risk Assessment and Management Plan

risk Assessment and Management Plan
A case meeting is to be held between six agencies:
Department of Child Safety
Domestic Violence Service
Mental Health Service
Department of Community Service (Disability services)
Education Department/School Counsellor
Child Health Clinic

To share/discuss risk assessment notes on a particular client they share (see case scenario, below)

Family composition
Janice is 32 years old and has Bipolar Disorder. Janice has two children, a boy, Sam aged six and a girl, Jessie aged nine months.
Sam’s father is Terry and currently his whereabouts are unknown. He hasn’t had contact with Janice or Sam since he left the home when Sam was two and a half.
Janice has an ‘on again-off again’ relationship with Doug, Jessica’s father.
Janice is the youngest of five children in her family. Her mother, Evelyn, is 64 years old, has a moderate physical disability and is not well, but is supportive of Janice and the children.

History of family
Janice first came to the notice of the Department of Child Safety when her first child, Sam, was 2 ½ years old. As a result of this first investigation Janice’s mental health became a serious risk to her wellbeing. She was referred to Adult Mental Health Services and received a diagnosis that indicated she was experiencing a manic phase of her bipolar disorder. This phase resulted in her leaving the home most evenings to attend clubs and engaging in risk taking behaviour (unsubstantiated assessments at the time suggested possible unprotected sexual relations, gambling, substance use, alcohol use, abuse of prescribed drugs).
Janice did not supervise Sam appropriately and neighbours often reported that he was walking on the street outside their home. Janice also became neglectful of Sam’s nutritional and medical needs. Sam was removed from Janice’s care when she didn’t return home one night and left him on his own. A neighbour heard his distressed crying the next morning.
Sam lived with a foster carer for three months. He was returned to his mother’s care when Janice’s medication was stabilised and her mother came to live in the home to support Janice Janice’s mother, Evelyn, lived with the family for 18 months. She returned to her own home when Janice appeared to be coping on her own. Evelyn, who has a physical disability, had also been diagnosed with high blood pressure and diabetes and wanted to concentrate on managing her own health problems. Evelyn came back to live with Janice and Sam sporadically over the next few years when Janice needed extra support.
Since Janice’s diagnosis Janice has continued to work with case managers from Adult Mental Health Services.

Current situation
Janice has been with her partner Doug for two years. There have been a number of domestic violence incidents when the Police were called and Doug was advised to leave the home. However, Janice has always asked for Doug to return and has been desperately trying to maintain the relationship since Jessie was born 9 months ago. During this time the couple have reunified and the cycle of violence continues.
Recently, Janice quit her part-time job so she could spend her days with new found friends from the clubs. Doug could not cope with the situation. One night, he lost his temper and was physically violent to Janice. He was remorseful and decided to leave the relationship and town. He recently returned to the relationship again.
Janice has recently stopped taking her medication and is once again in a manic phase of the Bipolar Disorder. She is constantly shopping and buying herself jewellery. Janice often takes Sam shopping with her to look after Jessie instead of sending him to school. Doug is becoming increasingly angry at the money Janice is spending and because she is very rarely home. After the last couple of domestic violence incidents, Janice sought help at a Domestic Violence Centre and has begun to indicate she wants to leave Doug.
Janice has asked her mother to live with her again, both to assist her with the children and protect her from Doug. Although Evelyn has moved in, her health has not improved and she continues to be fearful of Doug. Janice’s relationship with her mother has deteriorated since she has been with Doug. Doug does not want Evelyn in the home, even if it is to help with the children. Janice has also begun to steal money from Evelyn for her shopping trips.
Sam’s school is concerned about his aggressive behaviour to other children at school, his regular non-attendance and his difficulty in concentrating and learning in class. Janice has agreed for Sam to see the school counsellor.
Evelyn recently took Jessie to the Child Health clinic. The medical staff were very concerned that Jessie was underweight and not reaching appropriate milestones for her age.
As Janice’s mental health problem is worsening, the relationship between Doug and Janice is becoming more violent. There are also concerns for the safety of the children and Evelyn.
Additional information for workers in particular agencies:
Domestic Violence Service: You believe Janice will eventually leave Doug and are working with her to empower her to be able to make this move. You are concerned that the Department of Child Safety will not give Janice the time she needs to do this before they remove the children from her care.

(Jenny Casey, 2006)

You are from the department of Domestic violence and are a domestic violence worker.
Your role is to support Janice in her decision-making regarding the relationship, support Janice in her parenting of the children and support Janice in her goals for her life.
You are required to develop an individual 2000 word risk assessment and management plan from your agencies perspective, Department of Domestic Violence, (See Titterton 2005, p.135, Risk Assessment and Management plan (example) as the template.

Assessment criteria:
Demonstrate understanding of the Domestic violence workers role in the agency when presenting case notes,
Demonstrate understanding of risk assessment and risk management

References to include:
Queensland Domestic and Family Violence Protection Act, 2012, Australia

Humphreys, C 2007, Domestic violence and child protection: exploring the role of perpetrator risk assessments’, child & family Social work, vol.12, no.4, pp. 360-369.

Kennedy, R & Richards, J 2008, Integrating service law & practice, 2nd edn, Oxford University Press, Melbourne.

Riggs, D.S, Caulfield, M.B & Street, A.E 2000, Risk for domestic violence: factors associated with perpetration and victimization’, Journal of Clinical psychology, vol. 56, no. 10, pp. 1289-1316.

Titterton, M 2005, Risk and risk taking in health and social welfare, Jessica Kingsley Publishers, London.

 
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