@article{ref1,
title="Assessment and treatment of violence-prone forensic clients: an integrated approach",
journal="British journal of psychiatry. Supplement",
year="2007",
author="Wong, Stephen C. P. and Gordon, A. and Gu, Deqiang",
volume="49",
number="",
pages="s66-74",
abstract="BACKGROUND: A risk-reduction treatment programme complemented by a focused assessment, both guided by the risk-need-responsivity principles, is suggested as the preferred treatment for violence-prone individuals with personality disorder. AIMS: Violence Reduction Programme (VRP) and Violence Risk Scale (VRS) were used to illustrate the design and implementation of such an approach. Participants from a similarly designed Aggressive Behaviour Control Programme were used to illustrate the principles discussed and to test programme efficacy. METHOD: The VRS was used to assess risk/need and treatment readiness, and DSM-III/IV psychiatric diagnoses of 203 federal offenders. RESULTS: Participants had a high probability of violent recidivism and many violence-linked criminogenic needs, similar to offenders with high PCL-R scores. Most had antisocial personality disorder and substance use disorders; in terms of treatment-readiness, most were in the contemplation stage of change. Outcome evaluation results support the objectives of the VRP. CONCLUSIONS: Integrating risk-need-responsivity principles in assessment and treatment can provide useful guidelines for intervention with violence-prone forensic clients with personality disorder.<p /> <p>Language: en</p>",
language="en",
issn="0960-5371",
doi="10.1192/bjp.190.5.s66",
url="http://dx.doi.org/10.1192/bjp.190.5.s66"
}