Risk Management In Mental Health Services Page 44
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54It is easier to judge the relative importance of the above signs if the mental
health team/professional already know the patient. Although risk cannot
be eliminated, it can be minimised by implementing good risk management
process as outlined above.
The use of Structured Professional Judgement (SPJ) instruments ensure
that important areas in the assessment of risk are not missed. This allows
for structured risk assessment and provides a clear basis for risk
management planning. Examples of such instruments include the HCR-20
– for assessment of violence risk and the S-RAMM for assessment of risk
of suicide and self-harm.
Chapter 4 – Key Messages
1.
E f fective care requires that mental health profe s s i o n a l s
consider service users not as passive recipients of service but
as actively involved, core contributors to the risk and care
process (O’Rourke et al 2003).
2.
Risk can be minimised by ensuring that there is good
communication, sufficient attention to staff and patient safety,
and appropriate training and support for staff and service users.
3.
Best Practice Principles summarise the key principles for
effective risk assessment and management.
4.
Risk is safely identified if all parameters (Historical, Clinical,
Dispositional and Contextual) and features of individual
functioning are examined.
5 .
Risk assessment tools, particularly SPJ’s, can support
professional judgement.
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