Report page 47

Significant setbacks, losses, and other life challenges that may be acute (e.g., romantic breakups) or chronic (e.g., ongoing medical conditions).

Stressors can be experienced across several life domains, including family/romantic relationships, social interactions, work or school environments, personal health, legal actions, and other identified areas.

Specific examples include being bullied or harassed by others, financial instability, job loss, divorce or child custody issues, and failed life aspirations.

Family dynamics or home environments that negatively impact an individual, including family discord, abuse, drug use, criminality, domestic violence, mental/physical health concerns, death, and dissolution of relationships.

Conversely, positive home life factors may include supportive families, healthy relationships, and other dynamics that could support intervention strategies to mitigate risk.

Current or previous history of mental health symptoms that negatively impact the individual, particularly when left untreated, including paranoia, delusions, hallucinations, depression, and suicidality.

Mental health history may or may not include prior formal diagnoses, hospitalizations, and treatment (e.g., prescription medication).

A history of criminal behaviors identified in formal records, including arrests, convictions, and other legal actions. Criminal history may also include other criminal behavior and contacts with law enforcement and the courts that have not resulted in official legal actions.

Criminal behavior outside of formal records may be identified during the assessment through interviews with family, friends, coworkers, classmates, and others familiar with the individual.

A pattern of strained or conflicted relationships with family members, romantic partners, friends, coworkers, classmates, neighbors, or other members of the community. Interpersonal difficulties may include an inability to form or sustain positive relationships with others due to the individual’s inappropriate or concerning behaviors.

A pattern of engaging in criminal or inappropriate behavior for which the consequences were either absent or not commensurate with the behavior.

Examples of past behaviors that may not have received appropriate consequences could include threatening communications, domestic violence, physical/sexual assaults, inappropriate touching of others, stalking, and harassment.