Mandated reporting of violence risk?

Likely, you are participating in the current national soul-searching after the latest tragic school shooting/mass murder.  In our angst we ask, “Why God?” and “What can we do to try to stop this kind of senseless killing?”  It is the second question that is on my mind right now.

Political debates will abound about gun control measures or the right to bear arms.  In my humble opinion it is time to move beyond that debate to address the treatment of those who are most at risk to engage in mass killings.  I have no idea about the mental status of this most recent killer but that shouldn't stop us from trying to figure out how to better care for such individuals.

Who is at risk?  A complex matter

Violence risk assessments have morphed over the years from clinical judgement (turns out it wasn't very accurate!) to an actuarial approach looking at factors like: active psychotic symptoms, family problems, history of aggression/domestic violence and or criminal behavior, social withdrawal/skills deficits, and substance abuse.  But of course, there are many who have positive indicators on several of these factors who are in no danger of becoming a mass murderer.  And others who meet none who become killers.

One possible (partial) solution

Right now mental health professionals and educators are required to report possible child abuse.  In addition, we counselors have duties to warn and protect when our clients indicate they are an imminent danger to self or other.  Sadly, many adults in high risk categories are not likely to be in treatment (due to costs, treatment availability and refusal) and may not be in contact with educators.  So, what might we do to help those who do come in contact with at-risk individuals?  In some states, all civilians are required to report potential child abuse.  What if we develop a reporting mechanism for civilians to report those who are making statements about violent acts.  To make this work, there are some additional things we would need to do (some of which are not simple).

We would have to engage in a large public awareness campaign and to train law enforcement and even mental health professionals as to these risk factors and develop humane but required treatments
We would need to stop cutting public funds for mental health (and increase quality of community mental health care providers).

We would need to consider limiting some of the currents rights to decline treatment when a number of the risk factors are present (this is, of course, no small matter.  In this country we have the right to be insane…as long as we don't hurt others).

What do you think?

[from “Musings of a Christian Psychologist” by Phil]