Forensic psychology: Part 4: Assessing offender populations: Appendix chapter 14
Appendix A
CSC Psychological Services Treatment Plan/Monthly Progress Notes
Client's Name __ FPS# _ WED _ D.O.B. _ Parole Officer _ Referral Date _ Session Frequency _ Total # of Counselling Sessions to Date _
A. Specific treatment objectives: (must be relevant to risk to re-offend)
B. Progress toward treatment objectives: (please specify how progress is assessed, e.g., improved community functioning [in what way?), standardized measures [which & how changed], etc.)
C. Next steps: (e.g., need for case management conference, direction to the P.O., other intervention options, termination, etc.)
| D. Current risk status: | H M L |
| Current need level: | H M L |
| Overall risk to community: | H M L |
(provide explanation for risk assessment and recommendations regarding case management)
| Clinician Signature | Date _ | |
| Supervisor Signature | Date _ | |
| Client Signature | Date _ | |
| Area Manager Signature | Date _ | |
| Parole Officer Signature | Date _ |
Please Note: A, B and D should be completed after the initial session and no later than the third session. A through D must be completed every fourth session thereafter.
Appendix B
The HCR-20 Scheme
| Historic variables | Clinical variables | Risk variables |
|---|---|---|
| H1 Previous Violence | C1 Insight | R1 Feasibilty |
| H2 Age at First Offence | ||
| H3 Relationship Stability | C2 Attitude | R2 Access |
| H4 Employment Stability | ||
| H5 Alcohol or Drug Abuse | C3 Symptoms | R3 Support |
| H6 Mental Disorder | ||
| H7 Psychopathy | C4 Stability | R4 Compliance |
| H8 Early Maladjustment | ||
| H9 Personality Disorder | ||
| H10 Prior Release or Detention Failure | C5 Treatability | R5 Stress |
| Past | Present | Future |
| Phase 1 | Phase 2 | Phase 3 |
Reprinted with permission from Webster & Eaves, 1995.
Appendix C
Problem Identification Rating Scale (CSC 15-07-93)
Client's Name _ FPS: _ Date: _
• Initial Assessment • Interim Assessment (after _ # of sessions)
Please complete this inventory after the first or second session and attach it to the treatment plan that is submitted to CSC. Thereafter, complete this inventory after the eighth session and attach it to the progress notes submitted to CSC. Using the scale as a guide, circle the number which best describes how much the following problems are affecting the client.
| Not at all | Somewhat | Very much |
| 0 | 1, 2 | 3 |
| 1. Belief that he/she has been treated unfairly by the legal system | 0 1 2 3 |
| 2. Depression | 0 1 2 3 |
| 3. Copes poorly with stress and frustration | 0 1 2 3 |
| 4. Problem handling angry feelings | 0 1 2 3 |
| 5. Mental illness | 0 1 2 3 |
| 6. Physical illness | 0 1 2 3 |
| 7. Alcohol abuse | 0 1 2 3 |
| 8. Drug abuse | 0 1 2 3 |
| 9. The negative influence of friends and associates | 0 1 2 3 |
| 10. Belief that he/she is treated unfairly by others | 0 1 2 3 |
| 11. Job stress | 0 1 2 3 |
| 12. Unemployment | 0 1 2 3 |
| 13. Problems with money management | 0 1 2 3 |
| 14. Poor social skills | 0 1 2 3 |
| 15. Poor problem solving skills | 0 1 2 3 |
| 16. Unwilling to accept responsibility for problems | 0 1 2 3 |
| 17. Negative attitudes towards opposite sex | 0 1 2 3 |
| 18. Low empathy | 0 1 2 3 |
| 19. Unable to make realistic long range goals | 0 1 2 3 |
| 20. Rigid thinking (Black & White thinking) | 0 1 2 3 |
| 21. Inappropriate/illegal sexual behaviour | 0 1 2 3 |
| 22. Problems getting along with spouse/children/parents | 0 1 2 3 |
| 23. Criminal values and attitudes | 0 1 2 3 |
| 24. Problems dealing with boredom | 0 1 2 3 |
| 25. Socially isolated | 0 1 2 3 |
Clinician's Signature
__
Date
__
cc: Referral Agent and District Psychologist
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