Pre-Congress Workshops
Wednesday 23 October 2013
09.30 – 10.00 |
Registration |
10.00 – 13.30 |
Workshop 1 Workshop 2 |
13.30 – 14.30 |
Lunch on your own |
14.00 – 14.30 |
Registration |
14.30 – 18.00 |
Workshop 3 Workshop 4 |
(1) The black box of aggression unraveled
The application of the Early Recognition Method
Dr. Frans Fluttert (Netherlands) & Gunnar Eidhammer (Norway):
Registration 09.30 – 10.00
Workshop from 10.00 – 13.30
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Dr. Frans Fluttert |
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Facilitator
Dr. Frans Fluttert is Senior Researcher at FPC Dr. S. Van Mesdag, a forensic psychiatric hospital in Groningen. Hi finished his Phd on ‘Risk Management in Forensic Mental Health Nursing: application of the Early Recognition Method’. He is Ass.Prof. at Molde University College (Norway) and Research Supervisor at Research Centre for Forensic Psychiatry, Oslo University Norway.
Fluttert completed his Phd on ‘Risk Management in Forensic Mental Health Nursing: application of the Early Recognition Method’. He lectures at universities in The Netherlands, Germany and Rumania and publishes in international journals. He is involved in several international research projects. In his former professional career he worked as forensic mental health nurse, probation officer and forensic social inquiry reporter for court. Fluttert was Chair of the Nursing Special Interest Group of the IAFHMS, steering group member of EVIPRG and member of the SSTI.
Abstract
Inpatient aggression is a main topic in forensic psychiatric care. The ‘Early Recognition Method’ [ERM] is a risk management strategy objective to support self-management of patients regarding relapse prevention of aggression. Staff and patient discuss and describe patient’s early warning signs of aggression. The focus is on those early warning signs that are very personal based, which are referred to as ‘signature risk signs’. The early warning signs are described in the so-called Early Detection Plan [EDP].
A major obstacle in current clinical practice is that there hardly are instruments or tools available to support patients and nurses to collaboratively identify early warning signs of aggression in a structured way. The Forensic Early Signs of Aggression Inventory [FESAI] was developed in order to assist nurses and patient in identifying patient’s personalized early warning signs. Using the FESAI the nurse and patient together explore which items of the FESAI represent the patient’s early warning signs of aggression, after which nurse and patient elaborate on theses early warning signs in the Early Detection Plan.
By means of the ERM patients monitor their behaviour aiming to recognise their early signs. If so, action may be taken to prevent a serious violence and to help the patient to regain equilibrium. Research suggests ERM to contribute to a significant decrease of inpatient violent incidents and a significant decrease of severity of inpatient incidents.
In the workshop the Early Recognition Method will be outlined. The application of the Early Detection Plan and the Forensic Early warning Signs of Aggression Inventory will be demonstrated and trained, by using case descriptions and movie fragments.
Assessment of protective factors for violence risk: The SAPROF
Ellen van den Broek, Dr. Vivienne de Vogel & Dr. Michiel de Vries Robbé (Netherlands)
Registration 09.30 – 10.00
Workshop from 10.00 – 13.30
Ellen van den Broek, Dr. Vivienne de Vogel & Dr. Michiel de Vries Robbé
Facilitators
Ellen van den Broek is a psychologist and treatment supervisor of the community rehabilitation unit at the Van der Hoeven Kliniek in Utrecht, the Netherlands. She has been involved with the development and implementation of the SAPROF and has extensive experience using risk assessment tools in daily clinical practice.
Michiel de Vries Robbé is a psychologist in the Department of Research at the Van der Hoeven Kliniek in Utrecht, the Netherlands. His near finished PhD research focuses on protective factors for violence risk.
Vivienne de Vogel is a psychologist and head of the Department of Research at the Van der Hoeven Kliniek in Utrecht, the Netherlands. Her research focuses on violence risk assessment, including protective factors and violence (risk assessment) in women.
Abstract
In this workshop we will focus on protective factors for violence risk. The Structured Assessment of Protective Factors for violence risk (SAPROF; De Vogel et al., 2009; 2nd Edition, 2012)* is an assessment tool for the evaluation of protective factors. It is a structured professional judgment checklist designed to be used in combination with risk-focused tools like the HCR-20 or the HCR:V3 (Webster et al., 1997; Douglas et al., 2013). The addition of the structured assessment of protective factors aims to complement the risk assessment process creating a more balanced assessment for future violence risk. The dynamic factors of the SAPROF are helpful in case formulation, establishing positive treatment goals, evaluating treatment progress and stimulating well-informed risk communication. In doing so, protective factors enable a more positive approach to violence prevention.
