Primary Care Psychological Therapies Service, Breightmet Health Centre, Bolton, UK.
J Appl Res Intellect Disabil. 2012 Sep;25(5):433-44. doi: 10.1111/j.1468-3148.2012.00684.x. Epub 2012 Apr 5.
Involving ID service users in risk decision making necessitates consideration of an individual's ability to assess the implications and associated risks and thus make an informed choice. This calls for research on service users' awareness and understanding of risk management (RM).
Thirteen people in a residential ID service who were reviewed under the risk management process (RMP) participated in the research. Thematic analysis explored participants' knowledge and understanding of risk management to establish ability to make informed choice.
Two main meta-themes (lack of awareness about RM and awareness about RM) and four meta-themes (extent of RM awareness, locus of control, compliance and empowerment) emerged. Nine of 13 participants demonstrated some knowledge and awareness of RM and wanted to contribute to the RMP, despite not being consulted about or given the opportunity to be involved in RM.
The majority of service users in this sample had some awareness of the purpose of RM and could make partially informed decisions about whether they would like to be involved in the RMP. The findings highlight the need for professionals to actively attempt to involve ID service users in the management of their own risk.
让身份服务用户参与风险决策需要考虑个人评估影响和相关风险的能力，从而做出明智的选择。这就需要研究服务用户对风险管理（RM）的认识和理解。
在风险管理流程（RMP）下接受审查的居住身份服务中的 13 人参与了这项研究。主题分析探讨了参与者对风险管理的知识和理解，以确定他们做出明智选择的能力。
出现了两个主要的元主题（对 RM 的认识不足和对 RM 的认识）和四个元主题（对 RM 的认识程度、控制源、合规性和赋权）。13 名参与者中有 9 名表现出对 RM 的一些认识和理解，并希望为 RMP 做出贡献，尽管他们没有被咨询或有机会参与 RM。
本样本中的大多数服务用户对 RM 的目的有一定的认识，并可以对他们是否愿意参与 RMP 做出部分明智的决定。研究结果强调了专业人员需要积极尝试让身份服务用户参与自己的风险管理。
