Live Virtual Training via Zoom

Tonia L. Nicholls, PhD and Andrew Gray, PhD, present a live virtual professional training program on Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV). 

This live virtual training takes place over four half-day sessions from 9:00 am - 12:30 pm PST / 12:00 pm - 3:30 pm EST each day. 

-Wednesday, February 18th 

-Thursday, February 19th 

-Wednesday, February 25th 

-Thursday, February 26th 

This is a multi-day training event. Participants must attend all scheduled sessions in full to be eligible to receive continuing education (CE) credit. Partial credit will not be awarded.

This badge-earning program can be shared digitally on platforms like LinkedIn or your resume and counts towards various certificates. Enroll to earn credit and share your new digital credentials with prospective employers and colleagues. This program is considered a foundational component of the Juvenile Forensic Assessment Certificate.

This training provides participants with comprehensive instruction in the use of the START:AV (Short-Term Assessment of Risk and Treatability: Adolescent Version)—a structured guide designed for assessing and planning treatment with adolescents ages 12 to 25. The START:AV takes an integrative approach, evaluating short-term risk for a range of adverse outcomes commonly encountered among youth involved in mental health and justice systems. These include violence, crime, substance use, unauthorized absences, self-harm, suicide, victimization, and health neglect.

Unlike many traditional tools that focus solely on risk or vulnerability factors, the START:AV emphasizes both strengths and vulnerabilities, supporting a more balanced and individualized understanding of each adolescent. The tool also encourages a dynamic and developmentally informed approach, orienting professionals to an adolescent’s recent functioning, and identifying factors that are modifiable through intervention.

Throughout this training, participants will develop the knowledge and practical skills necessary to use the START:AV effectively in both assessment and intervention planning. The program incorporates a combination of didactic instruction and interactive case examples, allowing participants to apply concepts in realistic scenarios and build confidence in using the tool in their professional practice.

Learning Objectives

Upon completion of this training, participants will be able to:

  • 1 Describe an integrative assessment to identify adolescents at risk of a range of adverse outcomes
  • 2 Describe how to administer the Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV)
  • 3 Describe the rationale and advantages for developing the START:AV -- a measure that addresses multiple adverse outcomes in behavioral health populations
  • 4 Describe the assessment of adolescents’ risk to harm others
  • 5 Describe the assessment of adolescents’ risk to violate conditions
  • 6 Describe the assessment of adolescents’ risk to harm self
  • 7 Describe the role of static and dynamic variables in risk assessment
  • 8 Describe the role of strengths and vulnerabilities in risk assessment
  • 9 Describe and receive feedback on the application of the START:AV to three training cases
  • 10 Describe how START:AV assessments can facilitate bridging risk assessment and risk management
  • Intended Audience

    This training program is intended for individuals involved in the assessment and support of adolescents with mental health and justice system contacts, who are seeking to enhance their skills in structured professional risk assessment and risk management. The program is suitable for those working with youth across diverse sectors, including mental health, legal, justice, health, and housing, and who are interested in integrative approaches that consider both strengths and vulnerabilities in adolescents.

    • Mental Health Professional
    • Psychologist
    • Psychiatrist
    • Nurse
    • Social Worker
    • Allied Professional (e.g., Spiritual Advisor, Peer Support Worker, Indigenous Navigator)
    • Postdoctoral Fellow
    • Advanced Graduate Student
  • Experience Level

    This training is designed for licensed and pre-licensed mental health professionals at all experience levels who wish to develop or enhance their skills in adolescent risk assessment and intervention planning using the START:AV.

