The Hamilton Anatomy of Risk Management (HARM) is a structured clinical judgment tool that guides the assessor to formulate opinions about risk of violence. It combines historical static information with dynamic factors to assess risk.
The HARM was created to:
- predict imminent and short-term risk
- apply all information in assessing risk
- foster and document discussion of risk among clinical team members
- provide a guided, continuous risk assessment and management process
The HARM captures three stages of the assessment: past, current and future. Each stage flows into the next, so the assessor can arrive at a prediction of a patient’s or service user’s risk of aggression and formulate risk management strategies.
Introducing the Electronic Hamilton Anatomy of Risk Management (eHARM)
An Excel-based tool that has revolutionized the way HARM reports are completed.
Patient-Level Analytics
Patient-level analytics allow users to view individual trends in risk factors, aggressive incidents, clinical likelihood of violence, and escape risk at the click of a button.
Group-Level Analytics
Group-level analytics allow users to view trends in diagnosis, risk factors, aggressive incidents, treatment, and more across any number of patients.
Downloadable Database
Download a database consisting each HARM report for any number of patients for further analysis.
The Hamilton Anatomy of Risk Management (HARM) is available in four versions:
General Version
Designed for use in the management of adult inpatients in acute and chronic psychiatric settings.
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Forensic Version
Designed for use in the management of adult inpatients or outpatients in a forensic psychiatric setting.
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Correctional Version
Designed for use in the management of accused and those in correctional settings.
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Youth Version
Designed for use in the management of youth in detention or treatment settings.
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