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Rethinking Risk Assessment: The MacArthur Study of Mental Disorder and Violence
Rethinking Risk Assessment tells the story of a pioneering investigation that challenges preconceptions about the frequency and nature of violence among persons with mental disorders, and suggests an…
Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighborhoods.
The prevalence of community violence by people discharged from acute psychiatric facilities varies considerably according to diagnosis and, particularly, co-occurring substance abuse diagnosis or symptoms.
Clinical practice. Assessment of patients' competence to consent to treatment.
- P. Appelbaum
- MedicineNew England Journal of Medicine
- 1 November 2007
A 75-year-old woman has type 2 diabetes mellitus, peripheral vascular disease, and a gangrenous ulcer of her left foot, and she declines a below-the-knee amputation, saying that she has lived long enough and wants to die with her body intact.
Insight in Schizophrenia. Its Relationship to Acute Psychopathology
- J. McEvoy, L. J. Apperson, L. Roth
- Psychology, MedicineJournal of Nervous and Mental Disease
- 1 January 1989
It is suggested that very little of the deficiency in insight seen in schizophrenic patients is explainable on the basis of acute psychopathological features, and the mechanism that accounts for impairment in insight in schizophrenia may be relatively resistant to treatment with neuroleptic medication.
Assessing patients' capacities to consent to treatment.
The right of patients to accept or refuse recommended treatment requires careful reassessment when their decision-making capacities are called into question, and the clinical examiner's proper role is to gather relevant information and decide whether an adjudication of incompetence is required.
A new brief instrument for assessing decisional capacity for clinical research.
The UBACC was found to have good internal consistency, interrater reliability, concurrent validity, high sensitivity, and acceptable specificity, and could be used to identify subjects with questionable capacity to consent to the specific research project.
A Classification Tree Approach to the Development of Actuarial Violence Risk Assessment Tools
This work proposes a classification tree rather than a main effects regression approach for actuarial violence risk assessment tools, and suggests that by employing two decision thresholds for identifying high- and low-risk cases, the use of actuarial tools to make dichotomous risk classification decisions may be further enhanced.
The MacCAT-T: a clinical tool to assess patients' capacities to make treatment decisions.
The MacCAT-T offers a flexible yet structured method with which caregivers can assess, rate, and report patients' abilities relevant for evaluating competence to consent to treatment, and a high degree of ease of use and interrater reliability.
Decisional capacity for informed consent in schizophrenia research.
The decisional capacity for informed consent in schizophrenic research subjects is ascertained, to determine if reduced capacity relates to specific aspects of psychopathologic features and to test the hypothesis that reduced capacity can be remediated with an educational informed consent process.
Violence and delusions: data from the MacArthur Violence Risk Assessment Study.
- P. Appelbaum, P. Robbins, J. Monahan
- Psychology, MedicineThe American journal of psychiatry
- 1 April 2000
Although delusions can precipitate violence in individual cases, these data suggest that they do not increase the overall risk of violence in persons with mental illness in the year after discharge from hospitalization.