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HomeMy WebLinkAboutResolution - 2022-R0364 - VOID - MOU with Children's Advocacy Center South PlainsResolution No. 2022-RO364 **VOID RESOLUTION NO.2022-R0364** Item No. 6.22 Replaced by Resolution No. 2023-R0027 August 23, 2022 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Chief of Police of the City of Lubbock is hereby authorized and directed to execute for and on behalf of the City of Lubbock, the 2022 Interagency Agreement (the 2022 Lubbock County Memorandum of Understanding) and related documents (including the 2022 Working Protocols for Lubbock County), between the City of Lubbock and other certain entities operating within Lubbock County, to coordinate activities and responses related to the investigation of child abuse within the county. Said 2022 Agreement and related documents are attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council. Passed by the City Council on ATTEST: Rebekca Garza, City Sec et A�� I . WOMM W I• 1• APPROVED John August 23, 2022 Child Protection "Team 2022 doc Carina Reyes From: Carina Reyes Sent: Friday, January 13, 2023 10:35 AM To: Jimmy Maynard(JMaynard @mail.ci.lubbock.tx.us) Cc: Becky Garza; Courtney Paz Subject: FW: MOU with Children's Advocacy Center South Plains VOID — Resolution No. 2022-RO364 —August 23, 2022 & REPLACED by Resolution No. 2023-R0027 —January 10, 2023. Notes will be made in Laserfiche and in hard files. I will also make a cover sheet for the voided resolution for permanent resolution books. Carina From: Ryan Brooke <RBrooke@mail.ci.lubbock.tx.us> Sent: Friday, January 13, 2023 10:26 AM To: Carina Reyes <CReyes@mail.ci.lubbock.tx.us> Subject: RE: MOU with Children's Advocacy Center South Plains Carina, Similar to the LISD land donation, this MOU that was never fully executed needs to be voided and replaced with the new version that was approved by Council. Thank You, Ryan Ryan Brooke Assistant City Attorney City of Lubbock, Texas P.O. Box 2000 Lubbock, Texas 79457 806.775.2222,Office 806.775.3307, Fax rbrooke@mylubbock.us The electronic transmission and any attachment(s) constitute confidential information which is intended only for the named recipient(s) and may be legally privileged. Unless you are the named recipient, you may not use, copy or disclose the contents of this electronic transmission or any information in the message or attachment(s). If you have received this communication in error, please contact the sender immediately either via return email or via telephone at 806.775.2222, and delete this electronic transmission. From: Carina Reyes <CReves@mail.ci.lubbock.tx.us> Sent: Friday, January 13, 2023 10:14 AM To: Ryan Brooke <RBrooke@mail.ci.lubbock.tx.us> Subject: FW: MOU with Children's Advocacy Center South Plains Ryan, Below is info I received from LPD regarding the attached MOU — Resolution No. 2022-RO364 — August 23, 2022. From: Jonathan Stewart <Jttewart mail.ci.lubbock.tx.us> Sent: Friday, December 9, 2022 3:21 PM To: Carina Reyes <CReyes@mail.ci.lubbock.tx.usa Subject: FW: Return Original MOU Carina, One of the partner agencies requested a revision to this MOU following its passage through city council. It was never fully executed. We will be submitting the revised version to council. We will return the signed, revised document once it is complete. Lt. Jonathan Stewart Lubbock Police Department Special Victims Unit 806-775-2889 From: Neal Barron Sent: Friday, November 18, 2022 12:47 PM To: Jonathan Stewart <Jttewart@mail.ci.lubbock.tx.us> Subject: FW: Return Original MOU Can you all follow up on this with CAC and get an original back for us please. From: Carina Reyes Sent: Friday, November 18, 2022 11:27 AM To: Neal Barron <NBarron@mail.ci.lubbock.tx.us> Subject: Return Original MOU Good morning, I'm following up regarding the attached MOU. I have noted that the originals are out with you for signatures. Please return the originals to us once those signatures have been received. Thank you! Carina Reyes Management Assistant to the City Secretary City of Lubbock 1314 Avenue K, 10"' Floor Lubbock, TX 79401 806-775-2029 806-775-3983 (fax) creyesC@ myl u bbock. us CONFIDENTIALITY NOTICE: The documents and information accompanying and/or comprising this electronic transmission contain confidential information that is legally privileged. The information is intended for the use only of the recipient(s) named above. If you have received this e-mail in error, please immediately notify us by replying to this e-mail. You are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this electronic transmission is strictly prohibited. Resolution No. 2022-RO364 LUBBOCK COUNTY MEMORANDUM OF UNDERSTANDING This MOU is based upon and is in accordance with the Texas Family Code, Title 5, Chapter 264, subchapter E "Children's Advocacy Centers". MISSION STATEMENT The mission of the Lubbock County Child Protection Team is to more effectively protect the children of this community by consolidating the community investigative, legal, and social services provided by the Lubbock County Criminal District Attorney's Office, the Lubbock Police Department, the Ransom Canyon Police Department, the Slaton Police Department, the Idalou Police Department, the New Deal Police Department, the