Systematization of violence risk assessment with tools of structured professional judgment in Cuenca, Ecuador
DOI:
https://doi.org/10.18537/mskn.08.01.01Keywords:
violence risk, assessment, psychopathy, spouse violenceAbstract
Introduction: The way professionals of mental health carry out violence risk assessment and intervention planning has an impact on judicial decisions, social wellbeing and professional responsibility.
Objectives: To determine the reliability of the psychopathy evaluation instruments and structured professional guides in violence risk assessment used at the Institute of Criminology and Family Psychosocial Intervention of the University of Cuenca, Ecuador.
Method: Previously trained pairs of psychologists and social workers assessed simultaneously 37 cases, who were transferred to the Institute, using structured violence risk assessment instruments -HCR 20 and SARA- and psychopathy evaluation instrument -Hare PCL-R-. Indicators of internal agreement and consistency were calculated.
Results: The agreement of the assessment of the risk of violence towards the couple was excellent. The intraclass coefficient was respectively 0.76 and 0.90 for psychologists and social workers. The indicators for the different sections of the HCR-20 and SARA were also excellent, ranging between 0.75 and 0.94. The indicator for PCL-R total was 0.96.
Conclusions: The results support the reliability of these instruments in Ecuador provided the users receive adequate training. The use of these instruments contributes to the systematization and transparency of the risk assessment procedures and the protection of the professional responsibility.
[1] SARA: Spousal Assault Risk Assessment
[2] Hare PCL-R: Hare Psychopathy Checklist-Revised
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Acero González AR, Escobar Córdoba F, Castellano Castañeda G (2007). Factores de riesgo para violencia y homicidio juvenil. Revista Colombiana de Psiquiatría 36:78-97
Alarcón P, Wenger L, Chesta S, Salvo S (2012). Validez predictiva del instrumento Evaluación de Riesgos y Recursos ( FER-R ) para la intervención en adolescentes infractores de ley: estudio preliminar. Universitas Psychologica 11(4):1183-1195
Andrés Pueyo A, López S, Alvarez E (2008). Valoración del riesgo de violencia contra la pareja por edio de la SARA. Papeles del Psicólogo 29(1):107-122
Arbach-Lucioni K, Desmarais S, Hurducas C, Condemarin C, Dean K, Doyle M, Folino J, Gody Cervera V, Grann M, Ho MYR, Large MM, Pham TH, Hjort Nielsen L, Rebocho MF, Reeves KA, Rettenberger M, de Ruiter C, Seewald K, Singh JP (2015). La práctica de la evaluación del riesgo de violencia en España. Revista de la Facultad de Medicina 63(3):357-366
Asamblea Constituyente (2008). Constitución de la República del Ecuador. Quito, Ecuador: Registro Oficial N° 449
Asamblea Nacional República del Ecuador (2014). Código Orgánico Integral Penal. Quito, Ecuador: Registro Oficial N° 180
Belfrage H (1998). Implementing the HCR-20 scheme for risk assessment in a forensic psychiatric hospital: Integrating research and clinical practice. Journal Forensic Psychiatry 9(2):328-338
Belfrage H, Fransson G, Strand S (2000). Prediction of violence using the HCR-20: A prospective study in two maximum-security correctional institutions. Journal Forensic Psychiatry 11(1):167-175
Belfrage H, Strand S, Storey JE, Gibas AL, Kropp PR, Hart SD (2012). Assessment and management of risk for intimate partner violence by police officers using the Spousal Assault Risk Assessment Guide. Law and Human Behavior 36(1):60-67. https://doi.org/10.1037/h0093948
Claix A, Pham TH (2004). Evaluation of the HCR-20 violence risk assessment scheme in a Belgian forensic population. Encephale 30(5):447-453
Congreso Nacional (2003). Código de la niñez y adolescencia. Quito, Ecuador: Registro Oficial 737 del 3 de Enero de 2003
