What is the HCR-20? – Historical Clinical and Risk Management 20
Time to read: 1 minutes The Historical, Clinical and Risk Management – 20 (HCR -20) is a structured tool to assess the risk of violence. The items are below.
Historical items
H1 Violence
- As a child (under 12 years)
- As an adolescent (13-17 years)
- As an adult (18 and over)
H2 Other antisocial behaviour
- As a child
- As an adolescent
- As an adult
H3 Relationships
- Intimate
- Non-intimate
H4 Employment
H5 Substance use
H6 Major mental disorder
- Psychotic disorders
- Major mood disorders
- Other major mental disorders
H7 Personality disorder
- Antisocial, psychopathic, dissocial
- Other
H8 Traumatic experiences
- Victimisation/trauma
- Adverse childrearing experiences
H9 Violent attitudes
H10 Treatment or supervision response
Clinical Items
C1 Insight
- Mental disorder
- Violence risk
- Need for treatment
C2 Violent ideation or intent
C3 Symptoms of major mental disorder
- Psychotic disorders
- Major mood disorders
- Other major mental disorders
C4 Instability
- Affective
- Behavioural
- Cognitive
C5 Treatment or supervision response
- Compliance
- Responsiveness
Risk management
R1 Professional services and plans
R2 Living situation
R3 Personal support
R4 Treatment or supervision response
- Compliance
- Responsiveness
R5 Stress or coping
RECOMMENDED BOOKS
Reference
HCR-20
Webster, C. D., Douglas, K. S., Eaves, D., & Hart, S. D. (1997). HCR-20: Assessing Risk for Violence (Version 2). Burnaby, British Columbia, Canada, Simon Fraser University. Mental Health, Law, and Policy Institute.
