Department of health (2007) say that there are 3 types of risk assessment:the unstructured clinical approach, the actuarial approach and the structured clinical approach (DOH 2007). Many Mental health Professionals over the past years have used the unstructured clinical approach to risk assess. This is based on your experience and judgement to assess the risk . However this way has been criticized for not being structured and this then leads to inconsistency and to be unreliable (Turner and Tummy 2008). This approach would not be useful for the case with Julie as she is not known to services and every person is different as you may not have seen her symptoms before if you base the risk assessment on experience. The actuarial approach is now been favoured to use for risk assessment.There is a push now towards evidenced-based practice as a more reliable means of risk assessment which has led to the development of risk assessment tools (Turner and Tummy 2008).Evidence-based practice is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients (Antonio Borghesi and Barbara Gaudenzi 2012). Risk assessment tools are a great way in which you can produce a document which a based on statistical probability. They aim to produce or estimate a risk from collected data and they attempt to predict a person risk based on that person’s future behaviours when tasks in different situations (Kirby 2004). When looking at risk and using these tools there are many different area’s to consider. The main area of risk you would have to look at would be previous episodes of violence/ self harm for Julie and what assessment tool for this risk would be used, this should be examined … … middle of paper … …the tools meet both CPA and Health of the Nation outcome scales requirement (DOH 2007). The Risk is assessed using the Face Risk Profile. This tool is really easy to use as it has Five sets of Risks indicators, these are then coded as present or absent and a risk status (0-4) is judged (DOH 2007). The problem with this assessment is that the patient would sometimes need to be involved and at present because of Julie’s presenting problems this would not be able to happen but parts of the Risk Profile can be filled in by the Nurse who is in charge of Julie care and wellbeing. The problem with the actuarial approach is that sometimes these tools may not give a conclusive answer to the problem. However many researchers would suggest that the use of both actuarial and clinical risk assessment would be better for a nurse to use to come up with an accurate risk assessment.