Consejo Universitario de la Universidad de Cuenca (1984). Oficio Nro 84 del Rectorado, Resolución del Consejo Universitario de la Universidad de Cuenca, Cuenca
Consejo Universitario de la Universidad de Cuenca (2011). Resolución del Consejo Universitario de la Universidad de Cuenca del 18 de Octubre de 2011, Cuenca
Cote G, Crocker AG, Nicholls TL, Seto MC (2012). Risk assessment instruments in clinical practice. Canadian Journal of Psychiatry 57(4):238-244
de Borba Telles LE, Day VP, Folino JO, Taborda JGV (2009a). Reliability of the Brazilian version of HCR-20 assessing risk for violence. Revista Brasileira de Psiquiatria 31:253-256
de Borba Telles LE, Folino JO, Taborda JGV (2009b). Incidência de conduta violenta e antissocial em população psiquiátrica forense. Revista fr Psiquiatria de Rio Grande do Sul 33:3-7
de Borba Telles LE, Folino JO, Taborda JGV (2012). Accuracy of the historical, clinical and risk management scales (HCR-20) in predicting violence and other offenses in forensic psychiatric patients in Brazil. International Journal of Law and Psychiatry 35(5-6):427-431
de Borba Telles LE, Taborda JGV, Folino JO (2010). Avanços na avaliação de risco de violência [Progress on violence risk assessment]. Multijuris 5:36-43
de Vogel V, de Ruiter C, Bouman Y, de Vries Robbe M (2007). Guide to the SAPROF. Structured assessment of protective factors for violence risk. Version 1. Utrecht: Forum Educatief
Douglas KS, Hart SD, Webster CD, Belfrage H (2013). HCR-20 v3 Assessing risk for violence. Vancouver: Mental Health, Law, and Policy Institute, Simon Fraser University
Douglas KS, Hart SD, Webster CD, Belfrage H (2015). HCR-20 v3: Valoración del riesgo de violencia: guía del evaluador. (Arbach-Lucioni K, Andres-Pueyo A, Eds.) (Adaptación). Barcelona: Universitat de Barcelona
Douglas KS, Kropp PR (2002). A Prevention-based paradigm for violence risk assessment - Clinical and research applications. Criminal Justice and Behavior 29(5):617-658
Douglas KS, Ogloff JRP (2003). Multiple facets of risk for violence: The impact of judgmental specificity on structured decisions about violence risk. International Journal of Forensic Mental Health 2(1):19-34
Douglas KS, Ogloff JRP, Hart SD (2003). Evaluation of a model of violence risk assessment among forensic psychiatric patients. Psychiatric Services (Washington DC) 54(10):1372-1379
Douglas KS, Webster CD, Wintrup A (1996). The HCR:20 risk assessment scheme: Psychometric properties in two samples. Paper presented at the Annual Conference of the American Psychological Association, Toronto
Ennis BJ, Litwack TR (1974). Psychiatry and the presumption of expertise: Flipping coins in the courtroom. California Law Review 62:693-752
Escobar-Córdoba F, Acero-González AR, Folino JO (2015). Homicidas juveniles en Bogotá, estudio de grupos focales. Revista de la Facultad de Medicina 63(3):389-398
Falzer PR (2013). Valuing structured professional judgment: predictive validity, decision-making, and the clinical-actuarial conflict. Behavioral Sciences & the Law 31(1):40-54
Fleiss JL (1986). The design and analysis of clinical experiments. New York: Wiley
Folino JO (2003). Evaluación de riesgo de violencia -HCR - 20- Versión en español, adaptada y comentada. La Plata, Argentina: Interfase Forense
Folino JO (2004a). Guía para la evaluación del riesgo de violencia conyugal -SARA- Versión en español adaptada y comentada. La Plata: Editorial Interfase Forense
Folino JO (2004b). Nuevos paradigmas en la evaluación de peligrosidad [New paradigms in dangerousness assessment]. Doctrina Judicial - Editorial La Ley XX:871-876
Folino JO (2005). Risk assessment and violent recidivism risk management in convicts from Argentina. Research in Social Problems and Public Policy 12:75-78
Folino JO (2015). Predictive efficacy of violence risk assessment instruments in Latin-America. European Journal of Psychology Applied to Legal Context 7(2):51-58
