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The Scottish High Risk Mental Health Youth Project (IVY)– Key Findings and Messages for Practice. Leanne Gregory, Principal Clinical Psychologist, IVY Heather Irving, Social Worker CYCJ/IVY Nota Scotland Conference 29 th April 2014. The Challenges. The rest of IVY.

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the scottish high risk mental health youth project ivy key findings and messages for practice

The Scottish High Risk Mental HealthYouth Project (IVY)– Key Findings andMessages for Practice

Leanne Gregory, Principal Clinical Psychologist, IVY

Heather Irving, Social Worker CYCJ/IVY

Nota Scotland Conference

29th April 2014

the rest of ivy
The rest of IVY

Stuart Allardyce Dr Lorraine Johnstone

slide9

Framework for Risk Assessment Management and Evaluation (FRAME)

http://www.rmascotland.gov.uk/standardsandguidelines/

risk formulation
Risk Formulation

Formulation is the summation and integration of the knowledge that is acquired by the assessment process (which may involve a number of different procedures). This will draw on psychological theory and data to provide a framework for describing a problem, how it developed and is being maintained”

Division of Clinical Psychology 2001; cited Johnstone & Dallos (2006)

risk formulation1
Risk Formulation

Formulation is not a new or novel concept in general terms; it is used in each of the main models of psychotherapy – behavioural, cognitive-behavioural, psychodynamic, systemic and integrative approaches - these are theoretically guided or model specific forms of formulation.

risk formulation2
Risk Formulation

No single theory or model of violence exists

therefore

A pragmatically guided formulation has more utility in risk assessment

4 p s approach
4 P’s Approach
  • predisposing (i.e., factors in the individual’s past that may increase his proclivity or vulnerability to violence)
  • precipitating (i.e., events or circumstances that may trigger the behaviour or disinhibit usual behavioural controls); (motivators, disinhibitors)
  • perpetuating (i.e., factors that cause the risk to remain) (impeders, unresolved vulnerabilities)
  • protective factors (i.e., aspects of the offender’s functioning or circumstances that moderate the risk)
who is referring
Who is referring?

25 referrals

1 police

5health 19 social work

slide16

2

1

1

2

1

2

1

2

3

5

1

4

Map of Scotland provided courtesy of FreeVectorMaps.com

demographics age sex
Demographics – Age & Sex

N= 25

Mean age = 15.5

Mode = 16

Range 12-17

Male = 19

Female = 6

slide22

Firesetting

Violent Extremism

Victimisation

Sexual offence - contact

PRIMARY RISK

N = 17

Suicide /DSH

Interpersonal Violence

Sexual offences non-contact

slide23

Sexual offences non-contact

Firesetting

SECONDARY RISK

Suicide /DSH

Victimisation

Interpersonal violence

level 2
Level 2

10 offered 9 accepted

Risk Assessment Learning Disability

Personality

Mental Health Diagnostic Review