|
|
This project was made possible by a contract (Contract No: 242-00-0058)
from the Indian Health Service, Mental Health Program, Office of Public
Health, 12300 Twinbrook Parkway, Suite 605, Rockville, MD 20852 Phone:
(301) 443-1539 FAX: (301) 443-7623 with Jamie Davis, PhD, Project Officer,
Janice S. Arthur, Contract Specialist and Jon Perez, PhD, Director, Division
of Behavioral Health. The Indian Health Service and the Bureau of Indian
Affairs provideed guidance and input into the development of the Handbook.
Project Director: Dolores Subia BigFoot, PhD, Center on Child Abuse and
Neglect, University of Oklahoma Health Sciences Center and Project Coordinator:
Janie Braden Denton, Center on Child Abuse and Neglect, University of
Oklahoma Health Sciences Center
The
success of this project is due to the diligence and dedication of Janie
Braden Denton and her willingness to search and research all aspects of
child protection. The training modules would not be possible without the
contribution of the faculty from the Center on Child Abuse and Neglect
and Project Making Medicine.
Instructions
for Using the Handbook and CD |
The Indian Health
Service and Bureau of Indian Affairs (IHS/BIA) Child Protection Handbook
is divided into four sections. The first section is an Overview of Child
Protection in Indian Country, the second section is Reporting Child Abuse
and Neglect in Indian Country, the third section is Required Character
and Background Investigations for Potential Employees, and the fourth
section is Child Protection Teams.
The BIA/IHS Child
Protection Handbook includes the User’s Guide, the CD and is also
accessible at OUHSC CCAN website http://www.ccan.ouhsc.edu
and a link to the Indian Health Service website, www.ihs.gov.
The CD is located in the back cover of the Child Protection Handbook.
The format of the IHS/BIA Child
Protection Handbook (Handbook) allows for users to have readily available
a published, manageable User’s Guide with immediate access to other
resources such as training modules, templates, background information,
references, and other information on the enclosed CD or by the use of
the internet to the OUHSC CCAN website.
The amount of information available on the CD or on the website could
not be logistically possible as a single published document.
This User’s Guide formatted
into two columns with the right column containing the narrative and the
left column containing the link for additional information. For example,
the right column has a section on Definitions and Indicators on Child
Abuse and Neglect while the left column has a hyperlink to the training
modules containing the Power Point Presentation for Definitions and Indicators,
i.e., See Training Modules: Child
Abuse and Neglect – Definitions and Indicators. The
hyperlinks allows the user to access information that is part of the Handbook
and is stored on the CD or by accessing the OUHSC CCAN
website.
Training Modules are Power
Point presentations that can be used during training sessions or other
community presentations. Resources
can be used as a training guide and include training objectives, activities
and discussion questions. Each Resource has additional links to Training
Modules for Power Point presentations. Supporting/Background
Information includes information that can be used alone
or prior to or during a training session. Additional
Reading includes articles for additional information on
various issues surrounding child abuse and neglect. The Appendix
includes the various laws, memorandums and other reference material that
was addressed in the text of the training modules and resources. Web
Resources are links that can be accessed with an internet
connection.
Each hyperlink to a training
module includes workshop objectives, discussion questions, and activities.
Continuing with this example, in the narrative section on Reporting Requirements
there is a link to the training module on Reporting Requirements which
includes links to Public Laws governing reporting in Indian Country. The
CD and website is formatted so that a user seeking information on P.L.101-647
could click on the link and it will allow the user to access that law
plus have all the current and pertinent laws governing child protection
and family violence.
The enclosed CD contains the
complete Handbook (User’s Guide plus all sections) with all the
information downloaded to this single CD. The internet website at www.ccan.ouhsc.edu
has links to additional websites. In order to access any internet site,
the user must have an internet connection.
If you have difficulties with
the CD or the internet connection, please check with your local IT provider.
