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Structured Risk Assessment Instruments: A Systematic Review of Implementation Determinants
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Department of Forensic Psychiatry.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Department of Medical Specialist in Motala.
Jonköping University, Sweden.
2016 (English)In: Psychiatry, Psychology and Law, ISSN 1321-8719, E-ISSN 1934-1687, Vol. 23, no 4, 602-628 p.Article in journal (Refereed) Published
Abstract [en]

Research-based structured risk assessment instruments (SRAIs) can improve violence risk assessment and clinical judgements in mental health and correctional services. Practical challenges of implementing SRAIs have led to calls for more research to understand the determinants influencing this process. Studies describing determinants for SRAI implementation in psychiatric, correctional, or community in-patient settings were systematically reviewed. Findings were analysed according to the Consolidated Framework for Implementation Research. A total of 11 studies were included. Four types of main implementation determinants were found: characteristics of the SRAI; users of the SRAI; inner setting; and process. Findings underscore the importance of applying a multifactorial approach to the implementation of SRAIs to address many different barriers and facilitators. More stringent research is needed to obtain more solid evidence of factors that impede or enable SRAI implementation, especially regarding patient perspectives and outer setting determinants. Constructing shared concepts of determinants across research fields could further aid information transferences.

Place, publisher, year, edition, pages
Routledge, 2016. Vol. 23, no 4, 602-628 p.
Keyword [en]
determinants; implementation; structured risk assessment; systematic review; violence
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:liu:diva-131922DOI: 10.1080/13218719.2015.1084661ISI: 000383249100010OAI: oai:DiVA.org:liu-131922DiVA: diva2:1034803
Available from: 2016-10-13 Created: 2016-10-11 Last updated: 2017-05-02

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Levin, SaraNilsen, PerBendtsen, Preben
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Department of Medical and Health SciencesFaculty of Medicine and Health SciencesDepartment of Forensic PsychiatryDivision of Community MedicineDepartment of Medical Specialist in Motala
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Pediatrics

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