@article{ref1,
title="Evaluation and applications of the clinically significant change method with the violence risk scale-sexual offender version: implications for risk-change communication",
journal="Behavioral sciences and the law",
year="2015",
author="Olver, Mark E. and Beggs Christofferson, Sarah M. and Wong, Stephen C. P.",
volume="33",
number="1",
pages="92-110",
abstract="We examined the use of the clinically significant change (CSC) method with the Violence Risk Scale-Sexual Offender version (VRS-SO), and its implications for risk communication, in a combined sample of 945 treated sexual offenders from three international settings, followed up for a minimum 5 years post-release. The reliable change (RC) index was used to identify thresholds of clinically meaningful change and to create four CSC groups (already okay, recovered, improved, unchanged) based on VRS-SO dynamic scores and amount of change made. Outcome analyses demonstrated important CSC-group differences in 5-year rates of sexual and violent recidivism. However, when baseline risk was controlled via Cox regression survival analysis, the pattern and magnitude of CSC-group differences in sexual and violent recidivism changed to suggest that observed variation in recidivism base rates could be at least partly explained by pre-existing group differences in risk level. Implications for communication of risk-change information and applications to clinical practice are discussed. Copyright © 2015 John Wiley & Sons, Ltd.<p /> <p>Language: en</p>",
language="en",
issn="0735-3936",
doi="10.1002/bsl.2159",
url="http://dx.doi.org/10.1002/bsl.2159"
}