This chapter focuses on the structured professional judgement (SPJ) approach to the clinical risk assessment and management of men and women whose sexual behaviour is harmful to others. The SPJ approach promotes the use of clinical guidelines—such as the Risk for Sexual Violence Protocol to help practitioners appraise the relevance of risk factors to the individual client and to create an understanding of that person’s risk potential, on the basis of which comprehensive and proportionate risk management plans can be prepared, implemented, evaluated, and repeatedly updated towards managed risk. This chapter makes the case that the most important part of the clinical risk assessment and management process using the SPJ approach is risk formulation—the process of generating an understanding of harmful behaviour that directly links assessment findings to management actions.
This chapter describes the SPJ approach to risk assessment and management and elaborates in detail on the essential risk formulation stage. Formulation is defined and guidance is given on its preparation and evaluation. A case study illustrates the process. This chapter concludes with a set of good practice recommendations for sexual violence risk assessment, formulation, and management.
- Risk formulation
- Risk assessment
- Risk management
- Sexual offending
- Structured professional judgement
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Baumeister, R. F., Catanese, K. R., & Wallace, H. M. (2002). Conquest by force: A narcissistic reactance theory of rape and sexual coercion. Review of General Psychology, 6, 92–135.
Bieling, P. J., & Kuyken, W. (2003). Is cognitive case formulation science or science fiction? Clinical Psychology: Science and Practice, 10, 52–69. doi:10.1093/clipsy.10.1.52.
British Psychological Society. (2009). Code of ethics and conduct. Leicester: The British Psychological Society.
Brouillette-Alarie, S., & Proulx, J. (2013). Predictive validity of the Static-99R and its dimensions. Journal of Sexual Aggression, 19, 311–328.
Chermack, T. J., & Lynham, S. A. (2002). Definitions and outcome variables of resource planning. Human Resource Development Review, 1, 366–383.
Douglas, K. S., Hart, S. D., Webster, C. D., & Belfrage, H. (2013). HCR-20: Assessing risk for violence (3rd ed.). Vancouver, BC: Mental Health, Law and Policy Institute, Simon Fraser University.
Eells, T. D. (2007). Psychotherapy case formulation: History and current status. In T. D. Eells (Ed.), Handbook of psychotherapy case formulation (2nd ed., pp. 3–32). New York, NY: Guilford Press.
Eells, T. D., Kendjelic, E. M., & Lucas, C. P. (1998). What is a case formulation? Development and use of a content coding manual. Journal of Psychotherapy Practice and Research, 7, 144–153.
Elliott, I. A., & Beech, A. R. (2013). A UK cost-benefit analysis of Circles of Support and Accountability interventions. Sexual Abuse, 25, 211–229.
Hanson, R. K., Babchishin, K. M., Helmus, L., & Thornton, D. (2013). Quantifying the relative risk of sex offenders risk ratios for Static-99R. Sexual Abuse, 25, 482–515.
Hanson, R. K., & Morton-Bourgon, K. E. (2009). The accuracy of recidivism risk assessments for sexual offenders: A meta-analysis. Psychological Assessment, 21, 1–21.
Hare, R. D. (2003). Hare psychopathy checklist-revised: Technical manual (2nd ed.). Toronto, ON: Multi-Health Systems.
Harris, G. T., Rice, M. E., Quinsey, V. L., & Cormier, C. A. (2015). Violent offenders: Appraising and managing risk. Washington, DC: American Psychological Association.
Hart, S. D., & Logan, C. (2011). Formulation of violence risk using evidence-based assessments: The structured professional judgment approach. In P. Sturmey & M. McMurran (Eds.), Forensic case formulation (pp. 83–106). Chichester: Wiley-Blackwell.
Hart, S. D., Michie, C., & Cooke, D. J. (2007). Precision of actuarial risk assessment instruments: Evaluating the ‘margins of error’ of group vs individual predictions of violence. British Journal of Psychiatry, 190, 60–65.
Hart, S. D., Sturmey, P., Logan, C., & McMurran, M. M. (2011). Forensic case formulation. International Journal of Forensic Mental Health, 10, 118–126.
Heilbrun, K. (2001). Risk assessment and risk management: Towards an integration. Plenary session delivered at the International Conference, Violence Risk Assessment and Management: Bringing Science and Practice Closer Together. Sundsvall, Sweden.
Johnstone, L. (2013). Using formulation in teams. In L. Johnstone & R. Dallos (Eds.), Formulation in psychology and psychotherapy: Making sense of people’s problems (2nd ed.). London: Routledge.
Johnstone, L., & Dallos, R. (Eds.). (2013). Formulation in psychology and psychotherapy: Making sense of people’s problems (2nd ed.). London: Routledge.
Kim, B., Benekos, P. J., & Merlo, A. V. (2015). Sex offender recidivism revisited: Review of recent meta-analyses on the effects of sex offender treatment. Trauma, Violence, & Abuse, 17, 105–117.
Kingston, D. A., Olver, M. E., Harris, M., Wong, S. C., & Bradford, J. M. (2015). The relationship between mental disorder and recidivism in sexual offenders. International Journal of Forensic Mental Health, 14, 10–22.
Kraanen, F. L., & Emmelkamp, P. M. (2011). Substance misuse and substance use disorders in sex offenders: A review. Clinical Psychology Review, 31, 478–489.
