EPA-0469 – Translating Hcr-20 Risk Assessment into Evidence Based Risk Management.

Abstract

Structured professional judgement (SPJ) approaches are becoming increasingly influential in the assessment and management of the risk of violence in psychiatric patients. The best example is the HCR-20, that is for example is now mandatory for all patients in high, medium and low secure psychiatric care in the United Kingdom.

The clinical utility of these guides has however been called into question, as their ability to be translated from risk assessment to risk management remains elusive.

We will present a framework model, designed for the clinical psychiatric setting that helps to turn risk assessment into evidence based risk management. The model assists meaningful clincal implementation of risk informed intevention plans that allows teams to prioritise resources and assess treatment efficiacy and risk management success. The model requires few additional resources but can also help to facilitate communication between clincal teams at times of transition, but also between clinicians and patients.