ࡱ>     m{ bjbj  hhE$''***#+#+#+,4$#+_\O7LJՉՉՉnd4^^^^^^^tbe^Q*LpLL^''ՉՉ^+++Lp'&Չ*Չ^+L^++Nt9)KUՉg"O#+"7Rjk^^0_Rf"fKUKU8f*U6<+D8^^d'_LLLLf %: Supervising the Assessment of Risk During the CPS Response PurposeTo develop supervisors ability to utilize SET behaviors, leadership styles, and supervisory functions in order to strengthen workers ongoing assessments of risk.RationaleIn order to promote change (i.e., promote the development of behaviors that can keep children safe and enhance their well-being) and resolve the issues that combine to produce risk of future harm, workers must undertake with the family a thorough assessment and thoughtful analysis of risk-related elements, underlying conditions, contributing factors, strengths, and needs. The process must also include the familys own perceptions of their situation and an evaluation of the familys change readiness. Effective supervision is critical; setting expectations, monitoring performance, providing feedback, and coaching are necessary to promote full and accurate assessments of risk. Enabling AbilitiesParticipants will be able to: Cognitive identify common errors in risk decision-making describe how to make informed risk decisions Affective value the need to strengthen workers risk assessments across the unit Operative assess the developmental needs of staff regarding risk assessment on an individual worker and a unit-wide level utilize SET behaviors, leadership styles, and supervisory functions to advance workers ability to conduct full and accurate risk assessments communicate expectations regarding the quality of worker and unit risk assessments monitor the quality of worker and unit risk assessmentsMaterialsHandouts, Common Errors: Risk, Making Informed Risk Decisions, Risk Profile Element Definitions, Elevated Risk Element Definitions, Thompson Family: Intake Report I, II and III, Thompson Family: Progress Notes, Thompson Family: Risk Assessment Profile (A), Thompson Family: Risk Assessment Profile (B), Thompson Family: Worker Profile (A), Thompson Family: Worker Profile (B), Thompson Family: Trainers Key (A), Thompson Family: Trainers Key (B), Thompson Family: Initial Parent/Caretaker Strengths, Needs, and Risks, Thompson Family: Initial Child Strengths, Needs, and Risks, Thompson Family: Worker Profile (SNR Scales), Thompson Family: Trainers Key (SNR Scales), Questions for Learning about the Dynamics Creating Risk; worksheets, Supervising Risk Assessments; PowerPoint slides, Abilities (PPT Slide #1), Definition of Risk (Protective) (PPT Slide #2) Review of LearnLinc Activity on Risk (PPT Slide #3), flipcharts, Underlying Conditions Are, Variables Comprising Underlying Conditions, Contributing Factors Are, Examples of Contributing Factors, Cultural Strength, Categories of Strengths (1) and (2).Time240 minutes Learning Process  Reviewing risk in CPS Display and review PowerPoint slide #1, Abilities (PPT Slide #1). Elicit and respond to any questions or comments participants may have regarding the abilities. Display PowerPoint slide #2, Definition of Risk (Protective). Explain: As you all know, this is the definition of risk that we use for our assessments in child protective cases. Some of you also reviewed the legal requirements of risk assessment in your preclassroom LearnLinc training. Lets look briefly at the highlights of that review. Review PowerPoint slide #3, Review of LearnLinc Activity on Risk.Discussing common errors in risk decisionsState: Record reviews have shown that there are some fairly common errors that many of us make related to risk decisions in CPS work. Refer to the handouts, Common Decision-Making Errors: Risk and Making Informed Risk Decisions. Ancillary instruction: Tell participants that the errors listed on both of these handouts are the same. Common Decision-Making Errors: Risk compartmentalized the risk errors so that the handout can be combined with the handouts, Common Decision-Making Errors, and Common Decision-Making Errors: Safety, from previous activities, so that they will have a list of common errors all in one place. Instruct participants: Read the handout, Making Informed Risk Decisions, which represents best practice while highlighting common errors made in completing the RAP, and place a check mark next to the risk errors you see being made in your unit. Ancillary instruction: Elicit participants responses relative to any risk errors made in their units. If necessary, ask participants to differentiate whether the errors they see are related to the workers methods of decision-making or the actual documentation itself. Example: A worker documents information in the progress notes that indicates a secondary caretaker exists. However, the worker fails to identify that individual as a secondary caretaker, who could have an impact on the childs level of risk of future harm (this is one error in decision-making), and fails to include that individual on the RAP, which leads to an inaccurate risk rating (another error in documenting risk). State: As a supervisor, you will need to continue to monitor for these and other errors and provide coaching to workers on how to improve both their risk decision-making and documentation. Ancillary instruction: Ask participants: How could you use the handout, Making Informed Risk Decisions, in setting expectations, monitoring performance, providing feedback, and/or coaching your workers? Example: The handout could be used as a guide during a supervisors administrative monitoring of case records; it can be used to check to see if best-practice expectations have been followed. It can also serve as a guide in developing monitoring questions for case conferences (e.g., a supervisor could ask the worker if he or she has considered prior history in assessing the elevated risk elements). Additionally, it could be used for providing feedback by reviewing it with workers when errors are found in their risk decision-making. The supervisor could show a worker that there are common errors, as seen in the handout, in the workers decision-making and coach the worker on how to avoid these errors. It can be also be used as a tool for setting expectations by reviewing with the unit common errors and expected best practice (e.g., the supervisor could set the expectation with the unit that workers must always check for secondary caretakers and include them in the assessment.) Another helpful resource for you and your unit is CONNECTIONS online help; it provides clarity on the definition of the risk elements as used in the RAP, as do the handouts, Risk Profile Element Definitions and Elevated Risk Element Definitions. Ask: How have you been able to use the CONNECTIONS online help information to enhance the assessment of risk within your unit? Ancillary instruction: Record participants responses on the flipchart.Supervising risk assessmentsState: As you recall from the work we did with the Thompson family in the previous activity, we monitored, provided feedback, set expectations, and coached the worker around the practice domain of Assessment Focus as it related to any current abuse/maltreatment. Here we will continue that supervisory process with an activity that allows you the opportunity to plan for how you would strengthen a workers assessment of risk of future abuse/maltreatment. Ancillary instruction: Divide participants into three groups. Tell participants to individually review the handouts, Thompson Family: Intake Reports I, II, and III, Thompson Family: Progress Notes. Comment: These handouts are the same handouts used in Activity D. Additionally, assign each group one of the following: Thompson Family: Risk Assessment Profile (A), Thompson Family: Risk Assessment Profile (B), or Thompson Family: Initial SNR Scales. Assign the corresponding worker profile to each of the three groups (e.g., Thompson Family: Worker Profile (A) is assigned to the same group that was assigned to Thompson Family: Risk Assessment Profile (A)). Tell the groups that they should suspend their current knowledge of the Thompson worker from the practice simulation in Activity D and instead, review the assigned worker profile for this activity. The primary focus is to prepare and provide feedback and coaching to enhance worker performance in assessing and documenting how underlying conditions and contributing factors influence the behaviors that lead to risk of future harm. Refer to the worksheet, Supervising Risk Assessments. Instruct participants: Each of your small groups is responsible for completing this supervisory plan together based on the information you currently know about the worker as well as the family. You should each choose a reporter for your group, who will share your collective supervisory plan with the large group. You will then have the chance to give each other feedback about your supervisory plans as well as any necessary coaching. We will also be available for coaching, if needed. Ancillary instruction: Tell participants that the handouts, Questions for Learning about the Dynamics Creating Risk, Risk Profile Element Definitions, and Elevated Risk Element Definitions, may be useful for support. Tell participants to consider the flipcharts, Underlying Conditions Are, Variables Comprising Underlying Conditions, Contributing Factors Are, Examples of Contributing Factors, Cultural Strengths, and Categories of Strengths. Also inform participants that they will be able to use information recorded in the previous exercise from the guidebook, A Supervisors Guide to Assessing Practice, Chapter 4 pg 4-7 through 4-10 of the Case Record Review Protocol for Assessment Focus and Chapter 4 pg 4-21 through 4-25 of the Case Conference Protocol for Assessment Focus. Tell participants that we are aware that they may not be able to fully answer all of the questions as they are not reviewing an actual case record. Inform them that they should note what areas/indicators need further monitoring and assessment. Circulate among the groups to offer support and coaching as they complete the worksheet. Facilitate each groups reporting of their responses to the worksheet, Supervising Risk Assessments, and elicit both evaluative and developmental feedback from the other groups for the reporting groups plan. Elicit any coaching from the other groups to strengthen each groups supervisory plan and, if necessary, provide coaching as well. Caution: You are responsible for the learning that needs to be evident. If the groups presentation contains inaccuracies or incomplete information and the feedback and coaching provided by the two groups fails to address this issue, you must intervene with your own feedback and coaching. If participants did not identify any inaccuracies or problems during the presentations that you feel need to be identified/addressed, it is incumbent upon you to address these areas with the group. This can be accomplished by utilizing the handouts, Risk Profile Element Definitions and Elevated Risk Element Definitions and reviewing/clarifying information as necessary. Reminder: Trainers Keys are also available to support this discussion.Identifying strategies to monitor performanceInstruct participants: Now that weve practiced supervising risk assessments and providing feedback to individual workers, lets expand our scope and consider methods for monitoring the performance of not only individual workers relative to risk, but your unit as a whole. Think about the risk assessments you review in your unit. While understanding workers may vary in their skill and expertise, try to consider the units quality of assessments as a whole. Discuss: On a scale of 1 to 5 (1 = your unit misunderstands the elements in the RAP and the SNR scales and fails to assess or document important criteria, and 5 = your unit completes accurate assessments that are supported by documentation), how would you rate your unit? Ancillary instruction: Survey the group for responses and post them on the flipchart. Example: 5 people responded with a rating of 1; 12 responded with a rating of 4, etc. Comment: Considering the ratings offered by the group, adapt the following discussion to highlight PMC strategies supervisors use to achieve high ratings in their unit, and use those strengths to develop strategies for the supervisors who rated their units lower. What are some tools/strategies you currently use to set expectations for and monitor the performance of your unit as a whole? Example: Regularly review case records and meet with workers individually on a weekly basis, as well as monthly as a team, to address trends in decision-making and documentation, and to clarify expectations. Regularly observe workers in the field to assess their strengths and areas that need development. Utilize strengths within the unit to support workers who need assistance. Ancillary instruction: Post participants responses on the flipchart. Build on strategies offered by brainstorming additional ideas with the large group. For those of you who rated your units lower in the quality of their assessments, do you see yourself implementing some of these strategies you may not have previously employed to set expectations for and monitor your unit and individual workers? Do you perceive any barriers to implementing any of these strategies? Ancillary instruction: If participants respond in the affirmative, invite the group to problem-solve and suggest methods for overcoming those barriers.Summary pointsConclude: Weve practiced communicating expectations, monitoring performance, and providing feedback about a workers ability to gather and evaluate information about a family that impacts the accurate completion of the RAP and the Initial FASP SNR scales. Weve also identified developmental needs of your staff regarding risk assessment. Youve also considered the skills necessary to engage the worker and families in a thoughtful analysis of underlying conditions, contributing factors, strengths, and needs. As a group, we also developed strategies to support monitoring performance.  Abilities (PPT Slide #1) Participants will be able to: Cognitive identify common errors in risk decision-making describe how to make informed risk decisions Affective value the need to strengthen workers risk assessments across the unit Operative assess the developmental needs of staff regarding risk assessment on an individual worker and a unit-wide level utilize SET behaviors, leadership styles, and supervisory functions to advance workers ability to conduct full and accurate risk assessments communicate expectations regarding the quality of worker and unit risk assessments monitor the quality of worker and unit risk assessments Definition of Risk (Protective) (PPT Slide #2) The likelihood that a child may be abused or maltreated in the future. Review of LearnLinc Activity on Risk (PPT Slide #3) In your LearnLinc preclassroom training, you: reviewed the difference between safety and risk reviewed protective vs. non protective risk discussed how risk assessment examines family functioning and identifies the factors and/or conditions that place children at risk of harm reviewed several assessment protocols in the FASP that guide workers gathering and analysis of the information in order to make decisions and to plan for change-supporting activities/services that will reduce risk of future abuse/maltreatment Common Errors: Risk Selection of Caretaker(s) Failing to identify parent substitutes as Secondary Caretaker if they do not live in home. Failing to identify alleged or confirmed subject as Secondary Caretaker. When there is a change in people caring for the children during the investigation or as a result of actions taken by CPS, misidentifying the new caretakers as PC and SC instead of the persons who were the caretakers at the time of the alleged maltreatment. Identifying the Presence/Absence of Preliminary Risk Elements Mistaking the time frame reference: Basing answers on what the caretakers or family have done while the investigation is in progress (entering drug rehabilitation services, seeking psychiatric services, obtaining financial assistance). Answering questions based on actions the worker has taken to help to rectify the problems, issues, and needs since the investigation began. Misunderstanding the intent of the elements: Using terms imminent risk and immediate or impending danger in the comments when referring to the behaviors and conditions of the family and caretaker. Failing to identify mental illness or drug or alcohol problems when there is no official medical diagnosis. The elements dont need proof but are based on the workers experience and assessment. Complying with mental health services doesnt mean that there is no mental health problem. Mistakenly using a narrower or broader definition than intended for the RAP element (e.g., the element on domestic violence is much broader than the common understanding of domestic violence). Common Errors: Risk Failing to use a higher level of proof for the strengths-based elements: Saying that the strength is present if it is exhibited periodically (rather than all, or most, of the time). Mistakenly saying that caretakers have realistic expectations of ALL of the children, or meet ALL of the childrens needs when there have been substantiated allegations of abuse. Identifying the Presence/Absence of Elevated Risk Elements Basing answers to the elevated risk elements only on the current investigation/case situation. Making Informed Risk Decisions Assessing Risk: the Risk Assessment Profile RAP STEPINSTRUCTIONSGUIDING BEST PRACTICECOMMON ERRORS in Decision MakingSelection of Caretaker(s)A. Primary Caretaker (PC) is required. B. Select a Secondary caretaker (SC) if one exists.CPS needs to determine who is the primary caretaker, if there is a secondary caretaker, and who that person is. Workers need to know who caretakers are so that they can assess all of the right people. The RAP can only be an