1 yes 2 no 98 information missing for this case 99 information not being

1 yes 2 no 98 information missing for this case 99

This preview shows page 16 - 19 out of 33 pages.

1.____ yes 2.____ no 98.___ information missing for this case 99.___ information not being collected 76. In addition to those cited already in Tables 1 and 2, what other actions were undertaken by the CAC- agency in connection with this case? (CHECK ALL THAT APPPLY): 1.____ conducted forensic interview 2. ____ coordinated forensic interview 3.____ case referred for treatment to community agency 4.____ case referred for treatment to individual practitioner 5.____ case referred for victim advocacy services 6.____ case referred for case review 7.____ held a case review
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Page 17 of 34 8.____ case in CAC-treatment 9.____ other CAC actions (SPECIFY:____________________________________________________) 10.___testified in court 11.___prepared the child for court 12.___accompanied the child to court 13.___deposition 14.___participated in case reviews 15.___none 98.___ information missing for this case 99.___ information not being collected 77. In addition to those cited already in Tables 1 and 2, what other actions were undertaken by CPS in connection with this case? (CHECK ALL THAT APPPLY): 1.____ did not accept the case 2.____ accepted the case 3.____ scheduled appointment for forensic interview 4. ___ initiated custody through ex parte 5.____ placed child in foster care 6.____ signed safety plan 7. ___ referred case to court 8.____ referred case to community agency for treatment or other interventive action 9.____ referred case to individual practitioner for treatment 10.___ initiated a community case review 11.___ testified in court 12.___ deposition 13.___ none 14.___ other CPS action(s) (SPECIFY:___________________________________________) 98.___ information missing for this case 99.___ information not being collected D. Medical Examination(s) 78. Was a medical examination conducted of the child involved in the abuse alleged, and if so, how many medical examinations were performed in this case? 1.____ yes, ________(NUMBER) 2.____ no (GO TO SECTION VII) 98.___ information missing for this case ( VII) 99.___ information not being collected ( VII) 79. {PLEASE GO TO TABLE THREE AND COMPLETE IT FOR ALL MEDICAL EXAMINATIONS PERFORMED IN THIS CASE.}
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Page 18 of 34 80. In addition to those cited already in Tables 1 and 2, what other actions were undertaken by the medical examiner(s) in connection with this case? (CHECK ALL THAT APPPLY): 1.____none 2.____photo documentation 3.____ treatment of injury 4.____ prophylactics re pregnancy 5.____ referral for additional medical opinion 6_____participated in community case review 7.____STD testing 8.____ testified in court 9.____ deposition 10.____ referred for medical treatment 11. ___ other ( SPECIFY:_____________________________________________________) 98.___ information missing for this ca 99.___ information not being collected VII. CAC ACTIONS 81. If forensic interviews were conducted in connection with this case, was the CAC agency in any way involved in that activity? 1.____ yes 2.____ no 98.___ information missing for this case 99.___ information not being collected 82. Did this case receive a community case review? 1.____ yes 2.____ no (GO TO SECTION VIII) 98____ information missing for this case ( VIII) 99.___ information not being collected ( VIII) 83. If so, how many of such reviews were conducted in this case?
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