictive validity of the START in female forensic inpatients, highlighting the efficacy of the specific risk estimates. Chapter five utilises a case study to identify how promoting protective factors in the form of coping skills can reduce self-harming behaviours. This case study aims to demonstrate that focusing treatment on promoting patient strengths can be effective in reducing adverse outcomes. Finally, chapter six discusses the overall findings and clinical implications from the present thesis. Future research directions will also be discussed.
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spelling nottingham-429092025-02-28T13:46:27Z https://eprints.nottingham.ac.uk/42909/ Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management Jansen, Krista This thesis will aim to identify the role of protective factors in clinical risk prediction and management of inpatients in secure services. Chapter one provides an introduction to the field of forensic risk assessment, and a justification for the importance of including protective factors to create a more balanced assessment of patient risk. Chapter two presents a systematic review exploring the role of protective factors in various risk assessment tools. The aims of this review is to identify risk assessment tools that incorporate a measure of protective strengths, and the predictive validity of these tools for the outcome of inpatient aggression or violence. Chapter three provides a critical review of the START, specifically focused on its strengths and weaknesses as a risk prediction tool, demonstrating good validity, reliability, in addition to excellent inter-rater reliability. Findings will be reported in terms of the clinical utility of this tool. Chapter four presents the findings from a research project that aimed to identify the predictive validity of the START in female forensic inpatients, highlighting the efficacy of the specific risk estimates. Chapter five utilises a case study to identify how promoting protective factors in the form of coping skills can reduce self-harming behaviours. This case study aims to demonstrate that focusing treatment on promoting patient strengths can be effective in reducing adverse outcomes. Finally, chapter six discusses the overall findings and clinical implications from the present thesis. Future research directions will also be discussed. 2017-07-14 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en arr https://eprints.nottingham.ac.uk/42909/8/Amended%20Research%20Thesis%20-%20Krista%20Jansen.pdf Jansen, Krista (2017) Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management. DForenPsy thesis, University of Nottingham. Clinical risk prediction Forensic risk assessment Protective strengths Coping skills
spellingShingle Clinical risk prediction
Forensic risk assessment
Protective strengths
Coping skills
Jansen, Krista
Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management
title Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management
title_full Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management
title_fullStr Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management
title_full_unstemmed Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management
title_short Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management
title_sort should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management
topic Clinical risk prediction
Forensic risk assessment
Protective strengths
Coping skills
url https://eprints.nottingham.ac.uk/42909/