ABSTRACT

Violence risk assessment and management is at the forefront of the work of mental health professionals in forensic mental health settings. Staff working in these settings are presented with many challenges. This review explores how mental health professionals working in forensic mental health settings experience the violence risk assessment and management process. A systematic mixed studies review utilizing PRISMA guidelines was conducted. Sixteen studies were identified for inclusion. Data from qualitative, quantitative, and mixed-methods studies were analyzed together using a data-based convergent synthesis design. Using a best-fit framework synthesis approach, existing data was built upon to allow for a comprehensive qualitative overview of mental health professionals’ experiences. The themes which emerged were: The Patient as a Person; The Caring Relationship; Multidisciplinary Working; and Reliance on Clinical Intuition. Results, clinical implications, and future research directions are discussed.

摘要

暴力风险评估和管理是法医精神卫生机构中精神卫生专业人员工作的重中之重。在这些环境中工作的员工面临着许多挑战。本综述探讨了在法医心理健康环境中工作的心理健康专业人员如何体验暴力风险评估和管理过程。利用 PRISMA 指南进行了系统的混合研究审查。确定了 16 项研究纳入。使用基于数据的收敛综合设计对来自定性、定量和混合方法研究的数据进行了分析。使用最适合的框架综合方法，建立在现有数据的基础上，以允许对心理健康专业人员的经验进行全面的定性概述。出现的主题是：病人作为一个人；关怀关系；多学科工作；和对临床直觉的依赖。讨论了结果、临床意义和未来的研究方向。