• Threatening,
• Intimidating,
• Harassing, or
• Somehow potentially dangerous to him/herself and/or to others.

• The event may involve others, including, but not limited to, other employees, patients, students, visitors, etc.

PHONE CALL RECEIVED:

• A phone call is received by someone on the RATeam to discuss an incident.

• The RATeam member follows these steps to initiate the Risk Assessment Protocol:

• The RATeam member receiving the call fills out the RAT Intake Form while on the phone with the caller, and sends it to FASAP.
• The RATeam member gathers information about the incident from the manager, and takes detailed notes about the incident to facilitate the initiation of the E-Mail Early Warning System.

• The manager completes and submits the following forms in a timely manner:

• The Management Intake Form, and
• The Institutional WPV Incident Report

• The RATeam member requests the manager to attend the next RAT meeting.

EARLY WARNING NOTIFICATION:
 

• The RATeam member sends out an email to the entire RATeam containing the following:

• A detailed yet concise description of the event, and
• Any other information relevant to the case.
• All identifying information should be excluded from the email.
• The email is cc'd to the manager(s) involved.

• The Manager gives a copy of the following handouts to the employee(s):

• The Risk Assessment Process handout, and
• The Questions and Answers about Psychological Testing handout.

TRIAGE:
 

• The FASAP RATeam member assigns a tracking number to the case.

• All RATeam members read and reply to early warning notification email clicking the "Reply to All" option in a timely manner.

• An on-line "discussion" of case continues until a consensus is reached about the level of risk regarding the event.

EMERGENT OR POTENTIAL RISK:

• A preliminary assessment is made with the information available.

• If deemed to be an emergent or imminent risk to him/herself or to others, the employee is escorted off campus by Security.

• When possible, ID badges and keys are confiscated, and electronic passwords and accesses are temporarily disabled.
• Ideally, employees taken off duty are given the following handouts:

• Risk Assessment Process, and
• Questions and Answers about Psychological Testing .

UNKNOWN, MINOR RISK OR NO RISK:

• A preliminary assessment is made with the information available.

• If deemed to be a minor risk, a decision may be made for the employee(s) to remain on duty.

• In such situations the employee(s) is usually directed to avoid all others allegedly involved in the incident.

• When there is inadequate information to make a preliminary assessment of risk, it is not uncommon to take the employee(s) off duty pending further information.

• When possible, ID badges and keys are confiscated, and electronic passwords and accesses are temporarily disabled.

• Employee(s) are given the following handouts:

• Risk Assessment Process, and
• Questions and Answers about Psychological Testing .

• The Human Resources representative coordinates the scheduling of the FASAP evaluation by instructing the manager to contact FASAP.

EVALUATION:

• When deemed necessary, the employee is scheduled for two appointments at FASAP:

• a initial half-day appointment for psychological testing, and
• a two-hour appointment for a face-to-face interview with a FASAP clinician.

• Prior to the appointments, employees should have read and understood the two informational handouts:

• Risk Assessment Process, and
• Questions & Answers about Psychological Testing.

• Upon meeting with a FASAP clinician, employees complete FASAP's intake paperwork, and sign a Risk Assessment Agreement and Consent for Services.

• Union Representatives are welcome to be present for the signing of the Risk Assessment Agreement, but it is the employee's responsibility to arrange for the Representative to be present for this at the initial appointment.

EMAIL REMINDER:
 

• All RATeam members are sent an email reminder of the upcoming RAT meeting.

• The Human Resources representative will be responsible to remind management of the meeting date, time, and place.

DISCUSSION:

• Cases are discussed among the multidisciplinary RATeam in the biweekly scheduled RAT meeting.

• The RATeam offers recommendations and guidance to management.

EVALUATION:

• When deemed necessary, the employee is scheduled for two appointments at FASAP:

• a initial half-day appointment for psychological testing, and
• a two-hour appointment for a face-to-face interview with a FASAP clinician.

• Prior to the appointments, employees should have read and understood the two informational handouts:

• Risk Assessment Process, and
• Questions & Answers about Psychological Testing.

• Upon meeting with a FASAP clinician, employees complete FASAP's intake paperwork, and sign a Risk Assessment Agreement and Consent for Services.

Union Representatives are welcome to be present for the signing of the Risk Assessment Agreement, but it is the employee's responsibility to arrange for the Representative to be present for this at the initial appointment.

DECISION MADE:

• Based, in part, upon consultation with and recommendations from the RATeam, the manager(s) makes a decision regarding management of the employee(s) involved in the incident.

• Examples of some common outcomes from risk assessment include, but are not limited to:

• no action,
• progressive discipline,
• facilitated voluntary referral or mandated referral to FASAP,
• referral for training, education, coaching, or other intervention, or
• termination of employment.

• The Human Resources representative, in conjunction with General Counsel, is actively involved in supporting management in carrying out the decision, ensuring a consistent, fair, and safe disposition.

FOLLOW UP:

• The Human Resources representative monitors the outcomes of cases brought before RATeam, and updates the RATeam.

• Particular attention is paid to the fairness and equitability of outcomes, overall organizational climate issues, and most importantly, issues regarding the safety of the faculty, staff, patients, students, and visitors of the Johns Hopkins Institutions.