Showing papers by "John Monahan published in 2004"

A Multiple-Models Approach to Violence Risk Assessment Among People with Mental Disorder

Abstract: Actuarial models for violencerisk assessment have proliferatedin recent years. In this article, we describe an approach that integrates the predictions of many actuarial risk-assessment models, each of which may capture a different but important facet of the interactive relationship between the measured risk factors and violence. Using this multiple-models approach, we ultimately combined the results of five prediction models generated by the iterative classification tree (ICT) methodology developed in the MacArthur Violence Risk Assessment Study. This combination of models produced results not only superior to those of any of its constituent models, but superior to any other actuarial violence risk-assessment procedure reported in the literature to date.

License as Leverage: Mandating Treatment for Professionals

Abstract: Mandating professionals with mental disorder to adhere to psychological or psychiatric treatment in order to maintain their professional license frequently occurs and is rarely controversial. We survey current practices in using a professional license as “leverage” to assure adherence to treatment, and compare mandated treatment for professionals with other, more controversial forms of mandated treatment. Our analysis raises two questions. First, if the same level of high quality treatment now available to licensed professionals with mental or addictive disorders were made readily available to others with these disorders, would the positive outcomes experienced by the former also be experienced by the latter? Second, if the same intensive level of monitoring were applied to others as is now applied to licensed professionals, would rates of treatment adherence between the two groups tend to converge?

License as Leverage: Mandating Treatment for Professionals

Abstract: Mandating professionals with mental disorder to adhere to psychological or psychiatric treatment in order to maintain their professional license frequently occurs and is rarely controversial. We survey current practices in using a professional license as "leverage" to assure adherence to treatment, and compare mandated treatment for professionals with other, more controversial forms of mandated treatment. Our analysis raises two questions. First, if the same level of high quality treatment now available to licensed professionals with mental or addictive disorders were made readily available to others with these disorders, would the positive outcomes experienced by the former also be experienced by the latter? Second, if the same intensive level of monitoring were applied to others as is now applied to licensed professionals, would rates of treatment adherence between the two groups tend to converge?

Forecasting Harm: The Law and Science of Risk Assessment among Prisoners, Predators, and Patients

Abstract: Scientifically valid instruments are being used for the first time to assess an individual’s risk of violence in criminal sentencing and in the civil commitment of mental patients and sexual predators. Risk factors on these ٭ Henry and Grace Doherty Professor and Class of 1941 Research Professor, University of Virginia School of Law. I thank my colleagues Linda Monahan, Richard Bonnie, Daniel Ortiz, Kenneth Abraham, David Faigman, Stephen Morse, Deborah Denno, Lawrence Fitch, Christopher Slobogin, Michael Tonry, Shari Diamond, and Janice Nadler, and the participants in a University of Virginia and a Northwestern University workshop for their insightful discussions of issues raised in this piece, and my students Gregory Walter, Brian Kinney, Amy Napier, and Mike Gorokhovich for their excellent research assistance.