effective tool in predicting the likelihood of future abuse or maltreatment if the right primary and secondary caretakers are identified. The Caretakers should be those people responsible for the care of the children at the time of the alleged abuse/maltreatment. A Primary Caretaker: is an adult (usually the mother) who is legally responsible for the child(ren), resides with the child(ren), and assumes primary responsibility for the care of the child(ren). when more than one person who is legally responsible for the child(ren) resides in the household, the birthFailure to identify parent substitutes as Secondary Caretaker if they do not live in home. Failure to identify alleged or confirmed subject as Secondary Caretaker. When there is a change in people caring for the children during to the investigation or as a result of actions taken by CPS, misidentifying the new caretakers as PC and SC instead of the persons who were the caretakers at the time of the alleged maltreatment. Making Informed Risk Decisions RAP STEPINSTRUCTIONSGUIDING BEST PRACTICECOMMON ERRORS in Decision Makingmother is presumed to be the Primary Caretaker. The presumption of mother as PC must conform to or be supported by the facts of the individual case. there can only be one (1) Primary Caretaker chosen. A Secondary Caretaker: must be selected if there is one. is an adult who lives in the child(ren)s home and assumes some responsibility for the care of the child(ren); or an adult who does not reside in the child(ren)s home, but who cares for the child(ren) on a regular basis. if there are two (2) or more potential Secondary Caretakers with child care responsibilities, it is presumed that the caretaker listed as a subject in the CPS Investigation is to be identified as Secondary Caretaker. In all other situations, select the adult who assumes the most responsibility for the care of the child(ren), either within or outside of the home.Making Informed Risk Decisions RAP STEPINSTRUCTIONSGUIDING BEST PRACTICECOMMON ERRORS in Decision MakingIdentifying Presence/Absence of Preliminary Risk ElementsEach Preliminary Risk Element must be answered. Upon completion of all fifteen elements, a Preliminary Risk Score will be calculated and the Preliminary Risk Rating will be identified. There are two types of Preliminary Risk Elements: the first six that address the family unit, and last nine that address the caretaker-specific behaviors and conditions. The caretaker-specific questions are answered for the primary caretaker and the secondary caretaker. Comments are to required to be written for all risk elements that contribute to a higher risk score.CPS need to internalize the risk elements so that they can develop interview questions and strategies to obtain sufficient information on the presence of the risk elements in the family. Risk elements identify significant behaviors and circumstances within a family unit that create different levels of risk (of future abuse and maltreatment) to the child. The behaviors and circumstances should be assessed and documented as soon as possible during the investigation and should be determined based on what was happening at the time of the report. For caretaker-specific items like domestic violence, alcohol and drug abuse problems, serious mental and physical health problems, etc., these issues should be identified as being present even when the person has sought services or treatment for them. For strength-based elements (6, 13 and 14) there must be clear case information that these strengths are fully present, not that they are partially there -- or are Mistaken time frame reference: Basing answers on what the caretakers or family have done while the investigation is in progress (entering drug rehab services, seeking psychiatric services, obtaining financial assistance). Answering questions based on actions the worker has taken to help to rectify the problems, issues, and needs since the investigation began. Misunderstanding the intent of the elements: Using terms imminent risk and immediate or impending danger in the comments when referring to the behaviors and conditions of the family and caretaker. Failing to identify mental illness or drug or alcohol problems when there is no official medical diagnosis. The elements dont need proof but are based on the workers experience and Making Informed Risk Decisions RAP STEPINSTRUCTIONSGUIDING BEST PRACTICECOMMON ERRORS in Decision Makingthere for some of the children some of the time. To clarify Risk Element definitions, refer to Online Help in CONNECTIONS or the user manual for the Risk Assessment Profile training from 2003. Comments should be provided that support or clarify the workers reason for selecting their answer on the Preliminary Risk Elements.assessment. Complying with mental health services doesnt mean that there is no mental health problem. Mistakenly using a narrower or broader definition than intended for the RAP element. For instance, the element on domestic violence is much broader than the common understanding of DV. Failing to use a higher level of proof for the strengths-based elements: Saying that the strength is present if it is exhibited periodically, rather than all, or most, of the time. Mistakenly saying that caretakers have realistic expectations of ALL of the children, or meet ALL of the childrens needs when there have been substantiated allegations of abuse. Making Informed Risk Decisions RAP STEPINSTRUCTIONSGUIDING BEST PRACTICECOMMON ERRORS in Decision MakingIdentifying Presence/Absence of Elevated Risk ElementsEach Elevated Risk Element must be answered. Upon completion of all eight elements, the Final Risk Rating is identified based on the presence or absence of any elements. If any of the eight elevated elements are identified as present for the family, the Final Risk Rating will be Very High. If none of the elevated elements are identified as present, the Final Risk Rating will be the same as the Preliminary Risk Rating. Use historical information of the family, including but not limited to previous Child Welfare involvement, to respond to the Elevated Risk Elements. To clarify Elevated Risk Element definitions, refer to Online Help in CONNECTIONS or the user manual for the Risk Assessment Profile training from 2003.Basing answers to the elevated risk elements only on the current investigation/case situation. Risk Profile Element Definitions Risk Elements 1-6 Total Prior Reports for Adults and Children in the RAP Family Unit Count the number of prior indicated reports in which an adult in the RAP Family Unit was a confirmed subject of a child in the RAP Family Unit was a confirmed victim of abuse or maltreatment. Prior indicated reports where an adult in the RAP Family Unit was a subject should be included, regardless of whether the children who were abused or maltreated in the prior report are members of the current RAP Family Unit. Similarly, prior indicated reports where a child in the RAP Family Unit was abused or maltreated by an adult who is not part of the current RAP Family Unit should be counted. Do not consider prior reports in which the subject of the current report or another adult in the current RAP Family Unit was a victim of abuse or maltreatment as a child. Include prior reports that occurred in other states if credible information exists that an adult in the RAP Family Unit was a confirmed perpetrator of abuse or maltreatment or a child was a confirmed victim of abuse or maltreatment. If only prior Unfounded Reports are included in the Uniform Case Record, verify if any member of the RAP family unit was an alleged subject or an alleged maltreated child. If Yes, check prior unfounded reports only. Do not count reports where all of the RAP family unit members had no role. If this is the first report, check no prior determined reports. Child Previously in Care of Substitute Caregiver Indicates whether any child in the RAP family unit previously resided (or currently resides) with a foster parent or substitute caregiver, either informally or formally, for a significant period of time. The placement does not need to have been due to child protective concerns; it could have been an informal family arrangement for one of many reasons. You would not select this element if the child stayed with close friends or relatives for a school vacation, or while the parent/caregiver had a short-term health crisis. This element applies to situations where the parent/ caregiver was not willing or not able to provide parenting/caregiving responsibility. Child under one year old in RAP family unit at time of the current report, an/or new infant since report. The response to this risk element is system generated based on the presence of one or more children younger than one year of age on the Person List. Therefore, it is Risk Profile Element Definitions important that the information on the Persons list is up to date, complete and accurate; otherwise this element may be calculated inaccurately. Remember to always update the Person List for the addition of a new infant to the family since the last risk assessment was completed. The date of Birth (DOB) recorded in CONNECTIONS for the child(ren) is used to determine the response to the Risk Element, regardless of whether the DOB is exact or approximate. If the DOB field on the Person Detail window is blank for any person whose Rel/Int field signifies that the person is a child, CONNECTIONS includes that person as a child younger than one year old in this calculation. The calculated answer may be changed. Remember to include a new infant born since the answer was calculated. Current or recent history of housing with serious health or safety hazards; extreme overcrowding; unstable housing; or no housing. Evidence of inadequate or hazardous housing may include, but is not limited to, the following: serious overcrowding; seriously inadequate furnishings to meet the familys needs; inadequate heat, plumbing, electricity or water; lack or inoperability of essential kitchen appliances or bathroom facilities; multiple serious health hazards, such as rodent or vermin infestation; garbage and junk piled up; perishable food found spoiled; evidence of human or animal waste; peeling lead-based paint; hot water or steam leaks from a radiator; broken or missing windows; and no guards on open windows. In some cases, one or two isolated hazardous conditions that have been identified will be corrected (such as restoring heat or installing window bars) prior to the time when risk assessment is completed, either at determination of the report or as part of a FASP. In these cases, the response to this Risk Element would be No. However, if the hazardous situations have been created over time and are likely the result of prolonged inattention by the caretakers and/or the caretakers appear to accept the hazardous conditions as an acceptable environment for children, the condition(s) is likely to reoccur even if it has been cleaned up by the time of the determination. In this situation the response to the Risk Element would be Yes. Health hazards and seriously substandard living condition pose risk of future abuse or maltreatment regardless of how old the children are. Homelessness or an unstable housing situation is also included in this risk element definition. Temporary shelter that requires frequent relocation is not adequate, stable housing. Financial resources are mismanaged or limited to the degree that one or more basic family needs are intermittently or chronically unmet. Risk Profile Element Definitions This Risk Element is present if either the family does not have enough financial resources to meet the basic needs of the family for shelter, food, clothing and health. It is also present if the financial resources available should be sufficient to meet the familys basic needs, but are not sufficient due to mismanagement or inappropriate use of funds. Benefits such as public assistance, SSI, food stamps, public housing or housing vouchers, HEAP, etc., should be considered as financial resources that help meet the familys basic needs. Indicators of limited or mismanaged financial resources may include eviction or threats of eviction for failure to pay rent or loss of utilities due to failure to pay utility bills. Intermittently or chronically unmet does not necessarily mean permanently and continuously, but rather could reflect a pattern of shifting from financial crisis - to relative stability to financial crisis. If this is the case, check yes to this risk element. Caretaker has, and utilizes, reliable and constructive support and assistance from extended family, friends, or neighbors. Indicates whether the caretaker(s) living in the primary household with the child(ren) has reliable and useful social support from informal sources, such as extended family, friends or neighbors. Reliable and useful social support is present when the adult caretaker(s) has a network of relatives, friends or neighbors to call upon for assistance in any area where the family may need help, such as child care, transportation, emergency financial or housing help, good parenting advice, or emotional support. In addition, the informal social support network is nearby and readily available when needed. Informal social support does not include support from professional helping agencies, such as a case manager, mental health treatment team or battered womens program. This risk element refers only to whether the caretaker has a supportive and reliable network of family, friends, and neighbors. If the caretakers active participation in a faith-based community provides a network of supportive people who are providing needed assistance, this would meet the definition. If extended family, friends or neighbors exist, but are not able to provide constructive help for whatever reason, the answer to this risk element is No. If the caretaker has responsible extended family who would like to be of assistance, but the caretaker has rebuffed their attempts to help, the answer to this question is No. Risk Profile Element Definitions Risk Elements 7-15 Risk Elements 7 15 apply to the Primary and, if applicable, Secondary Caretakers in the stage. If no Secondary Caretaker has been identified, you only need to respond for the Primary Caretaker. Caretaker has been a victim or perpetrator of abusive or threatening incidents with partners or other adults in family/neighborhood. This risk element includes situations commonly referred to as domestic violence between intimate partners, but it also refers to violent or threatening relationships with other non-partner adults. Domestic violence is defined as a pattern of coercive tactics that can include physical, psychological, social, economic or emotional abuse perpetrated by one adult against another adult. Examples of domestic violence include: grabbing, pushing, hitting, punching, kicking, choking, biting and restraining; attacking with weapons; threatening to harm the partner or the children; stalking and harassment; intimidation; forced sex; berating and belittling; denying access to family assets, etc. This includes: a caretaker who is a victim or perpetrator of domestic violence involving a partner, former partner or other adult; a caretaker who continues to maintain any type of relationship with an abusive adult and violence remains a threat (the presumption should be that domestic violence remains a threat); an order of protection is in effect against the abusive adult; or a caretaker who is involved in serious conflicts (e.g., volatile arguments, physical fighting, threats with weapons) with other adults in the extended family, adult children, or even neighbors or business or gang associates. Please note that the definition of this risk element is much more expansive than physical violence between current intimate partners. For example, threats, harassment, and frequent fighting or volatile arguments are included in the definition, regardless of whether any physical contact has occurred. If the police have been called to the home for domestic disturbance(s) between the caretaker and another adult, the presumption would be that this risk element is present. If one of the caretakers has recently sought an order of protection, or one is in effect, this risk element should be checked Yes. You would check "yes" to this element if there are abusive relationships in the recent past or if the caretakers and/or secondary partner relationships seem to consist of a series of abusive relationships. It is not uncommon for an abused person to end the relationship but the abuser continues to seek contact or otherwise harass the victim. Risk Profile Element Definitions Ex-partners with a violent past may continue to have intense arguments over child visitation, child support, or other issues, so the risk of violence still exists. If an abusive or threatening relationship ended years ago and the couple (or neighbor) moved away emotionally and physically from each other, the answer would be "No" to this risk element. Caretakers alcohol use has had negative effects on child care, family relationships, jobs, or arrests, within the past two years. Alcohol use with negative effects means regular or periodic use of alcohol, which has had adverse effects on any aspect of relationships or responsibilities or (e.g., danger of job loss, financial problems, partner threatens to leave, child care suffers, criminal justice system involvement). Alcohol dependency or addiction does not need to be ascertained to check this risk element. If the caretaker was in treatment more than two years ago, but there is evidence that the person has resumed using alcohol, consider this as a current alcohol problem. Select Yes for this Risk Element if the caretaker is currently participating in an alcohol treatment program, because until 2 years of abstinence following the successful completion of