Identify whether there are prior investigations where neglect was alleged, substantiated, inconclusive, or unfounded. If there are prior investigations for neglect, identify the number of priors. Neglect includes severe and general neglect, exploitation (excluding sexual exploitation), and caregiver being absent/incapacitated, regardless of whether there were also abuse allegations in the investigation.
Do not include referrals that were not assigned for investigation.
Where possible, neglect history from other county or state jurisdictions should be included. Exclude investigations of out-of-home perpetrators (e.g., daycare) unless one or more caregivers failed to protect.
For differential response referrals, include Paths 2 and 3.
Consider all adults in the household and count prior investigations for which they were alleged to be perpetrators (assign the highest score that applies).Identify whether there are prior investigations where abuse was alleged, substantiated, inconclusive, or unfounded. If there are prior investigations for abuse, identify the number of priors. Abuse includes physical abuse, emotional abuse, or sexual abuse/exploitation, regardless of whether there were any neglect allegations in the investigation.
Do not include referrals that were not assigned for investigation.
Where possible, history from other county or state jurisdictions should be included. Exclude investigations of out-of-home perpetrators (e.g., daycare) unless one or more caregivers failed to protect.
For differential response referrals, include Paths 2 and 3. Consider all adults in the household and count prior investigations for which they were alleged to be perpetrators (assign the highest score that applies).Identify whether a child has sustained a physical injury resulting from abuse and/or neglect by a current or former adult member of the household. Also identify whether any adult living in the household (caregiver or not) previously injured a child in an incident of abuse or neglect.
Injury sustained as a result of abuse or neglect may range from bruises, cuts, and welts to an injury that requires medical treatment or hospitalization, such as a bone fracture or burn.
Identify whether the primary caregiver is supportive of the child in this incident or blames the child for the incident.
Blaming the child for the incident refers to the caregiver's statement that the maltreatment incident occurred because of the child's action or inaction (e.g., claiming that the child seduced him/her or the child deserved beating because he/she misbehaved).
Include excessively harsh physical or emotional disciplinary practices that caused or threatened harm to the child and/or were inappropriate given the child's age or development. Do not choose "b" if the actions of the caregiver that have caused harm or injury bear no resemblance to discipline.
Examples of excessive/inappropriate discipline include but are not limited to locking the child in a closet or basement, holding the child's hand over fire, hitting the child with dangerous implements, or depriving a young child of physical and/or social activity for extended periods.
One or more of the children in this household are or have been victims of sexual abuse AND the perpetrator is likely to have unmanaged access.
Any child under 2 years old in the household has any kind of physical injury resulting from the actions or inactions of a caregiver.
Severe non-accidental injury includes, for example, brain damage, skull or bone fracture, subdural hemorrhage or hematoma, dislocations, sprains, internal injuries, poisoning, burns, scalds, severe cuts, or any other physical injury that requires medical treatment and seriously impairs the health or well-being of the child.
Any child in the household has died as a result of actions or inactions by the caregiver. This child fatality may have occurred prior to the current case. Mark this override if this condition has ever existed within the household.
Neglect Score | Level |
---|---|
0-2 | Low |
3-5 | Moderate |
6-8 | High |
9+ | Very High |
Abuse Score | Level |
---|---|
0-1 | Low |
2-4 | Moderate |
5-7 | High |
8+ | Very High |
Final Risk Level | Recommendation |
---|---|
Low | Do not promote* |
Moderate | Do not promote* |
High | Promote |
Very High | Promote |