Folino JO, Marchiano S (2002). Tasa basal de recidiva delictiva. Intercambios (5). Retrieved from http://der.jursoc.unlp.edu.ar/intercambios/index.htm
Folino JO, Arado M, Ferrari L, Marengo M (2002). Manejo del riesgo de recidiva violenta y el abuso de sustancias. La Plata: Procuración General de la Suprema Corte de Justicia, Provincia de Buenos Aires
Folino JO, Astorga C, Sifuentes M, Ranze S, Tenaglia D (2003). Confiabilidad de la Hare Psychopathy Checklist-Revised en población psiquiátrico forense argentina. Revista Argentina de Clínica Neuropsiquiátrica 10(5):5-11
Folino JO, Escobar-Córdoba F (2004). Nuevos aportes a la evaluación de riesgo de violencia. MedUNAb -Especial Salud Mental - Revista de la Facultad de Medicina de la UNAB 7:99-105
Folino JO, Arado MG, Ferrari LA, Marengo M (2004a). Prevención de recidiva delictual en abusadores de sustancias. Revista Médica de La Plata 38(3):20-24
Folino JO, Marengo CM, Marchiano SE, Ascazibar M (2004b). The Risk Assessment Program and the Court of Penal Execution in the Province of Buenos Aires, Argentina. International Journal of Offender Therapy and Comparative Criminology 48:49-58
Folino JO, Castillo JL, Cáceres MS, Campos ML, Silveri M, UcínS (2004c). Confiabilidad de la versión argentina de la HCR-20. Medicina Forense Argentina, Boletín de La Asociación de Médicos Forenses de laa República Argentina 27:2-5
Folino JO, Hare RD (2005). Listado revisado para verificación de la psicopatía: su estandarización y validación en la Argentina. Acta Psiquiátrica y Psicológica de América Latina 51:94-104
Folino JO, Cáceres MS, Campos ML, Silveri M, Ucín S, Ascazibar M (2005). Evaluación de factores dinámicos de riesgo de violencia. Vertex 16:188-195
Folino JO, Castillo JL (2006). Las facetas de la psicopatía según la Hare Psychopathy Checklist Revised y su confiabilidad. Vertex 17, 325-330.
Folino JO, Almirón MP, Ricci MA (2007a). Factores de riesgo de recidiva violenta en mujeres filicidas. Vertex 18(74):258-267
Folino J, Almiron M, Ricci MA (2007b). Violent recidivism risk factor in filicidal women. Vertex 18(74):258-267
Folino JO, Villaba DK, Singh JP (2016). Violence risk assessment in Latin America. In: Singh JP, Bjørkly S, Fazel S (Eds.), International perspectives on violence risk assessment (pp. 181-191). New York: Oxford University Press
Goldstein NES, Houck MJ, Folino JO (2015). Tópicos actuales de la investigación internacional sobre riesgo de violencia. Criminalidad 57(1):27-43
Grann M, Langstrom N, Tengstrom A, Stalenheim EG (1998). Reliability of file-based retrospective ratings of psychopathy with the PCL-R. Journal of Personality Assessment 70(3):416-426
Gutierrez A, Wiese R, Castillo J, Folino JO (2012). Evaluación de características psicométricas de la versión argentina de la Hare Psychopathy Checklist: Youth Version. Vertex 23(103):180-187
Hanson KR (1997). The development of a brief actuarial risk scale for sexual offense recidivism. Ottawa, Ontario, Canada: Public Works and Government Services Canada
Hare RD (2003a). The Hare Psychopathy Checklist - Revised (2nd ed.). Technical Manual. Toronto: Multi-Health Systems Inc
Hare RD (2003b). The Hare Psychopathy Checklist - Revised Manual (2nd ed.). Toronto: Multi-Health Systems Inc
Hare RD, Hart SD (1993). Psychopathy, mental disorder and crime. In: Hodgins S (Ed.), Mental disorder and crime (pp. 104-115). London: Sage
Harris GT, Rice ME, Cormier CA (1991). Psychopathy and violent recidivism. Law and Human Behavior 15:625-637
Harris GT, Rice ME, Quinsey VL (1993). Violent recidivism of mentally disordered offenders: The development of a statistical prediction instrument. Criminal Justice and Behavior 20(4):315-335
Harris GT, Rice ME, Quinsey VL, Cormier CA (2015). Violent offenders: Appraising and managing risk (3rd ed.). Washington DC: American Psychological Association