Overview
of Child Protection in Indian Country |
Child maltreatment
is a community problem; no single agency, individual, or discipline has
the necessary knowledge, skills, or resources to provide the assistance
needed by abused and neglected children and their families. Child abuse
and neglect is complex and multidimensional. No one service or intervention
has been shown to prevent or treat child maltreatment effectively. Therefore,
the expertise and resources of all agencies and professionals who work
with children and families are needed if the community's prevention and
treatment efforts are to be successful. To optimize the effectiveness
of the multidisciplinary response to child maltreatment, it is important
that all participants respect and preserve the distinct roles of each
involved professional group while forging a functional team to address
this complex problem.
Since the late
1980s and early 1990s there have been several laws passed to protect Indian
children in Indian Country. This User’s Guide will outline the laws
as well as provide an overview of child abuse and neglect and the tasks
of developing and implementing a child protection team to further protect
Indian children. Reports of child abuse and neglect have increased in
Indian communities in the past 10 years. American Indian and Alaska Native
children had the highest rates of victimization at 21.7 per 1,000 children
of the same race or ethnicity (Children’s Bureau, DHHS, 2002). American
Indian children accounted for 1.8% of all victims of child abuse and neglect
in 2002 (See NCCAN website for
references).
Definitions
and Indicators of Child Abuse and Neglect |
The major types of child maltreatment are: emotional
abuse (psychological maltreatment), neglect, failure
to thrive, physical abuse, and sexual abuse. There is not a consistent
set of definitions for neglect, physical abuse, sexual abuse, or psychological
maltreatment that is used consistently by all local, state, tribal and
federal agencies or across the multiple disciplines that deal with this
problem, such as law enforcement, medical, or child welfare. Not having
a consistent set of definitions becomes problematic when one jurisdiction
may have criminal penalties while another jurisdiction may not have codified
those actions as criminal or do not have sufficient jurisdiction. What
one discipline may perceive as harmful such as emotional abuse, may not
be successfully prosecuted in court since cause and effect must be established.
Definitions of child maltreatment are provided which are generally agreeable
as being standard. However it must be understood that definitions will
vary, therefore operational definitions include the following, but are
not limited to:
Emotional
Abuse/Neglect (psychological/verbal abuse/mental injury)
includes acts of omissions or acts of co-mission by the parents
or other caregivers that have caused, or could cause, serious behavioral,
cognitive, emotional, or mental disorders to a child under the age
of 18. Includes the failure of a parent/caretaker to provide a child
with a nurturing environment.
The two types of emotional
neglect can be defined by:
• Psychological
Neglect - the consistent
failure of a parent or caretaker to provide a child with appropriate
emotional support, attention, and affection.
• Psychological
Abuse - a chronic pattern of negative behaviors
on the part of the parent or caretaker toward the child such as
belittling, humiliating, and/or ridiculing. |
| Emotional
Abuse or Neglect should be considered when: |
Some
Physical Indicators |
Some
Behavioral Indicators |
-
Lack
of attachment between infant and parent
-
Lack
of responsiveness to environment
-
Failure-to-thrive
-
Parent
is highly critical and negative toward the infant/child
|
- Speech disorders
- Delayed physical development
- Substance abuse
- Ulcers, asthma, severe
allergies
- Distrust of adults
- Reluctant to go home
|
- Habit disorders (sucking,
rocking)
- Anti-social, destructive
behaviors
- Neurotic traits (sleep
disorders, inhibition of play)
- Passive and aggressive
– behavioral extremes (especially adolescents)
- Developmentally delayed}
Often assumes parental role
- Difficulty in forming
relationships
|
| Child
Neglect is the chronic failure of a parent or caretaker
to provide a child, under 18 years of age, with basic needs such as
food, clothing, shelter, medical care, educational opportunity, protection,
and supervision. The ultimate form of neglect is child abandonment. |
| Neglect
should be considered when: |
Some
Physical Indicators |
Some
Behavioral Indicators |
- Significantly below
height/weight for age
- Inappropriate clothing
for weather
- Lack of safe, sanitary
shelter
- Lack of necessary
medical and dental care
- Reports no caretaker
in the home
- Untreated illness
or injury
- Poor hygiene, including
lice, body odor, scaly skin
- Child abandoned or
left with inadequate supervision
|
- Unattended medical
needs
- Consistent hunger,
inappropriate dress
- Poor hygiene
- Lice, distended stomach,
emaciated
|
- Regularly displays
fatigue or listlessness, falls asleep in class
- Steals food, begs
from classmates
- Frequently absent
or tardy for school
- Self destructive/mutilating
actions
- School dropout (adolescents)
|
| Failure
to thrive (FTT) is a condition in which children show
a marked retardation or cessation of growth. |
Failure to thrive is…
- A medical condition,
- Environmental factors,
- Combination of medical
and environmental factors.
