Presentation given to the Northern Illinois Association of Employee Assistance Professionals

1. Fitness-For-Duty Evaluations: A Tool For Financial and Safety Risk Management Steven E. Rothke, Ph.D., ABPP

11. Neuropsychological Perspectives

21. Risk Factors To Assess Evaluate: Factors That Limit Inhibition Intervene: To Enhance Inhibition

33. Plan/Intent 1) Wish to harm self and/or others 2) Frequency of thoughts or statements 3) Sequence thought through 4) Availability of weapons 5) Experience with firearms 6) Consequences considered

35. Coping Skills 1) Self-Esteem 2) Stress management strategies 3) How has the person dealt with prior losses/trauma (is this the first bad thing that has happened to them)

37. Assessment Tools RAGE-V (Risk Assessment Guideline for Violence) www.atapworldwide.org Hit tab for Education, then scroll down to RAGE-V to download form. See other useful articles as well.

38. “ Tarasoff Warnings: What is the Law in Illinois? Mental Health & Developmental Disabilities Confidentiality Act (740 ILCS 110) Available at: www.ilga.gov/legislation/ilcs/ilcs.asp

39. “ Records and communications may be disclosed … when, and to the extent, a therapist, in his or her sole discretion, determines that such a disclosure is necessary to continue civil commitment proceedings or to otherwise protect the recipient [patient, examinee] or other person against a clear, imminent risk of serious physical or mental injury or disease or death being inflicted upon the recipient, or by the recipient on himself or another.” Section 110/11 ii

40. “ Records and communications may be disclosed … when, and to the extent, in the therapist’s sole discretion, disclosure is necessary to warn or protect a specific individual against whom a recipient has made a specific threat of violence where there exists a therapist-recipient relationship or a special recipient-individual relationship.” Section 110/11 vii

41. “ Tarasoff Warnings: What is the Law in Illinois? Mental Health & Developmental Disabilities Code (405 ILCS 5) Available at: www.ilga.gov/legislation/ilcs/ilcs.asp

42. “ There shall be no liability on the part of, and no cause of action shall rise against, any person who is a physician, clinical psychologist, or qualified examiner based on that person’s failure to warn of and protect from a recipient’s threatened or actual violent behavior except where the recipient has communicated to the person a serious threat of physical violence against a reasonably identifiable victim or victims.” Section 110/11 vii

44. DIAGNOSIS  DISABILITY

49. Case Presentation Luke -- predicting violence three years into the future

54. For More Information Steven E. Rothke, Ph.D, ABPP (847) 480-5744 [email_address]