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Systematic Methodological Approach Consider each data point individually and systematically Categorize data points as evidence for or against each risk factor Document risk ratings to aid decision-making (and testimony preparation) Postpone forming opinion until all data are collected and reviewed Secure Additional Information Request detailed description of behaviors labeled as “manipulative” Corroborate collateral information early and often, with multiple sources Consult with colleagues regarding decision-making and clinical opinions Monitor negative countertransference reactions (and potential bias) Resolve Inconsistencies Wherever Possible Consider “if…then” statements to account for missing or inconsistent data Be forthright regarding uncertainty and impact on opinion Do not provide opinion without sufficient basis to do so
