Risk Management In Mental Health Services Page 29
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54Step 2:
Analysis of Risk
Risk analysis is defined as ‘the systematic process to understand the nature
of and deduce the level of risk (AS /NZS 4360:2004). Risk management
emphasises prevention rather than prediction of risk, therefore all risk
factors need to be considered in terms of the conditions under which the
risk will increase and/or decrease. It is important that risk is analysed using
multiple sources of information including the person’s presentation current
and historical, collateral reports (from family, partners, GP and other
agencies as appropriate). Pe r s o n a l i t y, behaviours (e.g., intox i c a t i o n ,
addiction) and all contextual features should be included. Protective factors,
(historical, current and contextual) should also be considered here.
Step 3:
Evaluation of Risk
Evaluation of risk is similar to risk formulation and includes examining the
nature, severity, imminence and likelihood of risk.
All risks should be systematically identified, analysed and then evaluated in
order to determine both the case and risk management needs. This should
be done by working in partnership with service users, carers, profe s s i o n a l s
and other stakeholders to balance risk, need and recovery. Risk must be
evaluated in the context of the overall needs of the person and health
p r o fessionals must balance individual risk, needs and autonomy with the
demands of personal, professional and public safety and accountability.
Evaluation of risk should include any specific factors that would enhance
or decrease the risk occurring, for example the presence or absence of
alcohol addiction, the presence or absence of bereavement etc. The
individual’s risk assessment will inform their management plan. This will
also provide a rationale for the clinical decision taken.
Step 4:
Treating the Risks – Clinical Risk Management Plan
Using the information gathered from steps 1-3 the management plan is
developed by the multidisciplinary team in partnership with the service
user. This informs the ongoing active treatment, care and management of
the service user. This plan will be continuously reviewed and modified as
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circumstances change.
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