IBM Corp. SPSS Inc. (2011). IMB SPSS Sstatistics (20). United States: SPSS Inc
Kropp PR, Hart SD (2000). The spousal assault risk assessment (SARA) guide: Reliability and validity in adult male offenders. Law and Human Behavior 24(1):101-118
Kropp PR, Hart SD, Webster CD, Eaves D (1995). Manual for the spousal assault risk assessment guide (2nd ed.). Vancouver: British Columbia Institute on Family Violence
Laurell J, Daderman AM (2007). Psychopathy (PCL-R) in a forensic psychiatric sample of homicide offenders: some reliability issues. International Journal of Law and Psychiatry 30(2):127-135
León-Mayer E (2009). Hare PCL-R versión chilena autorizada para investigación. Viña del Mar, Chile
León-Mayer E, Asún Salazar D, Folino JO (2010). Confiabilidad y validez de la versión chilena de la Hare PCL-R. Revista de la Facultad de Medicina de la UNAL 58:103-114
León-Mayer E, Cortés Olavarría MS, Folino JO (2014a). Descripción multidimensional de población carcelaria chilena. Psicoperspectivas 13:68-81
León-Mayer E, Folino J, Hare R (2014b). Confiabilidad de la versión chilena de la Hare PCL-R y validez convergente con otros instrumentos de evaluación de psicopatía. Vertex 25(116):245-252
León-Mayer E, Folino JO, Neuman C, Hare R (2015). The construct of psychopathy in Chilean prison population. Revista Brasileira de Psiquiatria 37(3):191-196
León-Mayer E, Folino JO, Taborda JG, Hare RR (2016). Violencia e psicopatía. In: Abdala-Fillo E, Chalub M, de Borba Telles L (Eds.), Psiquiatria forense (Terceira, pp. 529-540). Porto Alegre: Grupo Artmed Editora Ltda
León-Mayer E, Neuman C, Hare RR, Folino JO (2013). Aproximación diagnóstica de psicopatía mediante instrumento autoinformado. Revista Criminalidad 55:251-264
León Mayer E, Folino JO (2009). Determinación del nivel de fiabilidad y validez del PCL-R en población forense masculina Chilena. Departamento de Postgrado Escuela de Psicología. Universidad de Valparaíso, Valparaíso, Chile
Link BG, Stueve A, Monahan J, Steadman H (1994). Psychotic symptoms and the violent/illegal behavior of mental patients compared to community controls. In: Mohana J, Steadman HJ (Eds.), Violence and Mental Disorder: Developments in Risk Assessment (pp. 137-159). Chicago: The University of Chicago Press
Messing JT, Thaller J (2013). The average predictive validity of intimate partner violence risk assessment instruments. Journal of Interperssonal Violence 28(7):1537-1558
Monahan J (1981). Predicting violent behaviour: An assessment of the clinical techniques. Beverly Hills, CA: Sage
Monahan J, Steadman HJ, Appelbaum PS, Robbins PC, Mulvey EP, Silver E, Roth LH, Grisso T (2000). Developing a clinically useful actuarial tool for assessing violence risk. British Journal of Psychiatry 176(4):312-319
Mossman D (1994). Assessing predictions of violence: Being accurate about accuracy. Journal Consulting and Clinical Psychology 62(4):783-792
Mulvey EP, Shaw E, Lidz CW (1994). Editorial: Why use multiple sources in research on patient in the community? Criminal Behavior and Mental Health 4:253-258
Ochoa-Rosales M (2007). Factores de riesgo en la población carcelaria del Cantón Cuenca Ecuador [Risk factors of the prison population in Cuenca district, Ecuador]. [Ms Cs dissertation] National University of La Plata, La Plata, Argentina
Ochoa J, Guillén X, Ullauri D, Narvaez J, León-Mayer E, Folino JO (2016). Relevancia de la evaluación del riesgo de violencia y de la psicopatía en el ámbito forense. Juris [submited]
Penney SR, McMaster R, Wilkie T (2014). Multirater reliability of the historical, clinical, and risk management-20. Assessment 21(1):15-27
Pérez-Luco R, Lagos L, Báez C (2012). Reincidencia y desistimiento en adolescentes infractores : análisis de trayectorias delictivas a partir de autorreporte de delitos , consumo de sustancias y juicio profesional. Universitas Psychologica 11(4):1209-1225
