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Service User’s Safety/Risk Identification and Response
Purpose / To collaboratively identify and manage risk in order to provide the safest possible recovery and treatment context for clients, their family/whānau /carers and the wider community.Scope / name of serviceemployees and other relevant service providers.
Contracts/agreements that include ‘assessment’ in the Tier 3 ‘Service Component Processes’ are required to identify and manage service user’s risks (in line with their overall service delivery model).
References
MoH publications /
- Te Pou Assessment and Management of Risk to Others Guidelines and Training Tool Kit
- Guidelines for clinical Risk Assessment and Management in Mental Health Services, MOH 1998.
- The Assessment and Management of People at risk of Suicide, MOH 2003.
- Family Violence Intervention Guidelines: Child and Partner Abuse. MoH 2002
- Family Violence Intervention Guidelines: Elder Abuse and Neglect , MOH 2007
Guidelines
Resources /
- Best Practice in Managing Risk, Document prepared for the National Mental Health Risk Management Programe, UK 2007
- Responding to people at risk of suicide, Suicide prevention information NZ
- Suicide prevention, MOH
- Clinical Risk Management Clinical Tool and Practitioner Manual, Steve Morgan 2000
- Social Inclusion of Youth with Mental Health Conditions, United Nations 2013
- Synthetic Cannabinoid Withdrawal and Addiction, Canterbury DHB 2014
- Substance Withdrawal Management - Guidelines for addiction and allied practitioners, Matua Raki 2012
- School bullying, Youth Law NZ
- Preventing and responding to work place bullying, WorksafeNZ
Definitions
Risk / The likelihood of an adverse event or outcome.
Risk factors / The particular mental health condition and the behaviour or circumstances that alone or in combination lead to an increased risk.
Risk screening / Initial brief check of risk such as risk alerts.
Risk assessment / An estimation of the likelihood of particular adverse events occurring under particular circumstances within a specified period of time.
Risk formulation / A process of summary and organisation of the risk data, and identification of the risk factors. It provides the information base for risk management
Risk management / Aims to minimize the likelihood of adverse events within the context of the overall treatment and recovery processes of an individual, to achieve the best possible outcome, and deliver safe, appropriate and effective support and interventions.
Factors to consider when assessing risk
Mental State /
- Behaviour
- Affect
- Cognition
- Perception
- Injuries
- Alcohol or other drug withdrawal
- Allergies
- Hypersensitivities
- Medicine adverse effects
Environment/
Current Factors /
- Immediate stressors
- Access to weapons, drugs,
- Situation
- Service user attitude
- Service provider attitude
- Family/whanau situation
- Compulsory treatment
- Illness and incidents
- Family background
- Trauma
Cultural considerations /
- Acknowledgement of different concepts of risk
- Language barriers
- Reluctance to disclose, or shame of disclosure
- Tolerance of risk
- Acknowledgement of different ways of managing risk
- Involvement of family/whanau/iwi/fono/in risk management
- Involvement of tohunga/ kaumatua/spiritual guide/matua/
Version: / V1 / Issue Date / 010714 / Created by: / GSHarnisch
Review Date / 010717 / Authorised by: / NRA Working Group
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Service User’s Safety/Risk Identification and Response
Safety/risk dimensionsVersion: / V1 / Issue Date / 010714 / Created by: / GSHarnisch
Review Date / 010717 / Authorised by: / NRA Working Group
Page 1 of 7
Service User’s Safety/Risk Identification and Response
Services may wish to develop a risk and safety model that is in line with their cultural beliefs.
Other models that can be used to identify risk dimensions:
Te Wheke
Te Pae Mahutonga
Whanau Ora Pathway
Maori Model of Risk and Safety: Tapu and Noa
Consultation
Group/Role / DateVersion: / V1 / Issue Date / 010714 / Created by: / GSHarnisch
Review Date / 010717 / Authorised by: / NRA Working Group