Cpse - Danger To Others: Assessment And Treatment

Front 1

Danger to Others Assessment: What is the Goal?

Back 1

- To determine the probability that the client will commit a violent act in the near future
- To identify contributing factors to client's dangerous behaviors/intent
- To obtain addt;l info needed to identify treatment goals + develop a treatment plan

Front 2

Danger to Others Assessment:
What type of info should be obtained?

Back 2

- Hx of violent bx
- access to weapons
- access to potential victim(s)/others
- mental status
- overall function'g
- current stressors
- coping strategies
- motivation to actively participate w/treatment
- Collateral sources of info

Front 3

Danger to Others Assessment:
What can the collateral sources of info include?

Back 3

- Family
- Friends
- Familiar Informants
- Medical / Mental Records
- Police / Court Records

Front 4

What are the 4 gen'l categories to assessment regarding Risk Factors for Danger to Others?

Back 4

1. Demographic Crc
2. Psychiatric Diagnosis
3. Psychiatric Symptoms
4. Situational Factors

Front 5

Assessing the Risk of Danger to Others: Name 5-7 Demographic Crc's

Back 5

- Past violent bx
- Hx of DV
- Hx of Child Abuse
- Arrest / Incarceration of Father
- Gender (Male)
- Age (younger)
- SES
- Intelligence (Low)

Front 6

Assessing the Risk of Danger to Others: Name 5 Psychiatric Dx

Back 6

- Substance Abuse/Depend
- Antisocial PD
- BPD
- Schizophrenia
- Mania (BP)

Front 7

Assessing the Risk of Danger to Others: Name 5-6 Psychiatric Symptoms

Back 7

- Neurological impairments
- Aggressive / Hostile attributional or interpersonal style
- Anger
- Violent thoughts/fantasies
- Impulsivity
- Command Halluc
- Delusions

Front 8

Assessing the Risk of Danger to Others: Name 6 Situational Factors

Back 8

- High level of perceived stress
- Victim specificity
- Victim availability
- Assess to Weapons
- Non-compliance to treatment
- Lack of Social Support

Front 9

Danger to Others: Name 3 Gen'l Assessment Methods

Back 9

- Consider Risk Factors
- Screening Questions
- Psychological Tests
- Determining Risks
Low, Moderate, High

Front 10

Danger to Others: Name 3 Psych Tools and/or Assessment Tests

Back 10

1. Psychopathy Check List
2. MMPI
3. Millon Clinical Multiaxil Inventory - lll (MCMI-lll)

Front 11

Danger to Others: What guidelines are required to determine a LOW level risk?

Back 11

- Client has few risk factors
- Does NOT have a hx of impulsive hx's
- NO specific plan
- NO means

Front 12

Danger to Others: What guidelines are required to determine a MODERATE level risk?

Back 12

- Client has multiple risk factors
- low to moderate Intent BUT does NOT have the Means
- Minimal Cognitive / Emotional Impairments
- DOES have protective factors

Front 13

Danger to Others: What guidelines are required to determine a MODERATE level risk?

Back 13

Does have
- concrete plans
- concrete means
- concrete access
- multiple risk factors
Unwilling/unable to comply with treatment

Front 14

Danger to Others: What are the goals of treatment?

Back 14

- Establish Rapport
- Reduce Risk of Future Violence

Front 15

Danger to Others: Name Treatment Alternatives

Back 15

- Hospitalization
- Outpatient Management
CBT / Couple / Family / Grp
- Consultation

Front 16

Hospitalizations can include:

Back 16

72-hours
14-days
30-days

Front 17

When is the patient entitled to a Certification Review Hearing?

Back 17

Within 4 days (of the 14-day hold) of the date on which the person is certified.