The reviewed article is a DOH paper on ‘Best Practice in Managing Risk’ available here. The risk in this case is stated to be risk to self and others. There is also an introduction by Professor Louis Appleby linking in some of the principles in the document with CPA, the new Mental Health Act and Supervised Community Discharge.
The document begins with 16 best practice tips for effective risk management covering a number of issues including those at service level and in the consultation. Later in the document, it is noted that the framework covers violence, self-neglect and self-harm or suicide. The best practice points are expanded upon later in the document. For instance there is a discussion of positive risk management which involves a number of wider issues being considered in the risk assessment. There is further discussion of CPA and the new Mental Health Act. In the section on risk assessments there is a comparison of the unstructured clinical approach, the actuarial approach and the recommended structured clinical judgement (the latter incorporating research evidence, service user’s experience, clinical experience and knowledge of the service user). The idea of embedding risk management in routine practice is elaborated on.
There is an extensive list of acknowledgements in the appendix but there are also a number of other very useful sections here including one on the tools that can be used in risk assessment with a breakdown of each one. This is a very useful reference work with many pointers for further reading.
The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog.