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Violence risk in community settings 

Violence risk in community settings
Chapter:
Violence risk in community settings
Author(s):

Alec Buchanan

, and Michael A. Norko

DOI:
10.1093/med/9780198738664.003.0012
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date: 05 December 2019

Managing the risk of harm to others is an essential aspect of the care of hospital patients and mentally disordered people in prisons. As these people move to the community, the responsibility to assess risk remains, but the circumstances and the resources available change. This chapter reviews violence risk-assessment principles described in previous chapters, and applies them to the management of risk in community settings. Those principles continue to require the obtaining of information from a range of sources and the collation of that information, a task complicated by the coexistence of correlation-based and causation-based approaches in the literature. Managing risk in community settings requires particular attention to a range of concerns, including the appropriateness of residential placements, the monitoring of people’s mental states, and the ethics of sharing information. It also requires the integration of risk-management strategies with other tools of rehabilitation, such as vocational services and substance-abuse services.

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