treatment has passed, the caretaker is considered to be at risk of relapse. Respond No to this Risk Element if the caretaker had an alcohol problem in the past, but has completed treatment and has remained alcohol-free for at least two years. If the caretaker is participating in a non-professional support group, such as Alcoholics Anonymous (AA), without any other evidence of continuing alcohol use within the last two years, do not consider this, by itself, as a current alcohol problem. An indicator of a problem with alcohol may include a recent arrest for an alcohol-related offense as the abuse/misuse led directly to criminal justice system involvement. Caretakers drug use has had negative effects on child care, family relationships, jobs, or arrests, within the past two years. Drug use with negative effects means regular or periodic use of one or more drugs which has had adverse effects on any aspect of relationships or responsibilities (e.g., danger of job loss, financial problems, partner threatens to leave, child care suffers, criminal justice system involvement). Drug dependency or addiction does not need to be ascertained to check this risk element. If the caretaker was in treatment more than two years ago, but there is evidence that the person has resumed using drugs, consider this as a current drug problem. Select Yes for this Risk Element if the caretaker is currently participating in a drug abuse treatment program, because until 2 years of abstinence following the successful completion of treatment has Risk Profile Element Definitions passed, the caretaker is considered to be at risk of relapse. Select No for this Risk Element if the caretaker had a drug problem in the past, but has completed treatment and has remained substance-free for at least two years. If the caretaker is participating in a non-professional support group, such as Narcotics Anonymous (NA), without any other evidence of continuing drug use during the past two years, do not consider this, by itself, as a current drug problem. An indicator of problem with drugs may include a recent arrest for a drug-related offense as the abuse/misuse led directly to criminal justice system involvement. Caretaker's behavior suggests mental healthproblems exist and/or caretaker has a diagnosed mental illness. The caretaker should be considered as having a mental health problem if he or she: exhibits symptoms, such as bizarre behavior or delusions; has recent repeated referrals for mental health evaluation or treatment; has been prescribed medication for an ongoing or recurring serious mental health problem; is currently experiencing depression of an ongoing or recurring nature; is engaging in purposely hurting themselves or suicidal behavior; has a current diagnosed serious mental illness; or has attempted suicide in the past. If the caseworker observes an apparent serious mental health problem, a mental health evaluation does not need to have been completed to check that this is a suspected risk element at the time the RAP is completed. This risk element should be checked YES even if the person is appropriately attending to his or mental health problem by attending mental health treatment sessions or taking prescribed medication. For example, the answer is YES for a caretaker who is diagnosed with schizophrenia even if the caretaker is taking prescribed medication and doing well. Caretaker has very limited cognitive skills. Very limited cognitive skills could include mental retardation, brain injury or some type of cognitive disability that limits the caretakers ability in major life activities, such as child care, capacity to form positive relationships with others, self-care, self-direction, receptive and expressive language, learning, capacity for independent living and economic self-sufficiency. Caretaker has a debilitating physical illness or physical disability. Indicates whether or not the caretaker has a serious physical disability or debilitating illness that limits his/her ability to perform any major life activities, such as child care, capacity to form positive relationships with family members or Risk Profile Element Definitions others, self-care, self-direction, receptive and expressive language, learning, mobility, capacity for independent activities and economic self-sufficiency. Caretaker demonstrates developmentally appropriate expectations of all children. A caretaker who demonstrates developmentally appropriate expectations is one who shows awareness of what is possible for a child to do and what it is not possible for a child to do, based on their age and the stage of development of their cognitive, motor, language and social skills. They would demonstrate this by the level of physical care, supervision, and degree of autonomy they provide to the children, and by how closely they fit the expectations they have of the child to the childs ability. They would apply realistic standards and safe and reasonable limits to the childs behavior and also apply re-direction and discipline that matches the childs abilities and development. A parent with developmentally appropriate expectations adapts parenting practices to the needs of the child(ren) and circumstances. Select Yes for this Risk Element only if the caretaker has demonstrated developmentally appropriate expectations with all of the children. A caretaker who sexually abuses a child does not have developmentally appropriate expectations of the child. A caretaker who uses disciplinary practices that are physically or emotionally abusive indicates that the caretaker does not demonstrate an appropriate understanding of childrens needs and how children learn. Caretaker attends to needs of all children and prioritizes the childrens needs above his/her own needs or desires. Indicates whether or not the caretaker has a history of recognizing and attending to the daily needs of all of the children. This strength would be present if the caretaker: has demonstrated competence in meeting the basic and unique needs of all of the children; is resourceful in making attempts to meet child(ren)s needs despite adverse circumstances; and has demonstrated the ability to prioritize the childrens needs above the caretakers. This risk element does not require a perfect parent to score this as Yes. While some caretakers may always meet the needs of all of their children, the perfect parent is rare in the real world. Some caretakers may recognize and strive mightily to meet the needs of their children, but may have an isolated or temporary instance of not meeting a childs needs. Unless the isolated instance was a seriously dangerous lapse, or the caretaker evidences a lack of concern about the harm done to the child, the answer would still be Yes, the caretaker attends to the needs of the children. Risk Profile Element Definitions To check No, there must be some evidence that the caretaker either does not recognize an important need of the child(ren) and/or there are multiple instances of the caretaker prioritizing the adults needs to the detriment of the childrens needs. For example, parents/caretakers who maintain a supply of cigarettes and beer but no formula or diapers are not prioritizing the childrens needs. Not enrolling school-age children in school, or allowing excessive school absences, would show a lack of attention to the childrens educational needs. Repeatedly leaving the children with relatives, friends, or acquaintances so the caretaker can go partying would be an example of prioritizing the caretakers desires over the childrens needs for stability. Sexual abuse of a child by the caretaker indicates that the caretaker has prioritized his or her own desires above the childs needs. Knowingly not protecting a child from physical or sexual abuse by another person would indicate that the caretaker is not attending to the needs of all the children. Caretaker understands the seriousness of current or potential harm to the children, and is willing to address any areas of concern. This Risk Element refers to whether the caretaker acknowledges any identified injuries or harm that a child has incurred or acknowledges that behaviors and conditions identified in the home by the caseworker pose a risk of harm to the child(ren). The caseworker must also take into account the caretakers willingness (or ability) to address any current behavior or conditions where a direct link to current or potential harm can be made. In the case where there has been no abuse or maltreatment and the children are well cared for, select YES because the caseworker and the caretaker do agree on the status of the childrens well-being and that there is no concern for harm or risk to the children. Where there has been maltreatment of a serious nature, but the caretaker does not understand or accept that harm has occurred and it is likely to continue or recur unless something changes to prevent it from occurring again, select NO for this Risk Element. Often, the situation will not be so clear cut. Parents/caretakers often make statements to the effect of Ill see to it that this never happens again. That statement, by itself, is not sufficient information for the caseworker to determine if this risk element is present or not. In addition to what the caretaker says about addressing the behaviors or conditions that pose a risk to children, the caseworker must consider if the caretaker has actually taken any steps to address these concerns Risk Profile Element Definitions to reduce risk and increase safety. For example, if the caretaker had a drug abuse problem 18 months ago, first check Yes for the drug use risk factor earlier in the RAP. Then consider if the caretaker recognizes the potential for drug use to harm the children. If the caretaker has already successfully addressed the drug problem and has ceased using drugs, or is addressing this problem by participating in substance abuse treatment now, the answer to this last RAP question would be YES (in the absence of another serious unaddressed risk factor). Similarly, the answer to this question would be YES in the case of a caretaker with a serious mental illness who understands that maintaining compliance with his treatment plan is necessary for the safety and well-being of his children and who has a record of complying with his treatment plan. On the other hand, even if the caretaker verbally agrees that there are problems that place the child at risk, (i.e., caretaker agrees she has an active substance abuse problem) but the caretaker does not keep appointments for services she is referred to without a legitimate reason, or continues to make excuses for not addressing problems she says she understands, the caseworker would be right to question the caretakers willingness or ability to address areas of concern at this time, and the answer to this question would be NO. If there was a maltreatment incident, but the caretaker minimizes or denies it, and won't take reasonable steps to reduce the risk of it re-occurring, the answer would be No. This is also the case when the caretaker has not committed the child abuse or neglect herself, and the caretaker doesn't see the need to keep another person who did harm or poses risk to the child away from the child. In those instances, the answer would be NO. Elevated Risk Element Definitions Death of a child as a result of abuse or maltreatment by caretakers(s) Applies to a confirmed fatality of a child as a result of abuse or maltreatment by the identified Primary Caretaker or Secondary Caretaker. The death of the child could have occurred at any time prior to the completion of the RAP and in any jurisdiction within or outside New York State. Caretaker(s) has a previous TPR The identified Primary Caretaker or Secondary Caretaker must have had a adjudication of termination of their parental rights at any time prior to the completion of the RAP. The termination of parental rights (TPR) indicates that a proceeding in family court has occurred and that the court has made a formal decision to grant the guardianship and custody of a child to the local district/ petitioner. The TPR may be based upon grounds that the child is a permanently neglected child, severely abused child, or a repeatedly abused child. The filing of a TPR with no adjudication to date does not apply. Parental surrenders are not to be considered as circumstances applying to this Elevated Risk Element. Parental surrenders are not a legal indication of a family court finding of permanent neglect and therefore do not apply in this circumstance. Siblings removed from the home prior to current report due to abuse or neglect and remain with substitute caregivers or foster parents Applies to situations or circumstances that result in the removal of a child (or children) from the home, due to alleged or confirmed abuse or maltreatment, and the child(ren) is placed with substitute caretakers or foster parents. This includes removals by CPS, law enforcement, or any authorized person or entity acting in the best interests of the child(ren). Repeated incidents of sexual abuse or severe physical abuse by caretaker(s) Applies to confirmed reports in which the Primary Caretaker and/or Secondary Caretaker has repeatedly sexually abused or severely physically abused one or more children in his/her care or has allowed repeated sexual abuse or severe physical abuse of said child(ren) to occur. Although a single act of sexual abuse is a serious and grievous assault upon a child, the existence of repeated sexual abuse implies an inability on the part of the Primary Elevated Risk Element Definitions caretaker and/or Secondary Caretaker to protect the child(ren) and therefore implies an increased risk of future harm. Severe physical abuse implies, but is not limited to, a substantial risk of serious and/or protracted physical injury. Examples of severe physical abuse that results in serious physical injury may include, but are not limited to, the infliction of internal injuries, fractures, blunt trauma, shaking, choking, burns/scalding, severe lacerations, hematoma, or extensive bruising. Sexual abuse of a child and perpetrator is likely to have current access to child Applies to situations in which a child (or children) has been sexually abused and the confirmed perpetrator (adult or child) continues to have current access to and/or contact with the child. This situation implies an inability on the part of the Primary caretaker and/or Secondary Caretaker to protect the child(ren) from the risk of future sexual abuse. This also applies to situations in which the Primary Caretaker and/or the Secondary Caretaker is the perpetrator and resides with, or continues to have access to, the child. Physical injury to a child under one year old as a result of abuse or maltreatment by caretaker(s) Applies only to a child (or children) younger than one year old. The young age and inherent vulnerability of the child, coupled with the recent physical injury to the child due to abuse or maltreatment, implies an increased risk of future harm. Serious physical injury to a child requiring hospitalization/emergency care within the last 6 months as a result of abuse or maltreatment by caretaker(s) Applies to situations in which the child(ren) sustained serious physical injury that requires hospitalization or emergency care provided by any of the following: emergency room, urgent care facility, doctors office, or emergency medical technicians. The physical injury must have occurred within the last six months. Examples of physical injury may include, but are not limited to, internal injuries, blunt force trauma, whiplash/Shaken Infant Syndrome, head injury, serious injury to or loss of limb(s), fractures (including spiral and compound), burns/scolding, eye injuries, and severe lacerations. Elevated Risk Element Definitions Malnutrition, Failure to Thrive (FTT), and other serious or life-threatening medical diagnoses directly related to confirmed child abuse or maltreatment may also be included under this Elevated Risk Element. Newborn child has positive child has positive toxicology for alcohol or drugs Applies to situations in which a newborn (younger than 6 months old) who is currently part of the RAP family unit: tested positive for alcohol or drugs in his/her bloodstream or urine; and/or was born dependent on drugs or with drug withdrawal symptoms, fetal alcohol effect, or Fetal Alcohol Syndrome. The young age and inherent vulnerability of the newborn child, coupled with any of the circumstances above, implies an increased risk of future harm to the child. DATE REPORTED:4/30/XXPRIMARY WORKER: TIME REPORTED:03:30 pmCOUNTY/ZONE:  CLASSIFICATION:CPS FamilialSECONDARY WORKER:INTAKE TYPE:InitialCOUNTY/ZONE:DUP. OF STAGE ID:WORKER TAKING INTAKE:15109COUNTY/ZONE: Worker Safety:NSensitive Issues:NSpecial Handling:N LIST OF PRINCIPALSLineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine01p01Lonnie ThompsonMotherNo roleF(37)42700638YEN01ETHNICITY / RACE:UnknownLineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine02p01Scott ThompsonBio. FatherAlgd SubM(38)42700638YEN02ETHNICITY / RACE:Unknown Line ADDR # NAME: AKA RELATIONSHIP ROLE SEX DOB (AGE) TYPE DOD PERSON ID REL LANG Line 03 p01 Judy Thompson Child Mal Child F (8) 42700638 Y EN 02 ETHNICITY / RACE: Unknown LineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine04p01Michael ThompsonChildNo RoleM(16)42700638YEN03ETHNICITY / RACE:UnknownLineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine05p01Dennis ThompsonChildNo RoleM(14)42700638YEN04ETHNICITY / RACE:Unknown REPORTED ADDRESS INFORMATIONADDRPHONEADDR #STREETCITYSTZIPCNTYCDTYPEPHONEEXTTYPEADDR #016 Gilmore Dr.GrantvilleNY  RS555-9876RS01 ALLEGATION DETAILLineMALTREATED/ABUSED CHILDRENALLEGATIONSLineALLEGED SUBJECT(S)03Judy ThompsonLack of Supervision; Inadequate Guardianship01,02Lonnie Thompson, Scott Thompson REPORTER INFORMATION NAME:AnonymousRELATIONSHIP : AGENCY : SUMMARY OF FINDINGS :N ADDR:  NY  PHONE: Ext.  