Managing Clinical Risk : A Guide to Effective Practice

Violence directed towards others and violence directed towards oneself cause an immense amount of physical and psychological damage – to the harmed and the harmful person alike, to their families, and to the public at large. Managing clinical risk is an authoritative manual for practitioners working with harmful men, women, and young people, containing up-to-date information and guidance on what to do and how they can assess and manage clinical risk, communicate their concerns about risk, and account for their decisions about risk management to their clients and to the Courts.

This book provides an evidence-based understanding of risk in key areas of practice – violence, sexual violence, firesetting, suicide, and self-harm, working with individuals and organisations alike – and among special groups: women, young people, serving and former military personnel, clients with comorbid presentations, and clients with cognitive impairment. Further, it suggests and describes the skills practitioners need to understand and communicate their concerns to all who need to know about them through coverage of interviewing and risk formulation skills.

This is a guidebook to effective practice. All its contributors have a record of research, practice, and considered thinking in the area of clinical risk assessment and management. They all have a wide range of knowledge and experience about the notion of risk, conducting risk management in real world mental health, correctional, and community settings, and about working with clients with a label of high risk. Together, they combine theoretical and research knowledge with a wealth of practical skills in care and management, emphasising the collaborative and recovery-focused nature of modern risk management.

Caroline Logan is Consultant Forensic Clinical Psychologist in Greater Manchester West Mental Health NHS Foundation Trust and Honorary Research Fellow in the Department of Community Based Medicine at the University of Manchester.

Lorraine Johnstone is Lead Consultant Clinical Forensic Psychologist in a forensic mental health service for children and adolescents. She also holds an honorary position as Research Fellow at the Centre for the Study of Violence, Glasgow Caledonian University.