his/her vulnerability to condition contribute to become significant to the current report of ongoing safety of the child? maltreatment maltreatment? Yes No Yes No Yes No Describe child’s emotional/mental health condition: has a developmental condition If yes, did the child’s Is the child’s developmental developmental condition condition likely to become that increases his/her vulnerability contribute to current report significant to the ongoing to maltreatment of maltreatment? safety of the child? Yes No Yes No Yes No Describe the Child’s developmental condition: behavior increases his/her If yes, did the behavior Is the behavior likely to contribute to current report become significant to the vulnerability to maltreatment of maltreatment? ongoing safety of the child? Yes No Yes No Yes No Describe the pattern of child’s behavior: Child’s lack of an adequate support If yes, did the lack of an Is the lack of an adequate adequate support system support system likely to system increases his/her contribute to current report become significant to the vulnerability to maltreatment of maltreatment? ongoing safety of the Yes No Yes No Yes No Describe the Child’s support system: and caretaker interactions are If yes, did the child/caretaker Is this dysfunctional interactions contribute to child/caretaker interaction generally negative or conflictual. current report of likely to become significant to maltreatment? the ongoing safety of the child? Yes No Yes No Yes No Describe the pattern of Child/Caretaker interaction:
his/her vulnerability to maltreatment Yes No condition contribute to current report of maltreatment? Yes No become significant to the ongoing safety of the child? Yes No Describe child’s emotional/mental health condition: has a developmental condition that increases his/her vulnerability to maltreatment Yes No If yes, did the child’s developmental condition contribute to current report of maltreatment? Yes No Is the child’s developmental condition likely to become significant to the ongoing safety of the child? Yes No Describe the Child’s developmental condition: behavior increases his/her vulnerability to maltreatment Yes No If yes, did the behavior contribute to current report of maltreatment? Yes No Is the behavior likely to become significant to the ongoing safety of the child? Yes No Describe the pattern of child’s behavior: Child’s lack of an adequate support system increases his/her vulnerability to maltreatment Yes No If yes, did the lack of an adequate support system contribute to current report of maltreatment? Yes No Is the lack of an adequate support system likely to become significant to the ongoing safety of the Yes No Describe the Child’s support system: and caretaker interactions are generally negative or conflictual. Yes No If yes, did the child/caretaker interactions contribute to current report of maltreatment? Yes No Is this dysfunctional child/caretaker interaction likely to become significant to the ongoing safety of the child? Yes No Describe the pattern of Child/Caretaker interaction:
UPC-Plan-200.1-Risk-Quality-Management-Plan.FY1_.3-15-14.docx