Assessmnet Flashcards

Why do we conduct risk assessments? What are the ethical concerns about risk What are the ethical concerns about risk assessing offenders?assessing offenders? How do we conduct risk assessments?How do we conduct risk assessments? How successful are risk assessments?

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1
Q

Assessment (Brown et al, 2015)

A

Why the person committed the offence

The nature, level and management of risk the offender presents with

The treatment needs of the person

The persons treatability and treatment readiness

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2
Q

Risk Assessment

A

Systematic collection of information to determine the degree to which harm (self and others) is likely, at some future point (Douglas & Skeem, 2005).

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3
Q

Risk Vs Dangerousness

A

Risk
The statistical likelihood of an event occurring
- Which offenders are most likely to reoffend

Risk is dynamic: Assessment is more accurate in short term.

Dangerousness
The seriousness of the consequences of the event occurring.
Which offenders are most dangerous
Which conditions make an offender more dangerous

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4
Q

Ethical Issues

A

Professional ethics: protect the general public: prison or institutional

Forensic psychologists should always be professionally qualified; always collect data to extend the knowledge in the field.

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5
Q

Forensic Psychologists must be aware of:

A

Reliability and validity of chosen tools

Base rate and it effects

Own biases (feminist psychology)

Deception/manipulation by an offender

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6
Q

Psychological assessments should:

A

Involve multiple repeated methods

Use evidence to make decisions

Avoid confirmation bias

Include costs and benefits

Be monitored for accuracy

Defendable

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7
Q

How do we assess? Key principles

A

Specify the risks

Specify the possible outcomes

Assess the likelihood of these outcomes

Assess the severity of these outcomes

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8
Q

Process

A

1: Theoretical basis
Preliminary hypothesis

2: Data gathering
Date analysis

3: Formulation
Reformulation

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9
Q

Formulation Definition:

A

A conceptual model representing an offenders various difficulties, the hypothesized underlying mechanisms and their interrelationships.

Formulation also aims to suggest what individual and systemic factors continue to maintain a person’s difficulties/offending behaviour.

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10
Q

Areas to Assess: Risks (Historical factors)

A

Family background and family functioning

Offending history

Education and employment

Psychosexual background

Relationship (romantic and peers)

Developmental history

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11
Q

Areas to Assess: Risks Dispositional factors

A

Personality
Attitudes to offending
Attachment style

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12
Q

Areas to Assess: Risks

Clinical Variables

A

Mental health & substance misuse history

Medication and attitude towards taking medication

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13
Q

Areas to Assess: Risks

Personality disorders

A

Psychopathy

Current offence analysis

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14
Q

Areas to Assess: Risks Protective Factors

A

Personal Resources

Family Supports

Social Supports

Calming: Influences/Negotiation

Evidence of Progress

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15
Q

Clinical Risk Assessment (1st Generation)

A

Derives from the tradition of one to one casework in medical, social and probation contexts and refers to the practitioners use of experience, interviewing skills, observation and professional judgement to arrive at an assessment (Robinson, 2003)

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16
Q

Clinical Assessment (1st Generation) Adv & Dis

A

Advantages:
Assessor can explain many different aspects of the client’s situation

Can reflect unique circumstances and case specific influences

Disadvantages:
Subject to personal bias
Over emphasise information
Limited human information processing

17
Q

Actuarial Risk Assessment (2nd Generation)

A

Derived from methods used in the insurance industry and is based upon statistical calculations of probability.

Four predictors (Gretenkord 2000)
Personality disorder
Violent pre-offence
Physical aggression while in prison at least twice
Age at time of discharge
18
Q

Actuarial Risk Assessment (2nd Generation) Adv & Dis

A

Advantages:
Reliance on clearly articulated risk factors
Offers high levels of predictive validity or accuracy.

Disadvantages
Consists of static predictors
Based on and designed for use with groups or populations of offenders
Not good for rare events
Different measures do not correlate with each other.

19
Q

Structured Clinical Risk Assessment (3rd Generation)

A

These assessments are based on items which have been shown to be predictive of reconviction, but reliant on the practitioners ability to elict the relevant information through interviewing the offender, and where appropriate consultation with other persons and/or sources

20
Q

Structured Clinical Risk Assessment (3rd Generation)

Adv & Dis

A

Advantages:
Recognises that risk assessment is dynamic and continuous process

Sensitive to change as a result of treatment and management

Disadvantages:
Completion fatigue among users may compromise the quality of assessments

Some have expressed the concern about the potential de-skilling and or de-professionalism as a result of the increasing standardisation of assessment practice.

21
Q

Dynamic, Clinical, Actuarial Treatment (4th generation)

A

•Combining assessment with readiness to engage in treatment. Allows for calculation pre and post treatment.
•Results of treatment inform level of post treatment risk•
Incorporates the Stages of Change Model (Prochaska, DiClemente & Norcross, 1992)

•Assessing risk:•Evaluating outcomes as probabilities, based on samples, and on clinical experience

22
Q

Specialist Assessment Techniques

A

Polygraph
- US

Penile Plethysmograph Phallometry (Gannon et al, 2008)