Safety Narrative chart

* = Mandatory

Access Point

Narrative Types

Detail Safety Assessment   Domains button

*

Maltreatment

*

Nature/Circumstances

*

Child/Youth Functioning

*

Disciplinary Practices

*

General Parenting Practices

*

Adult Functioning

 

Detail Safety Assessment  Narrative button

 

Prior DHHS Involvement Synopsis

 

Interview Protocol Exceptions

 

Supervisory Consultation

*

Conclusion Narrative

*

Efforts to Locate Family Narrative

 

Detail Safety Plan  Narrative button

Strengths

Actions to Report Concerns

Allowed Parent Contact

 

Detail Protective Action  Narrative button

Present Danger Description

Responsible Person Justification

Caregiver Contact

CPS Monitor

Protective Action Justification

Contingency Plan

Acknowledgement and Agreement

 

Detail Protective Action  PSS Review button

Review Issues

*Supervisor Conclusion Narrative

 

(11-2007)