Failure to thrive should be considered when an infant or child
is not developing physically at the rate normally expected, is
underweight and does not gain weight. A medical condition can
cause FTT but a licensed medical professional must diagnosis the
condition. Environmental factors should be considered when a parent
or caretaker indicates a child is not interested in eating, and
therefore is not feeding them. Infants and children will eventually
become uninterested in feeding if nutrition is withheld from them
for a sufficient period of time. If an infant or child is placed
in a hospital with regular feeding opportunities and gains weight,
but when in the care of the parent or caretaker, the weight is
lost, then it is assumed that the parent or caretaker is withholding
food.
|
| Physical
Abuse is characterized by the infliction of intentional,
non-accidental physical injury as a result of punching, beating, kicking,
biting, burning, shaking or otherwise harming a child under the age
of 18. The parent or caretaker may not have intended to injure the
child so severely; however their use of harsh discipline, severe punishment,
or unrestrained behavior on their part is responsible for the injury
toward their child. |
| Physical
Abuse should be considered when: |
Some
Physical Indicators |
Some
Behavioral Indicators |
- History given by parent
does not match the injury
- Child gives unbelievable
explanation for the injuries
- Child reports injury
by parent
- Child is fearful to
go home or requests to stay at school, daycare, hospital
|
- Unexplained bruises
(in various stages of healing)
- Welts, human bite
marks, bald spots
- Unexplained burns,
especially cigarette
- Unexplained fractures,
lacerations or abrasions
|
- Self-destructive}
Withdrawn and aggressive – behavioral extremes
- Uncomfortable with
physical contact
- Arrives at school
early or stays late as if afraid to go home
- Chronic runaway (adolescents)
- Complains of soreness
or moves uncomfortably} Wears clothing inappropriate to weather
to cover body
|
| Sexual
Abuse occurs when a person (adolescent or adult) is
using the child for their own sexual gratification and/or exploitation
which includes fondling a child’s genitals (under or over clothing),
intercourse, oral/vaginal/anal penetration, incest, rape, sodomy,
exhibitionism, prostitution, and commercial exploitation through prostitution
or the production or distribution of pornographic materials involving
a minor. |
| Sexual
Abuse should be considered when: |
Some
Physical Indicators |
Some
Behavioral Indicators |
- Injury to genital
area or other medical indicators
- History of somatic
complaints, including pain or irritation of the genitals
- Sexually transmitted
disease
- Pregnancy in young
adolescents
- Frequent unexplained
sore throats, yeast, or urinary infections
- Child reports inappropriate
sexual behavior
- Child engaged in highly
inappropriate sexual behavior
|
- Torn, stained or bloody
underclothing
- Pain or itching in
genital area
- Difficulty sitting
or walking
- Bruises or bleeding
in external genitalia
- Frequent urinary or
yeast infections
|
- Withdrawal, chronic
depression
- Excessive seductiveness
- Role reversal, overly
concerned for siblings
- Poor self-esteem,
self-devaluation, lack of confidence
- Peer problems, lack
of involvement
- Massive weight change
- Suicide attempts (especially
adolescents)
- Hysteria, lack of
emotional control
- Sudden school difficulties
- Inappropriate sex
play or premature understanding of sex
- Threatened by physical
contact
|

|
Reporting
Child Abuse and Neglect in Indian Country |
Each tribe must have an established procedure for reporting
child abuse and neglect in Indian Country. Tribes may develop, through
their own jurisdiction, tribal laws that can enhance Public
Law 101-647 and 101-630 to provide
more specific guidelines on reporting and who is mandated to report. In
Public Law 101-647, the Crime Control Act of 1990, mandates that, “Personnel
with knowledge or reasonable suspicion that a child was abused in Indian
Country or that actions are being taken or will be taken that would reasonably
be expected to result in the abuse of a child in Indian Country must immediately
report such abuse or action to local child protective services or local
law enforcement.” Public Law 280 covers tribes that are under state
jurisdiction and are required to follow state law regarding who must report
and who to report to.
