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1. Child Abuse / Neglect Intake Screening Tree BACKCONTENTSFORWARD

2. Child Abuse / Neglect Intake Screening Tree Receive CANReferral Is Victim less than18 yrs ofage? Age > = 18 yrs Age < 18 yrs Screen Out or Referral Is alleged perp a caretaker to child? Yes No Screen Out or Referral Does referral fit other screen out criteria? Is there an allegation of substance abuse? No Yes Complete In-depth Interview guide Screen Out No Is any maltx alleged? Screen Out Historical Incidents of CAN that are 6 months old(er) unless otherwise directed by policy Yes Identify which type of maltreat- ment Screen Out Custody issues unless a specific allegation of CAN is made Screen Out Poverty issues unless the child’s basic needs are not met Neglect OCGA 49-5-180 Physical Abuse OCGA 49-5-180 Sexual Abuse OCGA 49-5-180 Emotional Abuse Screen Out Educational neglect unless directed by local protocol Neglect definitions Physical abuse definitions Sexual abuse definitions Emotional abuse definitions Screen Out Previously Unsubstantiated reports made by the same reporter SELECT ABUSE/ NEGLECT CATEGORY Screen Out Not within county jurisdiction (Referred to resident county) Screen Out Unborn child (unless directed by local protocol) Screen Out Juvenile Delinquency (unless Abuse/Neglect has been alleged) Screen Out Other issues as directed by local protocol

3. EMOTIONAL ABUSE RESPONSE PRIORITY CRITERIA START HERE FOR EMOTIONAL ABUSE INTAKE Are the incidents severe, extreme and/or bizarre? 24 Hour Response Yes No Does the child present an observable condition? 5 Day Response No Yes Does the Parent/Caretaker demonstrate physical,emotional and/or intellectual instability? 24 Hour Response Yes No Is there an ongoing history or pattern of incidents? 5 Day Response No Yes 24 Hour Response

4. Are there any children 8 years of age and younger or limited by disability? NEGLECT RESPONSE PRIORITY CRITERIA No, over age 8 Yes, age 8 or younger Is the child in severe danger of harm? Is the child in severe danger of harm? No No Yes Yes Does the CT demonstrate a willingness to meet child’s basic needs? 24 Hour Response 5 Day Response Yes No/Unknown 24 Hour Response Is the CT capable of meeting the child’s basic needs? 24 Hour Response No/Unknown Yes 24 Hour Response 5 Day Response

5. START HERE FOR PHYSICAL ABUSE INTAKE PHYSICAL ABUSE RESPONSE PRIORITY CRITERIA Does the child require immediate medical treatment and/or hospitalization? Yes No Are significant bruises,contusions,or burns evident? 24 Hour Response Yes No Is child under 3 years old or limited by a disability? Yes No 24 Hour Response Will perpetrator have access to child in next 48 hours? Is the child afraid to go home? No Yes Yes No 5 Day Response Non-perpetrator caregiver’s response appropriate and protective of child? Is the child under age 13 and/or limited by disability? 24 Hour Response Yes No Yes No Does the parent demonstrate physical/emotional and/or intellectual instability? 5 Day Response 5 Day Response 24 Hour Response Yes No 24 Hour Response 5 Day Response

6. START HERE FOR SEXUAL ABUSE INTAKE SEXUAL ABUSE RESPONSE PRIORITY CRITERIA Does Alleged perp have access to child? Yes/Unknown No Are there allegations of sodomy,vaginal intercourse or oral sex? Yes No 24 Hour Response Is Caretaker unaware of abuse or is reponse to abuse unknown? Is there medical evidence at this time? Yes No Yes No Is Non-perpetrator caretaker’s response appropriate and protective of child? Is there an ongoing history or pattern of incident? 24 Hour Response Yes No Yes No 5 Day Response Is child afraid to go home? Yes No 5 Day Response 24 Hour Response 24 Hour Response 5 Day Response Is Caretaker unaware of abuse or is reponse to abuse unknown? Yes No Is Non-perpetrator caretaker’s response appropriate and protective of child? 5 Day Response Yes No 5 Day Response 24 Hour Response