RISK ASSESSMENT
Crisis Intervention Phases
Assessment and Diagnostic Impressions (Section 5)
Evaluation and Outcomes (Section 6)
Goals and SMART
100

Palmer gets into a fight after an old teammate mocks him. This risk, beyond SI/HI, involves acting without thinking.

What is IMPULSIVITY?

100

In phase 1, you plan and conduct this, including lethality measures.

What is CRISIS ASSESSMENT?

100

Unlike the factual sections 1–4, this section holds your professional judgment and summary of findings

What is ASSESSMENT AND DIAGNOSTIC IMPRESSIONS?

100

Section 6 describes how you, the agency, and the client will do this to the intervention

What is EVALUATION ITS EFFECTIVENESS?

100

Palmer will get his life together” fails this SMART letter first

What is Specific (and/or Measurable)?

200

Sam is left alone for days while his mother disappears. This risk category applies to children and vulnerable adults.

What is NEGLECT?

200

In phase 4, after Palmer’s grandmother dies, you validate his confusion and blame and explore denial. This phase is dealing with these

What are FEELINGS and EMOTIONS?

200

Palmer’s record limits his job options, which limits his housing, which raises his relapse risk. Connecting these threads is called this

What is CASE CONCEPTUALIZATION?

200

Palmer will apply to three jobs this week” is this type of outcome measure

What is a SMART goal?

200

In SMART, “Relevant” means the goal is consistent with this

What are the client’s desires and values?

300

Palmer starts spending time at his old bar with his old crowd. This is the risk you’d flag

What is SUBSTANCE ABUSE/RELAPSE?
300

In Phase 6, you ask Palmer, "What do you think you'll do after this?"

What is DEVELOPING AND FORMULATING AN ACTION PLAN?

300

Palmer shows up to every parole check-in and mentors Sam. In Section 5, you document these as these

What are STRENGTHS?

300

A questionnaire Palmer fills out about himself, before and after intervention, is this type

What is SELF-REPORT?

300

Palmer’s goal of finding housing and a job fits this one of Miley’s five goal types

What is obtaining concrete goods, services, or resources?

400

Palmer says everyone would be better off without him. In a lethality assessment, you ask about these FOUR things?

What are PLAN, INTENT, MEANS, AND HISTORY?

400

Follow-up is typically recommended this long after services end

What is 4 TO 6 WEEKS?

400

Palmer is guarded about sharing details of his time in prison. This Section 5 element asks you to comment, respectfully, on this

What is the RELIABILITY OF THE DATA?

400

Palmer’s ACEs score wouldn’t work as an outcome measure because it is this

What is static (it doesn’t change over time)?

400

Rewrite “Palmer will find a job” so it’s measurable and time-bound

Any answer with a number and a date, e.g., “Palmer will apply to 3 jobs per week for 4 weeks.”

500

Name three risk categories from our lecture, other than SI/HI, and give one example of each from Palmer’s or Sam’s situation.

  • Victimization: Sam is bullied and shoved at school.
  • Neglect: Shelly leaves Sam alone for days.
  • Impulsivity: Palmer fights with an old teammate or quits a job in anger.
  • Substance use/relapse: Palmer goes back to his old bar and old crowd.
  • Self-harm: Palmer says everyone would be better off without him.
500

Shelly suddenly takes Sam away, and Palmer is panicking. Name the first two phases of crisis intervention and what you would do in each.

Phase 1, crisis assessment: Check for immediate danger to Sam and Palmer, including lethality (plan, intent, means, history) if Palmer shows any risk to himself or others.

Phase 2, rapport: Use active listening and empathy, and don’t coerce, confront, or force. Help him stabilize and calm down before problem-solving.

500

Name one system-level factor, not just a personal choice, that affects Palmer’s situation, and explain how it creates a barrier.

Answer: Any reasonable system-level factor, for example:

  • A criminal record screens him out of jobs and housing, which makes stable reentry harder.
  • Limited reentry services or long waitlists.
  • Stigma toward formerly incarcerated people.
500

Palmer’s goal is to stay sober. Give an example of a self-report measure and a performance-based measure you could use to track it.

Self-report: A craving or substance-use questionnaire Palmer completes at the start and again later.

Performance-based: Attending a set number of support group meetings, or completing all parole check-ins.

Bonus: An observer-reported measure, such as a parole officer or sponsor’s report, or a clinician-reported measure of behaviors agreed on at the start.

500

Write a complete SMART goal for Palmer related to employment. Teams must hit all five elements.

Specific and measurable: Palmer will submit 3 job applications per week.

Time-bound: For the next 4 weeks.

Achievable: Using the reentry program’s job board, which is realistic given his resources.

Relevant: Employment is Palmer’s own stated priority.

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