Predictive validity of the START for unauthorised leave and substance abuse in a secure mental health setting: a pseudo-prospective cohort study

International Journal of Nursing Studies
Laura E O'Shea, Geoffrey L Dickens

Abstract

Risk assessment and management is central to the nursing role in forensic mental health settings. The Short Term Assessment of Risk and Treatability (START) aims to support assessment through identification of risk and protective factors. It has demonstrated predictive validity for aggression; it also aims to aid risk assessment for unauthorised leave and substance abuse where its performance is relatively untested. To test the predictive validity of the START for unauthorised leave and substance abuse. A naturalistic, pseudo-prospective cohort study. Four centres of a large UK provider of secure inpatient mental health services. Inpatients resident between May 2011 and October 2013 who remained in the service for 3-months following assessment with the START by their clinical team. Exclusion criteria were missing assessment data in excess of prorating guidelines. Of 900 eligible patients 73 were excluded leaving a final sample size of n=827 (response rate 91.9%). Mean age was 38.5 years (SD=16.7); most participants (72.2%) were male; common diagnoses were schizophrenia-type disorders, personality disorders, organic disorders, developmental disorders and intellectual disability. Routinely conducted START assessments were gathere...Continue Reading

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Oct 13, 2010·Issues in Mental Health Nursing·Tom Mason, Dianne Phipps

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Citations

Aug 4, 2015·Journal of Psychiatric and Mental Health Nursing·G L Dickens
Dec 12, 2020·Journal of Psychiatric and Mental Health Nursing·Jenni KonttilaHelvi Kyngäs

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