The Short-Term Assessment of Risk and Treatability (START): A Prospective Validation Study in a Forensic Psychiatric Sample

A new assessment scheme-the Short-Term Assessment of Risk and Treatability (START)- presents a workable method for assessing risks to self and others encountered in mentally and personality disordered clients. This study aimed to demonstrate (a) prevalence and severity of risk behaviors measured by...

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Bibliographic Details
Published in:Assessment (Odessa, Fla.) Fla.), 2006-09, Vol.13 (3), p.313-327
Main Authors: Nicholls, Tonia L., Brink, Johann, Desmarais, Sarah L., Webster, Christopher D., Martin, Mary-Lou
Format: Article
Language:English
Subjects:
Adult
Adults
Aggression
Aggression - psychology
At Risk Persons
British Columbia
Commitment of Mentally Ill
Correctional Institutions
Female
Foreign Countries
Forensic Psychiatry
Humans
Incidence
Institutionalized Persons
Male
Measures (Individuals)
Mental Disorders
Mental Disorders - psychology
Mental Health Workers
Overt Agression Scale (Yudofsky)
Personality Assessment
Personality Problems
Prevalence
Prospective Studies
Psychological Patterns
Psychological Testing
Psychometrics
Reproducibility of Results
Risk
Risk Assessment
Self Destructive Behavior
Self-Injurious Behavior - psychology
Severity of Illness Index
Surveys and Questionnaires
Test Reliability
Test Validity
Violence
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Summary:A new assessment scheme-the Short-Term Assessment of Risk and Treatability (START)- presents a workable method for assessing risks to self and others encountered in mentally and personality disordered clients. This study aimed to demonstrate (a) prevalence and severity of risk behaviors measured by the START, (b) psychometric properties of START, (c) similarities and differences in START scores across different mental health professionals, and (d) concurrent validity of START with diverse negative outcomes. Treatment team members completed the 20-item, dynamically focused START for 137 forensic psychiatric inpatients. Prevalence and severity of START risk domains were measured for 51 patients detained in the hospital for 1 year. Results revealed high rates of generally low-level adverse events. With some exceptions, START scores were meaningfully associated with outcomes measured by a modified Overt Aggression Scale.
ISSN:1073-1911
1552-3489
DOI:10.1177/1073191106290559