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• W3184341291 endingPage "7671" @default.
• W3184341291 startingPage "7671" @default.
• W3184341291 abstract "Mental health professionals are frequently presented with situations in which they must assess the risk that a client will cause harm to themselves or others. Troublingly, however, predictions of risk are remarkably inaccurate even when made by those who are highly skilled and highly trained. Consequently, many jurisdictions have moved to impose standardized decision-making tools aimed at improving outcomes. Using a decision-making ecology framework, this conceptual paper presents research on professional decision-making in situations of risk, using qualitative, survey, and experimental designs conducted in three countries. Results reveal that while risk assessment tools focus on client factors that contribute to the risk of harm to self or others, the nature of professional decision-making is far more complex. That is, the manner in which professionals interpret and describe features of the client and their situation, is influenced by the worker’s own personal and professional experiences, and the organizational and societal context in which they are located. Although part of the rationale of standardized approaches is to reduce complexity, our collective work demonstrates that the power of personal and social processes to shape decision-making often overwhelm the intention to simplify and standardize. Implications for policy and practice are discussed." @default.
• W3184341291 created "2021-08-02" @default.
• W3184341291 creator A5019353863 @default.
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• W3184341291 date "2021-07-19" @default.
• W3184341291 modified "2023-10-17" @default.
• W3184341291 title "An Ecological Model for High-Risk Professional Decision-Making in Mental Health: International Perspectives" @default.
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• W3184341291 doi "https://doi.org/10.3390/ijerph18147671" @default.
• W3184341291 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/8305590" @default.
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• W3184341291 hasPublicationYear "2021" @default.
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