Abernathy Police Department, the Wolfforth Police Department, the Shallowater Police Department, the Lubbock County Sheriffs Office, the Children's Advocacy Center of the South Plains (CACSP), the Texas Department of Family and Protective Services, the Health and Human Services Commission the TTUHSC C.A.R.E. clinic, the Forensic Nurse Staffing of West Texas group, and the LUBBOCK RAPE CRISIS CENTER - d.b.a. Voice of Hope into one collaborative effort. In support of this mission, the Lubbock County Child Protection Team has the following goals: 1. Minimizing re -victimization of children and protective family members as they go through the investigation, assessment, intervention, and prosecution process; and 2. Maintaining a cooperative, team approach to facilitate successful outcomes in both the criminal and child protection systems through shared fact finding and strong, collaborative case development. We recognize that one of the primary tools to be utilized in the achievement of the aforementioned goals will be intake reports generated by the Department of Family and Protective Services (DFPS) Statewide Intake and delivered to the children's advocacy center. We understand that the children's advocacy center's role in reviewing the reports is to review and identify Statewide Intake reports within the case acceptance criteria as defined by the children's advocacy center's/MDT's Working Protocol and facilitate children's advocacy center/multidisciplinary team services related to case investigation, assessment, and intervention. In addition, we understand that the children's advocacy center's access to the Statewide Intake reports shall not be construed to change, reduce, or expand the authority or jurisdiction of the children's advocacy center or any multidisciplinary team partner agency as it relates to initiating and conducting investigations, assessments, and/or interventions. 2022 Memorandum of Understanding - Lbk Co. Page I THE CHILD PROTECTION TEAM The members recognize that the best interest of the child is served when investigations and services are coordinated and when agencies collaborate in a way that is mutually supportive. Each member accepts and supports the value of the role and contribution of every other member and agrees to support the collaborative effort. This includes the commitment of resources to the Team and the sharing of information to the extent allowed by law. The members also commit to an ongoing evaluation of the collaborative effort. OTHER INFORMATION A. All State and Federal confidentiality laws will be followed in connection with this agreement B. This agreement can be terminated by any party without cause by giving written notice to the other parties C. The CACSP does not discriminate based on race, color, national origin, religion, sex, disability, and age in the delivery of services. D. This agreement must be reviewed, revised as needed and re -executed, at a minimum, every three years, upon significant changes to this document, or upon a change of authorized partner agency signatories. E. The undersigned MDT partners agree to the contents and terms of this Agreement. [THIS AGREEMENT WILL BE EXECUTED IN MULTIPLE COUNTERPARTS] [SIGNATURE PAGES TO FOLLOW] [THE REMAINDER OF THIS PAGE IS LEFT BLANK INTENTIONALLY] 2022 Memorandum of Understanding - Lbk Co. Page 2 FOR THE LUBBOCK COUNTY CRIMINAL DISTRICT ATTORNEY: Sunshine Stanek Lubbock County Criminal District Attorney Date 2022 Memorandum of Understanding - Lbk Co. Page 3 FOR THE LUBBOCK COUNTY SHERIFF'S DEPARTMENT: Kelly Rowe Lubbock County Sheriff Date 2022 Memorandum of Understanding - Lbk Co. Page 4 FOR THE CITY OF LUBBOCK: Floyd itchell Lubbock Police Department Chief ATTEST: Bec Garza City of Lubbock Secretary /^ 2 Date $-23-)022,-- Date Date 2022 Memorandum of Understanding - Lbk Co. Page 5 FOR THE CITY OF RANSOM CANYON: James Hill Ransom Canyon Police Chief Date 2022 Memorandum of Understanding - Lbk Co. Page 6 FOR THE CITY OF SLATON: Trevor Barnes Slaton Police Chief Date 2022 Memorandum of Understanding - Lbk Co. Page 7 FOR THE CITY OF IDALOU: David Wilson Idalou Police Chief Date 2022 Memorandum of Understanding - Lbk Co. Page 8 FOR THE CITY OF NEW DEAL: Michael Hobson New Deal Police Chief Date 2022 Memorandum of Understanding - Lbk Co. Page 9 FOR THE CITY OF ABERNATHY: Luis Villarreal Abernathy Police Chief Date 2022 Memorandum of Understanding - Lbk Co. Page 10 FOR THE CITY OF WOLFFORTH: Rick Scott Wolfforth Police Chief Date 2022 Memorandum of Understanding - Lbk Co. Page 11 FOR THE CITY OF SHALLOWATER: Brian Williams Shallowater Police Chief Date 2022 Memorandum of Understanding - Lbk Co. Page 12 FOR THE TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER: Dr. Patti Patterson TTUHSC Director of Child Abuse Pediatrics Date 2022 Memorandum of Understanding - Lbk Co. Page 13 FOR THE LUBBOCK RAPE CRISIS CENTER - D.B.A. VOICES OF HOPE: Kristin Murray Date Lubbock Rape Crisis Center - D.B.A. Voice of Hope Executive Director 2022 Memorandum of Understanding - Lbk Co. Page 14 FOR THE TEXAS DEPARTMENT OF FAMILY PROTECTIVE SERVICES: Tonya Harmon Date Regional Director Texas Department of Family Protective Services - CPI George Cannata Date Regional Director Texas Department of Family