SAAP Client Risk Assessment Tool (PDF) by lindayy


SAAP Client Risk Assessment Tool

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									                                                SAAP Client Risk Assessment Tool
 Area of Client                         STEP ONE                                                                 STEP TWO
      Info                          Trigger Questions                                          Potential follow–up questions you could ask
 RISK TO SELF       Can you tell us about any health condition for             Consider asking questions about medications taken; reminders needed to take
                    which you are, or should be, taking medication or          medications; health support services received; past admissions to psychiatric units;
 General health     treatment?                                                 past Community Treatment Orders; children’s care during periods of illness.
 Mental health      Prompts – mention mental health conditions, physical
 Drug & alcohol     health problems, recent visits to the doctor
 RISK TO SELF       This is a drug and alcohol free environment. What          Consider asking questions about current drugs or alcohol use; patterns of usage;
Alcohol and Other   difficulties or challenges could this mean for you?        drug and alcohol support received and needed; past experience with withdrawal
     Drugs                                                                     symptoms, overdoses, seizures, blackouts, substance induced aggression and self
                    Prompts – you cannot drink while here, you cannot
                    come back stoned or drunk, no alcohol or drugs on
                    the premises

 RISK TO SELF       What do you do if you are down and depressed and           Consider asking questions about the effect of those rough times; If this is happening
  Suicide and       feel that it’s hard to go on?                              now; how the person is dealing with those feelings Look for talk of wanting to die;
   Self–harm                                                                   indications of no reason for living; reckless acts, giving away valued possessions;
                    Prompts – Staying in bed, crying, self-harm, suicide
                                                                               noticeable changes in daily activities like eating, sleeping, socialising; a plan or
                    thoughts or attempt. Consider culture here.

RISK TO OTHERS      What do you do when you get frustrated or angry?           Consider asking questions about any incidents of violence/assault; what makes the
 Aggression from                                                               person angry; anger problems at other services; whether past incidents were in
                    Prompts – shout at others, hit someone or something,
       Self                                                                    response to provocation, under the influence of alcohol or drugs, when ill or in crisis,
                    go quiet, meditate, throw things, get wasted, go for a
 Risk to Property                                                              immediately or a day after a stressful incident, impulsive or planned towards a person
                                                                               or object, towards men, women or children, towards a bigger or smaller person.
RISK TO OTHERS      What’s been your experience in living in shared            Consider asking questions about what worked well and didn’t in the past in shared
Shared Household    accommodation with people you don’t know?                  households; what is important for people to keep in mind when living in shared
     Issues                                                                    households?
                    Prompts – Follow house rules and agreements, do
                    rostered chores, sharing rooms, respect others, leave
                    other’s property alone
RISK TO OTHERS      What’s been your experience with the Police and            Consider asking questions about Juvenile Justice or Probation Officers, bond or
   Legal issues     legal systems?                                             probation conditions, criminal convictions; support needed for outstanding legal
                    Prompts – Verbals, warrants, charges, scheduled
                    court appearances, AVOs, bonds, probation)
   RISK FROM        Is there anyone wanting to cause you harm who              Consider asking questions about gang involvement; how dangerous this person is;
    OTHERS          may know where you are?                                    their access to weapons; understanding of AVOs and need for one
 Aggression from    Prompts – current or ex-partners, their family members,
     Others         gang members, others who may be threatening,
 Risk to Property   aggressive or violent
 Accompanying       In what situations can your kids get difficult to          Consider asking questions about how the kids have been coping with the situation;
    Children        manage? Prompts – Past involvement with DoCS,              custody and access arrangements: details, of challenging behaviours; support
                    difficulties in controlling kids, challenging behaviours   needed to mange the children.
                                                      SAAP Client Risk Management Tasks
              STEP THREE                                                    STEP FOUR                                                 STEP FIVE
        Determine Severity of Risk                                   Consider Risk Management                                        Make Decision
What is the frequency of exposure to the risk                  What things can the client do to manage the           Consider and balance:
situation. How often does it occur?                            identified risk factors?                              • Collected risk assessment information
• Low (infrequent)                                             • Work within case plan                               • Your assessment of severity of risk
• Medium (occasional)                                          • Manage own medications                              • All risk management options
• High (frequent)                                              • Attend counselling, training, support groups
• Extreme (at least weekly)                                    • Arrange support services, AVOs
• Chronic (ongoing & present)

                                                                                                                     Decide whether:
                                                                                                                     • Level of risk is acceptable without changes to
What is the likelihood of the risk situation occurring:                                                                 existing OH&S policies & procedures
• Very likely to occur                                         What things can your SAAP Service do to assist in     • Level of risk is acceptable with adjustments to
• Likely to occur                                              the management of the risk factors?                      resources & a risk management plan
• Unlikely to occur                                            • Rearrange your resources                            • Level of risk is too high and cannot be mitigated
• Very unlikely to occur                                       • Include risk mgt strategies in the case plan           by risk management strategies
                                                               • Provide staff information & training
                                                               • Revise rosters
                                                               • Arrange specialised support services
What are the potential consequence of or harm from             • Arrange case conference
the risk situation to the client, other clients, staff, etc:   • Negotiate joint case management                     If accepting the client, follow entry procedures & put
                                                                                                                     in place
• Insignificant
                                                                                                                     • Case plan
• Minor
                                                                                                                     • Risk management strategy, if needed
• Moderate
                                                                                                                     • Monitoring & review strategy
• Major
                                                               What can other support services do to assist in
                                                               managing the risk factors?
                                                               • Provide direct access to support services & staff
Combine frequency, likelihood and severity to                  • Provide or upgrade support                          If not accepting the client:
determine the overall severity of risk                         • Provide financial or staffing resources             • Explain & document reasons
• Low                                                          • Provide joint case management                       • Outline appeals processes
• Medium                                                       • Participate in case conferences                     • Identify referral options with client
• High                                                         • Provide back–up support & training                  • Refer with client consent

       Then Go to Step 4 – Consider Risk
           Management Strategies                                     Then go to Step 5 – Make Decision

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