PISD Behavioral Threat Assessment

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Person(s) of concern:

• Person of concern’s relationship to the target/school:

• Gather Additional Information about the Person / Situation

Roles

• Reporting party

• Current teachers

• Counselors

• Support staff

• Social media

• Law enforcement

  Select Yes No N/A

  • Yes
  • No
  • N/A

• External agencies

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Parents

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Other:

  Select Yes No N/A

  • Yes
  • No
  • N/A

Answer Investigative Questions to Analyze Available Information

• The investigative questions below are designed to assist a Threat Assessment Team with the final section of this tool

• 1. What is the person’s motive(s) and goal(s)? What motivated the behavior(s) that have raised concern about potential violence?

• 2. Has there been any communication suggesting ideas or intent to engage in violence?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 3. Has the person engaged in attack-related behaviors (i.e., any behavior that moves an idea of harm forward toward actual harm)?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 4. Does the person have the capacity to carry out an act of targeted violence?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 5. Is the person experiencing hopelessness, desperation, and/or despair?’

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 6. Does the person have a trusting relationship with at least one meaningful person (e.g., a teacher, family member, coach, counselor, advisor, etc)?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 7. Does the person view violence as an acceptable, desirable, or the only way to solve problems?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 8. Is the person’s conversation and "story" consistent with his or her actions?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 11. Are other people concerned about the person’s potential for violence?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 10. What circumstances might affect the likelihood the person may decide to engage in violence or resort to violence – either increase the likelihood or decrease it?

  Select Yes No N/A

  • Yes
  • No
  • N/A

Make the Assessment

• The Threat Assessment Team should review and discuss the responses obtained above. Using that information, the Team should then answer the two assessment questions below.

• Is the threat transient? No sustained intent to harm.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If “YES” – then complete A, B, and C below and do not answer Assessment Question 2

• A. Document the response provided here:

• B. Develop, implement, and monitor a case management plan

  Select Yes No N/A

  • Yes
  • No
  • N/A

• C. If applicable, provide the subject/subject’s family with and document appropriate mental health / support referrals here:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If “NO” – then complete A below and answer Assessment Question 2

• A. Document the response provided here:

• Is the threat substantive? The intent is present and requires action.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If “YES” – then complete A, B, and C below

• A. Document the response provided here:

• B. Provide the subject/subject’s family with and document the appropriate referrals here:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• C. If applicable, develop, implement, and monitor a case management plan

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If “NO” – then, complete A and B below

• A. Document the response provided here:

• B. Close the case

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Select a Case Priority Level

  Select High Low

  • High
  • Low

• Does the person pose a threat of violence to others, to self, or to both?

  Select Yes No N/A

  • Yes
  • No
  • N/A

Develop and Implement a Case Management Plan

• If the Team determines that the person in question poses a threat of violence or suicide, the Team should develop, implement, monitor, and document a plan to intervene and reduce the threat

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Resource

  Select Yes No N/A

  • Yes
  • No
  • N/A

Date for Review/Follow Up

• Select date

  Date