CFSP 5 Year Plan - RI Department of Children, Youth & Families

6. If you have ever been concerned about emotional abuse:
a. What is the approximate number of patients/students you have had
concerns about in the course of your career? ________________
b. Who has been the alleged offender? (Please check all that apply)
Mother
Paramour (parent’s boyfriend/girlfriend)
Father
Grandparent
Stepparent
Foster parent
Other (define) _____________________
c. How frequently did each of the following items contribute to your overall
concerns of emotional abuse? Please use rating scale: 0 – never, 1 –
rarely, 2 – sometimes, 3 – usually, 4 – always.
• Demeaning comments made to the child 0 1 2 3 4
• Threatening comments made to the child 0 1 2 3 4
• Child exposed to emotional harm between others
(domestic abuse issues) 0 1 2 3 4
• Basic emotional needs being neglected 0 1 2 3 4
• Other (define)_______________________ 0 1 2 3 4
__________________________________________________
7. Please check which one of the following has most frequently raised your
concerns about emotional abuse:
Disclosure by the child
Witnessed behaviors of caretaker(s) directly
Concerns raised by others
A combination of reports and witnessed events
Other ______________________________________
8. Did you report your concerns to DCYF? Yes No
a. If yes, was your report investigated by DCYF? Yes No
Not sure
b. If you did not report your concerns to DCYF, why not?
(Please check all that apply)
Assumed case would not be investigated
Assumed reporting would cause more problems for the child
Assumed working with the child and family without DCYF
involvement would be more effective
Unclear what constituted emotional abuse
Other __________________________________________
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