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A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services

Michael Coffey Orcid Logo

Health, Risk & Society, Volume: 14, Issue: 5, Pages: 465 - 482

Swansea University Author: Michael Coffey Orcid Logo

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DOI (Published version): 10.1080/13698575.2012.682976

Abstract

Returning to live in the community is seen differently by workers and people leaving forensic mental health care. Workers see risk embodied within the individual and therefore focus on the potential risk (informed by a historical emphasis) presented by the individual. For the patient risk is less ab...

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Published in: Health, Risk & Society
ISSN: 1369-8575 1469-8331
Published: 2012
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URI: https://cronfa.swan.ac.uk/Record/cronfa10876
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first_indexed 2013-07-23T12:04:30Z
last_indexed 2019-06-14T19:09:11Z
id cronfa10876
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spelling 2019-06-14T14:44:49.0220657 v2 10876 2012-05-30 A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services 12112bd2ce15561464c98607f3a8eb0b 0000-0002-0380-4704 Michael Coffey Michael Coffey true false 2012-05-30 PHAC Returning to live in the community is seen differently by workers and people leaving forensic mental health care. Workers see risk embodied within the individual and therefore focus on the potential risk (informed by a historical emphasis) presented by the individual. For the patient risk is less about what they may do and more about that which may result from their new status as community living individuals. This paper based on 59 interviews conducted with patients and workers in forensic mental health settings shows that fears about deviant status is recurring concern for patients. In particular intensive aftercare is seen as a likely source of revealing their status to those in their neighborhoods, inviting unwanted attention and limiting opportunities to start new lives. Workers are not unaware of this but are driven by risk management imperatives to do what they can to monitor and mitigate risk behaviors. Community return and integration can in theory mediate risk where individuals gain access to, and make us of, social capital but intensive follow-up may work against this. Journal Article Health, Risk & Society 14 5 465 482 1369-8575 1469-8331 12 7 2012 2012-07-12 10.1080/13698575.2012.682976 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University 2019-06-14T14:44:49.0220657 2012-05-30T14:38:18.2078871 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Michael Coffey 0000-0002-0380-4704 1
title A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services
spellingShingle A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services
Michael Coffey
title_short A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services
title_full A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services
title_fullStr A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services
title_full_unstemmed A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services
title_sort A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services
author_id_str_mv 12112bd2ce15561464c98607f3a8eb0b
author_id_fullname_str_mv 12112bd2ce15561464c98607f3a8eb0b_***_Michael Coffey
author Michael Coffey
author2 Michael Coffey
format Journal article
container_title Health, Risk & Society
container_volume 14
container_issue 5
container_start_page 465
publishDate 2012
institution Swansea University
issn 1369-8575
1469-8331
doi_str_mv 10.1080/13698575.2012.682976
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description Returning to live in the community is seen differently by workers and people leaving forensic mental health care. Workers see risk embodied within the individual and therefore focus on the potential risk (informed by a historical emphasis) presented by the individual. For the patient risk is less about what they may do and more about that which may result from their new status as community living individuals. This paper based on 59 interviews conducted with patients and workers in forensic mental health settings shows that fears about deviant status is recurring concern for patients. In particular intensive aftercare is seen as a likely source of revealing their status to those in their neighborhoods, inviting unwanted attention and limiting opportunities to start new lives. Workers are not unaware of this but are driven by risk management imperatives to do what they can to monitor and mitigate risk behaviors. Community return and integration can in theory mediate risk where individuals gain access to, and make us of, social capital but intensive follow-up may work against this.
published_date 2012-07-12T03:12:24Z
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