Child Abuse Case Analysis In this assignment you are required to perform a child abuse assessment utilizing the child abuse reporting form, located in the Resource section of your syllabus. PSY 87504_ChildAbuseReportForm.pdf (PLEASE SEE ATTACHED DOCUMENT) It is suggested that you print the form, fill it out, scan and upload as a pdf file. Review this week’s video and the reading assignments on child abuse assessment. Using the above Assessment tool, please evaluate the following vignette for suspicion of child abuse. Fill out the form, describing what you see in the vignette that supports your assessment responses. After you fill out the form, write a paper discussing your assessment, possible interventions and prevention strategies that you might use when encountering similar situations in your professional work. Justify your responses by using and referencing the course text and the video that you watched this week. All work must be written in graduate level English in APA format. Your paper should be 1-2 pages plus a title and reference page. Dave, a 16-year old boy, is seen in an intake counseling session accompanied by his mother. His mother is worried because Dave is so angry. Dave tells you that he hates his parents. He tells you that he is sick of his father’s alcoholic rages and his mother making excuses for them. Mom tells you that Dave will argue and pick a fight with his father when Dad is drinking. Often times, this ends with fights between Dave and his Dad. On more than one occasion Dave has suffered from a black eye. Dave tells you that he only picks these fights to protect his 12-year old brother by “getting the heat off of him”. Mom tells you that it’s always impossible for her to tell who started the physical fight and asks what she should do. Assignment Outcomes Recognize the major issues related to sound and professional practice in psychology Assess and evaluate legal and ethical mandates in clinical context Describe local laws regulating the practice of psychology

/in /by

NAME OF MANDATED REPORTER TITLE MANDATED REPORTER CATEGORY

REPORTER’S BUSINESS/AGENCY NAME AND ADDRESS Street City Zip DID MANDATED REPORTER WITNESS THE INCIDENT?

❒ YES ❒ NO

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REPORTER’S TELEPHONE (DAYTIME) SIGNATURE TODAY’S DATE

( )

❒ LAW ENFORCEMENT ❒ COUNTY PROBATION AGENCY

❒ COUNTY WELFARE / CPS (Child Protective Services)

ADDRESS Street City Zip DATE/TIME OF PHONE CALL

OFFICIAL CONTACTED – TITLE TELEPHONE

( )

NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY

ADDRESS Street City Zip TELEPHONE

( )

PRESENT LOCATION OF VICTIM SCHOOL CLASS GRADE

PHYSICALLY DISABLED? DEVELOPMENTALLY DISABLED? OTHER DISABILITY (SPECIFY) PRIMARY LANGUAGE

❘❒ YES ❒ NO ❒ YES ❒ NO SPOKEN IN HOME

IN FOSTER CARE? IF VICTIM WAS IN OUT-OF-HOME CARE AT TIME OF INCIDENT, CHECK TYPE OF CARE: TYPE OF ABUSE (CHECK ONE OR MORE)

❒ YES ❒ DAY CARE ❒ CHILD CARE CENTER ❒ FOSTER FAMILY HOME ❒ FAMILY FRIEND ❒ PHYSICAL ❒ MENTAL ❒ SEXUAL ❒ NEGLECT

❒ NO ❒ GROUP HOME OR INSTITUTION ❒ RELATIVE’S HOME ❒ OTHER (SPECIFY)

RELATIONSHIP TO SUSPECT PHOTOS TAKEN? DID THE INCIDENT RESULT IN THIS

❒ YES ❒ NO VICTIM’S DEATH? ❒ YES ❒ NO ❒ UNK

NAME BIRTHDATE SEX ETHNICITY NAME BIRTHDATE SEX ETHNICITY

1. 3.

2. 4.

NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY

ADDRESS Street City Zip HOME PHONE BUSINESS PHONE

( ) ( )

NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY

ADDRESS Street City Zip HOME PHONE BUSINESS PHONE

( ) ( )

SUSPECT’S NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY

ADDRESS Street City Zip TELEPHONE

( )

OTHER RELEVANT INFORMATION

IF NECESSARY, ATTACH EXTRA SHEET(S) OR OTHER FORM(S) AND CHECK THIS BOX IF MULTIPLE VICTIMS, INDICATE NUMBER:

DATE / TIME OF INCIDENT PLACE OF INCIDENT

NARRATIVE DESCRIPTION (What victim(s) said/what the mandated reporter observed/what person accompanying the victim(s) said/similar or past incidents involving the victim(s) or suspect)

A .

R E

P O

R T

I N

G

P A

R T

Y

❒

D . I N

V O

L V

E D

P

A R

T I E

S

V I C

T I M

‘S

S I B

L I N

G S

SUSPECTED CHILD ABUSE REPORT

DEFINITIONS AND INSTRUCTIONS ON REVERSE

DO NOT submit a copy of this form to the Department of Justice (DOJ). The investigating agency is required under Penal Code Section 11169 to submit to DOJ a

Child Abuse Investigation Report Form SS 8583 if (1) an active investigation was conducted and (2) the incident was determined not to be unfounded.

WHITE COPY-Police or Sheriff’s Department; BLUE COPY-County Welfare or Probation Department; GREEN COPY- District Attorney’s Office; YELLOW COPY-Reporting Party

SS 8572 (Rev. 12/02)

B . R

E P

O R

T

N O

T I F

I C

A T

I O

N

E . I N

C I D

E N

T I N

F O

R M

A T

I O

N

S U

S P

E C

T

V I C

T I M

‘S

P A

R E

N T

S / G

U A

R D

I A

N S

CASE NAME:

CASE NUMBER:

To Be Completed by Mandated Child Abuse Reporters

Pursuant to Penal Code Section 11166

PLEASE PRINT OR TYPE

C . V

I C

T I M

O n

e r e p

o r t p

e r v i c t i m

 

  1. case name:
  2. case number:
  3. Button2:
  4. A name of mandated reporter:
  5. A title:
  6. A mandated reporter category:
  7. Text4:
  8. Yes:
  9. no:
  10. A area code:
  11. A phone number:
  12. A today’s date:
  13. Text10:
  14. B county prob:
  15. B county welfare:
  16. B agency:
  17. B address:
  18. date/time of phone call:
  19. B official contacted – title:
  20. B area code:
  21. Text18:
  22. C last first middle:
  23. C birthdate or age:
  24. C sex:
  25. c ethnicity:
  26. C address:
  27. C area code:
  28. C phone number:
  29. C location of victim:
  30. C school:
  31. C class:
  32. C grade:
  33. C1 yes:
  34. C1 no:
  35. C2 yes:
  36. C2 no:
  37. C other disability:
  38. C language spoken:
  39. C3 yes:
  40. C3 no:
  41. C day:
  42. c ccc:
  43. c foster:
  44. C fam friend:
  45. C group:
  46. C relative:
  47. C phy:
  48. C mental:
  49. C sexual:
  50. C neg:
  51. C other:
  52. Text49:
  53. C relationship:
  54. C photos yes:
  55. C photos no:
  56. C death yes:
  57. C death no:
  58. C unknown:
  59. Text56:
  60. D sib 2:
  61. D sib 3:
  62. D sib 4:
  63. D name:
  64. D birthdate:
  65. D sex:
  66. D ethnicity:
  67. D address:
  68. D area:
  69. D phone:
  70. D area b:
  71. D phone b:
  72. Name2:
  73. D birthdate 2:
  74. D sex 2:
  75. D ethnicity 2:
  76. D address 2:
  77. D area 2:
  78. D phone 2:
  79. D area b2:
  80. D phone b2:
  81. DS name:
  82. DS birthdate:
  83. DS sex:
  84. Text81:
  85. DS address:
  86. DS area:
  87. DS phone:
  88. Text85:
  89. E check box:
  90. E number multiple victims:
  91. E date and time:
  92. E place of incident:
  93. E narrative:
  94. Button1: