Mandated Reporter Training - Unit 4
Gathering Information
Maine Law specifies certain information that Professionals are required to provide.
Information required. The reports shall include the following information if within the
knowledge of the person reporting:
- The name and address of the child and the persons responsible for his care or custody;
- The child's age and sex;
- The nature and extent of abuse or neglect, including a description of injuries and any explanation given for them;
- A description of sexual abuse or exploitation;
- Family composition and evidence of prior abuse or neglect of the child or his siblings;
- The source of the report, the person making the report, his occupation and where he can be contacted;
- The actions taken by the reporting source, including a description of photographs or x rays taken; and
- Any other information that the person making the report believes may be helpful.
Mandated Reporter Worksheet
Key Points
- Fill in as much information as you can prior to making the call.
- In many agencies and schools, files can be kept in different places, so you would need to leave your phone to get the
information. Having the information when you place the call saves time for everyone.
- This information serves as a guide for making sure you have all the information available to you.
- An Intake Worker will walk you through the process of gathering the information that led you to call in a report.
- Provide as much detail as possible. Home based programs need specific locations of family.
Information Requested During the
Intake Interview |
**This is additional information that you may have.
If you do, this can be helpful to the investigation, but the information is not required.**
Reporter
- Name, address, and phone numbers of the reporter;
- How the reporter obtained knowledge of the allegations;
- The relationship of the reporter to the alleged child victim;
- The length of time the reporter has known of the alleged abuse or neglect;
- Whether any action has already been taken; whether the child has received medical attention or has been
removed from the home; whether law enforcement has been notified; or if other professionals are involved;
- Reporter's willingness to participate further in the assessment process;
- Names, address, and phone numbers of other persons with first-hand information about the allegation.
Parent Caregiver
- Name of parents or caregivers;
- Aliases or "Also Know As" (AKAs) of adults in family;
- Parents/Caregivers ethnicity, culture, primary language; ability to converse in English;
- Behavior and functioning level of parents/caregivers;
- Other Adults living in the home, and their relationship to family members;
- Parents/caregivers employment information;
- Whether parents/caregivers are aware of referral;
- Names and locations of extended family members, friends, or neighbors, who may be helpful in intervening,
or who may have relevant information about the allegation.
Alleged Child Victims
- Name, age/D.O.B, gender of child;
- School and grade level;
- Primary language and ethnicity;
- Child's behavior and level of functioning: ability to protect self;
- Where and when the alleged maltreatment occurred; the type, extent, severity, duration, and frequency of
alleged maltreatment, and child's current condition;
- Current location of the child; specific address;
- Whether there have been prior suspected or documented incidents of maltreatment in the family; when, and
of what nature;
- Circumstances or cause of the alleged maltreatment;
- Whether there have been any interventions by the family to reduce risk to the child.
Alleged Perpetrator
- Name address, telephone number, and aliases or "AKAs";
- Relationship to alleged child victim;
- Age/D.O.B., gender, general level of functioning;
- Access of perpetrator to alleged child victim;
- Whether the alleged perpetrator has victimized other children inside or outside the home;
- Whether the alleged perpetrator is known to abuse drugs or alcohol;
- Whether the alleged perpetrator is known to be violent.
Other Children in the Home
- Names of other children in the home.
- Ages/D.O.B., gender and relationship to alleged child victim
Safety Issues
- Whether there are guns, or other weapons in the home;
- Whether family members are known to have engaged in assaultive or violent behavior;
- Whether the family is known to have engaged in domestic violence;
- Whether family members are known to use drugs or alcohol;
- Whether family members are believed to be involved in criminal activity;
- Whether there are animals in the home that might pose a danger to the worker.
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