NAME Yr All appropriate risk factors Factors/Risk High Risk Medium Risk Low Risk Students Maturity Very Immature for age Sometimes acts immaturely Mature for age for age. Student Behaviour- Easily Becomes Expresses when believes Remains calm Anger there is reason Student Behaviour - Involved in apparently Has responded violently when Remains calm or walks away Violence unprovoked assaults provoked from a situation that may cause feelings of upset Student Behaviour Has been known to use Has been known to carry No concerns – weapons offensive weapons (actual or offensive weapons threatened) Student Behaviour- Has been found guilty of a Has been cautioned for a No record of criminality Criminality criminal offence criminal offence Student Behaviour - Regularly swearing in Occasional Swearing when swear Language everyday speech provoked Student Behaviour - Has been to make false Untrustworthy Honest Honesty allegations Student Behaviour - Very withdrawn Lacks self confidence Outgoing Confidence Home Circumstances Significant instability at Difficulties at home Supportive Home home Medical Severe health issues Mid health problems but No problems Circumstances controlled Educational Needs High level of support Some degree of extra support No support required required at all times Additional comments: (include other risky behaviours eg. Drugs/alcohol/CSE and protective factors)
NAME Yr All appropriate risk factors Factors/Risk High Risk Medium Risk Low Risk Students Maturity Very Immature for age Sometimes acts immaturely for age. Mature for age Student Behaviour- Anger Easily Becomes Expresses when believes there is reason Remains calm Student Behaviour - Violence Involved in apparently unprovoked assaults Has responded violently when provoked Remains calm or walks away from a situation that may cause feelings of upset Student Behaviour – weapons Has been known to use offensive weapons (actual or threatened) Has been known to carry offensive weapons No concerns Student Behaviour- Criminality Has been found guilty of a criminal offence Has been cautioned for a criminal offence No record of criminality Student Behaviour - Language Regularly swearing in everyday speech Occasional Swearing when provoked swear Student Behaviour - Honesty Has been to make false allegations Untrustworthy Honest Student Behaviour - Confidence Very withdrawn Lacks self confidence Outgoing Home Circumstances Significant instability at home Difficulties at home Supportive Home Medical Circumstances Severe health issues Mid health problems but controlled No problems Educational Needs High level of support required at all times Some degree of extra support No support required Additional comments: (include other risky behaviours eg. Drugs/alcohol/CSE and protective factors)
WSAPC-Inclusion-Team-Referral-paperwork-sept-2018.docx