SAFETY FACTORSReport Narrative on the Next Page Call Narrative Narrative: Eight-year-old Judy has been observed unsupervised on numerous occasions. After school, when parents are working, child is seen wandering up and down the street alone. The child has a constant head lice problem, is unbathed, and wears dirty clothing. There is no information on the other children.  Miscellaneous Information:   Locating Information: DATE REPORTED:05/07/XXPRIMARY WORKER: TIME REPORTED:03:00 pmCOUNTY/ZONE:  CLASSIFICATION:CPS FamilialSECONDARY WORKER:INTAKE TYPE:SubsequentCOUNTY/ZONE:DUP. OF STAGE ID:WORKER TAKING INTAKE:15109COUNTY/ZONE: Worker Safety:NSensitive Issues:NSpecial Handling:N LIST OF PRINCIPALSLineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine01p01Lonnie ThompsonMotherAlgd SubF(37)42700638YEN01ETHNICITY / RACE:UnknownLineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine02p01Scott ThompsonBio. FatherAlgd SubM(38)42700638YEN02ETHNICITY / RACE:Unknown Line ADDR # NAME: AKA RELATIONSHIP ROLE SEX DOB (AGE) TYPE DOD PERSON ID REL LANG Line 03 p01 Judy Thompson Child Mal Child F (8) 42700638 Y EN 02 ETHNICITY / RACE: Unknown LineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine04p01Michael ThompsonChildNo RoleM(16)42700638YEN03ETHNICITY / RACE:UnknownLineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine05p01Dennis ThompsonChildNo RoleM(14)42700638YEN04ETHNICITY / RACE:Unknown REPORTED ADDRESS INFORMATIONADDRPHONEADDR #STREETCITYSTZIPCNTYCDTYPEPHONEEXTTYPEADDR #016 Gilmore Dr.GrantvilleNY  RS555-9876RS01 ALLEGATION DETAILLineMALTREATED/ABUSED CHILDRENALLEGATIONSLineALLEGED SUBJECT(S)03Judy ThompsonLack of Supervision01,02Lonnie Thompson, Scott Thompson REPORTER INFORMATION NAME:Ofc. Richard JohnsonRELATIONSHIP : Law EnforcementAGENCY :Grantville Police Dept.SUMMARY OF FINDINGS :Y ADDR: 300 Main StGrantvilleNY  PHONE: 555-2343Ext. 444 SAFETY FACTORSReport Narrative on the Next Page Call Narrative Narrative: Police responded to a call for an injured child and found that 8-year-old Judy Thompson was home alone since 11 a.m. when her father went to work. Child was very ill with a cold. Despite being told by her parents not to leave the house, Judy went to the neighbors house (Mrs. Richardson) at lunchtime to eat. On her way back home, Judy apparently teased the dog that was tied up in the backyard. The dog bit Judy on the hand, back of her leg, and face. Childs injuries required emergency medical treatment.  Miscellaneous Information:   Locating Information: DATE REPORTED:05/22/XXPRIMARY WORKER: TIME REPORTED:09:15 amCOUNTY/ZONE:  CLASSIFICATION:CPS - FamilialSECONDARY WORKER:INTAKE TYPE:SubsequentCOUNTY/ZONE:DUP. OF STAGE ID:WORKER TAKING INTAKE:15109COUNTY/ZONE: Worker Safety:NSensitive Issues:NSpecial Handling:N LIST OF PRINCIPALSLineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine01p01Lonnie ThompsonMotherAlgd SubF(37)42700638YEN01ETHNICITY / RACE:UnknownLineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine02p01Scott ThompsonBio. FatherNo RoleM(38)42700638YEN02ETHNICITY / RACE:Unknown Line ADDR # NAME: AKA RELATIONSHIP ROLE SEX DOB (AGE) TYPE DOD PERSON ID REL LANG Line 03 p01 Judy Thompson Child Mal Child F (8) 42700638 Y EN 02 ETHNICITY / RACE: Unknown LineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine04p01Michael ThompsonChildNo RoleM(16)42700638YEN03ETHNICITY / RACE:UnknownLineADDR #NAME:AKARELATIONSHIPROLESEXDOB (AGE)TYPEDODPERSON IDRELLANGLine05p01Dennis ThompsonChildNo RoleM(14)42700638YEN04ETHNICITY / RACE:Unknown REPORTED ADDRESS INFORMATIONADDRPHONEADDR #STREETCITYSTZIPCNTYCDTYPEPHONEEXTTYPEADDR #016 Gilmore Dr.GrantvilleNY  RS555-9876RS01 ALLEGATION DETAILLineMALTREATED/ABUSED CHILDRENALLEGATIONSLineALLEGED SUBJECT(S)03Judy ThompsonLack of Supervision01,02Lonnie Thompson, Scott Thompson REPORTER INFORMATION NAME:Cindy SnyderRELATIONSHIP :CaseworkerAGENCY :LDSS - CPSSUMMARY OF FINDINGS :Y ADDR: 400 First AveGrantvilleNY  PHONE: 555-5987Ext. 611 SAFETY FACTORSReport Narrative on the Next Page Call Narrative Narrative: Judy was found unsupervised when this worker made an unannounced home visit at 4:15 p.m. on 5/20 and found Judy home alone, playing in the backyard. Child did not know where her aunt, Michael, Dennis, or her parents were. While the worker was on the porch with Judy, Mr. Thompson. came home. This worker again spoke with Mr. Thompson about the danger to Judy in this situation and asked again to enroll her in an after school program with hours that will meet Judys supervision needs. Mr. Thompson refused. He stated he would stay home with Judy the rest of the night and is off work for the next three days. Miscellaneous Information:   Locating Information: Event Date: FORMTEXT 4/30Event Time: FORMTEXT 3:45pmEntry Date: FORMTEXT 5/1Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Case assigned to C. Snyder. Conference held with supervisor Danner. Worker discussed possible explanations for information on report with Supervisor. Plan is to make home visit.*****************************************End of Note***************************************** Event Date: FORMTEXT 4/30Event Time: FORMTEXT 4:00pm Entry Date: FORMTEXT 5/1Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT H.V. (home visit) 4:00 p.m. Both parents were home, and after lengthy explanations, worker was allowed inside. The Thompsons didnt know why the worker was there and thought the call was school-related. Notification Letter was given and explained. The allegations of lack of supervision and inadequate guardianship were explained to the parents.  FORMTEXT Both of the Thompsons were indignant about the report, denied any problem, stated that they had never had head lice in their home, and guessed that a nosy neighbor was causing problems by reporting them. According to Mr. and Mrs. Thompson, Michael and Dennis were off with friends, possibly at the mall, and are not expected home until 8 p.m. Judy was picked up after school by her aunt, Mrs. Thompsons sister. They had plans to go shopping, then have dinner, and attend a movie. Mr. Thompson works part-time at Gridley Florists, 11 a.m. to 4 p.m., and 6 p.m. to 2:30 a.m. at Welliver Manufacturing. Mrs. Thompson is a waitress at Joes Restaurant from 5 p.m. to 10 p.m. She also works at Henderson Electric from 8 a.m. to 4:30 p.m. Mr. Thompson was getting ready for work. Mrs. Thompson had the day off. Worker asked about supervision and meals. Michael, age 16, is supposed to watch Judy when both parents are working. Mrs. Thompson said, Our kids are usually fine; they heat up their meals in the microwave when were both working. Worker asked when children get home from school. Mrs Thompson indicated they are home around 3:15 and Michael is in charge until the parent's return from work. Worker asked how parents make sure that Judy wont be left alone. Mr. Thompson said that Michael will lose his privileges, e.g., playing basketball, if "he messes up on this." They both said that between Michael and Dennis, there is no reason that Judy cant be adequately supervised by her brothers. Worker told parents that it is imperative that Judy not be left alone. Worker asked if it was possible to contact Mrs. Thompsons sister to have her bring Judy home so the worker could meet Judy and speak with her. Mr. and Mrs. Thompson refused this request. Worker then asked if they were agreeable to providing the aunts address so the worker could speak with Judy there. Both parents became verbally upset (they cursed at the worker) at these requests, stating that "this was all nonsense", that they were good parents, and saw no need for the worker to meet with Judy or to involve Mrs. Thompsons sister in their family business. Worker told the Thompsons that another visit is necessary, as she is required to see all the children. They reluctantly agreed to schedule a home visit for tomorrow morning at 8:00 a.m., when they and all 3 children will be home. Worker stressed the necessity of Judy being properly supervised. Both parents indicated that she is. Worker again asked about supervision arrangements for this evening. Worker was informed that Mrs. Thompson would be home all evening. The home appeared to be clean and orderly. Mrs. Thompson was folding clean laundry at the time of the visit, and was also preparing dinner.*****************************************End of Note***************************************** Event Date: FORMTEXT 4/30Event Time: FORMTEXT 6:00pmEntry Date: FORMTEXT 5/1Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT P.C. (phone call) Parents called and left voice-mail message @ 6 p.m. canceling the mornings 8:00 a.m. appointment. No reason given.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/1Event Time: FORMTEXT 8:30am Entry Date: FORMTEXT 5/1Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Progress Notes Narrative: FORMTEXT P.C. there was no answer when worker called residence @ 8:00 a.m., after picking up voice mail message of cancelled meeting.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/1Event Time: FORMTEXT 9:00am Entry Date: FORMTEXT 5/1Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT F. V. (field visit) to school 9 a.m. All children were in school. The principal expressed surprise that the Thompson children needed to be interviewed by CPS in school; she said the older boys are "well-liked and do not cause problems"; Judy attracts more of our concern because of her special needs but is also not a behavior problem. Their only concern at this time has been the parent's failure to meet with the school regarding her educational needs; they have attempted to set up several meetings but the parents refuse citing their busy work schedules. Michael was interviewed first. He was reluctant to talk about his home life and answered most questions with a dont know. When the worker joined with him around how difficult it must be to be responsible for an 8-year-old sister, he did admit that watching Judy is a pain in the butt because they dont like the same TV shows and its hard to find anything to do with her. He said that he and Dennis try to keep her from being left alone but sometimes, stuff comes up. When asked if he could be more specific, he recanted and said that he and his brother are always there. He also added that Judy knows what she should and shouldnt do and could "stop acting like such a baby" if she had to. He said he couldnt remember any times when the plans for Judys care had fallen apart. Judy was interviewed next. She was extremely friendly and responsive, immediately inviting the worker to color with her. While they were coloring, the worker asked her what she liked to do when shes not in school, and Judy said she watches TV, goes for walks, plays with her stuffed animals, and dances in her room. When asked if shes ever alone while she does these things, Judy looked puzzled. The worker then asked if shes ever home alone while her parents are at work. Judy shook her head yes. She added: Mikey and Dennis are supposed to watch me, but they dont like to and are always going off somewhere with their friends. Judy appeared to be clean, adequately attired for the weather, and well-cared for. Dennis was interviewed last. He appeared extremely shy and quiet. He said that taking care of Judy is mostly Michaels job. He helps out sometimes but Judy minds Michael better. He said Judy may have been left alone for short periods of time once or twice, but he couldnt remember for sure. Interview with school nurse re: allegations concerning Judys overall care. Mrs. Monroe, the nurse, explained that Judy is mildly mentally retarded, has ADD, and is in a special class. She was unaware that there had ever been a head lice problem in the Thompson family. Mrs. Monroe said that both parents have hectic work hours. The nurse described Judy as being a nice little girl, very friendly and eager to please others, but she is impulsive and has brought inappropriate things to school, e.g., sharp scissors, a lighter she found on the street. The nurses impression of Judys overall care is that it is adequate to meet her minimum needs Not everything youd want for a child, but enough to get by. Judy often complains that she is hungry and two or three times per week doesnt have adequate money for lunch. The parents have ignored applications for the free and reduced lunch program and for the breakfast program. Judys teacher is very frustrated by the parents lack of cooperation and has been known to buy Judy a lunch out of her own pocket. The nurse said that Judys physical condition, however, shows no signs of malnourishment. In response to questioning around what time the children are home from school and what time parents get home, all three children were unclear about exactly when they each get home from school - Judy had no concept of what time she gets home and the boys were not specific - they report being home anytime after 3:15 or so. None of the children could give a clear time on when their parents get home, stating it is often different every day.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/1Event Time: FORMTEXT 11:30am Entry Date: FORMTEXT 5/2Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Consultation with supervisor. There appear to be significant discrepancies within the childrens reports regarding Judys care. The worker explored the possibility that Judy, because of her ADD and MR, may be over- representing how often she is alone; however, Michaels initial admission and Denniss reluctant corroboration do support the allegation contained in the SCR report that Judy is, at least occasionally, left at home alone.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/1Event Time: FORMTEXT 4:30pm Entry Date: FORMTEXT 5/2Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT H.V. Present at the home were Mr. and Mrs. Thomson. Worker observed all three children to be in the home. Worker did not speak to the children during this visit. Children appeared to be adequately cared for. Worker explained the visit to the school to speak with the children. Mr. and Mrs. Thompson were already aware of this, as Judy had told them about a "nice lady" who came to school and asked lots of questions about mom and dad and who watches her and what she eats. Mr. and Mrs. Thompson were furious that the worker had gone to the school and spoken to the children without their permission. The worker explained that the agencys interest is only in verifying that the children are safe and appropriately supervised. The worker went on to explain that the in-school interviews were necessitated by the parents canceling the appointment scheduled for this morning. Mr. Thompson demanded to be given specific times and dates when Judy is alleged to have been left home alone; he said he had spoken with the boys in his most I mean business way and that they understand that this is never to happen. He also said that he doesnt believe it has happened and said he was thinking about talking to his lawyer. Mrs. Thompson was extremely quiet during this interview. She deferred to her husband on all questions. The worker reiterated that Judy isnt safe alone and wondered if there couldnt be some alternative plan such as an after-school program that didnt rely on her teenage brothers. Mr. Thompson stated that his family doesnt need the interference of others and suggested that the worker isnt listening so good Judy will not be left alone and thats the only thing you got a right to worry about. Worker then asked for clarification about what the current supervision plan for Judy is and was told that Michael and Dennis will make sure that she is never left alone. Regarding the school lunch issue, Mrs. Thompson said Judy forgets her money, the boys are supposed to remind her. Mrs. Thompson agreed to place lunch money in an envelope in Judys bookbag each day, and stated she will call the school tomorrow to explain this.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/4Event Time: FORMTEXT 3:30pm Entry Date: FORMTEXT 5/7Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT P.C. - 3:30 p.m. No answer at the residence. No message left. *****************************************End of Note***************************************** Event Date: FORMTEXT 5/4Event Time: FORMTEXT 4:00pm Entry Date: FORMTEXT 5/7Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Unannounced Home Visit. 4:00 p.m. As worker stepped onto the porch, Judy emerged from the backyard. She called out: Hello, lady? Nobodys in there! Theyll be home soon. Will you play with me? This worker responded: Hello, Im Mrs. Snyder, I met you last week. Judy then said, I dont rememberbut can you play hidenseek? The worker asked who would be home soon and Judy said, Mikeys supposed to be here but hes late again and I don't have a key to get into the house." Worker talked with Judy for about ten minutes. While they were talking, Michael arrived. He appeared angry and told Judy that she was not allowed to talk to strangers. Judy started to cry. Michael let her into the house. He did not threaten her and after she started to cry, he told her, Its okay, Im sorry Im late. Worker reminded Michael that they had met last week and asked to speak with his parents. Michael appeared upset and stuttered as he spoke. He said that his parents were both working a lot and he would be with Judy until his mother arrived home this evening about 10 p.m. Worker asked about Dennis' whereabouts. Michael reports he was still at the park when he left 5 minutes ago. Worker attempted to reach mother at work and was told she was unavailable. Worker told Michael that she would call every hour to confirm that he was there and would call after 10 p.m. to talk with Mrs. Thompson.