An Approach to Evaluating Competence in Assessing and Managing Violence Risk

作者：McNiel Dale E^*; Hung Erick K; Cramer Robert J; Hall Stephen E; Binder Renee L

来源：Psychiatric Services, 2011, 62(1): 90-92.

DOI：10.1176/appi.ps.62.1.90

Objective: The authors developed and evaluated a tool for assessing competency in violence risk assessment and management. Methods: The Competency Assessment Instrument for Violence Risk (CAI-V) was based on the literature on violence risk assessment, which was complemented by feedback from faculty focus groups. In an objective structured clinical examination, 31 faculty observers used the CAI-V to rate the performance of 31 learners' (26 psychiatry residents and five psychology interns) risk assessments of standardized (simulated) patients. In an interrater reliability study, six faculty members rated video-recorded risk assessments. Results: The CAI-V had good internal consistency reliability (alpha=.93). Senior learners performed better on the CAI-V than junior learners, supporting the instrument's concurrent validity. Interrater reliability was good (intraclass correlation coefficient=.93). Participants reported that the CAI-V provided a helpful structure for feedback and supervision. Conclusions: The results supported the potential of this new approach for appraising competency in violence risk assessment and management. (Psychiatric Services 62:90-92, 2011)

• 出版日期2011-1