Transcript Gender issues in risk assessment: men and women compared

gender issues in risk assessment:
men and women compared
Caroline Logan
overview
should
the
risk
assessments
should
riskwe
management
what do
know
about planning
the carried
risks be
practice
recommendations
out best
on
women
be
different
from those
different
in
men
and women?
posed by
women?
carried out on men?
what do we know about the risks
posed by women?
women in institutions
women
women
violent
recidivism
who
women
in prison
offend
16%
39%48%
5.25%
sexual
of
of4,365
women
violent
offewer
of
re-offence
women
women
prison
women
convicted
offences
will
population
inrate
will
reoffend
prison
ofreoffend
<1%
violence
the nature of the harm caused
physical
relational
harmaggression
towards others
psychological
domestic arena
abuse
lesscovert
serious
bullying
outcomes
associated
externalised
with psychopathic
emotion or
psychopathology
traits
origins of gender differences
biological factors
socialisation
gender bias in the CJS
gender bias in assessment and diagnosis
should the risk assessments carried
out on women be different from those
carried out on men?
risk assessment
Risk assessment is an estimation of risk
potential based on our understanding of the
balance between certain conditions that we
assume to be risk factors and certain other
conditions that we assume to be protective
factors, all of which are judged to have
relevance to the harm potential of the client in
question
Risk formulation
risk management
Risk management is action taken to
prevent or limit potentially harmful outcomes –
achieved by a combination of anticipating
what these outcomes might look like
(scenario planning), identifying early warning
signs of a relapse to this harmful outcome and
agreeing what action should be taken
(treatment, supervision) when they are
observed (monitoring)
Risk management plan
putting it all together
tools mainly
help HERE
AKA structured
professional
judgement
structured
clinical
judgement
treatment
risk
relevant factors
protective
FORMULATION
risk management
monitoring
supervision
feedback ensures
dynamic process
largely use clinical judgement here
victim safety
planning
which tools could be helpful?
Historical
Risk
Clinical
Management
History
of
violence
Lack
Plans
oflack
insight
feasibility
Young age
Negative
Exposure
attitudes
toat 1st violence
Relationship
instability
Acute
destabilisers
symptoms
of
Employment
problems
Lack
major
of personal
mental
illness
Substance
Impulsivity
support use problems
Major mental illness
Unresponsive
Non-compliance
to with
Psychopathy
treatment attempts
remediation
Early
Stressmaladjustment
Personality disorder
Prior supervision failure
which other tools could be helpful?
www.forumeducatief.nl
secure
attachment in child’d
good intelligence
effective
empathy coping skills
stable & suitable work
self-control
structured
leisure activities
sound
finances
positive atts
authority
motivated
fortotreatment
medication
positive
life adherence
goals
stable intimate
relationship
prosocial
network
supervised
professionalliving
care
presence of ext’l controls
formulation
risk of
what?
relevant
risk
factors
relevant
protective
factors
triggers
RISK
FORMULATION
maintenance
should risk management planning be
different in men and women?
monitoring
supervision
treatment
victim
safety planning
restrictions on activity, movement,
treatment
early warning
(or rehabilitation)
signs of a
association, or communication that
strategies
relapse
designed
to violence;
to moderate
any
to be
to risk
enhance
are steps
intended
totaken
control
factors
risk
indicators
factors orofenhance
a changeprotective
in risk
the
security
of
a
possible
future
& limit opportunity to be violent;
factors;
plusinterventions
recommendations
intended
of to
victim to lifestyle in
also enhancements
restore
action to
orbe
repair
taken
deficits
– or not
in
the form of structure, boundaries,
adjustment
taken – toand
minimise
functioning
risk
role expectations
best practice recommendations
risk AND protective
use
formulation
SPJ tools
understand
women
factors
contact
Dr Caroline Logan
Secure Psychological Services
Mersey Care NHS Trust
Ashworth Hospital
Maghull
Liverpool L31 1HW
England
[email protected]