Protective Services - CPS Cody Minze Date District Director Texas Department of Family Protective Services - APS Joanna Golliday Date Child Care Investigator Deputy Director Texas Department of Family Protective Services Marshall Davidson Date Regional Director Special Investigations 2022 Memorandum of Understanding - Lbk Co. Page 15 FOR THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION: David Kostroun Deputy Executive Commissioner for Regulatory Services Health and Human Services Commission Date 2022 Memorandum of Understanding - Lbk Co. Page 16 FOR FORENSIC NURSE STAFFING OF WEST TEXAS: Donna Neel Forensic Nurse Staffing of West Texas Date 2022 Memorandum of Understanding - Lbk Co. Page 17 FOR THE CHILDREN'S ADVOCACY CENTER: Michael Lambert Date Children's Advocacy Center Board President Derek Danner Children's Advocacy Center Executive Director Date 2022 Memorandum of Understanding - Lbk Co. Page 18 WORKING PROTOCOLS LUBBOCK COUNTY All State and Federal confidentiality laws will be followed in connection with this agreement. The Agreement may be terminated by written notice, submitted to all parties (signatories). Any party seeking to terminate the Agreement must give thirty (30) days notice. Mission Statements The mission of the Children's Advocacy Center of the South Plains, Texas, Inc. (CACSP) is to bring together community resources to speed the healing of child victims of abuse and other forms of trauma. The mission of the Child Protection Team for Lubbock County is to more effectively protect the children of this community by consolidating the community investigative, legal, and social services provided by the Lubbock County District Attorney's Office, the Lubbock Police Department, the Ransom Canyon Police Department, the Slaton Police Department, the Idalou Police Department, the New Deal Police Department, the Abernathy Police Department, the Wolfforth Police Department, the Shallowater Police Department, the Lubbock County Sheriff's Office, the Texas Tech University C.A.R.E. clinic, the Lubbock Rape Crisis Center-d.b.a. Voice of Hope, the Forensic Nurse Staffing of West Texas group, the CACSP, and the Health and Human Services Commission into one collaborative effort The South Plains area consists of the following counties: Lubbock, Bailey, Crosby, Cochran, Dickens, Floyd, Garza, Hale, Hockley, King, Lamb, Lynn, Motley, Terry, and Yoakum. Multidisciplinary team (MDT) members The Multidisciplinary team members for Lubbock County include the Lubbock County Criminal District Attorney's office, the Lubbock Police Department, the Ransom Canyon Police Department, the Slaton Police Department, the Idalou Police Department, the New Deal Police Department, the Abernathy Police Department, the Wolfforth Police Department, the Shallowater Police Department, the Lubbock County Sheriff's Office, the Texas Tech University C.A.R.E. Clinic, the Forensic Nurse Staffing of West Texas group, the Lubbock Rape Crisis Center - d.b.a. Voice of Hope, the CACSP, and the Health and Human Services Commission. 2022 Working Protocols - Lbk Co. Page 1 Roles and Responsibilities Lubbock County Criminal District Attorney's office: • Represents the Department of Family and Protective Services in criminal cases involving child abuse and neglect • Assists law enforcement with all aspects of criminal investigations of child abuse • Assists with grand jury subpoenas, search warrants, and decisions on filing charges • Reviews all criminal child abuse cases for presentation to the grand jury, closure, or return for further investigation • Prosecutes all criminal cases of physical abuse, sexual abuse, and neglect of a child • Collaborates with other MDT members in child abuse investigations • Attends MDT case review meetings • Presents pertinent case information at MDT case review meetings Lubbock, Ransom Canyon, Slaton, Idalou, New Deal, Abernathy, Wolfforth, and Shallowater Police Departments • Investigates all criminal cases of physical abuse and neglect of children who are 16 years of age and younger and sexual abuse of children younger than 17 years of age in the above -named cities of Lubbock County, Texas. • Will make referrals to CACSP that meet the target population we serve • If a sexual assault is reported within 120 hours after the assault the department shall request a forensic medical examination. If after the 120 hours, the department shall request for a medical examination at the C.A.R.E. Center. • Gathers and preserves investigation evidence to ensure a prosecutable criminal case • Interviews and takes statements of witnesses and suspects • Preserves crime scene • Prepares and executes search and arrest warrants • Collaborates with other MDT members in child abuse investigations • Attends MDT case review meetings • Presents pertinent case information at MDT case review meetings 2022 Working Protocols — Lbk Co. Page 2 Lubbock County Sheriffs Office • Investigates all criminal cases of physical abuse and neglect of children who are 16 years of age and younger and sexual abuse of children younger than 17 years of age in Lubbock County • Will make referrals to CACSP that meet the target population we serve • If a sexual assault is reported within 120 hours after the assault the department shall