• Grant Parish Threat to Harm Self Assessment & Intervention Plan

  • Date of Incident
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  • Date Reported
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  • Date of Assessment
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  • 1. Reporting Method
  • 2. Student Risk Factors
  • 3. Suicide Threat Assessment
  • 5. Plan

  • Grant Parish Threat to Harm Others Assessment & Intervention Plan

  • 1. Prior Acts of Violence
  • 2. Current Concerns: Type of Threat
  • 3. Target
  • 4. Threat
  • 5. Access to Weapons
  • 6. Plan
  • 7. Student
  • 8. Motive
  • 9. Student Risk Factors

  • Grant Parish Threat Assessment & Intervention Plan School Crisis Team Additional Documentation

  • 3. Information Sources: (Attach Copies)
  • 4. Assessment Results: Based on the information obtained it is the consensus of the School Crisis Team that the current level of threat.Type a question

  • * Grant Parish Disciplinary policy will be followed on all assessment levels.

  • 5. Intervention Plan: Based on the level of risk --

  • Low and/or Medium Level of Threat:  Develop goal and plan to address behavior, teaching, and supporting new behavior.  Set up a timeline to review, plan, and monitor interventions.

  • High Level of Threat: Utilize steps in low/medium level interventions to plan for school re-entry.

  • The parent/guardian notification letter may be filled out and signed for Threat to Harm Others, but must be filled out for Threat To Harm Self. The original should be kept on file. A copy may be emailed to Cathy Horne, School Psychologist, for her to file as well.

  • Clear
  • Date
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  • Clear
  • Date
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