WEBVTT

1
00:00:00.000 --> 00:00:03.780
and I like to think about risk need

2
00:00:01.500 --> 00:00:06.660
responsivity using essentially a medical

3
00:00:03.780 --> 00:00:08.639
analogy so as Kara said the term risk

4
00:00:06.660 --> 00:00:10.920
really means that a person is unlikely

5
00:00:08.639 --> 00:00:13.650
to change their behavior unlikely to

6
00:00:10.920 --> 00:00:15.120
respond to standard rehabilitation and

7
00:00:13.650 --> 00:00:17.850
will continue to do what they were doing

8
00:00:15.120 --> 00:00:20.609
before that is really analogous to the

9
00:00:17.850 --> 00:00:22.680
medical concept of a prognosis somebody

10
00:00:20.609 --> 00:00:26.220
with a high risk has a poorer prognosis

11
00:00:22.680 --> 00:00:28.800
for success in treatment in medicine if

12
00:00:26.220 --> 00:00:30.779
somebody has a poor prognosis physicians

13
00:00:28.800 --> 00:00:32.309
treat them more aggressively they may

14
00:00:30.779 --> 00:00:34.469
provide them with higher doses of

15
00:00:32.309 --> 00:00:37.200
medication they may use surgery they may

16
00:00:34.469 --> 00:00:39.899
use radiation if somebody has a good

17
00:00:37.200 --> 00:00:41.910
prognosis a physician would not risk all

18
00:00:39.899 --> 00:00:43.500
the side effects of those intensive

19
00:00:41.910 --> 00:00:45.989
treatment because they're not necessary

20
00:00:43.500 --> 00:00:49.020
so if you look at the graphic on the

21
00:00:45.989 --> 00:00:51.660
screen if you take people who are

22
00:00:49.020 --> 00:00:53.309
high-risk and mix them together with

23
00:00:51.660 --> 00:00:55.649
people who are low-risk following a

24
00:00:53.309 --> 00:00:58.079
medical analogy risk is very contagious

25
00:00:55.649 --> 00:01:00.329
and when you mix high risk and low risk

26
00:00:58.079 --> 00:01:02.670
people together you often get a group of

27
00:01:00.329 --> 00:01:04.949
high-risk people it would be like taking

28
00:01:02.670 --> 00:01:07.080
somebody who has a broken leg putting

29
00:01:04.949 --> 00:01:08.970
them on to the tuberculosis ward of a

30
00:01:07.080 --> 00:01:11.750
hospital and now they have a broken leg

31
00:01:08.970 --> 00:01:11.750
and tuberculosis