Rethinking Risk Assessment: the MacArthur Study of Mental Disorder and Violence
Department of Psychiatry
Medical Subject Headings
Mentally Ill Persons; Mental Disorders; Violence; Risk Assessment
Citation: Monahan, J., Steadman, H., Silver, E., Appelbaum, P., Robbins, P., Mulvey, E., Roth, L., Grisso, T., & Banks, S. (2001). Rethinking risk assessment: The MacArthur study of mental disorder and violence. New York: Oxford University Press. ISBN 0195138821, 9780195138825.
Winner of the American Psychiatric Association's Manfred S. Guttmacher Award, 2002.
Publisher summary: The presumed link between mental disorder and violence has been the driving force behind mental health law and policy for centuries. Legislatures, courts, and the public have come to expect that mental health professionals will protect them from violent acts by persons with mental disorders. Yet for three decades research has shown that clinicians' unaided assessments of "dangerousness" are barely better than chance. Rethinking Risk Assessment: The MacArthur Study of Mental Disorder and Violence tells the story of a pioneering investigation that challenges preconceptions about the frequency and nature of violence among persons with mental disorders, and suggests an innovative approach to predicting its occurrence. The authors of this massive project -- the largest ever undertaken on the topic -- demonstrate how clinicians can use a "decision tree" to identify groups of patients at very low and very high risk for violence. This dramatic new finding, and its implications for the every day clinical practice of risk assessment and risk management, is thoroughly described in this remarkable and long-anticipated volume. Taken to heart, its message will change the way clinicians, judges, and others who must deal with persons who are mentally ill and may be violent will do their work.
Preview available via Google Books.
Monahan, John; Steadman, Henry J.; Silver, Eric; Appelbaum, Paul S.; Robbins, Pamela Clark; Mulvey, Edward P.; Roth, Loren H.; Grisso, Thomas; and Banks, Steven M., "Rethinking Risk Assessment: the MacArthur Study of Mental Disorder and Violence" (2001). Psychiatry Publications and Presentations. 317.