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



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

Richard Whittington (Editor), Caroline Logan (Co-Editor)

ISBN: 978-1-119-99622-4 March 2011 328 Pages


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



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).