Psychiatric risk assessment
In the case of psychiatric illness, both the patient and the environment can be at risk. Unfortunately, aggression, suicide, arson, somatic dysregulation and child insecurity correlate with disorders such as schizophrenia, depression, mania, PTSD, addiction and the like. It is important for the safety of the patient and his or her environment, as well as for healthcare workers, to estimate these risks and to respond to them in treatment.
Extreme examples such as the case of Anne Faber and Michael P. are fortunately rare. However, with every admission to a psychiatric clinic there is an increase in one of the above risks. That has increased now that the forensic and care laws in psychiatry have been linked.
Nevertheless, it has not been possible for more than ten years to implement risk assessment instruments sustainably in psychiatric care. The instruments are available, with different characteristics of internal and external validity, usability, ease of use and design. The Health and Youth Inspectorate demands the use of risk assessment in practice. Boards, directors, management and staff see the usefulness and added value. However, it turns out that the implementation process at almost all institutions does get stuck somewhere.
A framework is needed with room for customization. How can a practitioner assess risks as reliably as possible, while doing justice to the patient and his context, with minimal disruption to administration and systems? The results of risk assessment must be available to all parties involved and contribute to choices in the context of safety for patients and the environment.
In this study, all those involved are available to you: from staff on the shop floor to management, boards and inspectors. You can even talk to the government officials involved if you need to. But also the scientists who develop and validate the instruments, the companies that shape the ICT, the institutions that wonder why it doesn’t work or why it did work for them.
So this is a typical implementation question. Why is the use of instruments and technology that everyone considers important not getting off the ground?
Cluster: Health & Technology
This project contributes to the following Sustainable Development Goals (SDGs):