| - RISK DECISION # 6 - |
| Page 731o ============== |
| === RISK ASSESSMENT MODEL === for Child Protection in Ontario |
| - THE THEORY - |
| - RISK ASSESSMENT TOOL - ( Form # 4 ) |
| Cont'd from Page 731n |
| RISK ASSESSMENT FORM ( Form # 5 ) - > |
| CHILD INFLUENCE |
| C1. Child's Vulnerability Child a b c d 4. Child younger than 2 years old, or older child with special needs 3. Child older than 2 years of age, not regularly visible in the community 2. Child is under 12 years old, attends school, day care, or early childhood development program. 1. Child is over 12 year old, and younger than 16 years old. 0. Child is 16 years old or older, with adequate sef-sufficiency skills. 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 C1. |
| C2. Child's Response to Caregiver Child a b c d 4. Extremely anxious with uncontrolled fear, withdrawal, or passivity. 3. Very anxious with negative, disruptive, and possibly violent interaction. 2. Moderately anxious with apprehension and suspicion toward Caregiver. 1. Marginally anxious with some hesitancy toward Cargegiver. 0. Child trusts and responds to Caregiver in age-appropriate way 9. Insufficient information to make a rating. |
| C2. |
| C3. Child's Behaviour Child a b c d 4. Dangerous behaviour problems. 3. Serious behaviour problems. 2. Moderate but pervasive behaviour problems. 1. Minor behaviour problems. 0. No significant behaviour problems. 9. Insufficient information to make a rating. |
| C3. |