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
- 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
- In the HARM-YV, privileges are chosen from options for onsite and offsite privileges, including time periods.
HARM-YV workbooks and tear-away pads are available for purchase on the Supplies page.