ORLEANS PARISH POLICE REPORT .l EZNILE DIVISION RISK ASSESSIVIENT INSTRUIWENT Juvenile Name: D.O.B. ofI Race Sex: Intake Date: Time Worker Name: Brown Folder Number: Open Case Numbers: I. INTAKE OFFENSE (see next page for examples of offenses in each category) Category A: Felony crimes of violence committed with a weapon, sex crimes, homicidesCategory B: Felony crimes of Violence, CDS, ?rearms offenses 12 Category C: Other felonies 7 Category D: Misdemeanor crimes of Violence 5 Category E: Other Misdemeanors 3 Category F: Juvenile Court Warrants 1 List Most Serious Charge: Points 2. ADDITIONAL CHARGES IN THIS REFERRAL Two or more additional current felony offenses 3 One additional current felony o?ense 2 One or more additional misdemeanor OR Violation of probation/parole OR FTA Warrant 1 One or more status offenses OR No additional current offenses 0 List Additional Charges: Points 3. Prior Ad judications of Guilt (includes pleas under Article 896 and Alford) Two or more prior adjudications of guilt for felony offenses 6 One prior adjudication of guilt for a felony offense Two or more prior adjudications of guilt for misdemeanor offenses 3 Two or more prior probation or parole revocations 2 One prior adjudiCation of guilt for an misdemeanor or status offenses I No prior adjudications of guilt 0 PRIOR ADJUDICATION Points 4. Petitions Pending Adjudication or Disposition One or more pen ding petitions/dispositions for felony offenses 8 Two or more pending petitions/dispositions for other offenses 5 One pending petition/dispositi on for another offense 2 No pending petitions/dispositions PENDING Points 5. Current Supervision Status Parole i 4 Probation based on a felony or misdemeanor crime of violence 3 Probation based on other offenses OR deferred disposition with conditions 2 Inactive probation OR Intake alternative to detention 1 None 0 Points 6. History of Failure to Appear (within past 12 months) Two or more warrants issued for PTA in past 12 months 3 One warrant issued for FTA in past 12 months 1 No warrants issued for PTA in past 12 months 0 Points 7. History of Escape {Runaways One or more escapes from secure con?nement or custody 4 One or instances of absconding from non-secure, courtwordered placements in past 12 months 3 One or more runaways from home in past 12 months 1 No escapes or runaways within past 12 months 0 Points 8. Mitigating Factors (select all that apply) No law violation referral within the past year (applies only to youth with a prior history of violation) -1 First law violation referral (instant offense) -1 No PTA warrant history (applies only to youth with delinquency court appearance history) -1 Points 9. TOTAL SCORE Indicated Decision: 0-9 Release 10-14 Detention Alternative 15+ Secure Detention Actual Decision Recommendation: Release Alternative Secure Detention 9?11? actual decision is different than indicated decision, supervisor signature is required for eyerride" Reason for override: Supervisor Signature Date LL