TY  - JOUR
PY  - 2021//
TI  - Validity of short-term assessment of risk and treatability in the Japanese Forensic Probation Service
JO  - Frontiers in psychiatry
A1  - Kikuchi, Akiko
A1  - Soshi, Takahiro
A1  - Kono, Toshiaki
A1  - Koyama, Mayuko
A1  - Fujii, Chiyo
SP  - 645927
EP  - 645927
VL  - 12
IS  - 
N2  - This study aimed to evaluate the predictive validity and reliability of the Short-Term Assessment of Risk and Treatability (START) in the context of the Japanese forensic probation service. START is a structured professional judgement guide for risk domains concerning negative behaviors such as violence, self-harm, suicide, substance abuse, unauthorized leave, victimization, and self-neglect. In this study, rehabilitation coordinators evaluated community-dwelling patients who were treated under the Medical Treatment and Supervision Act at baseline and followed-up for 6 months. The results revealed that START vulnerability scores significantly predicted self-harm, suicide, physical aggression, substance abuse, and self-neglect. START strength scores predicted physical violence and unauthorized leave. Specific risk estimates predicted physical violence and self-neglect. Risk judgement for future substance use may require adjustments for cultural differences, because of the lower prevalence in Japan. These results suggest that START offers a feasible and valid tool that allows clinicians to plan treatment and promote recovery of forensic patients in Japan.<p />  <p>Language: en</p>
LA  - en
SN  - 1664-0640
UR  - http://dx.doi.org/10.3389/fpsyt.2021.645927
ID  - ref1
ER  -