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Eliciting an offence narrative: what types of questions do forensic mental health practitioners ask?

Chelsea L LeachFrancesca BrownLuke PryorMartine B PowellScott Harden
Published in: Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law (2022)
Maximising the accuracy and detail of information elicited through a clinical-forensic interview may increase the reliability and validity of an individual's assessment. Despite this, there is little empirical research on what questions forensic mental health practitioners employ, and whether these correspond with empirically established interviewing strategies. In this study, 22 forensic mental health practitioners participated in a mock interview of a young person referred for a sexual risk assessment. The results highlighted that participants asked very few 'open' questions, over-relied on 'specific' questions and an average of 13% of questions were leading. Finally, practitioners predominantly used 'yes/no' questions when exploring the young person's thoughts, feelings, and physiological responses. Overall, the study demonstrated that empirically supported interviewing techniques were not commonly employed and highlighted the need for further professional development and training around clinical forensic interviewing strategies that best elicit the information needed to inform risk assessment.
Keyphrases
  • mental health
  • risk assessment
  • primary care
  • general practice
  • mental illness
  • minimally invasive
  • heavy metals
  • human health
  • healthcare
  • health information
  • social media
  • climate change