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/4Event Time: FORMTEXT 4:15pm Entry Date: FORMTEXT 5/7Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Worker attempted to reach mother at work to discuss Judy being found home alone and the plan for Michael to watch her until mother returned from work. Worker told she was unavailable.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/4Event Time: FORMTEXT 6:00pm Entry Date: FORMTEXT 5/7Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT P.C. worker called and spoke to Michael at 6 p.m. he is home and reports Judy is currently with him.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/4Event Time: FORMTEXT 7:00pm Entry Date: FORMTEXT 5/7Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT At 7 p.m., worker called and Mrs. Thompson answered the phone. She said Michael had called her at work and she had come home. She said she was furious with Michael for leaving Judy unattended and stated we obviously cant trust himor Dennis either. She said she had made arrangements for her sister, Grace Brigham, to be with Judy after school until we can get this mess straightened out. Worker informed Mrs. Thompson that she will need to speak with Mrs. Brigham - Mrs. Thomspon gave worker contact information for Mrs. Brigham.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/4Event Time: FORMTEXT 7:15pm Entry Date: FORMTEXT 5/7Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT P.C. - 7:15 p.m. to Mrs Brigham. Mrs. Brigham answered the phone, identified herself as Mrs. Thompson's sister and confirmed that she will be staying with Judy after school until either Mrs. Thompson or one of the boys got home. She agreed to meet with the worker next week.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/7Event Time: FORMTEXT 3:00pm Entry Date: FORMTEXT 5/8Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT P.C. The local police agency call LDSS at 3:00 p.m. and spoke with supervisor Danner. (Police were informed of CPS involvement by the neighbor, Mrs. Richardson.) Due to having a very bad cold, Judy was home alone since 11 a.m. when her father went to work. Despite being told by her parents not to leave the house, Judy went over to Mrs. Richardson's at lunchtime and Mrs. Richardson gave her soup. On her way back home, Judy apparently teased the dog that was tied up in the backyard. The dog bit Judy on the hand, back of her leg, and face. According to Mrs. Richardson, Judy was "a bloody mess and hysterical." The neighbor called an ambulance; the paramedics called the police; the police called the animal control officer. Worker's supervisor reached her while she was on another field visit; worker immediately went to Thompson home. Police indicated they made a new report to the hotline.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/7Event Time: FORMTEXT 3:30pm Entry Date: FORMTEXT 5/8Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Home visit at 3:30p.m. Mr. Thompson and the boys, Dennis and Michael, were present; Mrs. Thompson was at the hospital ER with Judy. Also present were the police and the animal control officer. Mr. Thompson was extremely upset about the neighbor's dog and was trying to persuade the animal control officer to shoot it. Mrs. Richarson was also extremely upset and told both the police and the animal control officer that the dog was tied up; Judy was told to leave it alone; but Judy apparently teased the dog there was evidence that she had taken some of the dog's kibble and moved it just out of the dog's reach. Mr. Thompson was angry about the presence of the worker. When asked if it was true that Judy had stayed home alone from school today, he stated that it was true but "it wasn't the plan;" his sister-in-law was supposed to come over and stay with her after he left for work but she got "things screwed all up". The worker asked if they knew how Judy was yet and Mr. Thompson stated that he hadn't heard from his wife. He was planning on driving over to the hospital with the boys "after getting this mess straightened out." FORMTEXT      *****************************************End of Note***************************************** Event Date: FORMTEXT 5/7Event Time: FORMTEXT 4:00pm  Entry Date: FORMTEXT 5/8Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Field Visit to the hospital. Worker joined Mrs. Thompson and Judy while Judy was receiving stitches to her most serious bite the one on her hand. Most of Judy's injuries are superficial. The bite on the face is more like a scratch and will not require plastic surgery. Photographs were taken. According to ER physician, Dr. Wallace, Judy can go home after completing treatment in the ER. She needs rest and antibiotics to prevent infection from the dog bites. Mrs. Thompson was busy comforting Judy who seemed exhausted, confused, and traumatized, as well as having a very serious cold. The worker did not question the mother about the lack of supervision in front of the child and did not feel that it was appropriate to separate the mother and child at this point in time, as the child was receiving comfort and reassurance from her mother. When asked who would be caring for Judy at home, Mrs. Thompson stated that she had called her jobs and told them she wasn't coming in the rest of the week due to a family emergency. She and Grace have also agreed to put a schedule in writing so there are no more misunderstandings. The worker gave the mother an appointment card for 4:45 p.m. tomorrow.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/7Event Time: FORMTEXT 4:45pm Entry Date: FORMTEXT 5/7Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Notification for second report mailed to family. Safety assessment documented.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/8Event Time: FORMTEXT 4:45pmEntry Date: FORMTEXT 5/9Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Home visit, 4:45 p.m. Mrs. Thompson was present with all of the children. Judy seemed to feel better. Mrs. Thompson stated that she was exhausted. Worker detected the smell of alcohol on mothers breath. Worker again discussed the allegations of the second report, explained notification letter that was in the mail, and referred to the consequences of inadequate supervision: Judy could have been seriously injured yesterday. Mrs. Thompson cried and stated, Its not easy to have a child like her. Worker asked why both of the Thompsons worked so much. Mrs. Thompson explained that the costs of their home are higher than expected. Also, worker learned that Mr. Thompsons mother recently died. She used to baby-sit for them up until her serious illness a year ago. She also used to help them with their bills. Worker told Mrs. Thompson that Judy is not safe when she is alone and that the family must create a plan for her supervision. Mrs. Thompson said that her sister would be at the house after school every day by 3:15 and stay until one of the boys came home to be with Judy; the sister would also make sure Judy was getting dinner and would call a few times each evening to make sure one of the boys was home. Worker stated she needs to confirm these plans with Mrs. Brigham since this plan has previously fallen though, resulting in Judy being left alone and suffering the dog bite. Mrs. Thompson stated that that was "a fluke, my sister made a mistake" and thought she wasnt needed on 5/7. Worker stated that Mrs. Brighams understanding of the plan would have to be verified by worker with Mrs. Brigham. Mrs. Thompson angrily agreed.*****************************************End of Note***************************************** Event Date:  FORMTEXT 5/8  Event Time:  FORMTEXT 5:10pm Entry Date:  FORMTEXT 5/9 Dist.Agy: AXX Note Status Final Author: Snyder199,Cindy Entered By: Snyder199,Cindy Method  FORMDROPDOWN  Location:  FORMDROPDOWN  Type(s):  FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX Unannounced Purpose(s):  FORMDROPDOWN   FORMDROPDOWN  Other Participant(s):  FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Family Participant(s):  FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus:  FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative:  FORMTEXT P.C. to Grace Brigham She verified that she was going to be available to assist with supervising Judy after school until she was sure one of the boys would be home with her. Worker advised Ms. Brigham that she may call in the afternoons to confirm that someone is with Judy. *****************************************End of Note*****************************************  Event Date: FORMTEXT 5/9 Event Time: FORMTEXT 3:30pmEntry Date: FORMTEXT 5/10Dist.Agy:AXXNote StatusFinalAuthor:Snyder199,CindyEntered By:Snyder199,CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT 3:30 p.m. P.C. to Thompson home. Worker spoke with Mrs. Thompsons sister, Grace Brigham, and she verified that she was assisting with dinner and that both boys were home as well as Judy. Mrs. Thompson was at work, and Mr. Thompson was at court about a traffic ticket, she thought. Ms. Brigham said that she and Mr. Thompson dont get along well, so she doesnt ask many questions. All three children appeared to be adequately cared for at this time.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/14Event Time: FORMTEXT 3:30pmEntry Date: FORMTEXT 5/14Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Unannounced H.V. @ 3:30 p.m. Michael, Dennis and Judy were home. The children were eating cereal and watching TV. Michael invited the worker in. Worker remained on the porch. Judy said she was healing fine and likes the dog again. While worker was there, Mrs. Thompson arrived home from work early. She was angry that the worker was there. Mrs. Thompson looked exhausted. Worker noted what looked like bruises under both eyes. Mrs. Thompson volunteered that they werent bruises; she gets dark circles under her eyes when she doesnt get enough sleep. Worker asked Mrs. Thompson if she needed any help. Mrs. Thompson said, you can help us by leaving us alone. Worker empathized regarding her work schedule, stress due to debt, and difficulty replacing the childcare arrangements they had when the grandmother was alive. Worker again asked Mrs. Thompson about the need for her to work so much. Mrs. Thompson said they have bills to pay and her husband says she has to pull her load by working as much as he does. Hes the boss.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/15 Event Time: FORMTEXT 9:15amEntry Date: FORMTEXT 5/15Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT P.C. to schools. All children are present.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/16 Event Time: FORMTEXT 4:45pmEntry Date: FORMTEXT 5/16Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT P.C. to Mrs. Thompson regarding supervision. She assured worker that the boys arent leaving Judy alone and that her sister is stopping by. Worker expressed concern over Mrs. Thompsons work schedule and suggested that Michael and Dennis might get tired of staying home that much. Worker told Mrs. Thompson that she had located an after school program and scholarship designed to complement Judys special needs. This would allow Dennis and Michael the time to participate in after school sports. Mrs. Thompson said she would talk to her husband.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/19 Event Time: FORMTEXT 3:00pmEntry Date: FORMTEXT 5/19Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT No word received re: offer of after school services.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/20Event Time: FORMTEXT 4:15pmEntry Date: FORMTEXT 5/20Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Unannounced H.V. @ 4:15 p.m. Judy was playing alone in the backyard. She said that she didnt know where her aunt or Michael or Dennis or her parents were. She proudly showed the scars from her dog bite stitches and said she has made friends with the dog again. She said that she knows she was wrong to tease the dog and she wont ever do that again. While the worker was on the porch with Judy, Mr. Thompson came home. He appeared to be extremely upset to find Judy home alone. The worker spoke with him about the danger to Judy in this situation and asked again why the family apparently doesnt wish to enroll her in an after school program with hours that seem likely to solve this problem. Mr. Thompson said he "hates government programs and charity" and that he will stay home with Judy the rest of the night. He is not scheduled to return to work for the next three days and since Michael hasnt been responsible, he will take care of Judy while they "straighten this mess out." Worker stated she would be making unannounced visits to the home to confirm that the child is being supervised adequately. Worker informed Mr. Thompson that she would need to make a new report to the hotline regarding this incident of Judy being left alone. Mr. Thompson became upset at this, raising his voice and telling the worker that he and his family have been compliant thus far allowing the worker into their home and their lives, but he no longer feels DSS involvement is tolerable and he no longer welcomes the caseworker into his home. Worker tried to talk to Mr. Thompson about the need to work with DSS around the supervision of Judy, but he went into the home and slammed the door shut. *****************************************End of Note***************************************** Event Date: FORMTEXT 5/22 Event Time: FORMTEXT 9:15amEntry Date: FORMTEXT 5/22Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT SCR report made by worker.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/22Event Time: FORMTEXT 9:30amEntry Date: FORMTEXT 5/22Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Worker called school re: children's attendance today. All children were in school.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/22 Event Time: FORMTEXT      Entry Date: FORMTEXT 5/22Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN    FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT Third notification letter mailed to home.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/22 Event Time: FORMTEXT 3:15pmEntry Date: FORMTEXT 5/22Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT  After consultation with supervisor, worker attempting to reengage family. H.V. - 3:15p.m. Mr. Thompson came out on the porch. He maintains that worker is not welcome in his home. Worker asked Mr. Thompson if he would speak with the worker on the porch to discuss his feelings about continuing to work with DSS. He said he really doesn't want to talk; he and his wife have missed enough work over CPS involvement already and he doesn't want to give any more of his time to DSS. Worker acknowledged Mr. Thompson's feelings of intrusion and then reminded him of the need for CPS involvement since there is an increasing concern for the supervision of Judy. The dog bite was a serious outcome; finding Judy home alone after the dog bite suggests that the family is not serious about providing adequate supervision of Judy. Mr. Thompson said that he and his wife want the worker out of our business. He feels the whole thing has gone on too long. He announced that he talked to his lawyer, Mr. Marlin, who told him not to speak with worker any further. Worker could hear Judy inside. Worker stated that a verifiable baby-sitter needed to be arranged for Judy. Mr. Thompson yelled at worker to get off his property. Worker left the premises promptly.*****************************************End of Note***************************************** Event Date: FORMTEXT 5/22 Event Time: FORMTEXT 4:00pmEntry Date: FORMTEXT 5/22Dist.Agy:AXXNote StatusFinalAuthor:Snyder 199, CindyEntered By:Snyder 199, CindyMethod FORMDROPDOWN Location: FORMDROPDOWN Type(s): FORMDROPDOWN   FORMDROPDOWN   FORMCHECKBOX UnannouncedPurpose(s): FORMDROPDOWN   FORMDROPDOWN Other Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN Family Participant(s): FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Focus: FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN  Progress Notes Narrative: FORMTEXT 4:00 p.m. P.C. from Mrs. Thompson. She said that "thanks to the all the problems with Judy," she has been fired from her evening job because she has missed so much work. She said she would be home with Judy at least until I can find another job, so the worker didnt need to bother them anymore. According to Mrs. Thompson, Mr. Thompson blames her for "all the CPS trouble." Worker mentioned her concern for Mrs. Thompson and attempted to discuss the possibility of domestic violence. Mrs. Thompson said, I cant talk to you anymore, and then hung up.*****************************************End of Note***************************************** Thompson Family: Risk Assessment Profile (A) RISK ASSESSMENT PROFILE CONNECTIONS CASE #:Intake Date:Case Name (Last, First):Thompson, LonnieLocal Services Case #:Primary CaretakerFirst Name: LonnieLast Name: ThompsonSecondary CaretakerFirst Name: ScottLast Name: Thompson QuestionsCurrent ResponsesComments1. Total prior reports for adults and children in RAP family unit: FORMCHECKBOX  A. No prior determined reports  FORMCHECKBOX  B. Prior unfounded reports only  FORMCHECKBOX  C. One to two prior indicated reports  FORMCHECKBOX  D. Three to four prior indicated reports  FORMCHECKBOX  E. Five or more prior indicated reports 2. Child(ren) in RAP family unit was in the care or custody of substitute caregivers or foster parents, at any time prior to the current report:  FORMCHECKBOX  Yes  FORMCHECKBOX  No3. Child(ren) under one year old in RAP family unit: FORMCHECKBOX  Yes  FORMCHECKBOX  No4. Inadequate housing with serious health or safety hazards, extreme overcrowding, or no housing.  FORMCHECKBOX  Yes  FORMCHECKBOX  NoThe residence appears appropriate to meet the needs of the family.Thompson Family: Risk Assessment Profile (A) 5. Financial resources are severely limited or mismanaged to the degree basic family needs are chronically unmet.  