1. 1 Risk Assessment, Evaluation and Planning

2. 2 Proactive Approach Risk Assessment and Evaluation Team Planning Risk Plans in Place Monitoring of Plans

3. 3 Mitigation Reducing the Likelihood of Occurrence or Recurrence Proactive Results in Increased Safety

4. 4 Who Needs Risk Planning ? Anyone with an assessed risk, such as: Frequent SIRs Crises Serious Health or Behavior Challenges

5. 5 Assessment Reviews –IPP – Records Interviews Observations

6. 6 Evaluation  Who is at Risk?  Risk vs. Significant Risk  Team Decisions

7. 7 Planning Is there a Plan in place? Should there be a Plan in place? Make needed referrals

8. 8 Risk and Responsibility Choice Rights

9. 9 Documentation IPP Process Informal Formal

10. 10 Risk Assessment Evaluation & Planning Worksheet (Sample A) Individuals Name:Date of Discussion:Date of Note: Participants: Significant Risk Factors in the Person’s Life - List Are risks present? Description of the risk, circumstances, frequency Interventions required to eliminate or minimize risk YESNO 1. Functional Status a. Eating□□ b. Ambulation□□ c. Transfers□□ d. Toileting□□ 2. Behavioral a. Self-abuse□□ b. Aggression towards others or property□□ c. Use of physical or mechanical restraint□□ d. Emergency drug use□□ e. Psychotropic meds□□ 3. Physiological a. Gastrointestinal conditions□□ b. Seizures□□ c. Anticonvulsant meds□□ d. Skin breakdown□□ e. Bowel function□□ f. Nutrition□□ g. Treatments□□ 4. Safety a. Injuries□□ b. Falls□□ c. Community Mobility□□ 5. Other□□ Instructions for completing the risk assessment worksheet: Under each specific area, list the Significant Risks identified. Indicate “yes” or “no” as to whether a significant risk has been identified in the listed category. Indicate “yes” or “no” as to whether training/service plans are present for the specific risk. If training/service plans have been developed, indicate the training/area. Briefly, indicate a summary of the intervention required to eliminate or minimize the risk.

11. 11 Risk Assessment Evaluation & Planning Worksheet (Sample B) Individuals Name: Date of Discussion: Date of Note: Participants:1. 2. 3. 4. 5. Significant Risk Factors in the Person’s Life - List Are risks present? Description of the risk, circumstances, frequency Interventions required to eliminate or minimize risk YESNONO 1. Qualifying Developmental Disability 2. Other Disabilities / Health Conditions 3. Special Conditions / Behaviors 4. Skill Development 5. Other

12. 12 Risk Assessment Evaluation & Planning (Sample C) Name: Date: Participants: Tasks Completed for Assessment: Documents Reviewed: People Interviewed: Assessments Completed or Referral Made: Significant Risks Identified: Plan: Location of Plan Information: Other Information:

13. 13 Communication and Training Who needs to know Location Verification

14. 14 Monitoring and Evaluation IPP Process Periodic Revisiting of the Plan

15. 15 Outcome Improved Quality of Life for the Individual