10 Hours | 10 CEs

This self-paced training program on Short-Term Assessment of Risk and Treatability (START) is presented by Sarah Desmarais, PhD, and Tonia Nicholls, PhD.

It provides training in the Short-Term Assessment of Risk and Treatability, a 20-item clinical guide for the dynamic assessment of seven risk domains. START represents a refinement in the assessment of risk in that it provides for the differential coding of both patient strengths and vulnerabilities while allowing for the recording of case-specific factors. START guides clinicians toward an integrated, balanced opinion to evaluate the client’s risk across multiple domains and to guide treatment and management decisions. Clinicians are routinely required to make decisions and provide recommendations regarding the admission, discharge, and management of persons who may pose a risk of violence to self or others. This remains a challenging task, with divergent approaches and measures available to assist with these decisions. Traditional approaches have focused largely on individual risk factors while neglecting to consider patients’ strengths or external/environmental triggers, and have been concerned mainly with long-term risk to others.

The program reviews the literature that bears on the development of START and supports its utility as a clinical evaluation and planning guide and as a research tool. Additionally, it briefly describes the development, design, format, and implementation of START, and provide results from existing and ongoing research. It focuses on how START can inform decision-making regarding internalized and externalized aggression, as well as other risks relevant to maintaining staff and client safety.

  • Understand the role of static and dynamic strength / risk factors in risk assessment and risk management.
    Become increasingly familiar with the role of strengths and vulnerabilities in client management and safety planning
  • Learn how to administer, interpret, and implement START assessments.

Learning Objectives

Upon completion of this course you will be able to:

  • Describe the role of static and dynamic strength in risk assessment

  • Describe risk factors in risk assessment and risk management

  • Describe the of strengths in client management and safety planning

  • Describe the vulnerabilities in client management and safety planning

  • Demonstrate how to administer START Assessments

  • Demonstrate how to interpret START Assessments

  • Demonstrate how to implement START assessments

  • Describe the empirical and theoretical rationale for assessing multiple and overlapping adverse outcomes (e.g., violence to others, suicide, self-harm, self-neglect, substance abuse)

Presented By

President at Policy Research Associates, Inc. (PRA) Sarah L. Desmarais, PhD

Sarah L. Desmarais, Ph.D., is the President at Policy Research Associates, Inc. (PRA) since 2022. She is responsible for the strategic priorities of PRA and oversight of PRA operations. Dr. Desmarais received her PhD in Forensic Psychology and Law from Simon Fraser University and completed a postdoctoral fellowship in Population and Public Health at the University of British Columbia. Prior to joining PRA, Dr. Desmarais was a tenured Professor of Psychology and University Faculty Scholar at North Carolina State University. She also was an Assistant Professor at the University of South Florida with joint appointments in the Department of Community and Family Health and the Department of Mental Health Law & Policy. Dr. Desmarais works on issues at the intersection of public health, community safety, and social justice. Her current research is focused on evidence-based practices for reducing detention rates, especially among people with behavioral health needs. Dr. Desmarais has authored more than 130 peer-reviewed publications in journals including the American Journal of Public Health, Criminal Justice and Behavior, and Law and Human Behavior. She has held grants and contracts from foundations, state, and federal agencies, such as the National Institutes of Health, the National Institute of Justice, the National Science Foundation, and the MacArthur Foundation.

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

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.

Collect Badges, Earn Certificates

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

  • Intended Audience

    This self-paced course is intended for mental health and other allied professionals.

  • Experience Level

    This self-paced course is appropriate for beginner, intermediate, and advanced level clinicians.

  • CE / CPD Credit

    APA, ASWB, CPA, NBCC Click here for state and other regional board approvals.

Course Preview

Curriculum

    1. Review Before Proceeding

    1. START Item Explanations

    2. START Risk Estimate Definitions

    3. Case Study - Mr. V

    4. Coding Notes - Mr. V

    5. Summary Sheet - Mr. V

    6. Summary Sheet - Blank

    7. Coding Notes - Blank

    1. Lesson 1 Video

    2. de Ruiter & Nicholls (2011)

    3. Lesson Quiz

    1. Lesson 2 Video

    2. Nicholls et al. (2008)

    3. Webster et al., (2006)

    4. Lesson Quiz

    1. Lesson 3 Video

    1. Lesson 4 Video

    2. START Manual

    3. Lesson Quiz

About this course

  • $250.00
  • 32 lessons
  • 5 hours of video content

Develop a Specialty Area of Practice

Transforming mental health professionals into experts

  • Expert Instructors

    Professional training developed and delivered by the field's leading experts

  • CE Credit

    Earn CE credit for meaningful professional training that will elevate your practice

  • Convenience & Flexibility

    Learn at your own pace, from wherever you might be!

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