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Assessment and treatment of violence-prone forensic clients: an integrated approach

  • Stephen C. P. Wong (a1), Audrey Gordon (a1) and Deqiang Gu (a1)
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.

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Copyright
Corresponding author
Dr Stephen C. P. Wong, Research Unit, Regional Psychiatric Centre, Box 9243, Saskatoon, Saskatchewan, S7K 3X5, Canada. Email: s.wong@sasktel.net
Footnotes
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Declaration of interest

S.C.P.W. and A.G. are proprietors of VRS and VRP.

Footnotes
References
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  • ISSN: 0007-1250
  • EISSN: 1472-1465
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Assessment and treatment of violence-prone forensic clients: an integrated approach

  • Stephen C. P. Wong (a1), Audrey Gordon (a1) and Deqiang Gu (a1)
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