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Beyond Awareness
ACTIONS IN THREAT AND VIOLENCE RISK MANAGEMENT
February 2018
ATAP DALLAS/FORT WORTH AND HOUSTON FEBRUARY CHAPTER MEETINGS
PART 4
The Role of a Clinical Psychologist
in Threat Assessment
2 HILLARD HEINTZE © 2018 | Protecting What Matters®
AGENDA FOR PART 4
• Fitness for Duty Evaluation
• Indirect vs. Direct
• Direct Violence Risk Evaluation
• WAVR-21
• Case Management
• Safe Terminations or Return to Work Plan
3 HILLARD HEINTZE © 2018 | Protecting What Matters®
PART 4
The Role of a Clinical Psychologist in
Threat Assessment
• Fitness for Duty Evaluation
• Indirect vs. Direct
• Direct Violence Risk Evaluation
• WAVR-21
• Case Management
• Safe Terminations or Return to Work Plan
FITNESS FOR DUTY EVALUATION
HILLARD HEINTZE © 2018 | Protecting What Matters®4
• Essential job duties vs. violence risk
• Typically involves a sudden decline
in performance, attendance, attitude
and/or behavior
• In rare instances, combination referral is possible
Examples
• Excessive anger + High voltage line repairman
• Recent justified triple homicide / PTSD / paranoia + factory worker
INDIRECT THREAT ASSESSMENT VS. DIRECT VIOLENCE RISK EVALUATION
The primary difference
The ability to make direct contact with
and evaluate the subject of interest.
The core process is the same for both.
HILLARD HEINTZE © 2018 | Protecting What Matters®5
6 HILLARD HEINTZE © 2018 | Protecting What Matters®
INDIRECT THREAT ASSESSMENT VS. DIRECT VIOLENCE RISK EVALUATION
Dealing with internal or external
subjects of concern requires the
same process
• Identify the context of the concerning behavior
• Assess the risk potential for targeted violence
• Create a case management plan
INDIRECT THREAT ASSESSMENT VS. DIRECT VIOLENCE RISK EVALUATION
HILLARD HEINTZE © 2018 | Protecting What Matters®7
Direct
Current employee
Indirect
Former employee or their partner
Current or past customer
Other third-party vendor
8 HILLARD HEINTZE © 2018 | Protecting What Matters®
DIRECT VIOLENCE RISK EVALUATION
Context
• Records
• Collateral interviews
• Structured professional guides
Workplace Assessment for Violence Risk (WAVR-21)
Stalking Assessment Management (SAM)
Terrorist Radicalization Assessment Protocol (TRAP-18)
9 HILLARD HEINTZE © 2018 | Protecting What Matters®
DIRECT VIOLENCE RISK EVALUATION
In-person evaluation
• Consent form for employer
• Authorization for Release of Information –
medical/mental health professionals
• Discretionary psychological testing and
interview
• Hypothetical discussions, ranging from
return to work plan to termination
• Convergence of data to arrive at risk level
• Provide recommendations and safety planning
Precautions must
be taken even if
termination or
separation has
been decided.
10 HILLARD HEINTZE © 2018 | Protecting What Matters®
WAVR-21 – A SCIENTIFICALLY BASED TOOL
Identifying known risk and protective factors
• Helps organize case data
• Aids screening and assessment
• Assists with decision-making
• Works with either Direct or Indirect Violence Risk Cases
• Used in the workplace and college campus settings
• Developed by Drs. Stephen White and Reid Meloy
HILLARD HEINTZE © 2018 | Protecting What Matters®11
How the WAVR helps threat management teams
• Provides a standardized starting point
• Keeps the TMT focused on risk-relevant information
• Provides sound rationale for current and future decisions that need
to be made to manage the concern
• Addresses the dynamics of an open case
• Screening - Assessment - Management – Monitoring
Bridges the gap between research and practice by providing a
practical tool for casework “in the trenches.”
WAVR-21 – A SCIENTIFICALLY BASED TOOL
CASE MANAGEMENT
HILLARD HEINTZE © 2018 | Protecting What Matters®12
Range of intervention strategies
13 HILLARD HEINTZE © 2018 | Protecting What Matters®
SAFE TERMINATION OR RETURN TO WORK PLAN
Safe termination protocol
• Develop "termination
folder"
Paycheck distribution
details
Medical benefits
Contact information
for outsourcing benefit
Reference check
explanation
• Involve termination team –
Human Resources and Manager
• Conduct in safe office location
• Alert local law enforcement,
stage armed private security
resources
• Consider severance and
exit package
14 HILLARD HEINTZE © 2018 | Protecting What Matters®
SAFE TERMINATION OR RETURN TO WORK PLAN
Return to work plan
• Understand WVP
policies – get signature
of acknowledgement
• Support any ongoing
mental health
interventions or provide
EAP information
• Likely to be placed on a
performance improvement plan
• Ongoing periodic monitoring
(new employee probation)
• Involves immediate corrective
action and periodic praise
• Address any workgroup dynamics
(“clear the air”)
HILLARD HEINTZE © 2018 | Protecting What Matters®15
Matthew Doherty
Senior Vice President, Threat + Violence Risk Management
matthew.doherty@hillardheintze.com
JoAnn Ugolini
Director, Threat + Violence Risk Management
joann.ugolini@hillardheintze.com
Mark Brenzinger, Psy.D.
