Short-Term Assessment of Risk and Treatability (START)

The Short-Term Assessment of Risk and Treatability (START) is a concise clinical guide for the dynamic assessment of short-term (i.e., weeks to months) risk for violence (to self and others) and treatability. START guides the assessor toward an integrated, balanced opinion to evaluate the client's risk across seven domains: violence to others, suicide, self-harm, selfneglect, unauthorized absence, substance use, and risk of being victimized. This structured professional guide is intended to inform clinical interventions and index therapeutic improvements or relapses.

START represents a refinement in the risk assessment field, in that it comprises dynamic variables that are responsive to treatment and management efforts and because each of the 20 items is scored both as a vulnerability and as a strength, from 0 (no evident risk or ...