FORMCHECKBOX  Yes  FORMCHECKBOX  NoFamily must have financial problems and limited resources because both parents work two jobs to support the family.6. Caretaker in primary household has reliable and useful social support, from extended family, friends, or neighbors.  FORMCHECKBOX  Yes  FORMCHECKBOX  NoAlthough a maternal aunt is sometimes available to provide child care, her availability is not consistent, nor long term, and parents are reluctant to rely on the aunt for help.7. Caretaker(s) involved in domestic violence or serious conflicts with other adult(s):Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoMrs. Thompson states Mr. Thompson is the boss and wants her to work outside the home. Mrs. Thompson was seen with two black eyes and would not discuss with worker whether Mr. Thompson caused them. 8. Caretaker(s) with alcohol abuse problem within the past two years, with risk of not meeting responsibilities:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoWorker smelled alcohol on Mrs. Thompsons breath in the middle of the day when she should not have been drinking. 9. Caretaker(s) with drug abuse problem within the past two years, with risk of not meeting responsibilities:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoNo evidence of drug misuse. 10. Caretaker(s) has a serious mental health problem:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoNo evidence of mental health issues.11. Caretaker(s) has very limited cognitive skills:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  No Thompson Family: Risk Assessment Profile (A) 12. Caretaker(s) has a debilitating physical illness or physical disability:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoNo evidence of physical health problems.13. Caretaker(s) has and applies realistic expectations of all the children:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoChild is at risk because caretakers expect older siblings (16- and 14-yr-olds) to supervise a developmentally delayed 8-yr-old for extended periods of time (6-7 hours) every weekday. While the older siblings are capable to supervise their sister for short periods, they cannot and have not provided supervision for her for extended periods of time. Parents continue to leave her alone with siblings who dont supervise her. The caretakers also believe the 8-yr-old is capable of self-care, leaving her unsupervised at times, which puts her at risk.14. Caretaker(s) always or usually recognizes and attends to needs of all the children:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoParents usually meet the needs of the children. 15. Caretaker(s) views the abuse/maltreatment situation as seriously as the worker.Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoBoth caretakers insist that the older siblings provide adequate supervision despite evidence to the contrary; additionally, the child wandered from the home and was bitten by a dog when the father left her alone. Parents told the worker their attorney has advised them not to work with CPS; they refuse to cooperate any further. Preliminary Risk Score: Preliminary Risk Rating: Moderate Thompson Family: Risk Assessment Profile (A) Press the ELEVATED RISK button to proceed to the elevated risk elements and final risk rating. ELEVATEDElevated Risk Elements The Final Risk Rating is based on the presence or absence of the following Elevated Risk Elements *** Please select yes or no for each item below. *** Check the box that indicates whether or not the Elevated Risk Element is present. The presence of any of these risk elements automatically raises the risk rating to Very High Risk  FORMCHECKBOX  Yes  FORMCHECKBOX  NoDeath of a child as a result of abuse or maltreatment by caretaker(s) FORMCHECKBOX  Yes  FORMCHECKBOX  NoCaretaker(s) has a previous TPR FORMCHECKBOX  Yes  FORMCHECKBOX  NoSiblings removed from the home prior to current report and remain with foster parents/substitute parents/caretakers FORMCHECKBOX  Yes  FORMCHECKBOX  NoRepeated incidents of sexual abuse or severe physical abuse by caretaker(s) FORMCHECKBOX  Yes  FORMCHECKBOX  NoSexual abuse of a child and perpetrator is likely to have current access to child FORMCHECKBOX  Yes  FORMCHECKBOX  NoPhysical injury to a child under one year old within the last 6 months as a result of abuse or maltreatment by caretaker(s) FORMCHECKBOX  Yes  FORMCHECKBOX  NoSerious physical injury to a child requiring hospitalization/ emergency care within the last 6 months as a result of abuse or maltreatment by caretaker(s) FORMCHECKBOX  Yes  FORMCHECKBOX  NoNewborn child has a positive toxicology for alcohol or drugsFINAL RISK RATING: Very High Thompson Family: Risk Assessment Profile (B) RISK ASSESSMENT PROFILE CONNECTIONS CASE # :Intake Date:Case Name (Last, First):Thompson, LonnieLocal Services Case #:Primary CaretakerFirst Name: LonnieLast Name: ThompsonSecondary CaretakerFirst Name: ScottLast Name: Thompson QuestionsCurrent ResponsesComments1. Total prior reports for adults and children in RAP family unit: FORMCHECKBOX  A. No prior determined reports  FORMCHECKBOX  B. Prior unfounded reports only  FORMCHECKBOX  C. One to two prior indicated reports  FORMCHECKBOX  D. Three to four prior indicated reports  FORMCHECKBOX  E. Five or more prior indicated reports 2. Child(ren) in RAP family unit was in the care or custody of substitute caregivers or foster parents, at any time prior to the current report:  FORMCHECKBOX  Yes  FORMCHECKBOX  No3. Child(ren) under one year old in RAP family unit: FORMCHECKBOX  Yes  FORMCHECKBOX  No4. Inadequate housing with serious health or safety hazards, extreme overcrowding, or no housing.  FORMCHECKBOX  Yes  FORMCHECKBOX  No Thompson Family: Risk Assessment Profile (B) 5. Financial resources are severely limited or mismanaged to the degree basic family needs are chronically unmet.  FORMCHECKBOX  Yes  FORMCHECKBOX  NoBoth parents work two jobs to support the family. Home is adequately furnished, children adequately clothed and nourished, family not in receipt of any outside financial assistance.6. Caretaker in primary household has reliable and useful social support, from extended family, friends, or neighbors.  FORMCHECKBOX  Yes  FORMCHECKBOX  NoAlthough a maternal aunt is sometimes available to provide child care, her availability is not consistent, nor long term, and parents are reluctant to rely on the aunt for help.7. Caretaker(s) involved in domestic violence or serious conflicts with other adult(s):Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoNo admissions of physical violence, although Mrs. Thompson was seen by worker with two black eyes that worker concludes were inflicted by Mr. Thompson. Mrs. Thompson states Mr. Thompson is the boss and is forcing her to work outside the home.8. Caretaker(s) with alcohol abuse problem within the past two years, with risk of not meeting responsibilities:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoNo evidence of current alcohol abuse.9. Caretaker(s) with drug abuse problem within the past two years, with risk of not meeting responsibilities:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoNo evidence of drug misuse. 10. Caretaker(s) has a serious mental health problem:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoNo evidence of mental health issues.11. Caretaker(s) has very limited cognitive skills:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoBoth caretakers appear to be of at least average intellectual capacity.  Thompson Family: Risk Assessment Profile (B) 12. Caretaker(s) has a debilitating physical illness or physical disability:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoNo evidence of physical health problems.13. Caretaker(s) has and applies realistic expectations of all the children:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoChild is not safe because caretakers expect older siblings (16- and 14-yr-olds) to supervise a developmentally delayed 8-yr-old for extended periods of time (6-7 hours) every weekday. While the older siblings are capable to supervise their sister for short periods, they cannot and have not provided supervision for her for extended periods of time. They continue to leave her alone putting her in imminent danger and interventions are required. The caretakers also believe the 8-yr-old is capable of self-care and leaves her unsupervised at times, which puts her in immediate danger.14. Caretaker(s) always or usually recognizes and attends to needs of all the children:Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoAlthough the parents are aware of their 8-yr-old childs developmental delays, they dont meet her need for supervision on a consistent basis. Parents dont recognize their sons need to engage in developmentally appropriate activities and instead expect them to supervise their sister 6-7 hours, five days a week.15. Caretaker(s) views the abuse/maltreatment situation as seriously as the worker.Primary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoSecondary Caretaker  FORMCHECKBOX  Yes  FORMCHECKBOX  NoBoth caretakers insist that the older siblings provide adequate supervision despite evidence to the contrary; additionally child wandered from home and was bitten by a dog when the father left her alone. Parents told worker their attorney has advised them not to work with CPS; they refuse to cooperate any further. Preliminary Risk Score: Preliminary Risk Rating: Moderate Thompson Family: Risk Assessment Profile (B) Press the ELEVATED RISK button to proceed to the elevated risk elements and final risk rating. ELEVATEDElevated Risk Elements The Final Risk Rating is based on the presence or absence of the following Elevated Risk Elements *** Please select yes or no for each item below. *** Check the box that indicates whether or not the Elevated Risk Element is present. The presence of any of these risk elements automatically raises the risk rating to Very High Risk  FORMCHECKBOX  Yes  FORMCHECKBOX  NoDeath of a child as a result of abuse or maltreatment by caretaker(s) FORMCHECKBOX  Yes  FORMCHECKBOX  NoCaretaker(s) has a previous TPR FORMCHECKBOX  Yes  FORMCHECKBOX  NoSiblings removed from the home prior to current report and remain with foster parents/substitute parents/caretakers FORMCHECKBOX  Yes  FORMCHECKBOX  NoRepeated incidents of sexual abuse or severe physical abuse by caretaker(s) FORMCHECKBOX  Yes  FORMCHECKBOX  NoSexual abuse of a child and perpetrator is likely to have current access to child FORMCHECKBOX  Yes  FORMCHECKBOX  NoPhysical injury to a child under one year old within the last 6 months as a result of abuse or maltreatment by caretaker(s) FORMCHECKBOX  Yes  FORMCHECKBOX  NoSerious physical injury to a child requiring hospitalization/ emergency care within the last 6 months as a result of abuse or maltreatment by caretaker(s) FORMCHECKBOX  Yes  FORMCHECKBOX  NoNewborn child has a positive toxicology for alcohol or drugsFINAL RISK RATING: Moderate Thompson Family: Initial Parent/Caretaker Strengths, Needs, and Risks Parent/Caretaker Functioning: Scales RatingLonnie Thompson Age PC Scott Thompson Age SCRelationships Among Caretaker and Other Significant AdultsSupportive, nurturing relationships FORMCHECKBOX  FORMCHECKBOX Generally positive relationships with minor conflicts; no threatening physically or emotionally abusive relationships  FORMCHECKBOX   FORMCHECKBOX Non-supportive, negative relationships with serious conflicts, threatening and controlling behaviors or minor physical violence  FORMCHECKBOX   FORMCHECKBOX Repeated and/or severe physical violence or emotional abuse FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX Comments: Mother has generally positive relationships, but father is very negative and hostile to caseworker and resistant to intervention. He attempts to control CPS intervention and refuses to cooperate.  Thompson Family: Initial Parent/Caretaker Strengths, Needs, and Risks Scales RatingLonnie Thompson Age PC Scott Thompson Age SCAbility to Cope with StressConsistently uses effective coping skills to manage stress FORMCHECKBOX  FORMCHECKBOX Uses adequate coping skills in most situations to manage stress FORMCHECKBOX  FORMCHECKBOX Coping skills are not consistently used or effective in managing stress FORMCHECKBOX  FORMCHECKBOX Coping skills are very limited or ineffective in managing stress FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX Comments: Unable to explore this at this time in investigation process  Thompson Family: Initial Parent/Caretaker Strengths, Needs, and Risks Scales RatingLonnie Thompson Age PC Scott Thompson Age SCMotivation/ Readiness to ChangeAccepts responsibility for problematic behaviors/ conditions and has taken steps to initiate change FORMCHECKBOX  FORMCHECKBOX Recognizes problematic behaviors/conditions and demonstrates willingness to change FORMCHECKBOX  FORMCHECKBOX Limited recognition of problematic behaviors/ conditions and is resistant to change FORMCHECKBOX  FORMCHECKBOX Denies responsibility for problematic behaviors/ conditions; no willingness to change FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX Comments: Parents refuse to accept responsibility for maltreatment of Judy and insist everything is just a misunderstanding and everything will be fine family does not need assistance.  Thompson Family: Initial Parent/Caretaker Strengths, Needs, and Risks Scales RatingLonnie Thompson Age PC Scott Thompson Age SCParent/Caretaker Expectations of ChildrenHas and applies realistic expectations of all children FORMCHECKBOX  FORMCHECKBOX Has, but inconsistently applies, realistic and developmentally appropriate expectations of any of the children  FORMCHECKBOX   FORMCHECKBOX Has and applies unrealistic and developmentally inappropriate expectations of any of the children FORMCHECKBOX  FORMCHECKBOX Has and applies very unrealistic and developmentally inappropriate expectations of any of the children FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX Comments: Parents expect Judy to self supervise and expect boys to baby-sit her for excessive periods of time. They have proven to be incapable of providing that level of supervision to Judy.  Thompson Family: Initial Parent/Caretaker Strengths, Needs, and Risks Scales RatingLonnie Thompson Age PC Scott Thompson Age SCParent/Caretaker Acceptance of ChildrenVery accepting and affectionate of all children FORMCHECKBOX  FORMCHECKBOX Fairly accepting and affectionate of all children FORMCHECKBOX  FORMCHECKBOX Indifferent and aloof to any of the children FORMCHECKBOX  FORMCHECKBOX Rejecting or hostile to any of the children FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX Comments: Mother is very loving and accepting of children, father is hostile to children and said things such as Ill talk to them in my I mean business way and hell be sure they dont mess up or theyll face very negative consequences. This is hostility and rejecting of children.  Thompson Family: Initial Parent/Caretaker Strengths, Needs, and Risks Scales RatingLonnie Thompson Age PC Scott Thompson Age SCParent/Caretaker Discipline of ChildrenUses discipline appropriate to childs age, development and conduct; no physical discipline used FORMCHECKBOX  FORMCHECKBOX Uses discipline appropriate to childs age, development and conduct; some physical discipline used  FORMCHECKBOX   FORMCHECKBOX Uses discipline inappropriate to childs age, development or conduct that causes minor physical or emotional harm to child  FORMCHECKBOX   FORMCHECKBOX Uses discipline inappropriate to childs age, development or conduct that causes serious physical or emotional harm to child  FORMCHECKBOX   FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX Comments: No evidence of inappropriate discipline.  Thompson Family: Initial Parent/Caretaker Strengths, Needs, and Risks Scales RatingLonnie Thompson Age PC Scott Thompson Age SCParent/Caretaker SupervisionConsistently provides age appropriate care and supervision FORMCHECKBOX  FORMCHECKBOX Usually provides age appropriate care and supervision FORMCHECKBOX  FORMCHECKBOX Occasionally provides age appropriate care and supervision FORMCHECKBOX  FORMCHECKBOX Rarely or never provides age appropriate care and supervision FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX Comments: Parents only occasionally provide appropriate supervision for Judy. She is left alone or with the boys who dont properly supervise her frequently putting her at risk of harm.  Thompson Family: Initial Parent/Caretaker Strengths, Needs, and Risks Scales RatingLonnie Thompson Age PC Scott Thompson Age SCProblem Solving SkillsStrong ability to anticipate and solve problems in a timely manner FORMCHECKBOX  FORMCHECKBOX Adequate ability to anticipate and solve most problems before crises erupt FORMCHECKBOX  FORMCHECKBOX Difficulty in anticipating and solving problems before crises erupt FORMCHECKBOX  FORMCHECKBOX Inability to address problems until crises occur FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX Comments: Parents continue to have misunderstandings regarding Judys care that lead to crisis when Judy is hurt or found home alone. They need CPS assistance to avoid future problems, but dont recognize the need.  Thompson Family: Initial Child Strengths, Needs, and Risks Child Functioning: Scales RatingMichael 16 TrackedDennis 14 TrackedJudy 8 TrackedPhysical HealthGood or excellent health FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Minor illness or physical disability FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Moderately serious illness or physical disability FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Debilitating illness or physical disability FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Comments: All children are healthy.  Mental HealthNo mental health concerns FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Minor mental health concerns FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Moderately serious mental health problems FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Serious mental health problems FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Comments: No evidence of any mental health issues.  