EXAMPLE Risk Management Plan

EXAMPLE Risk Management Plan

"John " – DOB 28/03/1997

Attendees:

- Group Manager Safeguarding

- Team Manager,

- Manager /Assistant Manager,

- Social Worker

- CAMHS Home Treatment Team

Positive experience of working with "John" to date;

·  He communicates his feelings and anxieties, he is becoming more reliable in this as a strategy.

·  "John" has a level of insight into his own anxiety and can acknowledge when it may place him at risk.

High Risk behaviours (known from patterns/history) / Strategy
Traffic / ·  2:1 staff in transport
·  Child locks to be considered when transporting Bill
·  One member of staff to sit next to Bill in vehicle
Walking/out in community / ·  All staff to carry a card on their person with the incident number linked to police risk plan
·  Bill is always on 1:1 when out on foot
·  Red wristband – Bill would not be out
·  Amber wristband – would return to home
·  Local police have info re Bill's needs and have risk management plan in place - copy to social worker for uploading to FWi
Ligatures
·  History is 2 attempts; one not as serious – cord, 2nd in Priory – serious, considered to be with intent, tightened to leave marks; he was in crisis at the time. / ·  One staff member on shift every day is nominated to carry ligature cutters
·  High vigilance
·  Acknowledge he uses his room as a safety place and to calm with guitar

Risk Management Plan – BT

07/02/14

Area of risk / How would we know? / Strategies to be used
Risk of escalation of anxiety / "John " will use wristband system
He may show signs of anxiety by playing with his hair, shaking or wringing his hands and may even hold his hands together. / ·  "John" has red, amber and green wristbands to indicate his level of anxiety
·  "John" to remember to take all wristbands with him when he goes off site (staff to remind him)
Staff complacency / "John" will show signs of anxiety which should be reflected in the colour wristband he is wearing / ·  Staff to regularly monitor "John" whereabouts and mood
·  Staff to use expected routines as a way of regularly interacting with "John" and monitoring his mood
·  Constant and continual vigilance
·  Regular contact with allocated CAMHS worker and ongoing review
Sometimes "John" has difficulty communicating his feelings to new or unknown adults / "John" may well ask to contact his mother and express any anxiety or concerns / ·  Mother has been asked to contact the unit to relay any such anxieties
·  Clear routines and structures to "John" day will help
Home visits could be problematic at this stage / "John" understands there will be no overnight stays at present / ·  Staff not to give "John" false hope that he could return to live home
·  Staff to liaise with social worker re contact arrangements
Other young people's behaviour / "John" may use wristband to indicate levels of anxiety but he will also display agitated behaviour and hands may shake / ·  Offer "John" l known exit strategies or remove other young people from vicinity
"John" mood when family have visited and then leave / "John" may retreat to his room and may not engage in his usual activities for a while / ·  Staff to reassure "John" and acknowledge his feelings
Area of risk / How would we know? / Strategies to be used
Family issues;
Brother / Sister visiting
Grandmother has terminal illness / Could impact on "Johns" anxieties / ·  Staff to liaise with social worker to ensure visits are planned
·  Ongoing liaison with social worker
·  Fortnightly Team Around the Child meetings to be arranged where contact plans and arrangements should be regularly reviewed
Medication refusal / "John" will refuse to take his medication as prescribed / ·  If medication is refused for 48 hours, CAMHS assessment of his mental state will be necessary
·  If staff have concerns, contact CAMHS for advice

Follow-on actions from CAMHS

·  Medication review – 7/2/14

·  Tier 3 clinician – to progress

·  Support with Risk Management Plan required, ongoing oversight.

·  Support to staff to manage "John", ongoing support and discussion.

·  Keyworker to be allocated from CAMHS – essential to enable the continued partnership working and joint oversight.

·  Home treatment team have been involved to date; will hand over to Community Team

Risk Management Plan – BT

07/02/14