Did the Hotline Screener use Safety-Organized Practice (SOP) techniques when speaking to the Reporting Yes rate below No N/A (circle all that apply): Hotline report was faxed in; Hotline report was mailed in; PSW in region took report; There was no direct contact with RP; other (specify the reason in the comments box below) Connection to key expectations – SOP; Community Partner Collaboration; Support Systems/ Safety Networks Novice Emerging Accomplished Distinguished Master Basic questions about demographics and abuse/neglect were asked Identified at least one family strength Attempted to use Solution Focused Inquiry (SFI) -e.g. Asked a scaling question In addition to Novice Practice: Information had behavioral detail -e.g. what substitute care provider behaviors are associated with concern, when do behaviors happen, how they impact the child In addition to Emerging Practice: Used Solution Focused Inquiry to successfully identify strengths, safety concerns, resources, and any acts of protection In addition to Accomplished Practice: Attempted to obtain information on the family’s support/safety network In addition to Distinguished Practice: Provisional harm and danger statements were written and included in the ERD Comments: Were attempts made to engage the family by using Safety-Organized Practice (SOP) tools/ interventions during the investigation? Yes rate below No
N/A (specify in comments box below) Connection to key expectations – SOP; Family Partnerships; Child/Youth Voice; Support Systems/Safety Networks; Open and Clear Communication Novice Emerging Accomplished Distinguished Master Asked basic questions required for investigations Attempted Solution Focused Inquiry (SFI) or use of other SOP tools In addition to Novice Practice: Used SOP tools and/or SFI with more than one family member In addition to Emerging Practice: Used SOP tools and/or SFI to successfully identify strengths, safety, resources and any acts of protection with all parents that were involved in the referral In addition to Accomplished Practice: Included child’s voice when discussing concerns with the parent(s) Utilized information from SOP tools and/or SFI to discuss safety planning with the family if a protective issue was identified In addition to Distinguished Practice: Obtained information on the family’s support/safety network Attempted to contact the identified support system/safety network -if parent(s) give permission Comments: Was a genogram of the family created/updated, or was there information in narrative form about family connections? Yes rate below No N/A (circle all that apply: safely surrendered baby; No information on parents or any family members and the child is non-verbal; other (specify in comment box below)
Connection to key expectations – Support Systems/Safety Networks; Comprehensive Assessments Enhanced by Agency Connection Preservation Novice Emerging Accomplished Distinguished Master Documentation showed only minimal information about family connections In addition to Novice Practice: There is documentation or a genogram which identifies some extended family In addition to Emerging Practice: There is a genogram that includes nuclear family and extended family If this was a removal – the genogram was completed to the 5th degree If is contact with both parents (or family members on both sides of the family), the genogram contains information on extended family members on both sides of the family In addition to Accomplished Practice: Genogram included family patterns, such as substance abuse, domestic violence, marriage, divorce, and/or mental health In addition to Distinguished Practice: Used the genogram to discuss family relationships with the parent(s) and all verbal children and their responses were documented in the narratives or incorporated into the genogram Comments: Were questions asked regarding the cultural factors present in the family system? -Culture is defined as: The sum of an individual’s or family’s identity, including the learned behavior of a group passed on from generation to generation, e.g., values, beliefs, lifestyle, traditions, historical trauma, race, ethnicity, language, religion/spirituality, sexual orientation, gender expression, class, etc. Yes rate below
No N/A (circle all that apply): children non-verbal and no family members could be located; other (describe in comment box) Connection to key expectations – Cultural Responsiveness; Open and Clear Communication; Family Partnerships Novice Emerging Accomplished Distinguished Master Documented the race / ethnicity of the family Asked about preferred language if the family has Native American heritage (NAH) In addition to Novice Practice: Asked additional questions about cultural norms / practices / beliefs / traditions Identified strengths from the family’s culture If the family had NAH, attempted to gather specific information on family members and tribal affiliation so noticing could be done and tribal contacts could be established In addition to Emerging Practice: Attempted to provide culturally appropriate resources / referrals to the family In addition to Accomplished Practice: Discussed the family’s culture in relation to the allegations and/or protective issues -e.g. discussed differences between cultural practices and child abuse laws if applicable If needed, additional research was done to gather more information about cultural norms/practices In addition to Distinguished Practice: Utilized cultural connections when doing safety planning OR creating / reviewing safety / support networks with the family Comments: Was the family assisted with identifying and maintaining a support system/safety network? Yes rate below No N/A (circle all that apply): Parent’s whereabouts have been unknown for the entire RTP; Other (specify the reason in the comments box below)
