HARM Youth Version

The Hamilton Anatomy of Risk Management—Youth Version (HARM-YV) is designed for use in the management of youth in detention or treatment settings.

Stage 1: PAST

• History of offences
• In the HARM-YV, the focus of the historical violence assessment is the patient’s criminal record.
• 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.
• Current risk factors
• The HARM-YV adds several risk factors relevant specifically to youth.
• Self-harm incidents
• Protective factors

Stage 3: FUTURE

• In the HARM-YV, privileges are chosen from options for onsite and offsite privileges, including time periods.
• Violence risk assessment
• Because many patients do well with structure and supervision but may be at higher risk without these, risk is assessed with professional (or mental health support) and without.
• Suicide risk assessment
• In the HARM-YV, suicide risk is assessed with and without professional support.
• Risk management plan
• Stressors and destabilizers
• Privileges