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This program typically takes about 20 hours to complete and includes a review of the training videos, reading the HCR-20 Version 3 Manual, working through the case illustration, and scoring a clinical case using the HCR-20 Version 3.
Historical Clinical Risk Management 20 (HCR-20) It is intended to help professionals determine the risk for psychological and physical interpersonal violence by examining 20 items related to an individuals history (H), clinical presentation (C), and risk management problems (R).
The HCR-20 takes its name from three scales Historical, Clinical (present), Risk Management (future) and from the number of items (20) that it measures. Each risk item has a three-level rating structure with specific rating guidelines (Low, Moderate, or High).
HCR-20 is a structured clinical guide which looks at the risk of future violence. It contains extensive guidelines for the evaluation of not only the presence of 10 historical, 5 clinical and 5 risk management variables, but also their relevance to the patient being assessed.
The HCR-20 is the most widely used violence risk assessment tool in the world,1 and in the UK it has become the ubiquitous gold standard for the risk assessment of violence in forensic services.
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