Child functioning (Medical and dental health, mental health, emotional well-being, education
and/or development, general perception and expectations of each child, and attachment to and
nurturance of each child)
Parent/caregiver functioning (Substance use, mental health, intellectual and physical health or
limitations, domestic violence or violence out of the home, criminal involvement/history,
history of abuse or neglect as a child, recognition of problems and motivation to change,
economic resources, adequacy of housing, family social supports, family stressors, coping
skills, current services and the need for additional services)
Family rules, chores and disciplinary practices
Relationships among family members
Court orders that restrict or deny custody, visitation or contact between any parent or other
adult in the home and any child in the home
E. Spouse/Partner/Significant Other of the custodial parent/Other adults living in the home
where the alleged maltreatment occurred, if applicable – Interviews must gather
information about any of the following that are applicable to the individual:
Who lives in the home/child’s caretakers
Observations of the parent and the home
Response to allegation(s)
Assessment of all types of maltreatment
Protection of child by non-abusing caregiver, if applicable
Child functioning (Medical and dental health, mental health, emotional well-being, education
and/or development, general perception and expectations of each child, attachment to and
nurturance of each child)
Parent/caregiver functioning (Substance use, mental health, intellectual and physical health or
limitations, domestic violence or violence out of the home, criminal involvement/history,
history of abuse or neglect as a child, recognition of problems and motivation to change,
economic resources, adequacy of housing, family social supports, family stressors, coping
skills, current services and the need for additional services)
Family rules, chores and disciplinary practices
Relationships among family members
Court orders that restrict or deny custody, visitation or contact between any parent or other
adult in the home and any child in the home
F. Alleged perpetrator, if someone other than listed above – Interviews must gather
information about any of the following that are applicable to the individual:
Who lives in the home/child’s caretakers
Observations of the parent and the home
Response to allegation(s)
Assessment of all types of maltreatment
Protection of child by non-abusing caregiver, if applicable
Child functioning (Medical and dental health, mental health, emotional well-being, education
and/or development, general perception and expectations of each child, attachment to and
nurturance of each child)
Parent/caregiver functioning (Substance use, mental health, intellectual and physical health or
limitations, domestic violence or violence out of the home, criminal involvement/history,