Who is required to report?
Individuals hired in positions involving children are required by law
to report any suspected child maltreatment. The law designates certain
professionals but every individual (citizen) is required to report any
suspected child abuse and neglect concern. Mandated reporters include
the following professionals but are not limited to these positions:
|
| Health
Care Personnel |
- Physicians
- Surgeons
- Dentists· Nurses
- Dental hygienists
- Optometrists
- Medical examiner
- Emergency medical
technician
- Paramedic
- Health care provider
|
| Education
Personnel |
- Teachers
- School Counselors
- Instructional Aides
- Teacher’s Aides
- Teacher’s Assistant
- Bus Drivers
- Administrative Officers
- Supervisors of child
welfare and attendance
- Truancy Officers
|
| Child
Care Personnel |
- Child day care worker
- Head Start teacher
- Public assistant worker
- Group home, day care,
or residential facility worker
- Social worker
|
| Mental
Health Personnel |
- Psychiatrist
- Psychologist
- Psychological assistant
- Marriage, family or
child counselor
|
| Law Enforcement
Personnel |
- Law enforcement officer
- Probation officer
- Juvenile rehab or
retention workers
- Employees of public
agencies responsible for enforcing statutes and judicial orders
|
How to report child abuse and/or
neglect in Indian Country
Each tribe is required to have a protocol for reporting child abuse and
neglect. Each BIA and IHS facility (agency, school, clinic, etc.) is also
required to have an established protocol for reporting child abuse and
neglect. If there is a question regarding what the protocol, the local
law enforcement or the local Indian Child Welfare program should be contacted
or one may call the BIA national child abuse hotline at 1-800-633-5155
to report.
A protocol is the procedure established by the tribal child
protection agency as to how each report of suspected child abuse will
be processed by the designated authorized agencies. The protocol will
dictate who should receive such reports and the timeframe for responding
to those reports. Tribes under state jurisdiction (P.L. 280) should follow
the guidelines established by the state. Typically a tribe will establish
a protocol that is supported by a tribal resolution. BIA and IHS should
work with local tribes to establish reporting requirements that are in
compliance with the federal laws and also meet the needs of local tribes
and resources. Memorandums of Understanding (MOU) help to decrease conflicts
when local tribes, state agencies, schools, child care facilities, medical
facilities, and federal agencies (U.S. Attorney’s Office, FBI, IHS,
BIA, etc.) have agreed on an established protocol. Having an established,
published/written protocol eliminates many questions about how any single
case should be handled since all cases would follow the same guidelines,
providing consistency. Irregularities can occur when there is confusion
about what the protocol is or when the established protocol is not followed
consistently or when exceptions are made without consultation by key child
protection personnel.