Vice President, Forensic and Clinical Psychologist,
Threat + Violence Risk Management
mark.brenzinger@hillardheintze.com

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Hillard Heintze Presentation to ATAP - Part 4

  • 1. Beyond Awareness ACTIONS IN THREAT AND VIOLENCE RISK MANAGEMENT February 2018 ATAP DALLAS/FORT WORTH AND HOUSTON FEBRUARY CHAPTER MEETINGS PART 4 The Role of a Clinical Psychologist in Threat Assessment
  • 2. 2 HILLARD HEINTZE © 2018 | Protecting What Matters® AGENDA FOR PART 4 • Fitness for Duty Evaluation • Indirect vs. Direct • Direct Violence Risk Evaluation • WAVR-21 • Case Management • Safe Terminations or Return to Work Plan
  • 3. 3 HILLARD HEINTZE © 2018 | Protecting What Matters® PART 4 The Role of a Clinical Psychologist in Threat Assessment • Fitness for Duty Evaluation • Indirect vs. Direct • Direct Violence Risk Evaluation • WAVR-21 • Case Management • Safe Terminations or Return to Work Plan
  • 4. FITNESS FOR DUTY EVALUATION HILLARD HEINTZE © 2018 | Protecting What Matters®4 • Essential job duties vs. violence risk • Typically involves a sudden decline in performance, attendance, attitude and/or behavior • In rare instances, combination referral is possible Examples • Excessive anger + High voltage line repairman • Recent justified triple homicide / PTSD / paranoia + factory worker
  • 5. INDIRECT THREAT ASSESSMENT VS. DIRECT VIOLENCE RISK EVALUATION The primary difference The ability to make direct contact with and evaluate the subject of interest. The core process is the same for both. HILLARD HEINTZE © 2018 | Protecting What Matters®5
  • 6. 6 HILLARD HEINTZE © 2018 | Protecting What Matters® INDIRECT THREAT ASSESSMENT VS. DIRECT VIOLENCE RISK EVALUATION Dealing with internal or external subjects of concern requires the same process • Identify the context of the concerning behavior • Assess the risk potential for targeted violence • Create a case management plan
  • 7. INDIRECT THREAT ASSESSMENT VS. DIRECT VIOLENCE RISK EVALUATION HILLARD HEINTZE © 2018 | Protecting What Matters®7 Direct Current employee Indirect Former employee or their partner Current or past customer Other third-party vendor
  • 8. 8 HILLARD HEINTZE © 2018 | Protecting What Matters® DIRECT VIOLENCE RISK EVALUATION Context • Records • Collateral interviews • Structured professional guides Workplace Assessment for Violence Risk (WAVR-21) Stalking Assessment Management (SAM) Terrorist Radicalization Assessment Protocol (TRAP-18)
  • 9. 9 HILLARD HEINTZE © 2018 | Protecting What Matters® DIRECT VIOLENCE RISK EVALUATION In-person evaluation • Consent form for employer • Authorization for Release of Information – medical/mental health professionals • Discretionary psychological testing and interview • Hypothetical discussions, ranging from return to work plan to termination • Convergence of data to arrive at risk level • Provide recommendations and safety planning Precautions must be taken even if termination or separation has been decided.
  • 10. 10 HILLARD HEINTZE © 2018 | Protecting What Matters® WAVR-21 – A SCIENTIFICALLY BASED TOOL Identifying known risk and protective factors • Helps organize case data • Aids screening and assessment • Assists with decision-making • Works with either Direct or Indirect Violence Risk Cases • Used in the workplace and college campus settings • Developed by Drs. Stephen White and Reid Meloy
  • 11. HILLARD HEINTZE © 2018 | Protecting What Matters®11 How the WAVR helps threat management teams • Provides a standardized starting point • Keeps the TMT focused on risk-relevant information • Provides sound rationale for current and future decisions that need to be made to manage the concern • Addresses the dynamics of an open case • Screening - Assessment - Management – Monitoring Bridges the gap between research and practice by providing a practical tool for casework “in the trenches.” WAVR-21 – A SCIENTIFICALLY BASED TOOL
  • 12. CASE MANAGEMENT HILLARD HEINTZE © 2018 | Protecting What Matters®12 Range of intervention strategies
  • 13. 13 HILLARD HEINTZE © 2018 | Protecting What Matters® SAFE TERMINATION OR RETURN TO WORK PLAN Safe termination protocol • Develop "termination folder" Paycheck distribution details Medical benefits Contact information for outsourcing benefit Reference check explanation • Involve termination team – Human Resources and Manager • Conduct in safe office location • Alert local law enforcement, stage armed private security resources • Consider severance and exit package
  • 14. 14 HILLARD HEINTZE © 2018 | Protecting What Matters® SAFE TERMINATION OR RETURN TO WORK PLAN Return to work plan • Understand WVP policies – get signature of acknowledgement • Support any ongoing mental health interventions or provide EAP information • Likely to be placed on a performance improvement plan • Ongoing periodic monitoring (new employee probation) • Involves immediate corrective action and periodic praise • Address any workgroup dynamics (“clear the air”)
  • 15. HILLARD HEINTZE © 2018 | Protecting What Matters®15 Matthew Doherty Senior Vice President, Threat + Violence Risk Management matthew.doherty@hillardheintze.com JoAnn Ugolini Director, Threat + Violence Risk Management joann.ugolini@hillardheintze.com Mark Brenzinger, Psy.D. Vice President, Forensic and Clinical Psychologist, Threat + Violence Risk Management mark.brenzinger@hillardheintze.com