Logan, C. (2013). Risk assessment: Specialist interviewing skills for forensic practitioners. In C. Logan & L. Johnstone (Eds.), Managing clinical risk: A guide to effective practice. Oxford: Routledge.
Logan, C. (2014). The HCR-20 Version 3: A case study in risk formulation. International Journal of Forensic Mental Health, 13, 172–180.
Logan, C., & Johnstone, L. (2013). (Eds.), Managing clinical risk: A guide to effective practice. Oxford: Routledge.
Logan, C., & Hird, J. (2014). Psychopathy and sexual offending. In D. T. Wilcox, T. Garrett, & L. Harkins (Eds.), Sex offender treatment: A case study approach to issues and interventions. Chichester: Wiley Blackwell.
Logan, C., Nathan, R., & Brown, A. (2011). Formulation in clinical risk assessment and management. In R. W. Whittington & C. Logan (Eds.), Self-harm and Violence: Towards best practice in managing risk (pp. 187–204). Chichester: Wiley-Blackwell.
Loranger, A. (1999). International personality disorder examination manual: DSM-IV module. Washington, DC: American Psychiatric Press.
Malamuth, N. M. (1996). The confluence model of sexual aggression: Feminist and evolutionary perspectives. In D. M. Buss & N. M. Malamuth (Eds.), Sex, power, conflict: Evolutionary and feminist perspectives (pp. 269–295). New York, NY: Oxford University Press.
Marchall, W. L., & Barbaree, H. E. (1990). An integrated theory of the etiology of sexual offending. In W. L. Marshall, D. R. Laws, & H. E. Barbaree (Eds.), Handbook or sexual assault: Issues, theories, and treatment of the offender (pp. 257–275). New York, NY: Plenum Press.
Marshall, W. L. (1989). Invited essay: Intimacy, loneliness and sexual offenders. Behaviour Research and Therapy, 27, 491–503.
Marshall, W. L., Fernandez, Y. M., Hudson, S. M., & Ward, T. (Eds.). (2013). Sourcebook of treatment programs for sexual offenders. New York, NY: Springer Science & Business Media.
McCartan, K., Kemshall, H., Westwood, S., Solle, J., MacKenzie, G., Cattel, J., & Pollard, A., (2014). Circles of support and accountability (CoSA): A case file review of two pilots. Project Report. England: Ministry of Justice.
McMurran, M.M., & Bruford, S., (2016). Case formulation quality checklist: A revision based upon clinicians’ views. Journal of Forensic Practice.
McMurran, M., Logan, C., & Hart, S. (2012). Case formulation quality checklist. Nottingham: Institute of Mental Health.
Meehl, P. E. (1996). Clinical versus statistical prediction: A theoretical analysis and a review of the literature. Northvale, NJ: Jason Aronson (Original work published in 1954.).
Minoudis, P., Craissati, J., Shaw, J., McMurran, M. M., Freestone, M., Chuan, S. J., & Leonard, A., (2013). An evaluation of case formulation training and consultation with probation officers. Criminal Behaviour and Mental Health, 23, 252–262.
Minoudis, P., Shaw, J., & Craissati, J. (2012). The London Pathways Project: Evaluating the effectiveness of a consultation model for personality disordered offenders. Criminal Behaviour and Mental Health, 22, 218–232.
Mossman, D. (2006). Critique of pure risk assessment or, Kant meets Tarasoff. University of Cincinnati Law Review, 75, 523–609.
Mossman, D. (2015). From group data to useful probabilities: The relevance of actuarial risk assessment in individual instances. Journal of the American Academy of Psychiatry and the Law Online, 43, 93–102.
Nezu, A. M., & Nezu, C. M. (Eds.). (1989). Clinical decision-making in behavior therapy: A problem-solving perspective. Champaign, IL: Research Press.
Otto, R. K., & Douglas, K. S. (Eds.). (2010). Handbook of violence risk assessment tools. Milton Park: Routledge.
Persons, J. B. (1989). Cognitive therapy in practice: A case formulation approach. New York, NY: W.W. Norton & Company.
Phenix, A., Helmus, L., & Hanson, R. K. (2012). Static-99R & Static-2002R evaluators’ workbook. Retrieved from http://www.static99.org/pdfdocs/Static-99RandStatic-2002R_EvaluatorsWorkbook-Jan2015.pdf.
Reid, W. H., & Thorne, S. A. (2007). Personality disorders and violence potential. Journal of Psychiatric Practice, 13, 261–268.
Rice, M. E., Harris, G. T., & Lang, C. (2013). Validation of and revision to the VRAG and SORAG: The violence risk appraisal guide—Revised (VRAG-R). Psychological Assessment, 25, 951.
Sturmey, P., & McMurran, M. (Eds.). (2011). Forensic case formulation. Chichester: Wiley-Blackwell.
Tarrier, N. (2006). Case formulation in cognitive behaviour therapy: The treatment of challenging and complex cases. London: Routledge.
van der Heijden, K. (1994). Probabilistic planning and scenario planning. In G. Wright & P. Ayton (Eds.), Subjective probability (pp. 549–572). Chichester: Wiley.
Weerasekera, P. (1996). Multiperspective case formulation: A step toward treatment integration. Malabar, FL: Krieger.
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Logan, C. (2016). Risk Formulation: The New Frontier in Risk Assessment and Management. In: Laws, D., O'Donohue, W. (eds) Treatment of Sex Offenders. Springer, Cham. https://doi.org/10.1007/978-3-319-25868-3_4
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