Making
a report
It is important to emphasize that a report is required to be made when
there is reasonable cause to believe that a child or adolescent has been
abused or neglected or is in danger of being abused. A
report of suspected abuse is only a request for an investigation and is
not the actual investigation. The actual investigation
is the lawful assessment by an authorized individual to determine if a
harmful condition exists involving a minor and what emergency action should
be taken for the safety of the minor.
In order for an investigation to be initiated from a report, it is important
that as much information as possible be provided about the suspected harmful
condition. Some agencies may have a priority system based on the age of
the children, likelihood of immediate danger, frequency of the harmful
events, or other criteria that may place some reports at a lower priority
than others. The protocol agreed to by the child protection agencies (tribal,
federal or state) would determine the priority of responses.
| The
kind of information that would be helpful to provide in a report includes: |
- the name, address,
age, and sex of the child that is the subject of the report,
- if currently enrolled,
the grade and school of the child,
- the name and address
of the child’s parent(s), caregiver, or other person responsible
for the child’s care,
- the name and address
of the alleged offender, if other than the parent or primary caregiver,
- the name and address
of the person providing the information (report) to the agency,
- a brief narrative
as to the nature and extent of the child’s injuries, including
any previously known or suspected abuse of the child or the child’s
siblings and the suspected date of the abuse, or the reason there
is concern about future harm, and,
- any other information
the agency or the person who made the report to the agency believes
to be important to the investigation and disposition of the alleged
abuse.
|
Receiving a report
within Indian Country
Any tribal, federal, or local law enforcement agency or respective child
protective services agency that receives a report alleging abuse shall
determine how immediately it will initiate an investigation of such allegation
and shall determine what immediate, appropriate steps are necessary to
secure the safety and well-being of the child or children involved. Most
agencies have a priority or assessment system which will determine the
promptness of the investigations and the validity of the report. According
to P.L.101-647, it
states that "upon completion of the investigation of any report of
alleged abuse in Indian Country that is made to a local law enforcement
agency or local child protective services agency, such agency (BIA and
IHS) shall inform appropriate officials of the other child protection
agencies, and within 36 hours, prepare and submit a written report to
the other agencies on such allegation and immediately notify the Federal
Bureau of Investigation if the abuse occurred in Indian Country and involves
an Indian child or the alleged abuser is an Indian."
If a tribe is under state jurisdiction (P.L.280),
then the protocol would follow state law or if an agreement is in place
(either written or verbal), that procedure would take precedent. Prompt
action to secure the safety of the child should be the priority. Personnel
of the Bureau of Indian Affairs and the Indian Health Service are required
to follow P.L.101-647
guidelines. Federally recognized tribes under federal jurisdiction should
have established protocols with procedures that comply with P.L.101-647.
Assumed by this law is that written documentation will follow any report
and that the designated agency will maintain files, collect data and provide
follow up.
| Not all child maltreatment
may fall under the federal crimes acts that would initiate a response
from the FBI, however the report may still require an assessment of
the child’s safety. It is important that tribes develop their
own reporting procedures and policies on child abuse and neglect so
that all children may be protected. If tribes have agreements with
state agencies, it would be beneficial to have the reporting procedures
readily available and publicly posted.
The question of who has jurisdiction has motivated tribes, states,
and federal agencies to consider Memorandums of Understanding to
delineate the procedure when confusion arises due to jurisdiction.
See Jurisdiction
Chart
|
Is the name of the
person who initiates a report disclosed?
According to federal law governing Indian Country, the identity of any
person making a report within the boundaries of Indian Country shall not
be disclosed without the consent of the individual, to any person other
than a court of competent jurisdiction or an employee of an Indian tribe,
a state or the federal government who may need to know the information
in the performance of such employee’s duties.
|
Tribes can establish a higher criteria for maintaining
anonymity of individuals who report cases of child maltreatment.
IHS and BIA as well as tribes can promote confidentiality by training,
elimination of obvious disclosures, and delivering immediate consequences
for violations of confidentiality.
|
What happens when the
person who reported, questions the status of the report?
