Risk Assessment

A comprehensive risk assessment provides a clear understanding of an individual’s strengths, challenges, and needs, serving as a roadmap to access appropriate services and support. By identifying the right types of therapy and medication, individuals become empowered and are given resources to make informed decisions for a safer, more supported future.

These evaluations are typically initiated when a child or adolescent exhibits aggressive behaviors, makes explicit threats, or demonstrates a trajectory of concern within school or community settings. The assessment systematically reviews historical, clinical, and contextual risk factors to determine the likelihood of future aggression. It differentiates between transient emotional outbursts and targeted, high-risk behaviors, providing schools and families with specific behavioral intervention plans (BIPs), environmental modifications, and coping supports to mitigate risk effectively.

Juvenile fire-setting behaviors require immediate, specialized clinical attention to determine the underlying intent. This assessment explores whether the behavior is driven by cognitive curiosity, executive functioning deficits, impulse control disorders, covert distress, or conduct challenges. By identifying the specific behavioral drivers, the evaluation provides a clear framework for targeted psychological intervention, educational safety programming, and environmental monitoring.

When a youth exhibits boundary violations or inappropriate sexual behaviors, a specialized evaluation is critical to understanding the underlying mechanism. Dr. Roginsky evaluates the developmental, cognitive, and social factors driving the behavior—distinguishing between sexual curiosity, boundary deficits, and compulsive or coercive patterns. The resulting report outlines specific boundaries, supervision requirements, and evidence-based therapeutic modalities tailored to address the root cause while maintaining community safety.