| Threshold Risk: a clinical determination of a client's risk of harm to others based on the following: - A threat that is clear, specific, and plausible;
- The presence of homicidal ideation with intent and/or specific plan communicated verbally or through threatening behaviors;
- The client has taken steps toward carrying out a plan to harm, such as acquiring or practicing with a weapon and/or surveilling the intended victim;
- The client has current access to firearms and/or a history of violence, such as an aggressive act resulting in injury to others; and/or,
- Previous assaults with a weapon.
Risk Assessment and Management: A process for identifying that a client poses a threshold risk for harming others, providing indicated clinical interventions that may decrease that risk, and reporting the threshold risk as required.
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| Clinicians shall assess and manage the treatment of clients at risk for danger to others, which includes the reporting of a threshold risk.
When the presence of a threshold risk has been determined, a clinician shall take actions to protect reasonably identifiable potential victims of DMH clients consistent with applicable law.
With the exception of specific reporting laws such as Child Abuse, Dependent Adult Abuse, and Elder Abuse, staff are not obligated by this policy or existing law to report crimes already committed which are revealed during the course of treatment.
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