Confidentiality laws prohibit the release of information on specific cases.
Mandated reporters may inquire about the procedures for cases and may
seek a general status of the protocol used in investigations and prosecution;
however it must be understood that confidentiality is important and that
investigators and other child protection personnel are obligated to maintain
confidentiality.
It may be increasingly frustrating for reporters of suspected child maltreatment
to wonder if a child and/or children that they are concerned about, are
being protected when no specific action is evident. Concerned citizens
who report cases of child maltreatment must believe that their actions
are valued. The level of confidence in the child protection system must
not be underestimated by having non-responsive child protection team members,
poorly conducted investigations, or unaccountability. Therefore, it is
important that a balanced system of accountability and responsiveness
by the Child Protection Team (CPT) be readily available to the community.
One method of accountability could be annual reports to the public/community
that would include, among other information the number of cases, number
of prior reports on same cases and general disposition of cases. CPTs
should promote professional development to ensure that child protection
personnel skills are current for effective investigation, prosecution,
safety issues, and family preservation.
What happens if a person fails to report?
Failure to immediately report the abuse of a child in Indian Country,
or actions being taken that would reasonably be expected to result in
the abuse of a child in Indian Country, to local child protective services
or local law enforcement is a federal crime. Most states laws also require
penalties for individuals who do not report child maltreatment. According
to P.L.101-647, mandated
reporters who fail to immediately report to local law enforcement or local
child protective services agency shall be fined not more than $5,000 or
imprisoned for not more than 6 months, or both. Any supervisor or person
in a position of authority over a mandated reporter who inhibits or prevents
that person from making a report can also be penalized.
It has been problematic for some programs such as elementary schools and
pre-school programs to have a simple process for reporting since teachers
and other school personnel may be instructed to inform supervisors and/or
school or program administrators before initiating a report. In some cases,
it may be difficult for religious or church officials to understand how
important it is to report cases of abuse involving their membership. CPT
members can assist programs in developing a protocol that is acceptable
for those situations where monitoring the chain of supervision is important
while allowing for a more straightforward, mandatory reporting process.
Involving medical and educational facilities in an MOU would decrease
the potential for miscommunication.
Immunity
From Liability
All persons or agencies making a report of suspected child abuse and/or
neglect, which is based upon their reasonable belief and is made
in good faith, shall be immune from civil liability and criminal
prosecution. Federal court rulings have upheld this immunity from
liability in cases involving Indian Country.
|
Required
Character and Background Investigations
for Potential Employees
|
Character and background information
is required for anyone applying for a position involving children. This
information is part of the background investigation that programs are
required to conduct. This became necessary when it became apparent that
individuals were being hired that had prior sexual or violence offenses
against children. The requirement for a background investigation is an
attempt to protect children from being subject to individuals who have
a record of harm toward minors. There is a minimum standard of conduct
that must be established by the employing agencies that is part of the
character check.
The Indian Child Protection and Family Violence
Prevention Act of 1990 states that no person who has been found guilty
of, or entered a plea of nolo contendere or guilty to, any offense under
federal, state or tribal law that involves crimes of violence; a sex offense,
more specifically sexual assault, molestation, exploitation, contact or
prostitution; or crimes against persons shall be employed in a position
having regular contact with or control over Indian children. Also, an
offense involving a child or drug felony may be grounds for denying employment
or for dismissal from a position with regular contact or control over
Indian children. This law also mandates the Bureau of Indian Affairs,
Indian Health Service, and tribes establish minimum standards of character
and to conduct background investigations for all employees in positions
having regular contact with or control over Indian children to ensure
that potentially abusive individuals are identified and precluded or removed
from those positions.
Minimum Standards of Character
|
Federal law requires that any applicant, volunteer
or employee may be disqualified from consideration or continuing
employment by the Bureau of Indian Affairs or with tribes who would
be in a position that involves regular contact with or control over
Indian children based upon the individual’s:
|
- Misconduct or negligence
if it interfered with or affected an employer’s duties or
responsibilities.
