{"title":"法医精神病患者和专业人员在共同暴力风险评估和管理方面的经验:定性研究范围综述","authors":"","doi":"10.1016/j.avb.2024.102009","DOIUrl":null,"url":null,"abstract":"<div><div>Person-centered care and shared decision-making between inpatients and professionals have become guiding principles for mental health care, yet their integration in forensic services remains limited by security-driven and legal considerations. In this context, emerging models of shared risk assessment and risk management could transform forensic patients' experience of, engagement in, and satisfaction with care. However, little evidence informs how shared approaches can improve these experiences of care and be successfully implemented in the forensic context.</div><div>A scoping review was conducted to understand the experiences of forensic patients and professionals in implementing shared approaches for violence risk assessment and management. MEDLINE, Embase, CINAHL, PsycINFO and ProQuest were searched for qualitative studies, restricting to inpatient adult settings and interventions targeting hetero-aggression or violence. Raters screened records, appraised quality, and charted findings for narrative synthesis and meta-aggregation.</div><div>From 1325 non-duplicate records screened, four articles were selected featuring three multicomponent approaches and one risk assessment tool. Both patients and professionals reported benefits, such as improved therapeutic relationships and patient self-understanding. Participants outlined interpersonal-, intervention-, and organizational-level barriers for patients to effectively influence decision-making. Practice and research implications are discussed, including training needs, how to address and leverage disagreements, and developing organizational change strategies to support shared approaches.</div></div>","PeriodicalId":51360,"journal":{"name":"Aggression and Violent Behavior","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Experiences of forensic mental health patients and professionals with shared violence risk assessment and management: A scoping review of qualitative studies\",\"authors\":\"\",\"doi\":\"10.1016/j.avb.2024.102009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Person-centered care and shared decision-making between inpatients and professionals have become guiding principles for mental health care, yet their integration in forensic services remains limited by security-driven and legal considerations. In this context, emerging models of shared risk assessment and risk management could transform forensic patients' experience of, engagement in, and satisfaction with care. However, little evidence informs how shared approaches can improve these experiences of care and be successfully implemented in the forensic context.</div><div>A scoping review was conducted to understand the experiences of forensic patients and professionals in implementing shared approaches for violence risk assessment and management. MEDLINE, Embase, CINAHL, PsycINFO and ProQuest were searched for qualitative studies, restricting to inpatient adult settings and interventions targeting hetero-aggression or violence. Raters screened records, appraised quality, and charted findings for narrative synthesis and meta-aggregation.</div><div>From 1325 non-duplicate records screened, four articles were selected featuring three multicomponent approaches and one risk assessment tool. Both patients and professionals reported benefits, such as improved therapeutic relationships and patient self-understanding. Participants outlined interpersonal-, intervention-, and organizational-level barriers for patients to effectively influence decision-making. Practice and research implications are discussed, including training needs, how to address and leverage disagreements, and developing organizational change strategies to support shared approaches.</div></div>\",\"PeriodicalId\":51360,\"journal\":{\"name\":\"Aggression and Violent Behavior\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-09-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aggression and Violent Behavior\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1359178924000995\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CRIMINOLOGY & PENOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aggression and Violent Behavior","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1359178924000995","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CRIMINOLOGY & PENOLOGY","Score":null,"Total":0}
Experiences of forensic mental health patients and professionals with shared violence risk assessment and management: A scoping review of qualitative studies
Person-centered care and shared decision-making between inpatients and professionals have become guiding principles for mental health care, yet their integration in forensic services remains limited by security-driven and legal considerations. In this context, emerging models of shared risk assessment and risk management could transform forensic patients' experience of, engagement in, and satisfaction with care. However, little evidence informs how shared approaches can improve these experiences of care and be successfully implemented in the forensic context.
A scoping review was conducted to understand the experiences of forensic patients and professionals in implementing shared approaches for violence risk assessment and management. MEDLINE, Embase, CINAHL, PsycINFO and ProQuest were searched for qualitative studies, restricting to inpatient adult settings and interventions targeting hetero-aggression or violence. Raters screened records, appraised quality, and charted findings for narrative synthesis and meta-aggregation.
From 1325 non-duplicate records screened, four articles were selected featuring three multicomponent approaches and one risk assessment tool. Both patients and professionals reported benefits, such as improved therapeutic relationships and patient self-understanding. Participants outlined interpersonal-, intervention-, and organizational-level barriers for patients to effectively influence decision-making. Practice and research implications are discussed, including training needs, how to address and leverage disagreements, and developing organizational change strategies to support shared approaches.
期刊介绍:
Aggression and Violent Behavior, A Review Journal is a multidisciplinary journal that publishes substantive and integrative reviews, as well as summary reports of innovative ongoing clinical research programs on a wide range of topics germane to the field of aggression and violent behavior. Papers encompass a large variety of issues, populations, and domains, including homicide (serial, spree, and mass murder: sexual homicide), sexual deviance and assault (rape, serial rape, child molestation, paraphilias), child and youth violence (firesetting, gang violence, juvenile sexual offending), family violence (child physical and sexual abuse, child neglect, incest, spouse and elder abuse), genetic predispositions, and the physiological basis of aggression.