Risk Assessment Flashcards

1
Q

The Case of Myles Brandon Sanderson

A
  • 59 criminal convictions as an adult
  • Upbringing: Physical abuse, instability, neglect
  • PTSD and ADHD
  • Several accounts of fights, threats, assaults, gunpoint robbery
    Main Sentence: Domestic Abuse - beating until unconscious, kicking police office, stabbing 2 people with a fork
  • Statutory release on 4.5-year sentence (2/3 through sentence)
  • Conditional: report domestic relationships, no alcohol or drugs, away from defendants
  • Considered high risk for spousal abuse and medium-high risk for violence
  • Went on stabbing spree on James Smith Cree Nation in 2022 - 11 people dead, 7 injured
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The Case of Gypsy Rose Blanchard

A
  • Victim of mother with Munchausen by proxy
  • Physical, emotional and medical abuse (told she had an intellectual disability and that she was born 4 years younger to prolong childhood)
  • Met boyfriend online and set a plan to kill her mother
  • On June 10, 2015 her boyfriend Nicholas Godejohn entered house and killed mother and fled with gypsy
  • Sentenced for 10 years, released after 8.5
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Risk Assessment

A

Judgement made about likelihood of events, such as future criminal acts - specifically violent acts
- Balance keeping the community safe and not justifying extreme penalties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Risk Assessment Prediction

A

The probability that a person will commit future criminal or violent acts, which is determined by identifying risk factors that are related to this likelihood of future violence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Probability considerations

A
  1. Probabilities may change across time
    - Low probability upon release, may increase overtime
    - could also change in good way with increased life stability
  2. Risk level reflects an interaction among a person’s characteristics, background and possible future situations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Risk assessment management

A
  • The development of interventions to manage or reduce the likelihood of future violence
  • Identifying what treatments might reduce the individual’s level of risk
  • What conditions need to be implemented to manage the individual’s risk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Risk assessment throughout legal process

A

Pretrial
- Risk assessment for bail - reoffence, flight risk, people around them
- Teen tried as an adult (adult sentencing) - risk of reoffence
Sentencing/Type of Custody
- Probation or imprisonment
- Minimum, medium or maximum security prison - escape risk or risk of injuring other people
Release
- Statutory release could be denied
- risk could be too high to be released to mental health facility - stay in prison with mental health services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Risk assessment predictions: decisions vs outcomes

A
  • True positive: We predicted it would and it did
  • True negative: we predicted it wouldn’t and it didn’t
  • False positive: we predicted it would and it didn’t - implications for person being accused
  • False negative: we predicted it wouldn’t and it did - potentially dangerous implications for society and community
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Def: Base Rate

A

the percentage of people within a given population who commit a criminal or violent act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The base rate problem

A
  • Difficult to make predictions when base rates are too low
  • If trying to make predictions based on low base rates - more false positives
  • It is easier to make predictions within groups with high base rates
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Factors effecting risk

A
  • Social situation
  • Background
  • Psychological features
  • Biological features
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Unstructured clinical judgement

A

Decisions characterized by substantial amount of professional discretion and lack of guidelines
- Great variation between cases and clinicians
- Consider bias, no follow up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Mechanical Prediction

A

Predefined rules about what risk factors to consider, how much information should be collected, how information should be combined
- Doesn’t vary across clinicians but not necessarily valid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Actuarial Prediction

A

The risk factors used have been selected and combined based on empirical or statistical association with a specific outcome
- Account for static risk factors but not dynamic
- Makes mechanical predications valid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Def: Risk factor

A

Measurable feature of an individual that predicts the behavior of interest, such as violence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Def: Static Risk factors

A

Factors that do not fluctuate over time and are not changed by treatment (historical)
- E.x. Age of first arrest

17
Q

Dynamic Risk Factors

A

Factors that fluctuate over time and are amenable to change
- Ex. Antisocial Attitude

18
Q

Structured Professional Judgement

A

Predetermined list of risk factors that have been selected from the research and professional literature
- Combination of unstructured and actuarial prediction
- Relies on real people to make judgement - make a final call

19
Q

Process of Risk Assessment

A
  1. Gather information
  2. Evaluate risk and protective factors
  3. Determine risk level
  4. Develop intervention or supervision plan
  5. Monitor change in risk level
20
Q

Acute Dynamic Risk Factors

A

Change rapidly within days, hours, or minutes and often occur just prior to an offense

21
Q

Static risk factors examples

A

Past Behavior: the most accurate predictor of future behaviour
Age of Onset
- Antisocial behavior emerging at an earlier age is more likely to result in chronic and serious patterns of violent behavior
- First act before age 11 - 50% violent behavior in adulthood
- Between 11 and 13 - 30% violent behavior in adulthood
- First act in adolescence - 10% violent behaviour in adulthood
Childhood History of Maltreatment
- Physical abuse and neglect, sexual abuse not a risk factor

22
Q

Contextual Risk Factors

A

AKA Situational risk factors
Aspects of the individual’s current environment that can elevate risk
1. Lack of social support
- Relationships with siblings and parents play a role in likelihood to offend
2. Access to weapons or victims

23
Q

What are the four types of social support

A
  • Instrumental: physically helping you with something
  • Emotional: To give strength
  • Appraisal: Aid and encourage
  • Information: Providing info or advice to help
24
Q

Dispositional Risk Factors

A

Reflect the individual’s traits, tendencies, or style
- Ex. age, gender, criminal attitudes, psychopathy
- Most evidence suggests that males are higher risk for general offending - engage in more serious violent acts

25
Q

Impulsivity

A

Not being able to regulate response to impulses or thoughts
- More impulsive, more likely to engage in crime and violence