Thompson Family: Initial Child Strengths, Needs, and Risks Scales RatingMichael 16 TrackedDennis 14 TrackedJudy 8 TrackedChild Development/ Cognitive SkillsAdvanced development in one or more areas; above average cognitive skills FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Age appropriate development; average cognitive skills FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Minor developmental delays; developmental or learning disability FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Serious developmental delays; serious developmental or learning disability FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Comments: Boys appear on tasks, Judy is mildly mentally retarded, has learning disabilities and needs special classes and supervision.  Thompson Family: Initial Child Strengths, Needs, and Risks Scales RatingMichael 16 TrackedDennis 14 TrackedJudy 8 TrackedChild BehaviorAge appropriate behavior at home and within the community FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Some minor behavioral problems at home and/or within the community FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Moderately serious behavioral problems or criminal activity at home and/or within the community FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Serious behavioral problems or criminal activity at home and/or within the community FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Comments: No behavior problems with the children.  Thompson Family: Initial Child Strengths, Needs, and Risks Scales RatingMichael 16 TrackedDennis 14 TrackedJudy 8 TrackedAlcohol Use within the Past Two YearsNo alcohol use FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Light to moderate alcohol use FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Frequent alcohol use FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Alcohol dependence FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Comments: No evidence of any alcohol use for any children.  Drug Use within the Past Two YearsNo use of illegal drugs or misuse of prescription drugs FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Occasional use of illegal drugs or misuse of prescription drugs FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Frequent use of illegal drugs or misuse of prescription drugs FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Drug dependence or addiction FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Comments: No evidence of any drug use for any children.  Thompson Family: Initial Child Strengths, Needs, and Risks Scales RatingMichael 16 TrackedDennis 14 TrackedJudy 8 TrackedChild/Family RelationshipsMutual respect and tolerance among child and family members; very few conflicts FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Generally positive relationships among child and family members; minor conflicts FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Disruptive relationships among child and family members, but no requests for separation/placement FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Serious conflict and mistrust among child and family members with threat of separation/placement FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Insufficient information FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Comments: Boys have positive relationships with parents and Judy. However, father does hold them responsible when things go wrong and this results in minor conflicts. Judy has no conflicts with family members.  Thompson Family: Worker Profile (A) You are reviewing the RAP on the Thompson family that one of your workers just completed. You know this worker has strong feelings regarding alcohol use and domestic violence as her former husband was an alcoholic who physically abused her. This worker has difficulty separating that personal experience from what she sees in the field, and this bias is impacting her ability to make informed decisions on her investigations and assessments about families who may experience domestic violence. You believe this bias is unintentional and unconscious on her part; however, she seems to be skewing her assessments to indicate safety and risk concerns where you dont believe sufficient evidence has been gathered to draw such conclusions. For example, the worker has indicated to you that she thinks Mrs. Thompsons consumption of alcohol is inappropriate. The worker believes that responsible parents dont drink. Therefore, the fact that she smelled alcohol on Mrs. Thompsons breath in the middle of the day is, in her opinion, irresponsible and, indicative of an alcohol abuse problem. You now need to formulate your supervisory response to the workers submission of this RAP and the corresponding case record. You wonder whether the worker could possibly be experiencing vicarious trauma when she perceives domestic violence in a family (whether warranted as a safety/risk issue or not) and, if so, how it is impacting her ability to do the job. Thompson Family: Worker Profile (B) You are reviewing the RAP on the Thompson family that one of your workers just completed. This worker is very conscientious and hard working. He is motivated to achieve best practice standards on all of his cases and he appears to perform particularly well in gathering sufficient evidence to support or refute allegations of abuse or maltreatment. However, youve noticed lately that it seems like he is taking some mental shortcuts in his approach to assessing how family strengths, needs, underlying conditions, and contributing factors impact the behaviors that result in abuse or maltreatment. In your review of the Thompson family, youve again noticed some mental shortcuts on the RAP. Intake has been high lately and you know he is overloaded. Because he is a skilled worker, he is often called upon by colleagues for assistance. But neither of those are excuses for his slipping on the accuracy and thoroughness of his assessments. Now you need to formulate your supervisory response to his work, and the Thompson Family RAP will be your example. Thompson Family: Worker Profile (SNR Scales) You are reviewing the Initial Strengths, Needs, and Risk Scales on the Thompson family that one of your workers just completed. This worker is very conscientious and hard working. She is motivated to achieve best-practice standards on all of her cases and she appears to perform particularly well in gathering sufficient evidence to support or refute allegations of abuse or maltreatment. However, youve noticed lately that it seems like she is taking some mental shortcuts in her approach to assessing how family strengths, needs, underlying conditions, and contributing factors impact the behaviors that result in abuse or maltreatment. This worker is young and inexperienced and at times seems somewhat intimidated by parents, especially when they express anger, frustration, or impatience with the investigative process. She isnt fully confident in her ability to manage her authority, and also feels that she could still use some professional development in her understanding and expertise of the investigative, court, and service provision processes. In your review of the Thompson family case record, youve again noticed some mental shortcuts that the worker is making. You are now going to formulate your supervisory response. Supervising Risk Assessments Imagine you are supervising the worker who is engaged with the Thompson family. Using the assigned worker profile and either the RAP or SNR scales you were also assigned for support, complete this worksheet to assist you in developing a plan for supervising the worker. What are the workers strengths related to risk assessment? What do you assess as this workers developmental needs related to risk assessment? At what stage of learning do you perceive the worker to be (i.e., unconsciously unskilled, consciously unskilled, consciously skilled, unconsciously skilled)? Describe the evidence supporting your perception. Does the worker need enhancement of knowledge or skill in these areas? If so, how will you provide it? Has the worker adequately and accurately identified underlying conditions and contributing factors and assessed their influence on the risk of future harm? Supervising Risk Assessments What underlying conditions or contributing factors of the worker or the family could be influencing this workers ability to conduct an accurate and thorough assessment? Having reviewed the workers RAP or SNR Scales, what feedback to you need to provide the worker relative to whether the worker adequately and accurately identified relevant underlying conditions and contributing factors and assessed their influence on risk of future harm? What expectations need to be set for this worker relative to either the assessment and completion of the RAP or scales? Describe some specific components that need to be addressed in our expectations. Supervising Risk Assessments What coaching would you provide to enhance the workers understanding and ability to thoroughly assess the influence of contributing factors/underlying conditions on risk of harm? Which leadership style(s) would you use during a supervisory conference with this worker? Which supervisory function(s) would you focus on during a supervisory conference with this worker? Questions for Learning about the Dynamics Creating Risk It is in the combination of different variables and in the compelling nature of these variables that risk arises. We must always ask, Which of these variables alone or in combination with others exerts the most influence or control over behavior? The following list of questions suggests ways to explore these issues, but it is not exhaustive. Underlying conditions What experiences that might be impacting or sustaining current behavior does the parent have of: Being abused or maltreated as a child? Misusing drugs or alcohol? Providing care for a dependent? Being a victim, perpetrator, or observer of domestic violence? Coping with stress? Using social supports? Being a member of a family system? Accepting responsibility for own actions? How do these experiences influence behavior in this family? What are the parents values re: Using alcohol or drugs? How children should comport themselves? Taking care of childrens needs? Using violence to solve problems? Managing stress? Using resources to help? Questions for Learning about the Dynamics Creating Risk Defining whats acceptable in terms of living conditions? Being responsible for own actions? How do these values influence behavior in this family? What are the parents perceptions of: The impact of his/her abuse/maltreatment as a child? The influence of alcohol or drugs on behavior? What to expect from children? What to provide to children to nurture them and help them develop? His/her ability to physically or mentally care for children? The childs vulnerability? The danger or lack thereof in the childs behavior? The childs mental and physical development and their role in it? Any domestic violence? The stresses in his/her life? The availability of social supports? The quality and acceptability of the living conditions? The quality of the familys identity and interactions? Any intervention efforts? His/her responsibility for actions? Severity of any current abuse/maltreatment? How do these perceptions influence behavior in this family? Questions for Learning about the Dynamics Creating Risk What are the parents beliefs re: Parents right to abuse or maltreat a child? The dangers or pleasures of drug and alcohol use? What to expect of children? Attachment to the specific child or children in question? His/her ability to physically or mentally care for children? The childs vulnerability? The childs response to the caretaker? The acceptability of the childs behavior? The appropriateness of the childs physical and mental development? Domestic violence? The role of stress in his/her life? The availability and acceptability of using social supports? How do these beliefs influence behavior in this family? What are this parents emotions (feelings) about: His/her abuse or maltreatment as a child? Misusing alcohol or drugs? The childs inability to measure up to expectations? The amount of care needed by the child; his/her physical or mental capacity to care for the child? The childs vulnerability? The way the child responds to him/her? The childs behavior? Questions for Learning about the Dynamics Creating Risk The childs mental health and physical development? Getting into or witnessing physical fights in the home? Stress? Using social supports? The physical environment? The familys interactions? Meeting the childs needs? Cooperating with intervention? Being responsible for actions/inactions? The severity of the maltreatment/abuse? The chronicity of any maltreatment or abuse? How do these feelings influence behavior in this family? What are this parents capabilities re: Controlling alcohol or substance use? Understanding whats reasonable to expect of the child? Forming an attachment with the child? Providing the physical and mental care needed by the child? Accepting the childs responses to him/her? Managing the childs behavior appropriately? Promoting the childs mental health and physical development? Controlling domestic violence? Coping with stress? Questions for Learning about the Dynamics Creating Risk Knowing how to utilize social supports? Maintaining adequate living conditions? Maintaining an effective family? Cooperating with intervention? Accepting personal responsibility for behavior? Understanding the severity of the abuse/maltreatment? Controlling/de-escalating the chronicity of abuse/maltreatment? How do these capabilities influence behavior in this family? How is the parents self-concept (e.g., sense of being loveable, capable, responsible, and worthwhile) influenced by: Having been abused/maltreated as a child? Using alcohol or drugs? The quality of his/her relationship and attachment with the child? The childs response to him/her? The childs behavior? The childs achievements of developmental milestones? The extent of domestic violence witnessed or participated in? Stress? Quality and quantity of available social supports? Living conditions? Familys identity and interactions? Interacting with intervention? Severity of abuse/maltreatment? History of abuse/maltreatment? Questions for Learning about the Dynamics Creating Risk How does self-concept influence behavior in this family? What is the state of the childs or childrens development? To what degree have the childrens developmental needs been met? How has the childs development been impacted by: The caretakers abuse or maltreatment as a child? Alcohol or drug misuse (either by child or by caretaker)? The caretakers expectations and acceptance of the child? The caretakers physical or mental ability to support the childs development? The childs behavior? The childs exposure to domestic violence? Stress? The availability of supports? The quality of the living conditions? The familys interactions and identity? The caretakers willingness to meet the childs needs? The severity of the abuse or maltreatment and the history of the abuse or maltreatment? How does development influence behavior in this family? In what ways does the family system organize around: The caretakers childhood experiences? Drugs and alcohol? Rules about the childs behavior? Questions for Learning about the Dynamics Creating Risk The tasks involved in physically and mentally caring for children? Setting the childs role re: response to caretaker? The childs behavior? Mental health or development? Domestic violence? Stress? Social supports? Living conditions? Dealing with intervention? The perpetrator? The severity and the history of the abuse/maltreatment? How does the family system influence behavior in this family? How does the parents culture inform or influence him or her re: Alcohol or drug use? What to expect of children? How to care for children? How children should respond to caretakers? What behaviors of children are acceptable? How should childrens mental and physical growth and development be supported? How acceptable is domestic violence? What should you do about stress? How acceptable is it to use social supports? Questions for Learning about the Dynamics Creating Risk What living conditions are acceptable? How should the family interact? How much should the caretaker cooperate with intervention? How responsible are individuals for their actions/inactions? How much sanction/acceptance is there re: severity and history of abuse/maltreatment? How does the familys culture influence their behavior? Contributing Factors What is the relationship of the parent/caretakers Mental Illness/Health Status to.? In what ways is the caretakers Substance Use linked to or an influence in.? How is the parents experience of Domestic Relations expressed in.? In what ways do the parents Developmental Capacity relate to.? In what ways does the parents Physical Capacity influence.? How does the parents Environment influence: His/her use of alcohol or drugs.? Caretakers expectations of the child? Caretakers ability to form an appropriate attachment with the child? Caretakers physical and mental capacity to care for the child? Caretakers ability to understand the childs vulnerability? Childs response to caretaker Childs behavior? Questions for Learning about the Dynamics Creating Risk Childs developmental needs? Childs experience with domestic violence; stress; social supports; and living conditions? Family interactions? Motivations of family members? Cooperation of family with services? Intent of family members? Severity of and history of abuse/maltreatment? Assessing Needs What is the familys perceptions regarding how well their needs for: Shelter, food, and housing (survival) are met? Physical and emotional safety (security) are met? Significant relationships (affiliation) are met? To feel loveable, capable, worthwhile, and responsible (self-esteem) are met? To make their own decisions and direct their own lives (autonomy) are met? For development (growth) are met? What needs is the family trying to meet through its current behavior patterns, i.e., what is the positive intent behind the behavior? How are the needs, underlying conditions, and contributing factors interacting to influence the behaviors that are placing the children at risk? Given how the family members are currently behaving to meet their needs and the state of their underlying conditions and contributing factors, what needs to change in order for this family to satisfy the mandates of child welfare?        