SXAB Sexual Abuse PHAB Physical Abuse EMAB Emotional Abuse PHNG Physical Neglect – – – – NSUP Neglectful RAPR Refusal to Accept – – MDNG Medical Neglect ABAN Abandonment – – Supervision Parental Responsibility Referral Abuse Alleged Perpetrator DFPS Notes/Comments** Date Type(s) (Relationship to Involved Disposition* *) Validated, Closed, Custody Taken, Unable to Locate, Ruled Out, Reason to Believe, Unable to Determine **) Such as issues caused by abuse, pre-natal exposure to drugs, domestic violence, etc. Child(ren) Placement History Child 1 Date Placed Placement Information Placement Hi-Lites Needs? Child 2 Date Placed Placement Information Placement Hi-Lites Needs? Child(ren) Educational Hi-Lites Child 1 School Information School & Academic Hi-Lites Needs? Child 2 School Information School & Academic Hi-Lites Needs?
SXAB – Sexual Abuse PHAB – Physical Abuse EMAB – Emotional Abuse PHNG – Physical Neglect MDNG – Medical Neglect NSUP – Neglectful Supervision ABAN – Abandonment RAPR – Refusal to Accept Parental Responsibility Referral Date Abuse Type(s) Alleged Perpetrator (Relationship to Involved DFPS Disposition* Notes/Comments** *) Validated, Closed, Custody Taken, Unable to Locate, Ruled Out, Reason to Believe, Unable to Determine **) Such as issues caused by abuse, pre-natal exposure to drugs, domestic violence, etc. Child(ren) Placement History Child 1 Date Placed Placement Information Placement Hi-Lites Needs? Child 2 Date Placed Placement Information Placement Hi-Lites Needs? Child(ren) Educational Hi-Lites Child 1 School Information School & Academic Hi-Lites Needs? Child 2 School Information School & Academic Hi-Lites Needs?
case-mining-form-12-09-20.docx