ColumnsTherapeutic Risk Management for Violence: Augmenting Clinical Risk Assessment With Structured InstrumentsWORTZEL, HAL S. MD; BORGES, LAUREN M. PhD; MCGARITY, SUZANNE PhD; NAZEM, SARRA PhD; BARNES, SEAN M. PhD; BAHRAINI, NAZANIN H. PhD; CLARK, KAILY PsyD; MATARAZZO, BRIDGET B. PsyD Author Information WORTZEL: Michael K. Cooper Professor of Neurocognitive Disease, Director of Neuropsychiatry, and Assistant Professor in Psychiatry and Neurology, and Faculty for the Forensic Psychiatry Fellowship at the University of Colorado, and Director of Neuropsychiatric Services for the Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) at the VA Rocky Mountain Regional Medical Center (RMRMC), Aurora, CO BORGES and BARNES: Clinical Research Psychologist, Rocky Mountain MIRECC, and Assistant Professor, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO MCGARITY: Assistant Professor in the Department of Physical Medicine & Rehabilitation at the University of Colorado School of Medicine and staff psychologist at the Rocky Mountain MIRECC at the VA RMRMC, Aurora, CO NAZEM, Clinical Research Psychologist at the Rocky Mountain MIRECC, and an Associate Professor in Psychiatry and Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO BAHRAINI: Associate Professor in Psychiatry, and Physical Medicine & Rehabilitation at the University of Colorado School of Medicine and Director of Education for the Rocky Mountain MIRECC at the VA RMRMC, Aurora, CO CLARK: Clinical and Research Psychologist with the Rocky Mountain MIRECC, Aurora, CO MATARAZZO: Director of Clinical Services for the Rocky Mountain MIRECC at the VA RMRMC, and Associate Professor in Psychiatry at the University of Colorado School of Medicine, Aurora, CO The authors declare no conflicts of interest. Please send correspondence to: Hal S. Wortzel, MD, Rocky Mountain MIRECC, Rocky Mountain Regional Medical Center, 1700 North Wheeling Street, Building G3, Room 185, Aurora, CO 80045 (e-mail: [email protected]). Journal of Psychiatric Practice: September 2020 - Volume 26 - Issue 5 - p 405-410 doi: 10.1097/PRA.0000000000000495 Buy Metrics Abstract Violence risk assessment is a requisite component of mental health treatment. Adhering to standards of care and ethical and legal requirements necessitates a cogent process for conducting, and then documenting, other-directed violence risk screening, assessment, and management. In this 5-part series, we describe a model for achieving therapeutic risk management of the potentially violent patient, with essential elements involving: clinical interview augmented by structured screening or assessment tools; risk stratification in terms of temporality and severity; chain analysis to intervene on the functions of violent ideation and behavior; and a personalized safety plan to mitigate/manage risk. This second column in the series describes the advantages of, and offers suggestions for, incorporating structured tools into violence risk assessment. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.