Research results with the SAPROF in samples of violent and sexually violent offenders show good interrater reliability and good predictive validity for no violent recidivism after treatment as well as no violent incidents during treatment (see De Vries Robbé et al., 2011; 2012; 2013; submitted). SAPROF scores demonstrate significant improvements in treatment and the positive development of protective factors during treatment proves predictive of less violent recidivism. Moreover, the SAPROF clinically shows to be a valuable additional dynamic approach to treatment, offering new guidelines for positive treatment interventions.
This workshop will focus on the value of protective factors for clinical practice. Participants will be introduced to the SAPROF and will be trained in using the SAPROF in combination with the HCR-20 / HCR:V3 by means of case study examples. Advantages for risk assessment and risk management will be discussed and latest research results with the SAPROF will be presented.
“Targeting violence”: Violence in the workplace: An endemic but not an inevitable problem of 21st century healthcare delivery
Mr David Jones (UK)
Registration 14.30 – 18.00
Workshop from 14.00 – 14.30
Mr David Jones
Facilitator
David Jones is a Consultant Nurse at Nottinghamshire Healthcare Trust. Specialising in the assessment, treatment and management of violence, he has worked extensively with both patient and staff orientated violence reduction initiatives. These have included the development and implementation of violent offender treatment programmes and the delivery of staff training and development strategies that encompass both preventative and reactive elements aimed at minimising the effects of violence. In the last year David has provided leadership in the development of Nottinghamshire Healthcare NHS trusts violence reduction strategy.
Abstract
Violence in healthcare settings is a significant international problem and an economic burden that adversely impacts upon the quality of care and safety of all involved. Although in mental health, violence is considered endemic and is frequently seen as an inevitable part of the human condition to respond to rather than to prevent, in recent years there has been a significant shift towards the notion that violence is preventable. Contemporary thinking on workplace violence stresses the need to address the problem in terms of total organisational dimensions of workplace violence. Typically, organisations affected by violence report significant workforce disruption, absenteeism and retention problems, and decreased productivity and efficiency. In addition, many costs are incurred or increased including replacement costs, compensation settlements, insurance premiums and legal expenses. The workshop will deliver an insight into the development and delivery of a violence reduction strategy within one of the largest mental health services in Europe. Starting with an overview of the problematic nature of violence in mental health settings and exploring the aetiology of this interpersonal problem, the workshop will focus on the framework and content of an ecologically based violence reduction strategy. Key aspects of this workshop will include a focus on creating safe therapeutic environment, staff training, risk assessment and treatment interventions.
Improvement of risk assessment and risk management in violent youth using the SAVRY
Dr. H.P.B. Lodewijks (Netherlands)
Registration 14.30 – 18.00
Workshop from 14.00 – 14.30
Dr. H.P.B. Lodewijks
Facilitator
Henny Lodewijks is licensed clinical psychologist and psychotherapist in The Netherlands. He holds a PhD at the Free University Amsterdam, based on the thesis ‘Violent risk assessment in adolescents in the Dutch juvenile justice system’.
He was 20 years director and clinical psychologist at a foundation for assessment and counseling for special schools and 15 years treatment director of LSG-Rentray, a foundation for juvenile justice and youth care in the Netherlands. He has been associated as a senior lecturer in a post graduate program for mental health psychologists at Radboud University Nijmegen till 2010. Currently, he is adviser of forensic and youth care institutions.
He published articles on risk assessment and risk management of violence in youth and about treatment practice in youth care in several national and international journals.
Abstract
Psychiatrists and psychologists working in mental health and justice systems make assessments and recommendations about the nature and degree of risk that an adolescent may pose for future violence. Risk management should go hand in hand with risk assessment. An international group of researchers has validated a standardized instrument for this purpose. The SAVRY (Structured Assessment of Violence Risk in Youth) is composed of 24 risk items (Historical, Individual and Contextual) and 6 protective items.The intention of the SAVRY is to help to improve the prediction of violent recidivism both during the stay in the institution and after release. This course focuses on recent SAVRY research, especially for the applicability in clinical practice. Furthermore a case with collateral and video information will be handled by the participants.
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