Wisconsin School Threat Assessment and Management Protocol (WSTAMP)

TRIAGE FORM

Triage, Inquiry, Assessment, and Case Management are all part of the BTAM process. The BTAM Process Flowchart specifies each step in the process. This form is to be completed by trained Behavioral Threat Assessment and Management Team (BTAM) members (minimum of 2 team members required).

Wis. Stat. § 175.32(5): Anyone who fails to report as required by law may be fined no more than $1000 or imprisoned for no more than 6 months or both.

Student Name

Student Grade

Student DOB

Name of person receiving report

Date/time Reported

Team members (at least 2) in attendance

Date/time of meeting

Name

Position

Name

Position

Name

Position

Name

Position

Name

Position

Information about the incident/behavior of concern

Describe the concerning behavior or give a fact-based account of the incident

If there is additional information to aid in understanding the context, please state it here:

Team members discussed presenting information and determined a threat inquiry is not warranted at this time, given available and known information about the student and the reported situation (context).” with “Team members discussed presenting information and determined a threat inquiry is not warranted at this time, given available and known information about the student and the reported situation (context). Document information supporting the decision below:

Team members discussed presenting information and determined further action is warranted. A threat assessment Inquiry or a Full Threat Assessment will be initiated.

***NOTE: Wis. Stat. § 175.32(2): Any person who is a mandatory reporter under the child abuse statute, such as a nurse, a medical or mental health professional, a social worker, a school teacher, a school administrator, a school counselor, or any other school employee, or a police or law enforcement officer, is required to report, as described below, if that person, in good faith, believes that there is a serious and imminent threat to the health or safety of a student, school employee or the public, based on a threat regarding violence in or targeted against a school made by an individual seen in the course of the mandatory reporter’s professional duties. The same applies to a member of the clergy unless the member of the clergy receives the information regarding the threat privately where, under the circumstances of the religion or tradition, the communication is expected to be kept private.

Wis. Stat. § 175.32(3): To “report” means, by telephone or in person, to immediately inform a law enforcement agency of the reasons why the reporter believes there is a serious and imminent threat to the health or safety of a student or school employee or the public.

TRIAGE FORM

Team members (at least 2) in attendance

Information about the incident/behavior of concern

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