request a forensic medical examination. If after the 120 hours, the department shall request for a medical examination at the C.A.R.E. Center. • Gathers and preserves investigation evidence to ensure a prosecutable criminal case • Interviews and takes statements of witnesses and suspects • Preserves crime scene • Prepares and executes search and arrest warrants • Collaborates with other MDT members in child abuse investigations • Attends MDT case review meetings • Presents pertinent case information at MDT case review meetings Texas Tech University Health Sciences C.A.R.E Center and Child Abuse Pediatrics • Performs forensic sexual abuse exams • Performs physical abuse/neglect exams • Review at a minimum, 50% of "diagnostic" of trauma from sexual abuse have been reviewed by an "advanced medical consultant" • Collaborates with other MDT members in child abuse investigations • Attends MDT case review meetings • Shares exam result information at case review meetings and with other members of the MDT. Forensic Nurse Staffing of West Texas group • Performs forensic sexual abuse exams of children on acute cases presenting at the local hospital emergency rooms • Review at a minimum, 50% of "diagnostic" of trauma from sexual abuse have been reviewed by an "advanced medical consultant. • May perform forensic sexual abuse exams of children on non- acute cases that present at the local hospital emergency rooms or make referral to the C.A.R.E. Center. • Informs and shares information with the CACSP about any children's cases they deal with 2022 Working Protocols — Lbk Co. Page 3 • Collaborates with other MDT members in child abuse investigations • Attends MDT case review meetings • Shares exam result information at case review meetings and with other members of the MDT Lubbock Rape Crisis Center — d.b.a. Voice of Hope • Accompanies sexual assault victims at local hospital emergency rooms • Assures that child victims of sexual assault are not interviewed at the hospital • Gathers information from caregivers and outcry witnesses • Collaborates with other MDT members in child abuse investigations • Attends MDT case review meetings and shares pertinent case information on cases seen at Lubbock hospitals Texas Department of Family Protective Services • Investigate allegations of child/elder/ disabled abuse and neglect by parents, relatives, or caretakers • Will make referrals to CACSP that meet the target population we serve • The following circumstances require a response by a children's advocacy center (CAC) multidisciplinary team. DFPS must attempt to contact the local CAC before making initial contact with a child who is the subject of a report of abuse that: • Is made by a professional reporter and: • alleges sexual abuse of a child; or • is a type of case handled by a local CAC according to the local CAC's working protocols; or • Involves a child fatality in which there are surviving children in the deceased child's household or under the supervision of a caregiver involved in the child fatality. • Assess and address any issues related to the child's protection, including issues of present or future risk of abuse or neglect • If a sexual assault is reported within 120 hours after the assault the department shall request a forensic medical examination. If after the 120 hours, the department shall request for a medical examination at the C.A.R.E. Center. • If risk is identified, provide services to families and children to reduce the risks and alleviate the effects of abuse and neglect • Coordinates with community resources, family members, and the courts to address any factors affecting the child's ongoing safety 2022 Working Protocols - Lbk Co. Page 4 • Provides a secure, confidential area for forensic interviews as needed (if the victim cannot be transported to the CAC) and a supervisor has given approval for an off -site interview • Collaborates with other MDT members in child abuse investigations • Attend MDT case review meetings • Present pertinent case information at MDT case review meetings Texas Department of Family Protective Services - Adult Protective Services in Home Investigations • One of the mandates of DFPS - APS in Home Investigations is to investigate allegations of elder and disabled individuals and neglect by parents, relatives, or caretakers to assess and address any issues related to the individual's protection, including issues of present or future risk of abuse or neglect. • Once risk is identified, services are provided to reduce the risks and to alleviate the effects of abuse and neglect. • Services range from moderate in -home contact to removal of the adult from the home. Responsibilities include coordinating with outside resources, family members, and the courts to address any changing factors affecting the adult's ongoing safety. • Provides a secure, confidential area for forensic interviews as needed (if the victim cannot be transported to the CAC) and a supervisor has given approval for an off -site interview • Collaborates with other MDT members in child abuse investigations • Attend MDT case review meetings as needed • Present pertinent case information at MDT case review meetings Texas Department of Family Protective Services - Child Care Investigations • One of the