The Hamilton Anatomy of Risk Management - Forensic Version
HARM-FV
The HARM-FV is designed for use in the management of adult inpatients in a forensic psychiatric setting
Stage 1: PAST
History of Offence, Criminal Record
In the eHARM-FV, the focus of the historical violence assessment is the patient’s criminal record
Historical risk factors
Stage 2: CURRENT
Aggression Tracking
We encourage the use of the AIS or a similar instrument for recording and tracking of aggressive incidents
Current risk factors
Protective factors
Stage 3: FUTURE
Potential Behaviours
Duty to Protect
Violence Risk Assessment
Risk is assessed for two time horizons: immediate (days) and short-term (weeks)
Because many patients do very well with structure and supervision but may be at higher risk without these, risk is also assessed with professional (or mental health support), and without
Escape Risk
Risk Management and Transition Planning
Stressors or Destabilizers
Privileges
Medications
General Team Comments