Module 2
Administration 1 • Gather relevant information 2 • Determine the presence of risk factors 3 • Determine the relevance of risk factors 4 • Develop a formulation of violence risk 5
• Develop primary scenarios of future violence
6 • Develop case management plans 7 • Develop final opinions
PROFESSIONAL TRAINING
SPECIAL ISSUES
Step 1
In
• Risk for violence in an institution, closed living environment, or similar setting in light of plans for same
Out
• Risk for violence in the community or upon release in the community in light of plans for same
Step 1 (cont.) Accommodation
• Where and with whom will they reside?
Activities
• What will they do to keep themselves busy on a day-to-day basis?
Finances
• What are their financial needs? How will they support themselves?
Stability
• What problems might then encounter, and how will they stay out of trouble?
Step 2 • Goal is to help summarize opinions regarding presence, based on the information reviewed Yes Possibly/ Partially No Omit
• Evidence the risk factor is or has been present • Possible or partial evidence the risk factor is or has been present • No evidence the risk factor is or has been present • Cannot say due to missing information
Step 2 • Timeframes are somewhat flexible, and should be specified to avoid confusion H
• Past: Any time up to present
C
• Recent: Typically 1-6 mos
R
• Future: Typically 6-12 mos
Historical Factors History of problems with… 1. Violence 2. Other antisocial behavior 3. Relationships 4. Employment 5. Substance use
Historical Factors (cont.) History of problems with… 6. Major mental disorder 7. Personality disorder 8. Traumatic experiences 9. Violent attitudes 10.Treatment or supervision response
Clinical Factors Recent problems with… 1. Insight 2. Violent ideation or intent 3. Symptoms of major mental disorder 4. Instability 5. Treatment or supervision response
Risk Management Factors Future problems with… 1. Professional services 2. Living situation 3. Personal support 4. Treatment or supervision response 5. Stress or coping
Step 3 • Goal is to help summarize opinions regarding relevance, based on the information reviewed High
• Evidence the risk factor is relevant to risks posed or risk management
Moderate
• Possible or partial evidence the risk factor is relevant to risks posed or risk management
Low
• No evidence the risk factor is relevant to risks posed or risk management
Step 7 Case Prioritization • Degree of effort or intervention required to prevent violence
Serious Physical Harm
Immediate Action
• Risk that violence may involve or escalate to life-threatening harm
• Urgent intervention taken or needed to prevent violence
Case Review • Date recommended for reevaluation of violence risk
Other Risks Indicated • Evidence of risk for adverse outcomes aside from general violence
• Develop primary scenarios of future violence
6 • Develop case management plans 7 • Develop final opinions
PROFESSIONAL TRAINING
SPECIAL ISSUES
Step 1
In
• Risk for violence in an institution, closed living environment, or similar setting in light of plans for same
Out
• Risk for violence in the community or upon release in the community in light of plans for same
Step 1 (cont.) Accommodation
• Where and with whom will they reside?
Activities
• What will they do to keep themselves busy on a day-to-day basis?
Finances
• What are their financial needs? How will they support themselves?
Stability
• What problems might then encounter, and how will they stay out of trouble?
Step 2 • Goal is to help summarize opinions regarding presence, based on the information reviewed Yes Possibly/ Partially No Omit
• Evidence the risk factor is or has been present • Possible or partial evidence the risk factor is or has been present • No evidence the risk factor is or has been present • Cannot say due to missing information
Step 2 • Timeframes are somewhat flexible, and should be specified to avoid confusion H
• Past: Any time up to present
C
• Recent: Typically 1-6 mos
R
• Future: Typically 6-12 mos
Historical Factors History of problems with… 1. Violence 2. Other antisocial behavior 3. Relationships 4. Employment 5. Substance use
Historical Factors (cont.) History of problems with… 6. Major mental disorder 7. Personality disorder 8. Traumatic experiences 9. Violent attitudes 10.Treatment or supervision response
Clinical Factors Recent problems with… 1. Insight 2. Violent ideation or intent 3. Symptoms of major mental disorder 4. Instability 5. Treatment or supervision response
Risk Management Factors Future problems with… 1. Professional services 2. Living situation 3. Personal support 4. Treatment or supervision response 5. Stress or coping
Step 3 • Goal is to help summarize opinions regarding relevance, based on the information reviewed High
• Evidence the risk factor is relevant to risks posed or risk management
Moderate
• Possible or partial evidence the risk factor is relevant to risks posed or risk management
Low
• No evidence the risk factor is relevant to risks posed or risk management
Step 7 Case Prioritization • Degree of effort or intervention required to prevent violence
Serious Physical Harm
Immediate Action
• Risk that violence may involve or escalate to life-threatening harm
• Urgent intervention taken or needed to prevent violence
Case Review • Date recommended for reevaluation of violence risk
Other Risks Indicated • Evidence of risk for adverse outcomes aside from general violence