Thompson Family: Trainers Key (A) RAP Elements Element #5 Checked Yes. This is a misinterpretation of the element. The worker has interpreted it too broadly. (This type of misinterpretation is listed in the handout, Common Errors: Risk). There is nothing in the progress notes to indicate that the parents mismanage their finances and that is why they each work two jobs, or that family needs (e.g., shelter, food, clothing, health) are chronically unmet due to insufficient finances. Element #7 - Checked Yes. There is insufficient information in the progress notes to support the presence of domestic violence at this time. Although there are some red flags identified in the progress notes, these factors have not been fully assessed to make such a finding. The worker appears to be biased on this issue due to her own experience. She is concluding the presence of domestic violence without proper support (e.g., neither parents, children, nor collaterals were directly interviewed regarding this issue). Element #8 Checked Yes. There is no documented connection between alcohol misuse and family functioning. Smelling alcohol on the mothers breath on one occasion doesnt warrant a rating of an alcohol abuse problem. Neither the parents, children, nor collaterals were directly interviewed regarding this issue in order to gather sufficient information to rate this element either way). Element #9 Checked No. There is insufficient information in the progress notes to support a finding either way. No one was interviewed about this topic. Element #14 Checked Yes. This should be checked No. (This is a typical error that is listed in the handout, Common Errors: Risk.) The worker failed to use a higher level of proof for the strengths-based elements (i.e., the parents do NOT have realistic expectations for all the children as they have, in fact, been indicated for maltreatment of Judy). Thompson Family: Trainers Key (A) Supervisory Planning The following are some examples/suggestions to offer participants, if needed, as they plan their supervisory response: Feedback There is insufficient information documented in the progress notes to make an accurate and full assessment of some of the RAP elements. The worker seems to be making decisions based on personal bias and experience; therefore, she is not making informed decisions. For example, the worker equates drinking alcohol at a specific time of the day with an alcohol abuse problem; the worker presumes the presence of domestic violence instead of developing multiple hypotheses that what she observed were not black eyes, as mother tried to explain to her. Expectations The supervisor needs to set expectations about the worker monitoring the influence of her own underlying conditions/contributing factors, such as her history of experiencing domestic violence. The supervisor also needs to clearly communicate the need to develop multiple hypotheses in this (and every) case. Coaching The supervisor could coach the worker by reviewing expanded definitions of the risk elements and strengthening the workers ability to identify critical errors that influence her capacity for making informed decisions. The supervisor could also model for the worker what to say to the family now in order to reengage them to support a full and accurate assessment. Supervisory Functions Educative: The supervisor could instruct the worker on how she misinterpreted the risk elements. Supportive: The supervisor could inform the worker about her concerns re: vicarious trauma and offer to help the worker find support for herself, if needed. Thompson Family: Trainers Key (A) Leadership Styles A participative style could be used with the worker to plan how she will reengage the family and more fully assess the risk elements (this also sets new expectations). Thompson Family: Trainers Key (B) RAP Elements Element #4 Checked No. There is no supportive documentation explaining how this element was assessed to not to be a problem. Element #7 - Checked No. The worker failed to fully assess this element. No was selected even though the worker made comments that would suggest his need to check Yes. However, the investigation does not show adequate evidence to check Yes either. This contradiction and the lack of supportive documentation need to be addressed. (This error is described on the handout, Common Errors: Risk, as using too narrow a definition of domestic violence.) Element #8 Checked No. The worker documented suspicions of alcohol abuse in the progress notes, but he failed to adequately assess this element prior to filling out the RAP. This issue should have been explored with the parents, children, and collaterals by this point in the investigation. Also, the worker is focusing on current use, and not considering the more expansive time frames included in the RAP elements definition. (This is listed as an error on the handout, Common Errors: Risk.) Elements #9 and #10 Checked No. Although no was selected for these elements, there is no evidence of any assessment of these issues anywhere in the progress notes. Element #13 Checked No. The worker documents comments using safety language even though the RAP assesses for risk, not imminent danger. The workers focus should be on risk, not safety. This error is identified on the handout, Common Errors: Risk, and it is related to misunderstanding the intent of the elements. Elevated risk element: Serious physical injury to a child requiring hospitalization/ emergency care within the last 6 months as a result of abuse or maltreatment by caretaker(s) was not checked Yes, despite one of the Thompson children going to the hospital for treatment of serious injury due to maltreatment (lack of supervision). Supervisory Planning The following are some examples/suggestions to offer participants, if needed, as they plan their supervisory response: Thompson Family: Trainers Key (B) Feedback The progress notes contain insufficient information to make an accurate and full assessment of some of the elements. Feedback should focus on how lack of factual information impacts the identification of underlying conditions and contributing factors that contribute to abuse/maltreatment, the focus of change-supporting activities/services, etc. Expectations The supervisor needs to set an expectation that, despite having a high caseload, s/he expects a thorough assessment and adequate and accurate documentation. Specifically, the supervisor needs to communicate the expectation that the worker will stop taking mental shortcuts, which undermine his ability to make informed decisions. Coaching Coaching this worker on proper definitions and interpretation of risk elements as well as the time frames for assessment of the elements could be useful. Supervisory Functions The educative function could be utilized to explain to the worker the need to conduct a full assessment in every case, as well as the impact of failing to get factual information from a variety of sources. The supervisor can address the workers fear/difficulty related to engaging the father. By empowering the worker to reengage the father (which is another opportunity for coaching as well), the worker will be more likely to gather necessary assessment information at the next contact. Leadership Styles A directive style to set expectations for what actions worker should take (e.g., talk to the parents, children, and collaterals re: alcohol/drug use) could be particularly helpful. Coaching on reengagement may require a more participative style in order to empower the worker to design his own strategies for the interview. Thompson Family: Trainers Key (SNR Scales) SNR Scales Relationships Among Caretaker and Other Significant Adults: The worker rated the Secondary Caretaker (SC) lower on the SNR scales than what is indicated in the progress notes. The worker appears to rate the Secondary Caretaker (SC) based solely on the SCs interaction with the worker and not the SCs relationships in general. The supervisor can set an expectation that the SNR scales must clearly reinforce the facts of the case as documented in the progress notes. The supervisor can assess whether the worker has developed an effective professional helping relationship with SC and, if not, can coach the worker on the skills to utilize to improve this relationship. Ability to Cope with Stress: Both caretakers rated insufficient information. Supervisor can provide feedback around how the worker can further assess this element. Parent/Caretaker Acceptance of Children: SC rated as rejecting or hostile to any of the children. There is insufficient documentation to support this rating. Drug Use within the Past Two Years: All children rated no alcohol use. There is nothing in the documentation that the worker discussed this issue with any of the children or caretakers. Thompson Family: Trainers Key (SNR Scales) The supervisor can provide feedback around changing the rating to insufficient information to be more accurate and can set an expectation with the worker on how she can go about gathering the appropriate assessment information. Alcohol Use within the Past Two Years: All children rated no alcohol use. There is nothing in the documentation related to the worker discussing this issue with any of the children or caretakers. The supervisor can provide feedback around changing the rating to insufficient information to be more accurate and can set an expectation with worker on how she should go about gathering the appropriate assessment information. Supervisory Planning The following are some examples/suggestions to offer participants, if needed, as they plan their supervisory response: Feedback The supervisor can provide feedback on how the worker has not gathered sufficient evidence to support some of her ratings. Expectations The supervisor can set an expectation that the worker needs to monitor her ability to make informed decisions by not taking mental shortcuts, and instead, developing multiple hypotheses and completing a full assessment. Coaching The supervisor can coach the worker on the casework relationship issues. For example, the supervisor can model how to respond to an angry family member or how to deal with resistance in the professional helping relationship. Also, coaching on how to engage the family in a discussion around the scale elements could be useful. Thompson Family: Trainers Key (SNR Scales) The supervisor needs to provide information to the worker on how SNR scales are intended to assist the worker in identifying underlying conditions, contributing factors, strengths and needs that impact behaviors that contribute to abuse and maltreatment. Supervisory Functions and Leadership Styles The educative function and participative style could be used to address with the worker whats lacking in the assessment and how she can gather the missing information.     Cw/cPS Supervisory Core curriculum Module ii-A Cw/cPS Supervisory CORE curriuclum Module ii-A  PAGE 300 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 313 Cw/cPS Supervisory Core curriculum Module ii-A Cw/cPS Supervisory CORE curriuclum Module ii-A  PAGE 314 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 317 cw/cps supervisory Core curriculum Module ii-a cw/cps Supervisory core curriculum Moduleii-A  PAGE 330 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 329 cw/cps Supervisory core curriculum module II-A Thompson Family: Intake Report I OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700362 cw/cps Supervisory core curriculum module ii-a Thompson Family: Intake Report OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700362  PAGE 322 Act E (11/20/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 331 cw/cps Supervisory core curriculum module ii-A Thompson Family: Intake Report I OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700362 cw/cps Supervisory core curriculum module II-A Thompson Family: Intake Report I OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700362  PAGE 332 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/20/08)  PAGE 323 cw/cps Supervisory core curriculum module II-A Thompson Family: Intake Report I OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700362 cw/cps Supervisory core curriculum module ii-A Thompson Family: Intake Report I OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700362  PAGE 324 Act E (11/20/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 333 cw/cps Supervisory core curriculum module ii-A Thompson Family: Intake Report II OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700475 cw/cps Supervisory core curriculum module II-A Thompson Family: Intake Report II OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700475  PAGE 336 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 335 cw/cps Supervisory core curriculum module ii-A Thompson Family: Intake Report III OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700869 cw/cps Supervisory core curriculum module ii-A Thompson Family: Intake Report III OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700869  PAGE 338 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 339 cw/cps Supervisory core curriculum module II-A Thompson Family: Intake Report III OFFICE OF CHILDREN AND FAMILY SERVICES CHILD PROTECTIVE SERVICES INTAKE REPORT ******* WARNING ******* CONFIDENTIAL INFORMATION AUTHORIZED PERSONNEL ONLYCASE NAME:Thompson, LonnieMERGE TO CASE ID:INTAKE CASE ID:42700185CALL/INTAKE STAGE ID:42700869 cw/cps Supervisory core curriculum module II-A Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, LonniePROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY cw/cps Supervisory core curriculum module ii-A Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, LonniePROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY  PAGE 350 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/20/08)  PAGE 331 cw/cps Supervisory core curriculum module ii-A Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, LonniePROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY cw/cps Supervisory core curriculum module ii-a Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, LonniePROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 351 cw/cps Supervisory core curriculum module ii-a Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, LonniePROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY cw/cps Supervisory core curriculum module II-A Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, lONNIEPROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY cw/cps Supervisory core curriculum module ii-A Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, LonniePROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY Cw/cPS Supervisory CORE curriuclum Module ii-A Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, LonniePROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY  PAGE 360 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 359 cw/cps Supervisory core curriculum module ii-A Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, LonniePROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY Cw/cPS Supervisory CORE curriuclum Module ii-A Thompson Family: Progress Notes Case ID:35101011INVESTIGATION****WARNING***Case Name:Thompson, LonniePROGRESS NOTESCONFIDENTIAL INFORMATIONStage ID:25101011CD:AUTHORIZED PERSONNEL ONLY  PAGE 362 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 361 cw/cps Supervisory core curriculum module ii-A Cw/cPS Supervisory CORE curriuclum Module ii-A  PAGE 370 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 369 Cw/cPS Supervisory Core curriculum Module ii-A Cw/cPS Supervisory CORE curriuclum Module ii-A  PAGE 382 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 383 Cw/cPS Supervisory Core curriculum Module ii-A Cw/cPS Supervisory CORE curriuclum Module ii-A  PAGE 412 Act E (11/26/08) ( 2008 CDHS/Research Foundation of SUNY/BSC ( 2008 CDHS/Research Foundation of SUNY/BSC Act E (11/26/08)  PAGE 413 Integrative Statement: We have reviewed what constitutes abuse/maltreatment and promoted supervisors ability to use the Performance Management Cycle to strengthen workers assessments of child abuse and maltreatment. In this activity, we will turn our attention to supervising risk assessment. Postlude: We have reviewed supervision of safety, abuse/maltreatment, and risk. Next we will concentrate on managing conflict and further developing your teams. Examples of Contributing Factors Mental Illness/Health Status Substance Use Domestic Relations Developmental Capacity Physical Capacity Environment Housing Income Social Relations Other Contributing Factors Are physical, psychological, sociological, and/or environmental circumstances that may contain strengths or undermine a familys ability to meet its members needs. Variables Comprising Underlying Conditions Perceptions Beliefs Values Emotions Capability Self-concept Experience Development Family System Culture Underlying Conditions Are patterns in individuals that arise from their history, evolve over time, and influence behavior. 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