Risk assesment Flashcards
What is risk assesment?
Estimating risk of recidivism, risky situations, helps juridicial decisions
–> not 100% accurate, not indicative for how well treatment is going or patients needs
Types
Unstructured clinical approach: only based on clinical judgement
–> pro: tailoring to case
–> con: 50% accurate, influenced by biasses and what clinicians think is relevant or not
–> used in 80/90’s
–> without guidelines professionals doen’t score better than not professionals
Actuarial approach: estimating risk of recidivism based on mathematical calculation –> specific score with percentage of people with same score that have re-offended
–> pro: evidence based, highly reliable
–> con: not based on theory , doesnt capture client accuratly, predictions on group level
Structured clinical approach: combination of guideline with room for clinical judgement
–> pro: evidence based, can be tailored, inclusion dynamic factors
–> con: less reliable due to room for interpretation, vague risk categories
Risk factors (static, dynamic, acute)
Static: unchangeable –> ex. in the past
Dynamic: changeable over time –> ex. drug use
Acute: very quickly changeable –> ex. drunk –> sober
8 main risk factors of criminality (Central Eight)
Big 4:
Antisociality in past: prior crimes or criminal behaviour at young age
Antisocial attitude: values, cognitions
Antisocial personality: impulsive, …
Antisocial peers: network of people in crime –> parole: prohibited to contact them
Moderate 4:
Family
Education/employment
Leisure –> finding satisfaction out purposeful activities
Substance abuse
Scoring STATIC-99R
Only male sex offenders above 18
Static factors
Higher score, higher risk
Calculating score –> final score –> look table for meaning and recidivism
Point 5: different table –> charges, convictions and score
Scoring STABLE 2007
Only male sex offenders above 18
Dynamic factors
1 = slightly problematic; 2= very problematic
Final score –> look table what it means
(combine with STATIC)