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WARRN – a formulation-based risk assessment procedure for Child and Adolescent Mental Health Services (CAMHS): the view of clinicians
Journal of Forensic Practice Pub Date : 2019-11-11 , DOI: 10.1108/jfp-06-2019-0025
Nicola S. Gray , Jacqui Tiller , Robert J. Snowden

Purpose Wales Applied Risk Research Network (WARRN) is a formulation-based technique for the assessment and management of serious risk (e.g. violence to others, suicide, etc.) for users of mental health services which has been adopted across most Child and Adolescent Mental Health Services (CAMHS) across Wales. The paper aims to discuss this issue. Design/methodology/approach An online survey was disseminated to National Health Service clinicians in CAMHS to evaluate their perceptions of the use and effectiveness of WARRN. Data from 88 clinicians were analysed with both quantitative and qualitative methods. Findings Clinicians reported increased clinical skills, increased confidence in their assessment and management of risk and in safety planning, the increased safety of service users and the general public, and a belief that WARRN had saved lives. The qualitative data showed that clinicians thought a common risk evaluation instrument across Wales and different agencies had created a common language and understanding that improved communication. Practical implications WARRN appears well accepted in CAMHS services with the view that it is having a very positive effect on service user well-being and safety and could be implemented in other services. Originality/value This is the first report of a formulation-based approach to the management of serious problem behaviours in CAMHS services.

中文翻译:

WARRN –儿童和青少年心理健康服务(CAMHS)的基于配方的风险评估程序:临床医生的观点

目的威尔士应用风险研究网络(WARRN)是一种基于配方的技术,用于为精神健康服务使用者评估和管理严重风险(例如,对他人的暴力行为,自杀等),已在大多数儿童和青少年心理中得到采用。威尔士各地的卫生服务(CAMHS)。本文旨在讨论这个问题。设计/方法/方法在线调查已分发给CAMHS中的National Health Service临床医生,以评估他们对WARRN的使用和有效性的看法。使用定量和定性方法分析了来自88位临床医生的数据。调查结果表明,临床医生报告说,他们的临床技能不断提高,他们对风险的评估和管理以及安全计划的信心增强,服务使用者和公众的安全性得到了提高,并相信WARRN拯救了生命。定性数据表明,临床医生认为整个威尔士和不同机构的共同风险评估工具创造了共同语言,并理解了这种交流方式。实际含义WARRN在CAMHS服务中似乎已被广泛接受,因为它对服务用户的福祉和安全性具有非常积极的影响,并且可以在其他服务中实施。独创性/价值这是基于公式化方法的CAMHS服务中严重问题行为管理的第一份报告。实际含义WARRN在CAMHS服务中似乎已被广泛接受,因为它对服务用户的福祉和安全性具有非常积极的影响,并且可以在其他服务中实施。独创性/价值这是基于公式化方法的CAMHS服务中严重问题行为管理的第一份报告。实际含义WARRN在CAMHS服务中似乎已被广泛接受,因为它对服务用户的福祉和安全性具有非常积极的影响,并且可以在其他服务中实施。独创性/价值这是基于公式化方法的CAMHS服务中严重问题行为管理的第一份报告。
更新日期:2019-11-11
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