- Criminal or dishonest
conduct if it affected the individual’s performance or the
performance of others.
- Intentional false
statements, deception or fraud on an examination or in obtaining
employment.
- Refusal to furnish
testimony or cooperate with an investigation.
- Alcohol or substance
abuse of a nature or duration that suggests he/she cannot perform
the duties of the position or could threaten the safety of children.
- Illegal use of a controlled
substance without evidence of substantial rehabilitation.
- Acts or activities
designed to disrupt government programs.
|
Tribal employment is impacted by the limited number of
applicants when the results of background investigations eliminate individuals
from employment considerations due to their prior criminal behavior and/or
conviction. CPTs can develop strategies for addressing how adolescents
and young adults in their communities may become more aware of how criminal
offenses can seriously impede future employment opportunities, especially
in tribal communities where many positions involve contact with minor
children or vulnerable populations.
Child Protection Teams (CPTs) in Indian Country vary. Most
attempt to be a cooperative effort of community service delivery agencies
with the purpose of protecting Indian children and preventing abuse and
neglect in the future. In cases where Indian children have been found
to be abused or neglected, the CPT seeks to provide protective services
to immediately secure the child’s safety and health. Once the safety
of the child is secured, the CPT can facilitate the development and implementation
of a plan to promote the short - and long-term well - being of the child
and the incorporation of appropriate family members in the care of the
child. In addition, CPTs are to promote prevention of child abuse and
neglect by acting as advocates for services and programs for children
and assisting with other agencies to establish a unified response to prevent
of child maltreatment.
Child Protection Teams are technical and advisory in nature and are not
intended to take the place of any agency in the community that provides
services to children. They are designed to promote coordination, cooperation,
communication, and consistency among community agencies in the protection
of child abuse and neglect in Indian communities and to promote prevention
efforts. The essence of a Child Protection Team is to be the network of
service providers that is the safety net for any child that may be harmed.
In an ideal situation, there can be more than one CPT in a community made
up of the same agencies. The first tier CPT would be at the administrative
level addressing agency policies and procedures and community/tribal responses,
and the second tier CPT would address cases with a focus on direct services
to children and follow-up on recommendations and services.
There are federal agencies that participate in similar fashion to a CPT
that address policies and procedures at the national level affecting child
protection concerns (Federal CPT). For more information about this team
or any CPT you can contact Ramona Williams.
| Local Child Protection
Teams should consist of (but not be limited to) the following agencies: |
- Law Enforcement (Tribal
and/or Bureau, FBI and county)
- Social Services/Indian
Child Welfare
- Child Protective Services·
Mental Health or Behavioral Health
- Judicial Services
(prosecutor and/or judge)
- Medical/Nursing
- Child Development
Programs
- State or County Social
Services
- U.S. Attorney Office
(District)
|
Agency membership should reflect the local/tribal agencies
that respond within the child protection network. Child protection teams
should have a core membership. It is important to emphasize that the commitment
to a child protection team is the commitment from agencies and not just
an individual who is from a particular agency. When an agency is a member
of the child protection team that should reflect a higher level of involvement
than when a single individual is involved in the CPT from an agency.
Confidentiality in Child Protection Teams
Maintaining confidentiality is primary to any CPT. The level of confidentiality
is a direct consequence of the level of confidence and professionalism
that each person has in their team members. The intent of confidentiality
is to maintain a professional arena that safeguards sensitive and/or critical
information about families or individuals that may cause harm or create
difficulty, and to limit the amount of information available to the public.
Maintaining confidentiality is a process to hold individuals accountable
and responsible about sensitive and/or critical information they have
available to them about child abuse and neglect cases.
Confidentiality concerns are a major barrier to inter-agency cooperation.
