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- RISK DECISION # 6 -

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Page 731m
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=== RISK ASSESSMENT MODEL ===
for Child Protection in Ontario

DISCLAIMER

- THE THEORY -

- RISK ASSESSMENT TOOL - ( Form # 2 )

Cont'd from Page 731l

RISK ASSESSMENT FORM ( Form # 3 ) - >

CAREGIVER INFLUENCE

CG1.   Abuse / Neglect of Caregiver
Caregiver
   #1      #2
                         4. Severe abuse / neglect as a child

                         3. Recurrent but nor severe abuse/neglect as a
                               child
                         2. Episodes of abuse/neglect as a child.

                         1. Perceived abuse/neglect as a child with no
                               specific incidents.
                         0. No perceived abuse/neglect as a child.

                         9. Insufficient information to make a rating.

Summary Descriptions Use specific examples to justify your risk ratings.
Specify the caregiver(s) or child(ren)
to whom the risk factor applies.
CG1.

CG2.   Alcohol or Drug Use
Caregiver
   #1      #2
                         4. Substance use with severe social / behavioural
                               consequences.
                         3. Substance use with serious social / behavioural
                               consequences
                         2. Occasional substance use with negative effects
                               on behaviour
                         1. Occasional substance use.

                         0. No misuse of alcohol or use of drugs

                         9. Insufficient information to make a rating.

CG2.

CG3.   Caregiver's Expectations of Child
Caregiver
   #1      #2
                         4. Unrealistic expectations with violent
                               punishment.
                         3. Unrealistic expectations with angry conflicts
                         2. Inconsisten expectations leading to confusion
                         1. Realistic expectations with minimal support.
                         0. Realistic expectations with strong support
                         9. Insufficient information to make a rating.

CG3.

CG4.   Caregiver's Acceptance of Child
Caregiver
   #1      #2
                         4. Rejects and is hostile to child

                         3. Disapproves of and resents child.

                         2. Indifferent and aloof to child.

                         1. Limited acceptance of child..

                         0. Very accepting of child.

                         9. Insufficient information to make a rating.

CG4.