A Scoping Review of Patient Involvement in Violence Risk Assessment.

Objective: This scoping review aimed to summarize the published literature on patient involvement in violence risk assessment. Two research questions reviewed the extent of patient involvement and what evidence exists.

Inclusion Criteria: English-language peer-reviewed published articles of any methodology related to violence risk assessment toward others were included.

Too risky to use, or too risky not to? Lessons learned from over 30 years of research on forensic risk assessment with Indigenous persons.

Indigenous peoples are overrepresented in correctional systems internationally, reflecting a history of systemic racism and colonial oppression, and the practice of risk assessment with this population has been a focus of legal and sociopolitical controversy. We conducted a systematic review and meta-analysis of the risk assessment literature comparing Indigenous and non-Indigenous (White majority) groups. We retrieved 91 studies featuring 22 risk tools and 15 risk/need/cultural domains ( = 59,693, Indigenous; = 237,729, non-Indigenous/White) and four documents identifying culturally relevant factors.

Short-term risk assessment in the long term: A scoping review and meta-analysis of the Brøset Violence Checklist.

Unlabelled: WHAT IS KNOWN ON THE SUBJECT?: The Brøset Violence Checklist (BVC) has been widely translated and implemented in diverse mental healthcare settings to improve prevention of violence. It is valued as a brief but effective tool in clinical practice. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This review is the largest and most comprehensive international review of the BVC conducted in the 25+ years since the inception of the instrument in 1995.

Correctional nursing in Canada's Prairie provinces: Roles, responsibilities, and learning needs.

Background: Nurses represent the largest group of health care professionals working with incarcerated persons, yet there is limited understanding of their learning needs, or their roles and responsibilities; and what is known is poorly disseminated.

Purpose: The goal of this research was to describe the roles, responsibilities, and learning needs of correctional nurses practicing in provincial correctional facilities in Alberta and Manitoba, and to add these data to the existing data set from Saskatchewan.

Methods: Three hundred and forty nurses working in provincial correctional facilities in western Canada were invited to complete a self-administered online survey consisting of a Learning Needs Assessment questionnaire (demographic information, knowledge and learning needs, and professional development); and the Staff Questionnaire (which targeted specific skill sets relevant to clinical practice in secure environments).

Saskatchewan Provincial Correctional Nurses: Roles, Responsibilities, and Learning Needs.

Nurses represent the largest group of health care professionals working with incarcerated persons. Using a self-administered online questionnaire, this study surveyed a group of provincial correctional nurses to gain insight into their roles, responsibilities, and learning needs in relation to this complex area of practice. Specific aims included describing who they are, what they do, what they need, and what factors influence their practice.

Exploring the Delivery of Healthcare in the Police Detention Center Through Remote Presence Technology.

Introduction: There is overwhelming evidence to support the delivery of high-quality health service at a lower cost with the use of advanced technologies. Implementing remote presence technology to expand clinical care has been fraught with barriers that limit interprofessional collaboration and optimal client outcomes. In Canada, government ministries responsible for correctional services, policing, and health are well positioned to link federal, provincial, and regional services to enhance service delivery at the point of care for individuals detained within the justice system.

Assessing living skills in forensic mental health care with the behavioural status index: a European network study.

Assessment of living skills and violence risk in forensic psychiatric patients is a priority for clinicians. Suitably fine-grained instruments are rare. The goal of this study was to compare a norm-based psychometric assessment battery (the Behavioural Status [BEST] Index) with known valid instruments.

Piloting violence and incident reporting measures on one acute mental health inpatient unit.

During May, 2006, on one acute mental health inpatient unit, nursing staff evaluated each patient three times a day (i.e., once each nursing shift) using the Broset Violence Checklist (BVC).

Risk prediction: a review of the literature.

This review of risk assessment and prediction literature briefly describes the historical and philosophical influences on the construct of dangerousness; chronicles the advances in research associated with the reconceptualization of dangerousness as risk; and describes current practice and research related to risk assessment, with particular attention to commonly used risk assessment tools and to existing issues and controversies. This cannot be considered a systematic review of the literature but a reflection of some of the key issues found in the literature.

Assessing risk for imminent violence in the elderly: the Brøset Violence Checklist.

Objective: The Brøset Violence Checklist (BVC) assesses confusion, irritability, boisterousness, verbal threats, physical threats and attacks on objects as either present or absent. It is hypothesised that an individual displaying two or more of these behaviours is more likely to be violent in the next twenty-four hour period. This study aims to test the validity of the instrument in geriatric settings and to report on the predictive value of an easy-to-use risk assessment instrument.

The Behavioural Status Index: testing a social risk assessment model in a high security forensic setting.

The Behavioural Status Index model suggests that 'social risk' tends to vary inversely with an individual's insight and capacity to perform key communication and social skills. The aim of this study was to describe emergent trends in data related to the risk, insight, and communication and social skills subscales used in the model. Data were collected from 503 patients in two high security mental health hospitals.

Challenging behaviour in the elderly-monitoring violent incidents.

Objective: To explore the frequency and nature of violent incidents in psychogeriatric wards and nursing homes in terms of type and severity of incidents, what provoked the incidents, and what kind of measure was needed to stop the aggression.

Material And Methods: Aggressive behaviour of the study group was monitored using the Staff Observation Aggression Scale-Revised (SOAS-R( in two Norwegian nursing homes and two geriatric psychiatric wards for a period of three months. Severity of incidents were monitored with the built-in severity scoring system in SOAS-R.

Relationships among risk, and communication and social skills in a high security forensic setting.

The Behavioural Status Index was developed for risk assessment within forensic care. This paper reports data analysis for the Behavioural Status Index and its subscales. Data were collected, using a repeated measures method by primary nurses, from a sample of 503 individual patients in two high security mental health hospitals in the UK.

Barriers to research utilisation among forensic mental health nurses.

This study used a cross-sectional, descriptive design to identify barriers to research utilisation among forensic mental health nurses. A postal questionnaire was sent to the total population of 88 registered nurses working in a forensic mental health hospital in the UK. Forty-seven responded representing a response rate of 53%.

Effectiveness of nursing interventions in people with personality disorders.

Background: Nurses usually provide care for people with personality disorders on a day-to-day basis. Consequently, it is important to establish how effective nursing interventions are for those with personality disorders, both in terms of general management and more specific therapeutic approaches. These are also issues of current political and professional debate.

The Brøset violence checklist (BVC).

Objective: The Brøset violence checklist (BVC) is a short-term violence prediction instrument assessing confusion, irritability, boisterousness, verbal threats, physical threats and attacks on objects as either present or absent. The aim of this paper is to describe the evolution and usefulness of the BVC.

Method: This paper reviews studies on the BVC and discusses implications for further research.