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The 2013 Washington State Legislature directed WSIPP to develop a risk assessment for patients in the state’s involuntary mental health treatment system. In Washington State, formal risk assessments have been used to predict the risk of criminal recidivism among juvenile and adult offenders. This report finds that the existing Static Risk Assessment (SRA), used by courts and corrections in Washington for criminal populations, can also serve as a valid tool for determining the level of risk for adults with involuntary civil commitments and forensic competency evaluations. Results indicate that the adapted SRA described in this report has reasonable predictive accuracy for both the civil and forensic populations.