    • Beginner: Participants new to adolescent risk assessment or the START:AV, seeking foundational knowledge and practical skills in integrative assessment and treatment planning.
    • Intermediate: Participants with some experience in risk assessment or adolescent behavioral health, aiming to deepen their understanding of dynamic risk factors, strengths-based assessment, and application of the START:AV to case examples.
    • Advanced: Participants with substantial experience in adolescent risk assessment, interested in refining their use of the START:AV for complex cases, integrating research evidence, and bridging risk assessment with risk management strategies.
  • Practice Setting

    Professionals who participate in this training typically work in multidisciplinary environments that support adolescents with complex mental health and justice system needs. These settings are often collaborative, involving teams from various sectors such as healthcare, social services, education, and justice. The work environment may be community-based, institutional, or outreach-oriented, and often requires professionals to assess and manage short-term risks while considering both the strengths and vulnerabilities of youth. These professionals engage in dynamic, client-centered practice, frequently using structured tools like the START:AV to inform assessment, intervention planning, and risk management.

    • Community mental health centers serving youth with behavioral and emotional challenges
    • Hospital-based adolescent psychiatric or crisis intervention units
    • Youth justice facilities or probation services
    • School-based mental health or counseling programs
    • Residential treatment centers for adolescents
    • Outreach programs supporting homeless or at-risk youth
    • Integrated care teams in primary health or family health clinics
    • Indigenous health and wellness organizations
    • Non-profit agencies providing support to youth involved in multiple systems
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Presented By

Tonia L. Nicholls, PhD, Full Professor, Department of Psychiatry

Dr. Tonia Nicholls was promoted to full Professor in the Department of Psychiatry at the University of British Columbia (UBC) in 2017. She is also the Scientific Director of Forensic Research with British Columbia Mental Health and Substance Use Services (BCMHSUS). She holds several cross-appointments, including the School of Population and Public Health, UBC and is an Adjunct Professor in the Department of Psychology, Simon Fraser University. She is Past-President of the International Association of Forensic Mental Health Services (2023-2025). She was Editor of the International Journal of Forensic Mental Health Services for five years (2019-2023). She received the Association of Threat Assessment Professionals Chris Hatcher memorial award in 2002, the American Psychological Association Award for Distinguished Professional Psychology (2004), and the Canadian Psychological Association President’s New Researcher Award (2004). The Michael Smith Foundation for Health Research Career Scholar Award (2007-2012), She also held a Canadian Institutes of Health Research (CIHR) New Investigator salary award (2011-2016) and a MIND Foundation Young Investigator award (2012). She received the Canadian Institute of Health Research Scholar award (2015-2022, 2M CDN). Dr. Nicholls was the BC lead on a team that received the 2017 Canadian Psychological Association Criminal Justice Section Significant Contribution Award. She is an author of the Short-Term Assessment of Risk and Treatability (START, adult version) and the Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV). The measures have been translated into 12 languages. She has conducted >130 workshops and supported large-scale implementations and evaluations with teams in civil, correctional and forensic contexts (e.g., Australia, Canada Finland, Germany, New Zealand, Spain, the UK, and US . She has consulted extensively with civil, forensic, and correctional sites on topics including environmental design, mother-baby programs, seclusion reduction, models of care, unique needs of women, and deaths in custody. Dr. Nicholls’ research and knowledge translation examines the needs of complex behavioral health populations and methods to assess and prevent crime, violence, victimization, and related outcomes. She has published over 150 peer -reviewed articles and chapters in this area and presented > 300 conferences presentations and 22 invited Keynotes.

