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Self-Harm and Violence: Towards Best Practice in Managing Risk in Mental Health Services

Richard Whittington (Editor), Caroline Logan (Co-Editor)
ISBN: 978-0-470-74607-3
328 pages
April 2011
Self-Harm and Violence: Towards Best Practice in Managing Risk in Mental Health Services (0470746076) cover image


Self-Harm and Violence: Towards Best Practice in Managing Risk in Mental Health Services presents the first exploration of the most effective clinical practice techniques relating to the management of risk in mental health care settings.
  • Based on the Department of Health’s Best Practice in Managing Risk guidance document, which was developed over a 12-month period in consultation with a national expert advisory group
  • Features contributions from many members of the group that drew up the Best Practice document – all leading theoreticians and practitioners in their particular fields – and embeds the principles laid out in the guidelines in real world practice
  • Reveals how contemporary risk management is a multidisciplinary and collaborative enterprise in which practitioners from different professions need to engage with each other in order to achieve success
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Table of Contents




1 Introduction (Richard Whittington and Caroline Logan).


2 Service Users: Experiences of Risk and RiskManagement (Kay Sheldon).

3 Carers: Experiences of Risk and RiskManagement (Sally Luxton).


4 Understanding andManaging Self-HarminMental Health Services (Maria Leitner and Wally Barr).

5 Understanding andManaging Violence inMental Health Services (Richard Whittington, James McGuire, Tilman Steinert and Beverley Quinn).

6 Suicide and Homicide by People withMental Illness: A National Overview (Kirsten Windfuhr and Nicola Swinson).

7 Evidence and Principles for Service User Involvement in RiskManagement (Helen Gilburt).


8 Guidelines and Standards forManaging Risk inMental Health Services (Caroline Logan, Norbert Nedopil and Thomas Wolf).

9 Organizations, Corporate Governance and RiskManagement (Ben Thomas).

10 Formulation in Clinical Risk Assessment andManagement (Caroline Logan, Rajan Nathan and Andrew Brown).

11 Evidence and Principles for Positive RiskManagement (Paul Clifford).

12 Encouraging Positive RiskManagement: Supporting Decisions by People with Learning Disabilities Using a Human Rights-Based Approach (Richard Whitehead, Ged Carney and Beth Greenhill).


13 Case Study 1: A Four-StepModel of Implementation (Geraldine Strathdee, Phil Garnham, Jane Moore and Devendra Hansjee).

14 Case Study 2: Narrowing the Gap between Policy and Practice (Kate Hunt).

15 Case Study 3: Learning fromExperience – Using Clinical Risk Data to Influence and Shape Clinical Services (Louise Fountain and Patrick McKee).

16 Case Study 4: FromTicking Boxes to Effective RiskManagement (Lorna Jellicoe-Jones, Mark Love, Roy Butterworth and Claire Riding).

17 Conclusions (Caroline Logan and Richard Whittington).



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Author Information

Richard Whittington is Professor of Mental Health in the School of Health Sciences at the University of Liverpool and an Honorary Research Fellow at Mersey Care NHS Trust. He has a PhD from the Institute of Psychiatry in London, and is a researcher and forensic psychologist with a particular research interest in the issues of violence, self-harm and mental health.

Caroline Logan is a Consultant Forensic Clinical Psychologist in Greater Manchester West Mental Health NHS Foundation Trust and an Honorary Research Fellow at the University of Manchester. She has a DPhil from the University of Oxford and is both practitioner and researcher, focusing on violence and self-harm, personality disorder and risk.

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Self-harm and Violence: Towards Best Practices in Managing Risk in Mental Health Services fills an important gap in the literature, presenting the voice of service users, summarizing the latest research about the risk of harm to self or others, and reviewing the strength of evidence for interventions used to prevent or reduce risk and harm on inpatient psychiatric units. This scholarly, yet highly accessible book will appeal to academics who are interested in studying issues related to harm to self or others, nursing staff who manage risk on a day-to-day basis, and educators who will welcome the compilation of information in one source.  
Mary E. Johnson, Professor of Nursing, Rush University, Chicago, USA
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