Pham TH (1998). Psychometric assessment of the PCL-R on an belgian prison sample. Encephale 24(5):435-441
Quinsey VL, Harris GT, Rice ME, Cormier CA (1999). Violent offenders - Appraising and managing risk (3rd ed.). Washington DC: American Psychological Association
Quinsey VL, Rice ME, Harris GT (1995). Actuarial prediction of sexual recidivism. Journal of Interpersonal Violence 10:85-105
Rice ME, Harris GT (1992). A comparison of criminal recidivism among schizophrenic and nonschizophrenic offenders. International Journal of Law and Psychiatry 15(4):397-408
Rice ME, Harris GT, Lang C (2013). Validation of and revision to the VRAG and SORAG: The violence risk appraisal guide - Revised (VRAG-R). Psychological Assessment 25(3):951-965
Singh JP, Condemarín C, Folino JO (2013). El uso de instrumentos de evaluación de riesgo de violencia en Argentina y Chile [The use of violence risk assessment instruments in Argentina and Chile]. Revista Criminalidad 55(3):279-290
Singh JP, Grann M, Fazel S (2011). A comparative study of violence risk assessment tools: a systematic review and metaregression analysis of 68 studies involving 25,980 participants. Clinical Psychology Review 31(3):499-513
Steadman HJ, Mulvey EP, Monahan J, Robbins PC, Appelbaum PS, Grisso T, Roth LH, Silver E (1998). Violence by people discharged from acute psychiatric inpatient facilities and by others in the same neighbourhood. Archives of General Psychiatry 55:393-401
Sullivan EA, Abramowitz CS, Lopez M, Kosson DS (2006). Reliability and construct validity of the psychopathy checklist - revised for Latino, European American, and African American male inmates. Psychological Assessment 18(4):382-392
Swanson JW, Monahan J, Steadman H (1994). Mental disorder, substance abuse and community violence: An epidemiological approach. In: Monahan J, Steadman H (Eds.). Violence and mental disorder - Developments in risk assessment (pp. 101-136). Chicago: University of Chicago Press
Tardiff K (1989). A model for the short-term prediction of violence potential. In: Tardiff K, Brizer DA, Crowner ML (Eds.), Current approaches to the prediction of violence (pp. 3-12). Washington DC: American Psychiatric Press, Inc
Teitelbaum P (2010). Tasa basal de recidiva delictiva de los pacientes liberados post medida de seguridad del Instituto Psiquiátrico Forense de Porto Alegre, Brasil, en un período de 10 años (1994-2004) [Crime recidivism basal rate in released patients from the Forensic Psych. [Ms Cs dissertation] National University of La Plata, La Plata, Argentina
Ullauri D, Ochoa J, Guillén X, León-Mayer E, Folino JO (2016). Servicios universitarios en la interfaz del derecho y la salud mental: el caso de la Universidad de Cuenca, Ecuador. Criminalidad 57(3):103-117
Vasconcellos M, León Mayer E (2006). Aplicación de la escala diagnóstica de psicopatía (PCL-R) de R. Hare a un grupo de penadas de la Provincia de Valparaíso. Tesis de maestría no publicada, Escuela de Psicología, Universidad del Mar, Viña del Mar, Chile
Webster CD, Douglas KS, Eaves D, Hart SD (1997a). HCR - 20: Assessing risk for violence - Version 2. Burnaby: Mental Health, Law, and Policy Institute, Simon Fraser University
Webster CD, Douglas KS, Eaves D, Hart SD, Jackson MA (1997b). Predicting violence in mentally and personality disordered individuals. New York: Guilford
Webster CD, Eaves D, Douglas KS, Wintrup A (1995). The HCR-20 scheme: The assessment of dangerousness and risk. Burnaby, British Columbia: Simon Fraser University and Forensic Psychiatric Services Commission
World Health Organization (2014). Global status report on violence prevention 2014. Geneva: World Health Organization
Zúñiga DP, Mayer EL (2008). Caracterizació psicométrica del instrumento psychopathy checklist: Youth version (PCL:YV). Facultad de Educación y Humanidades Departamento de Psicología, Universidad de La Frontera, Temuco, Chile
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