It should be determined in the CPT policies and procedures the extent
of information necessary for certain agencies to provide services for
families. Information should be shared on a “need to know”
basis only and any personal contributions to case discussions should not
violate the agency or professional ethical guidelines. Confidentiality
shall be maintained and the tribal code or relevant federal law will be
the basis for any legal action required in response to a child abuse and/or
neglect referral. Each CPT member should have an orientation and training
as to their role and responsibility with an emphasis on confidentiality.
Each CPT member must sign a Confidentiality Agreement prior to serving
on the CPT. Many CPTs include the confidentiality statement as part of
the sign-in sheet for each meeting. This is a regular reminder to all
who attend that confidentiality is in place and will be mandated. It is
a record that all participants will abide by the rules governing confidentiality
in that jurisdiction.
Duties of the CPT
| Upon the development of
the CPT, procedures for the team should be established. These procedures
should detail how cases are brought before the CPT and the role of
the CPT in cases, as well as the role in the community the CPT will
play. The CPT can do many things for the community, such as: |
- Provide training on
child abuse and neglect, parenting classes, CPR, foster parent
recruitment, Indian Child Welfare Act, prevention of child abuse
and neglect, and domestic violence.
- Assist in community
wide activities, i.e., health fairs, children’s safe place
at pow-wows, hand games, fundraisers, prevention activities, etc.
- Provide brochures
and other written information on healthy families for agencies
to disseminate.
- Work with the schools
in promoting drug free and violence free communities.
- Provide presentations
to community groups, i.e., elders, men’s and/or women’s
groups/clubs, church groups, etc.
- Prepare annual reports
of activities.
|
| The development
of a CPT will be greatly influenced by the purpose for the team. A
CPT can provide one or more of the following services: |
- Protection
of children
- Case
management
- Case
follow-up and tracking
- Sponsoring
activities
- Activism
- Providing
recommendations to the court
- Coordination
of resources
- Education
support for team members and community
- Advocacy
- Discussion
and problem solving
- Data
collection
- Provision
of multidisciplinary input
- Accountability
to the tribal government
- Report
to the community
|
Index
| This
index includes the entire content of the CD including the
Overview of the Handbook and
by viewing the following list all topics are identified. |
|
| I. Training
Modules:
This section includes modules set up in Power
Point files that can be used for training. Power Point is a computer
program that allows for individual slides so that each topic is an
individual presentation. They are divided into
sections according to topics. |
| Introduction: |
| |
| Child
Abuse and Neglect: |
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| Child
Protection Teams: |
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| Domestic
Violence: |
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| Historical
Overview: |
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| Jurisdiction
and Expert Testimony: |
| |
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| Teen
Suicide: |
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| Team
Building: |
| |
| |
| II. Resources:
These modules provide additional information on
the topics listed above and can be used as training guides for presentations.
This sectiont includes training objectives, activities (experiential
and role play), discussion questions, and links to other helpful files
that provide additional background information or resources.. |
| Background
Checks: |
| |
| |
| Child
Abuse and Neglect: |
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| Child
Protection Teams: |
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| Domestic
Violence: |
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| Suicide: |
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| Team
Building: |
| |
| |
| III. Supporting/Background
Information:
The information in this section can assist in developing
customized training sessions, or can be used as handouts. |
| Child
Abuse and Neglect: |
| |
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| Child
Protection Team: |
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| Domestic
Violence: |
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| Suicide: |
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| IV. Additional
Reading:
This section includes articles to supplement the prior information. |
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| V. Appendix:
These
are actual laws, policies and memorandums. |
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| VI. Web
Resources:
Internet connection is necessary to view these sites. |
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|
Center on Child Abuse and Neglect
Native American Programs
University of Oklahoma Health Sciences Center
PO Box 26901 - CHO 3B 3406
Oklahoma City, OK 73190
(405) 271-8858
www.devbehavpeds.ouhsc.edu
|