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Risk: A Conversation Worth Having in Mental Health Care?

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Abstract

Risk a normal everyday experience that is frequently initiated at a personal level has become an intrinsic part of mental health care. This commentary paper revisits the concept of risk assessment within mental health practice and suggest that risk management and recovery focused care are not mutually exclusive and that these constructs can co-exist as part of a person-centered approach. People want to feel safe and an approach that engages the person in arriving at solutions that promote their safety is a more positive conversation than one focused purely on risk.

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References

  1. Walker R. Winning in risk management. London: World Scientific Publishing; 2013.

    Book  Google Scholar 

  2. Luhmann N. Risk: a sociological theory. London: Taylor & Francis Green; 2017.

    Book  Google Scholar 

  3. Gardner D. Risk: the science and politics of fear. London: Virgin Books, Random House; 2008.

    Google Scholar 

  4. Beck U. Risk society; towards a new modernity. London: Sage; 1992.

    Google Scholar 

  5. Simpson A, Hannigan B, Coffey M, Barlow S, Cohen R, Jones A, et al. Recovery-focused care planning and coordination in England and Wales: a cross-national mixed methods comparative case study. BMC Psychiatry. 2016;16:147.

    Article  Google Scholar 

  6. Holley J, Chambers M, Gillard S. The impact of risk management practice upon the implementation of recovery-orientated care in community mental health services: a qualitative investigation. J Ment Health. 2016;25(4):315–22.

    Article  Google Scholar 

  7. Godin P. ‘You don’t tick boxes on a form’: a study of how community mental health nurses assess and manage risk. Health Risk Soc. 2004;6(4):347–60.

    Article  Google Scholar 

  8. Barker JP. Assessment in psychiatric and mental health nursing: in search of the whole person. 2nd ed. Nelson Thorne Ltd: Cheltenham; 2004.

    Google Scholar 

  9. Harrison G. Risk assessment in a climate of litigation. Br J Psychiatry. 1997;170(s32):37–39.

    Article  Google Scholar 

  10. Skeem JL, Manchak SM, Lidz CW, Mulvey EP. The utility of patients’ self-perceptions of violence risk: consider asking the person who may know best. Psychiatry Serv. 2013;2013(64):410–5.

    Article  Google Scholar 

  11. Lupton D. Risk. 2nd ed. London: Routledge; 2013.

    Book  Google Scholar 

  12. Lakeman R. An anxious profession in an age of fear. J Psychiatr Ment Health Nurs. 2006;13:395–400.

    Article  Google Scholar 

  13. Ryan T. Exploring the risk management strategies of mental health service users. Health Risk Soc. 2000;2(3):267–82.

    Article  Google Scholar 

  14. Kelly LS, McKenna HP. Victimisation of people with enduring mental illness in the community. J Psychiatr Ment Health Nurs. 1997;4:185–91.

    Article  Google Scholar 

  15. Heyman B, Henriksen M, Maughan K. Probabilities and health risks: a qualitative approach. Soc Sci Med. 1998;9:1295–306.

    Article  Google Scholar 

  16. Alaszewski A. Risk decision-making and mental health. In: Hannigan B, Coffey M, editors. The handbook of community mental health nursing. London: Routledge; 2003.

    Google Scholar 

  17. Szmukler G, Rose N. Risk assessment in mental health care: values and costs. Behav Sci Law. 2013. https://doi.org/10.1002/bsl.2046.

    Article  PubMed  Google Scholar 

  18. Rose N. Living dangerously: risk-thinking and risk management in mental health care. Ment Health Care. 1998;11(8):263–6.

    Google Scholar 

  19. Francis R. Report of the mid-Staffordshire NHS foundation trust public inquiry. London: HMSO; 2013.

    Google Scholar 

  20. Deegan P. Recovery: the lived experience of rehabilitation. Psychosoc Rehabilit J. 1998;11(4):12–9.

    Google Scholar 

  21. Coffey M, Cohen R, Faulkner A, Hannigan B, Simpson A, Barlow S. Ordinary risks and accepted fictions: how contrasting and competing priorities work in risk assessment and mental health care planning. Health Expect. 2016. https://doi.org/10.1111/hex.12474.

    Article  PubMed  PubMed Central  Google Scholar 

  22. May R. Routes to recovery: the roots of a clinical psychologist. Clin Psychol Forum. 2000;26:35–41.

    Google Scholar 

  23. Watkins P. Recovery: a guide for mental health practitioners. London: Churchill Livingstone; 2007.

    Google Scholar 

  24. Shepherd G, Boardman J, Slade M. Making recovery a reality. London: Sainsbury Centre for Mental Health; 2008.

    Google Scholar 

  25. Watkins P. Mental health nursing: the art of compassionate care. Edinburgh: Elsevier Science; 2002.

    Google Scholar 

  26. Repper J, Perkins R. The team recovery implementation plan: a framework for creating recovery-focused services. imROC briefing paper 6. London: Centre for Mental Health; 2013.

    Google Scholar 

  27. Coffey M, Hannigan B, Simpson A. Care planning and coordination: imperfect solutions in a complex world. J Psychiatry Ment Health Nurs. 2017;24:333–4.

    Article  Google Scholar 

  28. Roaldset JO. Listen to the patient-what about patients’ perceptions of suicidal risk? Acta Psychiatr Scand. 2016;134:183.

    Article  Google Scholar 

  29. Davidson L. Living outside mental illness. Qualitative studies of recovery in schizophrenia. New York: New York University Press; 2003.

    Google Scholar 

  30. Edwards BM, Burgess R, Thomas E (2019) Neorecovery: a survivor led conceptualisation and critique (Transcript). Keynote presented at the 25th international mental health nursing research conference. London: The Royal College of Nursing.

  31. Barrett P, Linsley P. A text on which the ink never dries: dialogical practices for care and treatment planning. J Psychiatr Ment Health Nurs. 2017. https://doi.org/10.1111/jpm.12368.

    Article  PubMed  Google Scholar 

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Correspondence to Malcolm Jones.

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Jones, M. Risk: A Conversation Worth Having in Mental Health Care?. J. Psychosoc. Rehabil. Ment. Health 7, 97–101 (2020). https://doi.org/10.1007/s40737-019-00154-8

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  • DOI: https://doi.org/10.1007/s40737-019-00154-8

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