The OSAB TRAM Protocol is designed to support practitioners working with adults deemed to have capacity to make their own decisions, but who are at risk of serious harm or death due to certain vulnerability factor(s). Practitioners are encouraged to consider any vulnerability factors relevant to an individual. Examples include, but are not limited to:

  • Abuse, Neglect, Exploitation
  • Behaviours that put them at risk
  • Refusal or inability to engage with services
  • ‘High intensity’ service user (potentially indicating unmet needs)
  • Affected by trauma/Adverse Childhood Experiences (ACEs)
  • Mental health conditions
  • Physical health conditions
  • Isolation
  • Learning Difficulties
  • Care leaver
  • Served in HM forces
  • Poverty, Unemployment
  • Homelessness, Unstable living arrangements
  • Drug/Alcohol misuse
  • Care responsibilities

Vulnerability factors should be considered on a case-by-case basis; one or more may be present for any individual. Practitioners are encouraged to assess the impact on the individual and to consider the extent to which these factors increase the risk of serious harm or death.

For more information, see the TRAM Protocol and the following supporting resources:

Why not attend the multi-agency training session 'Risk Management in Oldham: TAA and the TRAM Protocol'? Book your place via the Training page: eLearning and training for professionals.