The Next Generation of Risk Assessment and Management: Introducing the e-HARM-FV

While technology has advanced the field of psychology and psychiatry in many ways, little has changed in the methods used to assess and manage risk.  To date, most risk assessment tools remain paper and pencil based, or if advanced, “form” based.  Clinicians must manually complete measures and later extract relevant information over different assessment points to monitor or assess change. Big data and analytics is rapidly changing health care and enabling a degree of measurement and quality improvement previously not seen. For a variety of reasons including the limited number of quality indicators in mental health care, psychiatry has been late to the game. Forensic mental health has a few advantages in that there are recordable indicators within the behaviours we monitor and measure. Risk management, the critical intersection of risk assessment and prediction, offers us an opportunity to demonstrate the use of analytics to improve care and outcomes. The new electronic version of the Hamilton Anatomy of Risk Management-Forensic Version (e-HARM-FV) was developed to enhance the assessment, monitoring, and management of risk at the clinical rock face. This easy to use tool utilizes embedded analytics to graph change and perform basic analyses at an individual level.  From a quality improvement perspective the tool has an aggregator component which also allows for group analyses and is SPSS compatible.  The eHARM is user friendly and easily implemented.  The tools will be demonstrated and preliminary psychometric data will be presented. 

Learning Objectives:

Introduce the e-HARM-FV and provide overview of the tool

Present initial research findings on user satisfaction and psychometrics

Demonstrate the tool and embedded analytics

Participants will also be lead through case discussions and case exercises


Gary Chaimowitz is Professor in the Department of Psychiatry and Behavioural Neurosciences at McMaster University in Hamilton, Canada.  He is Head of Service- Forensic Psychiatry at St. Joseph’s Healthcare and Forensic Division Head, McMaster University. He has a MBA from the University of Toronto and is a Certified Physician Executive (American College of Physician Executives). He is Vice Chair the Psychiatry Section of the Ontario Medical Association and Past President of the Ontario Psychiatric Association. He chairs the Forensic Psychiatry Specialty Committee of the Royal College of Physicians and Surgeons of Canada and has been granted Forensic Psychiatry Founder Status. He is a Past President of the Medical Staff Association of St Josephs Healthcare Hamilton, is on the Board of the International Association of Forensic Mental Health Services and the Council of the American Academy of Psychiatry and the Law. He is Co-Chair of the Ontario Forensic Directors Group, Distinguished Fellow of the Canadian Psychiatric Association and American Psychiatric Association, Member of the Ontario and Nunavut Review Board and Vice-Chair of the Consent and Capacity Board.

Dr. Mamak is the Senior Psychologist on the Forensic Service of St. Joseph’s Healthcare, Hamilton and Assistant Professor with the Department of Psychiatry and Behavioural Neurosciences at McMaster University.  Dr. Mamak is a member of the Board of Advisory for the Canadian Critical Incident Association and a member of the Ontario Review Board.  Her professional and research interests include aggression, risk prediction, and hostage negotiations.  Dr. Mamak has provided psychological and threat assessment services to both private and public sector organizations both nationally and internationally. She has been a sought after speaker and has presented at numerous conferences and workshops. 

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