TY - JOUR PY - 2011// TI - An approach to evaluating competence in assessing and managing violence risk JO - Psychiatric services A1 - McNiel, Dale E. A1 - Hung, Erick K. A1 - Cramer, Robert J. A1 - Hall, Stephen E. A1 - Binder, Renée L. SP - 90 EP - 92 VL - 62 IS - 1 N2 - 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 (α=.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).
Language: en
LA - en SN - 1075-2730 UR - http://dx.doi.org/10.1176/appi.ps.62.1.90 ID - ref1 ER -