mandates of DFPS - CCI is to investigate allegations of abuse and neglect in childcare facilities. • Collaborates with other MDT members in child abuse investigations • Attend MDT case review meetings as needed • Present pertinent case information at MDT case review meetings Health and Human Services Commission - Adult Protective Services Provider Investigations • Their role is to investigate allegations of abuse, neglect, and exploitation of clients receiving services in state operated or contracted settings, or both, that serve adults and children with mental illness or intellectual or developmental disability. • Collaborates with other MDT members in child abuse investigations • Attend MDT case reviews as needed 2022 Working Protocols - Lbk Co. Page 5 Children's Advocacy Center of the South Plains, Inc. • Provides a neutral, child -friendly environment for interviewing children about abuse or neglect via one of the following manners: o At the agency office in Lubbock, Texas OR o Travels to counties with signed agreements and interviews children using the agency's mobile interviewing equipment, when feasible OR o During inclement weather, when travel is not safe, investigators are asked to transport or schedule for a time when travel is safer OR o CACSP staff ensures the separation of victims and alleged offenders (juvenile offenders) • Receive and review DFPS statewide intakes and contacts the appropriate investigative agencies when the intake meets CAC services criteria • Collaborates with MDT members to prevent the re -victimization of the child by minimizing the trauma surrounding the interview and reducing the number of times a child must be interviewed • Facilitates joint investigations and forensic interviews among MDT partner agencies • Coordinates and facilitates MDT case review meetings on a regular basis • Assists with MDT training • Provides case follow-up • Provides support services for children and families such as family advocacy, assistance with Crime Victim's Compensation paperwork, referral to social service agencies as needed, and referrals to therapy as needed • Provides community education regarding child abuse issues • To request CACSP services/ .response after normal working hours or on holidays, DFPS or Law Enforcement will contact the Associate Director or Executive Director by their cell phones. The AD and ED will maintain a current on -call schedule for CACSP staff. The AD or ED will then contact the staff on call that they MDT partners are requesting services. Target Population The target population for the Child Protection Team includes: • Children between the ages of 0 to 17 involved in reports made by adults who have concerns of sexual or severe physical abuse/neglect of such children 2022 Working Protocols - Lbk Co. Page 6 Intake and Case Coordination Process • The children's advocacy center's role in reviewing the reports is to review and identify Statewide Intake reports within the case acceptance criteria as defined by the CACSP's Working Protocol and facilitate CAC/MDT services related to case investigation, assessment, and intervention. In addition, we understand that the CACSP's access to the Statewide Intake reports shall not be construed to change, reduce, or expand the authority or jurisdiction of the CACSP or MDT partner agency as it relates to initiating and conducting investigations, assessments, and/or interventions. • The intakes are reviewed daily Monday through Friday by the CACSP • The intakes are then logged in Collaborate as reviewed or referred with case notes • Upon determination of the suspected allegations, it will be the responsibility of law enforcement investigators and/or DFPS investigators to determine the need for a forensic interview by the CACSP following the criteria previously mentioned. • It is the responsibility of DFPS and/or Law Enforcement to collaborate and make direct referrals when the CACSP does not receive an intake or is a non DFPS matter • The preferred location is CACSP for forensic interviews is at the established neutral, child - friendly, safe site in Lubbock County. • In cases where a DFPS investigator determines that a school visit is most appropriate there will need to be approval from a DFPS supervisor. Definitions Forensic Interviewers: • Forensic Interviewers have specialized training equipping them to talk with alleged child victims in a safe environment and in a developmentally appropriate, non -suggestive manner. • By meeting the informational needs of the various investigative agencies, forensic interviewers can eliminate the need for unnecessarily duplicative interviews by multiple individuals. • Forensic interview for children between the ages of 2 to 17 who have made an outcry of sexual or severe physical abuse/neglect • Children considered to be at risk for sexual or severe physical abuse/neglect due to reported allegations of abuse for other children • Developmentally delayed adults over the age of 17 who are suspected victims of abuse/neglect • Children who have been witnesses to abuse/neglect, domestic violence, kidnappings, homicides, suicides • Child fatality in which there are surviving children living in the household or under supervision of a caregiver involved in a child fatality • Present pertinent case information at MDT case review meetings Forensic Interviews (FI) • A developmentally sensitive and legally sound method of gathering factual information regarding allegations of abuse and/or exposure to violence using a semi -structured narrative process. 