Citation

Thomas A, Evans I, Jones G. BJPsych Bull 2019; 43(2): 67-72.

Copyright

(Copyright © 2019, Royal College of Psychiatrists)

DOI

10.1192/bjb.2018.99

PMID

unavailable

Abstract

Aims and method: To describe the functions of the Aneurin Bevan University Health Board Risk Reference Panel and characterise the typical referrals presented and outcomes from the panel. A structured thematic analysis was performed on verbatim transcripts of 48 panel sessions.

RESULTS: The 79 codes identified were grouped into 16 subthemes. Four principal themes were identified: two characterising cases brought to the panel (childhood risk factors and current presenting difficulties) and two describing advice given (risk management and wider organisational issues). Quotations are given to illustrate cases presented and advice given by the panel. Clinical implications: The panel provides a valuable source of special expertise in the management of complex and exceptional cases where risk of harm is significant and clinical teams have ongoing concerns. This paper describes a model of peer-working to support staff and may further reduce the risk of harm associated with mental illness. © Copyright 2018 The Authors.

Language: en

Keywords

human; autism; depression; childhood; schizophrenia; psychosis; suicide attempt; qualitative research; posttraumatic stress disorder; risk factor; eating disorder; mental disease; personality disorder; health care quality; antisocial behavior; automutilation; patient referral; anxiety disorder; information processing; risk management; developmental disorder; risk reduction; thiamine; intellectual impairment; Article; disruptive behavior; thematic analysis; problem behavior; affective neurosis; community mental health teams; Clinical governance; forensic mental health services; managed care organization; risk reference panel