Methodological development: structured outcome assessment and community risk monitoring (SORM)

This paper describes an effort to develop a clinical tool for the continuous monitoring of risk for violence in forensic mental health clients who have left their institutions and who are dwelling in the community on a conditional release basis. The model is called Structured Outcome Assessment and Community Risk Monitoring (SORM). The SORM consists of 30 dynamic factors and each factor in SORM is assessed in two ways: The current absence, presence or partial och intermittent presence of the factors, which is an actuarial (systematized and 'objective') assessment. Secondly, the risk effect, i.e. whether the presence/absence of factors currently increases, decreases or is perceived as unrelated to violence risk, is a clinical (or impressionistic) assessment. Thus, the factors considered via the SORM can be coded as risk factors or protective factors (or as factors unimportant to risk of violence) depending on circumstances that apply in the individual case. Further, the SORM has a built-in module for gathering idiographical information about risk-affecting contextual factors. The use of the SORM and its potential as a risk monitoring instrument is illustrated via preliminary data and case vignettes from an ongoing multicenter project. In this research project, patients leaving any of the 9 participating forensic hospitals in Sweden is assessed at release on a variety of static background factors, and the SORM is then administered every 30 days for 2 years. © 2005 Elsevier Inc. All rights reserved

Alcohol intoxication impairs eyewitness memory and increases suggestibility: Two field studies

Two field studies tested the effect of alcohol intoxication on memory for a live interaction at immediate, delayed, and repeated testing. In Study 1 (N=86), one researcher presented bar tenants with (misleading) questions regarding a preceding interaction with another researcher. One week later, participants' memory was tested again. Study 2 (N=189) added a delayed-testing only condition. We hypothesized intoxication to impair memory and enhance suggestibility and explored whether time of testing affected the outcome on these variables. In Study 1, intoxication reduced completeness and increased suggestibility. In Study 2, intoxication reduced completeness and increased suggestibility in delayed-only and repeated testing, compared with immediate testing. Sober participants benefited from repeated testing in Study 2, but not Study 1. Findings lend support for consolidation and decay theory and suggest that immediate (intoxicated) testing is preferable over delayed-only testing. Findings provide little support for alcohol myopia theory.</p