Clinical Decision-Making about Psychopathy and Violence Risk Assessment in Public Sector Mental Health Settings

Authors

Eric B. Elbogen, Duke University Medical CenterFollow
Matthew T. Huss, Creighton UniversityFollow
Alan Tomkins, University of NebraskaFollow
Mario J. Scalora, University of Nebraska-LincolnFollow

ORCID IDs

Mario J. Scalora

Document Type

Article

Date of this Version

6-1-2005

Comments

Published in Psychological Services 2:2 (2005), pp. 133–141. Copyright © 2005 American Psychological Association. Used by permission. http://www.apa.org/journals/ser/

Abstract

Although there has been extensive research on psychopathy, it is unknown how, or whether, clinicians in public sector mental health settings consider the Psychopathy Checklist (PCL) for assessing violence risk. Mental health clinicians (N = 135) from 4 facilities were interviewed by using multiple methods for collecting data on decision making. Participants considered clinical information most often when assessing violence risk, indicating that these data were most readily available. Clinicians perceived formal testing results (e.g., PCL) to be least available and considered testing least often, especially if clinicians had less clinical experience. Participants did not explicitly report using the PCL but did implicitly rely on psychopathy factors when assessing violence risk. Clinicians in crisis settings reported less availability of historical data typically needed for the PCL. The data point to specifi c ways to improve the clinical practice of violence risk assessment in public mental health settings.