2022 Working Protocols - Lbk Co. Page 7 • This interview is conducted by a competently trained, neutral professional utilizing research and practice -informed techniques as part of a larger investigative process. Subsequent Forensic Interviews • An interview to supplement the initial completed forensic interview. • Must be a unanimous team decision • Supplement interview to be conducted by the same Forensic Interviewer • This would be used in cases where a child makes a disclosure about something but later on discloses additional information. (ex: child discloses fondling at initial FI but later discloses oral sex as well) Multi -Session Forensic Interview (MSFI) • One forensic interview completed over multiple sessions for children and cases with special considerations • Must be a unanimous team decision • Suitable for o Children with disabilities o Children from diverse cultural backgrounds o Preschool children o Children who have experienced extreme trauma o Children who are victims of human trafficking Forensic Interviww Process • Intakes of initial reports of abuse/neglect will be go through law enforcement and/or DFPS. CACSP will also receive and review DFPS statewide intakes and contact the appropriate investigative agencies when the intake meets CACSP services criteria. • DFPS and HHSC will assume responsibility for referring cases in which they are involved that meet the target population. Law enforcement agencies will need to refer those cases that do not fall under the jurisdiction of DFPS that meet the target population. • Scheduling, Notification of other partner agencies o The CACSP will only take appointments for forensic interviews from law enforcement and/or DFPS investigators o Appointments will be scheduled via a phone call either to the CACSP office in Lubbock or the Executive Director or Associate Director's cell phone. 2022 Working Protocols - Lbk Co. Page 8 o If investigators cannot get in touch with the SWI Coordinator, Associate Director, a phone call should be made to the Executive Director at the CACSP office or to the E.D.'s cell phone. The E.D. will then assist in setting up the appointment. o Only the SWI Coordinator and Associate Director may schedule forensic interviews. No other CACSP staff has the authority to schedule interviews for the interviewers except for the Executive Director. o Cell phone numbers for the Associate Director and Executive Director will be provided to all investigators. o It is the responsibility of the investigator making the forensic interview appointment to notify any other MDT members that could be involved in the investigation about the appointment (i.e.: cases where DFPS and law enforcement will be working a case simultaneously). CACSP will conduct emergency forensic interviews after hours, weekends and holidays. To request CACSP services/response after normal working hours or on holidays, DFPS or Law Enforcement will contact the Associate Director or Executive Director by their cell phones. The AD and ED will maintain a current on -call schedule for CACSP staff. The AD or ED will then contact the staff on call that the MDT partners are requesting services. • Who conducts interviews o Interviews may only be conducted by the CACSP's appropriately trained forensic interviewers o Interviewers will conduct the interviews using a Semi -Structured Narrative Process o Interviewers will utilize interview aids when necessary to assist a child and/or adult with disabilities in communicating about an event. All interviewers will be properly trained and familiar with field tested and accepted methods on how to properly use interview aids as taught in all forensic interview core curriculum training. Interview aids may include, but are not limited to, one or more of the following: • Anatomical Diagrams • Anatomical Dolls • Baby Dolls • Paper to allow the child to write or make free hand drawings to help describe something to the interviewer. • Flash Cards; and/or • Other items to help active or distracted children focus, concentrate and communicate with the interviewer (i.e. paper, crayons, markers, shape sorter, playdough and other miscellaneous items deemed necessary by the trained interviewer). 