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Further, we wanted to examine whether all items in these structured professional judgement instruments were relevant.
The START and SAPROF are newly developed fourth generation structured professional judgement instruments assessing strengths and protective factors.
The development of structured professional judgement instruments to assist decision making in areas other than risk assessment should be of broad interest to clinicians other than forensic psychiatrists.
The clinical information contained in the structured professional judgement instruments was inevitably available in unstructured form to the clinicians and MHRBs who could not be deprived of it.
Structured professional judgement instruments should improve the quality, consistency and transparency of clinical recommendations and decision making at mental health review boards.
Risk assessment in forensic psychiatry has evolved in recent years from the use of unstructured clinical judgement to the use of structured professional judgement instruments.
Similar(35)
The leading structured professional judgement instrument for the assessment of risk of violence has been the Historical-Clinical-Risk Management-20 (HCR-20) [ 13].
The HCR-20 is a structured professional judgement instrument to assist in the assessment and management of risk of violence [ 7, 47].
Rates were elevated when population rates of violence were higher, when a structured professional judgement instrument was used and when there was a lower proportion of men in a study.
Carroll [ 48] has recently pointed out the advantages of such intuitive approaches while cautioning that a structured professional judgement instrument should always be used alongside intuitive assessments as a valid, transparent, deliberative and unbiased check on some of the problems that can arise with intuitive methods.
Multiple observations in varying settings from different assessment instruments are necessary to make a summative judgement about overall competence.
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