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[Within forensic settings, case formulations (CF) are used to explain and understand offending behaviour. Craig and Rettenberger (An etiological approach to sexual offender assessment: CAse Formulation Incorporating Risk Assessment (CAFIRA), Current Psychiatry Reports, 20 (6), 20–43, 2018) proposed an aetiological model of assessment of offending behaviour incorporating developmental theory, offence behaviour, and risk assessment theory into one model, referred as the CAse Formulation Incorporating Risk Assessment (CAFIRA) model. There is considerable evidence that adverse childhood experiences (ACEs) cause enduring brain dysfunction affecting memory, sensory and information processing systems having direct neurological relevance when understanding the psychological functioning of offenders with a history of trauma. In this chapter, we present an update to the model taking into account neurobiological considerations when completing forensic risk assessments, which we refer to as Forensic CAse Formulation Incorporating Risk Assessment-Sexual (CAFIRA-S).]
Published: Jan 1, 2022
Keywords: Case formulation; Forensic risk assessment; Structured professional judgement
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