2022 Working Protocols - Lbk Co. Page 9 o Should the need arise, forensic interviewers may present physical evidence during the interview (i.e., photos, text messages, writings or drawings done by the child before the interview, etc.) Each case will be discussed by all team members involved to make a team decision on whether or not evidence should be presented during the interview. o Criteria for selecting an interviewer for a specific case will include Spanish speaking or the investigators state the parents+'child have a preference male or female. o The only people in the interview room are the forensic interviewer and the individual being interviewed and any interpreter necessary to conduct the interview • Who must be present for observation o Lead investigators must be present in the observation of the forensic interview. o If an investigator (law enforcement or DFPS) is not present, the interview will not take place. o Others allowed to observe the interview include other representatives of the MDT partner agencies and CACSP staff and representatives. o Parents/guardians and other parties who are not members of the MDT partner agencies or the CACSP will not be allowed in the observation room during an interview. • Procedures for team staffing (pre and post interview) o Investigators may staff with the forensic interviewers prior to the interview if desired. o This staffing will be to share pertinent case background and information. o Investigators may also staff the case with the forensic interviewer, family advocate, other investigators, and supervisors after the interview. o Decisions about whether a case meets thel requirements for MSFI should be made during the pre -interview staffing or post -interview decision making. • Procedures for communications with parent/guardian pre/post interview o Investigators will be responsible for communicating with parents'guardians to advise of appointments for forensic interviews or the need for multiple session forensic interviews. o Investigators will be responsible for meeting with parents/guardians after the interview. o The CACSP family advocate or other CACSP representative will be responsible for assisting parents/guardians in completing intake paperwork at the interview appointment. • Digital Recording procedures o All cases scheduled for a forensic interview at the CACSP office, the mobile interviewing unit, or at local law enforcement and/or DFPS offices will be digitally recorded. 2022 Working Protocols - Lbk Co. Page 10 • Which interviews will be digitally recorded o All forensic interviews involving outcries and/or reports of child abuse/neglect that fit the criteria will be digitally recorded. o DFPS investigators who decide to have the Forensic Interviewer interview a child at school are responsible for audio -taping the interview. • Operation of digital recording equipment o The Forensic Interviewers are responsible for operation of digital recording equipment. • Communication between the team and the forensic interviewer o The case team (investigators, forensic interviewer, family advocate) will have a pre - interview meeting to discuss any pertinent information related to the case o The forensic interviewer will take a break after the conversation regarding the allegations with the child. o At that time the FI will enter the observation room for discussion with the team regarding any additional questions, needed clarification, or additional concerns that have arisen regarding the forensic interview of the victim. o The above may be repeated as many times as needed. Issues involving ownership, storage, duplication, viewing of video o A digital recording of an interview of a child is the property of the prosecuting attorney involved in the criminal prosecution of the case involving the child. If no criminal prosecution occurs, the video recording is the property of the attorney involved in representing the department in civil action alleging child abuse or neglect. If the matter involving the child is not prosecuted, the digital recording is the property of the department if the matter is an ins estigation of the department of abuse and neglect. If the department is not investigating or has not investigated the matter, the video recording is the property of the agency that referred the matter to the center. o The CACSP does not usually store copies of the interviews. The investigating agency has sole responsibility for storage of digitally recorded interviews. (**Exceptions to this are delineated below). o The CACSP will provide additional copies of the digital recording to other partner agencies participating in the investigation as needed o Digital recordings are the property of the investigating agency and thus it is their discretion as to who may view those digital recordings. The exception to this being those cases selected by forensic interviewers for peer review. o ** The CACSP Forensic Interviewers have the right to make copies of some of the interviews with the permission of parents/guardians. 2022 Working Protocols - Lbk Co. Page 11 o "These copies are for the purpose of peer review meetings where forensic interviewers meet with other forensic interviewers for the purpose of additional training and critique from their colleagues. o "Another purpose for the copies is to assist the CACSP in the role of training law enforcement officers on the CACSP model and procedures. Joint investigations • Procedures for notifying other agencies of interviews o Lead investigators are responsible for notifying investigators from partner agencies of interviews (i.e., DFPS will notify law enforcement and vice versa in cases that could involve criminal proceedings). e Procedures for developing joint strategies o Each agency will work with and assist the others and the Center to ensure that the best interest and protection of children will be served. o The appropriate law enforcement agency is to investigate and determine whether or not a crime has been committed, and to present information to the proper authorities