Enclosure (6) to COMDTINST 1754.12
FAMILY ADVOCACY RISK ASSESSMENT INSTRUMENT
LEVEL OF RISK ASSESSMENT - SPOUSE ABUSE
1.
INCIDENT RELATED: FOCUS IS DEGREE OF HARM TO THE SPOUSE
NO RISK LOW RISK MODERATE RISK HIGH RISK
Severity
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Precipitating Event
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Pattern
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Abuser's Access
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Abuser's View of Incident
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Victim's View of Incident
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Involvement of Children
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Potential for Reoccurence
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Potential Danger
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Alcohol/Drug Involvement
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Weapons Involved
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2.
ABUSER RELATED: FOCUS IS THE ABUSER'S LEVEL OF DENIAL AND WILLINGNESS TO TAKE
RESPONSIBILITY
NO RISK LOW RISK MODERATE RISK HIGH RISK
History of Abusive Behavior
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History of Untreated/Unresolved
Childhood Victimization
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Disability: Mental, Physical,
Social, Educational,
Emotional, Psychological
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Cooperative With FPA,
Command Intervention
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Communication Skills/Knowledge ------------------------------------------------------------------------>
Alcohol/Drug Abuse
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Anger/Control Behavior
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History of Psychiatric Disorder
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Threats of Suicide
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Level of Remorse
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Other Violence Offenses
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Violence Involving Pets
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