*To answer this question, reviewers may need to look outside the RTP. Connection to key expectations - Support Systems/Safety Networks; Open and Clear Communication; Family Partnerships; Comprehensive Assessments Enhanced by Agency Tools Novice Emerging Accomplished Distinguished Master At least one family member was asked about their support system In addition to Novice Practice: Explained to the family why the information on their supports was being obtained and what network members need to know Contact information for the identified supports was documented In addition to Emerging Practice: An ecomap and/or Circles of Safety and Support Tool was used to identify support system / safety network members and their relationship to the family Formal and informal supports were identified Contact with the identified supports was attempted during the investigation In addition to Accomplished Practice: All verbal family members that the SW was in contact with were asked about their support system / safety network at least once during the investigation Attempted to set up a FCM with identified support system / safety network members during the investigation Specific Roles were identified by the support system / safety network members and documented Discussed methods for keeping everyone informed In addition to Distinguished Practice: Checked in with the support system / safety network more than once during the investigation to assess effectiveness If needed - made adjustments by adding or removing network members or changing their responsibilities during the investigation Comments: Was the family educated about child abuse laws? Yes rate below No N/A (circle all that apply: safely surrendered baby; parent(s) refused to speak with the SW; Other (specify in the comments box below)
Novice Emerging Accomplished Distinguished Master Provided family with a general list of resources or verbally provided information on general referrals OR -If already in services Asked the family about services the they were already receiving In addition to Novice Practice: Provided specific referrals Explained nature/ type of service and how will meet family’s need OR -If already in services Asked family about their needs and if they were being met by existing service providers In addition to Emerging Practice: Asked the family about barriers to connecting to services Completed an eco-map OR -If already in services about any barriers to continuing with services Suggested additional service providers if needed Completed an eco-map In addition to Accomplished Practice: Attempted to contact providers to facilitate service provision with family Discussed family’s culture (including any NAH) to ensure referrals/ services met their needs In addition to Distinguished Practice: Followed-up with the family to see if they made contact with new providers or have been maintaining contact with existing providers -If already in services Attempts were made to conduct joint visits with service providers to help engage/ maintain the family in their services Comments: Were the family’s strengths, acts of protection, and/or protective capacities identified? Yes rate below No N/A (Specify reason in the comments box Connection to key expectations – Comprehensive Assessments Enhanced by Agency Tools; SOP; Family Partnerships; Child/Youth Voice Novice Emerging Accomplished Distinguished Master
Novice Emerging Accomplished Distinguished Master The family was given an explanation about the need for Agency intervention In addition to Novice Practice: The family was provided with a clear understandable explanation about the need for Agency intervention Used the terms of safety, harm, and danger In addition to Emerging Practice: Included behavioral detail in the harm and danger statements Included impact to the child In addition to Accomplished Practice: the family about their understanding of safety, harm, and danger as it related to their investigation / family situation The child(ren) / youth and family’s voice was included in the safety, harm, and danger statements Attempted to hold a FCM In addition to Distinguished Practice: A FCM was held Safety, harm, danger and impact to the child were discussed with the family more than once The family’s was obtained more than once Please in the name/rating for each applicable family member: Mother: Father: Other: Other: Comments: If a Safety Plan was implemented did it effectively address the safety threat? Yes rate below No (The safety plan did not address the safety threat – Explain in comments box below) N/A: (circle all that apply) No Safety Plan was implemented; Safety Plan was not reviewed (not imported in CWS or was not in case file); other (specify the reason in the comments box below) Connection to key expectations – SOP; Family Partnerships; Support Systems/Safety Networks Novice Emerging Accomplished Distinguished Master A Safety Plan was developed that addressed In addition to Novice Practice: The Safety Plan was behaviorally specific In addition to Emerging Practice: A Safety Plan was developed which was: In addition to Accomplished Practice: Attempts were made to In addition to Distinguished Practice: At least one follow-up was
Connection to key expectations – Open and Communication; Family Partnerships; Child/Youth Voice; Comprehensive Assessments Enhanced by Agency Tools Novice Emerging Accomplished Distinguished Master Discussed impact of the trauma on the child(ren)/ youth with the parent(s) In addition to Novice Practice: Explanation of the impact (or future impact) of the specific trauma on the / youth was clearly and specifically documented Behavioral detail was given In addition to Emerging Practice: The parent(s) jointly identified ways in which the abuse/ neglect has impacted their child their child(ren) / youth In addition to Accomplished Practice: Included the of the child(ren) / youth in the explanation In addition to Accomplished Practice: Assessment was done of the family’s understanding of the impact and the actions they need to take to help their child (ren) / youth more than one time during the referral Please write in the name/rating for each applicable parent: Mother: Father: Other: Other: Comments: Was a Family Centered Meeting (FCM) held with the family to address the Safety Threat? Yes rate below No N/A: (Specify in the comments box - Attempts were made to schedule a FCM, but one was not held Connection to key expectations – Comprehensive Assessments Enhanced by Agency Tools; Community Partner Collaboration; Family Partnerships; Child/Youth Voice; Open and Clear Communication; Support Systems/Safety Networks; Aftercare Plans
Novice Emerging Accomplished Distinguished Master A FCM was held, -e.g. TDM, mapping, Family Group Conferencing, etc. In addition to Novice Practice: The FCM only included or attempted to include informal supports In addition to Emerging Practice: The FCM included or attempted to include formal and informal supports for the family The child(ren)’s / youth’s voice was incorporated in the meeting (child(ren) to be present if possible) In addition to Accomplished Practice: Followed-up with family on action plan agreed upon in the meeting In addition to Distinguished Practice: Followed-up with all parties on agreed upon actions Information obtained from parties was used to make adjustments in the plan and/or provide feedback to parties on progress on goals Comments: *Complete box if there is any overall feedback from the review What’s Working Well? : What are You Worried About? : What Needs to Happen Next? :