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Intake Form

INSTRUCTIONS FOR COMPLETING INTAKE PAPERWORK

Thank you for contacting Justice for Children. Justice for Children (JFC) is a national nonprofit organization committed to advocating for children who are victims of criminal abuse, yet are failed by the governmental systems designed to protect them.

We encourage you to familiarize yourself with our organization before completing these forms. We do not discriminate on the basis of race, color, national origin, religion, sex, disability, age, sexual orientation or gender identity in the provision of services or employment. Our area of advocacy is focused exclusively on the abused child. When determining whether JFC is the right agency for the child’s situation, please consider the following JFC does not substitute for Law Enforcement or CPS as lead investigative agencies where child abuse has been alleged. We are an advocacy organization, not a governmental one. Our clients are children who have already been deemed victims of abuse by the appropriate authorities yet still remain unprotected from their abusers or where the authorities have failed to conduct a proper investigation and have taken no action to protect the child.

There are several governmental entities that are involved in the investigation and/or assessment of child abuse: Law Enforcement; CPS; the District Attorney’s Office; Family or Juvenile Courts; and Criminal Courts (collectively, “The System.”) Our role at Justice for Children is to learn the facts of the case, determine where the System has broken down and why, try to get the case back on track by addressing the problem with the source and educating the source with the evidence and expertise we have in child abuse. JFC intervenes in cases of criminal child abuse; though, the source of the problem may lie in the civil courts (i.e., the Juvenile of Family Courts.) JFC becomes involved in cases of neglect on a case-by-case basis. JFC intervenes in custody/visitation disputes only when the children involved are victims of criminal child abuse.

JFC advocates for the best interests of the child. By necessity, however, this may mean that we are assisting a protective parent or grandparent to obtain custody. In order for a case to be considered by JFC, we must be in possession of supporting documentation of the abuse from law enforcement, medical or mental health personnel, or the state agency responsible for the protection of children. As a third party, JFC does not have the authority to obtain any of this documentation, it must be provided to us at intake. Exceptions cannot be made to the above criterion.

If you are unsure as to whether or not JFC will be able to assist the child’s current circumstance, please call us at 713-225-4357. The enclosed forms are necessary and must be received in completion in order for JFC to open a case.







    Please complete the following and a JFC representative will contact you within 2 business days.

    CONTACT INFORMATION:

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    ***You should provide numbers where you are reachable between the hours of 8 am and 5 pm CST. It is preferable that a caseworker be able to leave messages at the contact numbers you provide***
    Have you contacted or received services from Justice for Children before? Have you had a psychological evaluation?
    Do you have legal representation? Your Custody Status:
    Have you contacted or received services from Justice for Children before?
    Have you had a psychological evaluation
    Has anyone in your household ever been accused of child abuse?
    Do you have any prior history involving children protective services?
    How did you hear about Justice for Children?
    What is your relationship to the children?
    What is your custoday status?
    ***For the question above – the alleged perpetrator is the person named as the suspected abuser by your supporting documentation.***
    The following information is used for statistical purposes only:
     

    ALLEGED PERPETRATOR INFORMATION:

    ***The alleged perpetrator is the person named as the suspected abuser by your supporting documentation.***
    The following information is used for statistical purposes only:

    Perpetrator’s Custody Status:
    Does the alleged perpetrator have legal representation?
    Have the alleged perpetrator had a psychological evaluation?
    Has the alleged perpetrator previously faced charges of criminal violence?
    Has he alleged perpetrator previously been accused of child abuse?

    ***If you answered “yes” to any of the previous 3 questions, please provide us with supporting documentation if it is available to you.*** UPLOAD LINKS AT BOTTOM OF PAGE

    COURT INFORMATION:

    ***An ad litem (guardian ad litem or attorney ad litem) is a neutral party appointed by the court to represent the best interests of the child, or children.***
    Does the child have an ad litem?
    Is there a pending civil case?
    If yes, please answer the following:
    Court# Case#
    Court County Court State

    LAW ENFORCEMENT INVOLVEMENT:

    Did you or someone else contact your local law enforcement agency?
    Did law enforcement file charges against the alleged perpetrator?
    Did the District Attorney’s Office accept the charges?
    Is there a pending criminal case?
    IF YES, please answer the following:

    CHILD PROTECTIVE SERVICES (CPS) INVOLVEMENT:

    Did you or someone else contact CPS?
    Did CPS validate the abuse allegations?

    CHILDREN

    Documentation supports what type(s) of abuse:
    Are there more kids in this home? Are they also abused?
    Has the child been examined by a doctor with expertise in child abuse?
    Has the child been examined by any other doctor?
    Was there medical evidence to support the abuse allegations?
    ***If yes, please enclose the results of this exam if they are available to you.*** UPLOAD LINKS AT BOTTOM OF PAGE
    Has the child had a psychological evaluation?
    ***If yes, please enclose the results of this exam if they are available to you.*** UPLOAD LINKS AT BOTTOM OF PAGE
    Is the child attending ongoing therapy?
    Has the child made disclosures of abuse to his/her therapist?
    ***If yes, please enclose the results of this exam if they are available to you.*** UPLOAD LINKS AT BOTTOM OF PAGE
    Has the child been interviewed by a social worker?
    Did the child disclose abuse to the social worker?
    ***If yes, please enclose the results of this exam if they are available to you.*** UPLOAD LINKS AT BOTTOM OF PAGE

     

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    Formulario de orden de protección

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    Advocacy

    Justice for Children assists and refers several thousand callers annually through the complicated and unsympathetic maze of governmental agencies established to protect abused children. Advocating for an abused or neglected child takes on many different forms of participation and involvement. These include researching and gathering supporting documentation; reviewing supporting documentation; referring persons to professionals; guiding them through the legal and judicial process; initiating child abuse investigations; generating advocacy correspondence and amicus briefs; and acting as facilitator of professional services.


    Legislation

    Justice for Children has proposed and drafted legislation to improve the laws pertaining not only to child abuse and child protection, but also laws concerning the funding for protective services. We have also presented legislation designed to make the legal process more child-friendly. Additionally, because of its experience in this area, Justice for Children receives numerous requests to provide testimony regarding various pieces of legislation around the country.


    Legal

    Justice for Children is involved in a variety of legal research projects and has contributed to amicus briefs, researching legal issues and providing data on important legal issues affecting the rights of abused children.


    Education

    Justice for Children has traditionally provided information and materials to combat child abuse and to educate the public of the signs and symptoms of child abuse or neglect in its efforts to interrupt its dismal cycle. In 2012, it is initiating a project called “Just in Time”, to develop a series of informational and instructional modules to be placed on its website. Each is designed specifically to aid a field on the front lines of identifying and re-mediating child abuse: the community, medical first responders, school personnel, pediatricians, court personnel, and counseling professionals.


    Collaboration

    We seek to collaborate with other concerned national and community leaders, professionals, institutions, non-profit organizations, and governmental agencies to further a common goal of solving the deficiencies in our present child protective systems. By expanding our relationships within the community and on a national level, we are working to create a system that will effectively handle a child’s initial report of abuse, provide immediate safety, and ultimately, prosecute and convict the child abuser.


    National

    Justice for Children’s expert opinion continues to be recognized and valued by local and national media, legal and medical professionals, child abuse experts, and various other children’s rights organizations. We have been featured on ABC’s Primetime Live, ABC’s prime-time documentary entitled ‘Crimes Against Children,’ a PBS documentary entitled ‘Boy Crying, Baby Crying,” as well as appearances on Good Morning America, Donahue, the Discovery channel’s “Justice Files,’ HBO and in 2011, the BBC.

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