| - RISK DECISION # 6 - |
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| Page 731w ============== |
| === RISK ASSESSMENT MODEL === for Child Protection in Ontario |
| - THE THEORY - |
| - RISK ASSESSMENT TOOL - ( Form # 12 ) |
| Cont'd from Page 731v |
| RISK ANALYSIS__ |
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| DATE RISK ASSESSMENT TOOL COMPLETED: ____________________ CASE NAME: ____________________ |
| List all risk elements which received a rating of 3 or 4 and any other risk elements that rated lower but are significant sources of risk for the child(ren) in this case: List all risk elements which received a rating of 0 or 1 and any others that indicate significant strengths for this case: List all those riks elements for which there was insufficient information to make a rating ( # 9 )'s: Describe how these risk elements interact with each other: |
| Do any risk elements intereact with each other to intensify risk to the child(ren) ? How ? Do any risk elements reduce the impact of other risk elements on the child(ren) ? How? |
| If further steps are required to complete the full protection investigation beyond 30 days, describe the preliminary risk reduction plan. Give rating of overall risk for family : High Risk Moderately High Risk Intermediate Risk Moderately Low Risk No / Low Risk |
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| Date Risk Assessment Tool Completed: _____________________________________ Worker's Signature : _____________________________________ Date Approved: _____________________________________ Supervisor's Signature: _____________________________________ |
| A ) B ) C ) D ) |
| ii . ii . |
| E ) F ) |