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Tonia L. Nicholls, PhD

Presented By

Andrew Gray, PhD, Clinical Lead, Brockville Mental Health Centre in Ontario

Dr. Gray is the Clinical Lead, Programming and Research, in the Secure Treatment Unit at the Brockville Mental Health Centre in Ontario and is a Postdoctoral Fellow with the Département de Psychiatrie et d’addictologie at Université de Montréal. He is also an Adjunct Research Professor with the Department of Psychology at Carleton University and is the Secretary-Treasurer for the Criminal Justice Psychology Section of the Canadian Psychological Association. Dr. Gray obtained his Ph.D. in Clinical-Forensic Psychology from Simon Fraser University and completed his predoctoral Clinical Forensic Psychology Internship Program through British Columbia Mental Health & Substance Use Services. He received the Senate Medal for Outstanding Academic Achievement from Carleton University (2012) and a Doctoral Fellowship through the Social Sciences and Humanities Research Council of Canada (2012 – 2016), and has received certificates of academic excellence and student research awards from the Canadian Psychological Association. His clinical experience includes working with justice-involved adolescents, federally incarcerated men, provincially incarcerated men with severe mental illness, and individuals found not criminally responsible on account of mental disorder (NCRMD). Dr. Gray’s primary areas of research include violence risk assessment and assessing change in risk, forensic mental health, self-injurious and suicidal behaviour, intimate partner violence, firesetting, and the application of novel statistical techniques in examining predictive validity. Dr. Gray has served as an ad hoc reviewer for journals such as Criminal Justice and Behavior and Sexual Abuse and has co-authored 16 articles, eight book chapters/encyclopedia entries, and one technical report. In addition, he is a certified trainer for the Ontario Domestic Assault Risk Assessment (ODARA), has provided training on meta-analysis and assessing violence risk in youth, presented 10 conference talks, and has co-authored over 50 conference presentations/posters. Dr. Gray is also the lead author of the Change in Violence Risk Protocol (CVRP), a structured professional judgment-based framework for rating and formulating change in risk, and has published on the validity of the START:AV in predicting violent and self-injurious behaviour among adolescents undergoing residential treatment.

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Andrew  Gray, PhD

Training Outline

Key topics covered in this training include:

  • Context and Rationale for the START:AV

  • Describe how START;AV is consistent with clinical guidelines, evidence-based practice

  • Summary of supporting research

  • Overview of the START:AV

  • Key Concepts

  • Case Example: Sebastian

  • Unique characteristics: Case specific items, signature risk signs

  • Sebastian History and Future Risks

  • Case Examples

Earning a Certificate

This is a badge-earning program, which means it will help you earn a certificate that can be showcased on digital platforms like LinkedIn.

Live Event Policy

Registration for our live events is covered for one (1) person per purchase. If you would like to purchase for a group, please contact our group training team.

  • Event Communications

    When registering, use an email that is active and that you check regularly. We are not responsible for communications not being received; if you do not add [email protected] to your email safe sender list, our emails are likely to end up in your spam or junk folders.

  • Cancellation Policy

    Have a sudden change of plans and are unable to attend live? No worries; you will be given access to the on-demand version of the program once available. Please note that if you attend live, no access to the recording will be given.

  • Event Conduct

    Professional conduct is expected during our live programs. Our goal is to make our events as interactive as possible for all participants. We reserve the right to remove any participants who are disruptive, act unprofessionally, or who we are unable to verify their purchase.

CE Sponsorship Information

Palo Alto University, Continuing & Professional Studies (CONCEPT) is approved by, recognized by, or maintains sponsorship/ provider status with the following boards and agencies. We maintain responsibility for all content in our CE/CPD programs. For more information, visit here. 

  1. American Psychological Association (APA): Approved sponsor of continuing education for psychologists.

  2. Association of Social Work Boards (ASWB): Approved continuing education provider (ACE program, Provider #1480), 11/22/2023–11/22/2026.

  3. Canadian Psychological Association (CPA): Approved to sponsor continuing education for psychologists.

  4. National Board for Certified Counselors (NBCC): Approved Continuing Education Provider (ACEP No. 7190).



Palo Alto University, Continuing and Professional Studies (CONCEPT) is approved by the American Psychological Association to sponsor continuing education for psychologists. Palo Alto University, Continuing and Professional Studies (CONCEPT) maintains responsibility for this program and its content. Palo Alto University, Continuing and Professional Studies (CONCEPT) is approved by the Canadian Psychological Association to offer continuing education for psychologists. Palo Alto University, Continuing and Professional Studies (CONCEPT), SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0356 and the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0073. Palo Alto University, Continuing and Professional Studies (CONCEPT) has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6811. Programs that do not qualify for NBCC credit are clearly identified. CONCEPT Professional Training, #1480, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. CONCEPT Professional Training maintains responsibility for this course. ACE provider approval period: 11/22/23-11/22/26. Social workers completing this course receive (clinical or social work ethics) continuing education credits.