[startgroup] Re: sexual violence risk and the START
- From: "n.a.c.troquete@xxxxxxxxxxx" <n.a.c.troquete@xxxxxxxxxxx>
- To: "startgroup@xxxxxxxxxxxxx" <startgroup@xxxxxxxxxxxxx>
- Date: Thu, 2 Sep 2010 12:16:20 +0200
For our outpatient forensic psychiatric group we've developed a client-version
of the START in which we've explicitly incorporated sexuality as both a risk
(eg, having disturbing or unacceptable sexual fantasies. Practicing unsafe sex.
Being addicted to sex) and protective (eg safe sex for both partners; having
controle of sexual fantasies and behaviour) factor.
This occurred after initial discussion with treatment staff who indicated that
sexuality often was one of the core issues in the treatment of (some of) their
clients.
We did not explicitly add sexuality to the case-manager version of the START
but rather agreed with treatment staff that when sexuality was an issue for a
client (either as a risk or as a protective factor) they would add it as a case
specific item.
Sincerely,
Nadine
Nadine Troquete
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Universitair Medisch Centrum Groningen
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Email: N.A.C.Troquete@xxxxxxxxxxx
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-----Original Message-----
From: startgroup-bounce@xxxxxxxxxxxxx [mailto:startgroup-bounce@xxxxxxxxxxxxx]
On Behalf Of Desmarais, Sarah
Sent: woensdag 1 september 2010 16:15
To: startgroup@xxxxxxxxxxxxx
Subject: [startgroup] Re: sexual violence risk and the START
In the past we have discussed sexual deviance as a case specific item and
sexual violence as a possible case specific risk estimate, if appropriate. I
think there is a good justification for sexual deviance being highlighted, if
you feel that the nature of the deviance is not well-captured in the conduct,
attitudes, relationships, and/or external triggers items. Similarly, you may
want to highlight the sexual nature of the violence risk as a specific risk
estimate. One can certainly think of circumstances in which level of general
violence risk may be low, but sexual violence risk high.
--
Sarah L. Desmarais, Ph.D.
Assistant Professor
Department of Mental Health Law & Policy Department of Community & Family
Health University of South Florida ________________________________________
From: startgroup-bounce@xxxxxxxxxxxxx [startgroup-bounce@xxxxxxxxxxxxx] On
Behalf Of Quazi Haque (Dr) [QuaziHaque@xxxxxxxxxxxxxxx]
Sent: Wednesday, September 01, 2010 7:05 AM
To: startgroup@xxxxxxxxxxxxx
Subject: [startgroup] Re: sexual violence risk and the START
Hi Denis.
Seems to me that your suggestion regarding sexual deviance as a case specific
factor is in line with the manual guidance [p76]. In our male and female sex
offender populations we have certainly taken this approach. We have however,
placed 'sexual violence' within the START/ HCR definition of violence for the
purposes of the risk estimate[this probably warrants analysis]; We use the
modified START Outcome/ Yudofsky Scale to capture sexually inappropriate
behaviours.
Further refinement then occurs through the SVR-20/RSVP when appropriate.
Best wishes
Kaz
-----Original Message-----
From: startgroup-bounce@xxxxxxxxxxxxx
[mailto:startgroup-bounce@xxxxxxxxxxxxx] On Behalf Of Denis Zavodny
Sent: 01 September 2010 00:24
To: startgroup@xxxxxxxxxxxxx
Subject: [startgroup] sexual violence risk and the START
Has anyone used "sexual violence" as a "case specific" risk estimate on the
START? I would think that, given the meta-analyses, one should add sexual
deviance as a "case specific" strength/vulnerability. Comments please.
Thanks.
Denis
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