Risk, Hope and Recovery: Converging Paradigms for Mental Health Approaches with Suicidal Clients. Heller, N. R. British Journal of Social Work, April, 2014.
Risk, Hope and Recovery: Converging Paradigms for Mental Health Approaches with Suicidal Clients [link]Paper  doi  abstract   bibtex   
The management of risk in the work with people with suicidal thoughts and behaviours is fraught with difficulties. Across the globe, deaths by suicide have been increasing and social workers are often on the front lines of suicide prevention. In response to heightened risk and vulnerability, many agency and national policies reflect a risk-dominated paradigm of practice. At the same time, the recovery movement has been influential in the move toward ‘least restrictive policies for interventions’. The juxtaposition of these two influences—risk-dominated paradigms and the recovery focus—creates tensions, challenges and opportunities for social workers and agencies. The author reviews the literature on suicide risk, examines the dilemma for social work practitioners and explores these converging paradigms along with the promising developments about the role of hope as a mediating concept in the work with suicidal clients. Implications for social work practice are highlighted.
@article{heller_risk_2014,
	title = {Risk, {Hope} and {Recovery}: {Converging} {Paradigms} for {Mental} {Health} {Approaches} with {Suicidal} {Clients}},
	issn = {0045-3102, 1468-263X},
	shorttitle = {Risk, {Hope} and {Recovery}},
	url = {http://bjsw.oxfordjournals.org/content/early/2014/04/08/bjsw.bcu007},
	doi = {10.1093/bjsw/bcu007},
	abstract = {The management of risk in the work with people with suicidal thoughts and behaviours is fraught with difficulties. Across the globe, deaths by suicide have been increasing and social workers are often on the front lines of suicide prevention. In response to heightened risk and vulnerability, many agency and national policies reflect a risk-dominated paradigm of practice. At the same time, the recovery movement has been influential in the move toward ‘least restrictive policies for interventions’. The juxtaposition of these two influences—risk-dominated paradigms and the recovery focus—creates tensions, challenges and opportunities for social workers and agencies. The author reviews the literature on suicide risk, examines the dilemma for social work practitioners and explores these converging paradigms along with the promising developments about the role of hope as a mediating concept in the work with suicidal clients. Implications for social work practice are highlighted.},
	language = {en},
	urldate = {2015-07-03},
	journal = {British Journal of Social Work},
	author = {Heller, Nina Rovinelli},
	month = apr,
	year = {2014},
	keywords = {Risk paradigm, hope, mental health, recovery, social work, suicide},
	pages = {bcu007},
}

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