2. Structured Clinical risk assessment of
violence and sexual violence: HCR-20 & SVR-20
The HCR-20 is a formal structured risk
assessment tool that was designed to predict the
future occurrence of violence. It combines
information from Historical Factors, current
Clinical presentation and a Risk Management
plan, in order to guide clinical judgment about
the likelihood of future violence and how it
might be alleviated.
The HCR-20 has a very strong evidence-base in
many offender and psychiatric populations across
the world and is regarded by many as the
‘gold-standard’ in risk management planning.
From the same authors of the HCR-20, the SVR-20
examines risk factors known to be associated
with risk of reconviction for sexual offences
(including those to both adults and children).
Training consists of a two 2-day workshop to
learn about the HCR-20 and how to score,
interpret and formulate risk. It also covers the
evidence-base for the tool and several practice
cases and group discussions. Any instrument is
only useful if it is being properly applied.
In the Reliability Workshop (2-days)
participants are given a series of prepared
cases to score. Their scores are then compared
to ‘gold-standard’ scores (obtained by expert
raters, and consensus scores) to give
information on how well they are formulating
risk using the HCR-20 and tips to help them
improve their performance.
Everyone attending this Workshop will receive a
Certificate of Attendance and a report outlining
their reliability on the HCR-20.
The final day covers the SVR20 (sexual violence
risk - 20), covering how to score and interpret
the findings, the evidence-base, practice cases
and group discussions. Attendance is open to
professionals from a wide range of disciplines.
In the past we have trained psychologists,
psychiatrists, nurses, social workers,
occupational therapists, legal representatives,
probation officers. Indeed a
‘multi-disciplinary’ approach is encouraged.
Thanks to the sponsorship of the Welsh Assembly
Government we are able to offer these courses at
discount prices for those working within Welsh
Full course - 5 days £500 per person (£800 for
those in Non-Welsh Institutions)
Lunch and refreshments are provided.
Further information and discussion of training
needs can be sought from
PO Box 5207