This study considered whether assessments of violence risk in which 2 clinicians reach similar conclusions are more accurate than the conclusions of either clinician alone when their assessments disagree. One hundred ten physicians and 44 nurses estimated the probability of physical assault of 478 patients admitted to a short-term locked psychiatric inpatient unit. The level of assessed risk showed a substantial correspondence with the likelihood of later violence when the physician and nurse ratings were highly concordant. As the extent of agreement between the physician and nurse ratings decreased, the strength of the association between the risk assessments and the occurrence of violence decreased accordingly.
[Show abstract][Hide abstract] ABSTRACT: Social workers have a long history of working with clients in their homes. The mission and values of the profession support community-based service. Child welfare workers, in particular, routinely make home visits to clients. Social workers are at times at risk of violence when they work to assess and treat child welfare clients in their homes. Threats of and actual incidents of violence against social workers are increasing. Because of the current concern about violence toward social workers, practical strategies are suggested for reducing risks and maintaining personal safety while carrying out child welfare responsibilities.
The Clinical Supervisor 01/2002; 21(1):145-153. DOI:10.1300/J001v21n01_12
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