Mental health care has evolved rapidly over the years. It has gradually moved away from a one-size-fits-all approach towards more tailored, evidence-based frameworks. One such tool that’s made its stride in clinical psychology is START — Short-Term Assessment of Risk and Treatability.
The use of START: Short Term Assessment of Risk and Treatability in improving human psychology
If you’re not familiar with it, there is no need to worry. Many people, even those receiving psychological support, may not realise how this assessment plays a crucial role in shaping safe and supportive care.
A psychology practice may use START as part of a broader, person-centred approach to managing risk. It can also empower individuals towards positive change.
Understanding START: what does it actually do?
START Short term assessment of risk and treatability is a structured professional judgment tool. It is designed to assess dynamic risk in individuals, particularly in mental health or forensic settings. Unlike tools that focus solely on long-term risk factors, START hones in on an individual’s short-term risks and strengths. This makes the process more useful in day-to-day practice.
The framework doesn’t just highlight what could go wrong. It also helps identify areas of strength—things that actively protect one from harm or support one’s well-being. These might include good social support, strong coping skills, or engagement in meaningful activities.
By evaluating both risk and resilience, START offers a more balanced picture of a person’s current state. It helps professionals make informed decisions about care, support plans, or potential interventions.
How does it work in practical life?
START was originally developed for clinical settings. However, you can apply its principles in a variety of real-world scenarios.
Many psychologists use START Short term assessment of risk and treatability to support individuals transitioning back into the community from in-patient settings. One can develop realistic, person-centred plans by reviewing strengths and identifying potential short-term risks. These only help keep clients safe and supported without being overly restrictive.
Why it matters
Risk assessment can feel clinical or even stigmatising, but START aims to flip that narrative. It treats people as individuals with strengths, not just risks being managed. In practical use, it promotes empowerment over control, a crucial distinction when supporting people with complex mental health needs.
START is more than just a framework. It has deep connections with psychological systems and paves the way for new treatments. If you want efficient support from a team of experts, contact Engi Psychology Ltd. We are a prominent name specialising in short-term assessment of risk and treatability. To find out more, contact us today.