SASKATCHEWAN r: 10/13
SDM® FAMILY RISK REASSESSMENT
Primary Client Name:
Ongoing Case #:
Caseworker Name:
Assessment Date: / /
Household Assessed:
Were there allegations in this household?
Yes
No
R1. Number of neglect or abuse child protection investigations prior to current involvement Score
a. None......................................................................................................................................................................................................................................................... 0
b. One ........................................................................................................................................................................................................................................................... 1
c. Two or more .......................................................................................................................................................................................................................................... 2
R2. Household has received child protective services (voluntary/court-ordered) prior to current involvement
a. No .............................................................................................................................................................................................................................................................. 0
b. Yes ............................................................................................................................................................................................................................................................ 1
R3. Primary parent/caregiver has a history of abuse or neglect as a child
a. No .............................................................................................................................................................................................................................................................. 0
b. Yes ............................................................................................................................................................................................................................................................ 1
R4. Child characteristics (mark applicable items and add for score)
a. No child has any of the characteristics below ...................................................................................................................................................................... 0
b. Developmental, physical, or learning disability ................................................................................................................................................................... 1
c. Medically fragile or diagnosed failure to thrive ................................................................................................................................................................... 1
The following case observations pertain to the period since the initial risk assessment or last reassessment.
R5. New investigation of abuse or neglect since the initial risk assessment or the last reassessment
a. No .............................................................................................................................................................................................................................................................. 0
b. Yes ............................................................................................................................................................................................................................................................ 2
R6. Parent/caregiver has addressed alcohol or drug abuse problem during this review period (Rate this item for both parents/caregivers [P for primary
or S for secondary], but enter one overall score based on the parent/caregiver with the least demonstrated progress)
P S
No secondary parent/caregiver
a. No history of alcohol or drug abuse problem ...................................................................................................................................................... 0
b. No current alcohol or drug abuse problem; no intervention needed ......................................................................................................... 0
c. Yes, alcohol or drug abuse problem; problem is being addressed ............................................................................................................... 0
d. Yes, alcohol or drug abuse problem; problem is not being addressed ....................................................................................................... 1
R7. Adult relationships during this review period
a. No or not applicable ........................................................................................................................................................................................................................... 0
b. Harmful/disruptive relationships with adults ........................................................................................................................................................................... 1
c. Domestic violence ............................................................................................................................................................................................................................... 2
R8. Primary parent/caregiver provides physical care that is:
a. Consistent with child needs ............................................................................................................................................................................................................. 0
b. Inconsistent with child needs.......................................................................................................................................................................................................... 1
R9. Parent/caregiver progress with the case plan (rate this item for both parents/caregivers [P for primary or S for secondary], but enter one overall
score based on the parent/caregiver with the least demonstrated progress)
P S
No secondary parent/caregiver
a. The parent/caregiver sufficiently demonstrates skills consistent with case plan objectives OR is actively engaged in services and
activities to gain skills consistent with case plan objectives ........................................................................................................................... 0
b. Some demonstration of skills consistent with case plan objectives, but additional progress is needed; OR minimal or
sporadic engagement in services and activities consistent with case plan objectives .......................................................................... 2
c. Does not demonstrate skills consistent with case plan objectives AND/OR is not engaged in services and
activities consistent with case plan objectives .................................................................................................................................................... 4
TOTAL SCORE
SCORED RISK LEVEL. Assign the family’s risk level based on the following chart.
Score Risk Level
0–2 Low
3–5 Moderate
6–8 High
9–16 Very High
POLICY OVERRIDES. Mark yes if condition is applicable in the current review period. If any condition is applicable, override final risk level to very high.
Yes No 1. Sexual abuse case AND the perpetrator is likely to have access to the child.
Yes No 2. Non-accidental injury to a child younger than 3 years old.
Yes No 3. Severe non-accidental injury to any child younger than 16 years old.
Yes No 4. Parent(s)/caregiver(s) action or inaction resulted in death of a child due to abuse or neglect.
1 © 2015 by NCCD, All Rights Reserved
DISCRETIONARY OVERRIDE. If a discretionary override is made, mark yes, mark override risk level, and indicate reason. Risk level may be overridden one level
higher or lower.
Yes No 5. If yes, override risk level (mark one): Low Moderate High Very High
Discretionary override reason:
Supervisor’s review/approval of discretionary override: Date: / /
FINAL RISK LEVEL (mark final level assigned): Low Moderate High Very High
Risk Classification Substantiated Check Recommended Action
Very High Case remains open
High Case remains open
Moderate Close unless there are unresolved safety threats
Low Close unless there are unresolved safety threats
ACTION. Enter the action taken (opened as a case or not opened as a case). If the recommended action differs from the action taken, provide an explanation.
Case to remain open
Close
If recommended action and action taken do not match, explain why:
Description of identified risk items
Caseworker: Date: / /
Supervisor Approval: Date: / /
2 © 2015 by NCCD, All Rights Reserved
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