The Hamilton Anatomy of Risk Management—General Version (HARM-GV) is designed for use in the management of adult inpatients in acute and chronic psychiatric settings.
Stage 1: PAST
- History of aggression or violence
- In the HARM-GV, the focus of the historical assessment is previous involvement in the criminal justice and mental health systems as well as aggression or violence.
- Historical risk factors
Stage 2: CURRENT
- Aggression tracking
- The authors encourage the use of the AIS or a similar instrument to record and track aggressive incidents.
- Protective factors
- Current risk factors
Stage 3: FUTURE
- Potential behaviours
- Duty to protect
- Violence risk assessment
- Because many people do 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.
- Risk management plan
- Stressors and destabilizers
- Privileges
Stage 4
- Medications
- General team comments
HARM-GV workbooks and tear-away pads are available for purchase on the Supplies page.