for prosecution. o The Texas Department of Family and Protective Services (DFPS) is responsible for the protection of children/elders/disabled from harm by their parents or others responsible for their care. DFPS is responsible for conducting a civil investigation and taking whatever action necessary to protect the children from further harm, if DFPS deems such action necessary. o Health and Human Services Commission Adult Protection Services Provider is responsible for investigate allegations of abuse, neglect, and exploitation of clients receiving services in state operated or contracted settings, or both, that serve adults and children with mental illness or intellectual or developmental disability. o The office of appropriate prosecuting authority is responsible for assessing and handling the civil and criminal legal aspects of the case in accordance with civil and criminal law. o Appropriate medical personnel will be responsible for providing the medical direction. o Mental health direction will be provided by the Center's Director of Clinical Services. • Procedures for sharing information and reports O All MDT partner agencies will assume responsibility for sharing pertinent case information with other MDT partner agencies on a regular basis. 2022 Working Protocols - Lbk Co. Page 12 O Information sharing may take place during staffing and/or during MDT case review meetings as well as a -mails and phone calls. O The end goal is providing the best services, build the strongest case for the best overall outcome for the families we serve. MSFI considerations • If determined by the Case Team after the initial forensic interview that a MSFI is needed, it will be conducted by the managing forensic interviewer • The Case Team will agree on the scheduling of the impending interviews • Sessions should be scheduled close together (later the same day or the next day) when possible • MSFI may take up to 7 sessions (usually finished with 2-3 sessions) • Each session will be recorded on a separate DVD and labeled "session _ of • All tools used during the interviews will be turned over to the investigators after each MSFI session • Staffing at MDT case review will occur as usual with continued discussion at subsequent case review meetings until the case is resolved • For each session the "Case Team" will consist of the same MSFI trained Forensic Interviewer and when possible, the same investigators from law enforcement and/or DFPS and HHSC as were involved in the initial session. • "Comfort" gifts should not be given to the child until the conclusion of all sessions • Courtesy interviews — the CACSP MSFI-trained forensic interviewer should consult with the prosecuting attorney prior to starting the MSFI Separation of Victims and Alleged Perpetrators • CACSP staff ensures the separation of victims and alleged offenders (juvenile offenders) • Juvenile perpetrators of sexual abuse may be interviewed for the purpose of establishing whether they have been victims of sexual abuse at the request of investigators. These interviews will be conducted separate and apart from the victim interviews. • Alleged perpetrators will remain separated from victims by sight and sound by placing them in the lobby with parent/caregiver which has secure access into the main building by a security code lock Team Meeting/Case Review Process 2022 Working Protocols — Lbk Co. Page 13 Cases reviewed are those that have met the criteria for a forensic interview, received other CAC services (i.e., SANE, or other medical examination) when the child is too young or non-verbal for a forensic interview • Case review meetings for Lubbock County will be held twice monthly usually on the 1st and Yd Thursday of each month at 9:30 a.m. at the CACSP office in Lubbock, Texas. The CACSP reserves the right to schedule the case review meeting at a different day or time as needed. Notification of change will be sent via e-mail, fax, or phone calls. • Representatives of each partner agency are required to attend each case review meeting: Law Enforcement, DFPS, the CACSP, Prosecutor's office, C.A.R.E. clinic staff, WT Forensic Nurse Staffing, Voice of Hope Executive Director or other paid staff, and the Sheriff's office. If the investigator working the case is not present - those who are representing that agency will need to have information on and be prepared to discuss the case during the meeting. • DFPS CCI, DFPS APS in Home Investigations, and HHSC Provider Investigations are only required to have a representative at the case review meeting if they have a case on the case review list. • The CACSP staff has the responsibility of including APS in Home Investigations and CCI cases on the case review list and sending an assigned representative the case review list, as needed. • Cases are reviewed at the next case review meeting following the interview and at each case review meeting thereafter until final disposition. • MDT partner agencies may request cases for review that do not fall in the required review category. These cases could be where Law Enforcement or DFPS did not request a forensic interview or any other CACSP service but want the MDT to discuss/review the investigation. This can be accomplished by contacting the MDT coordinator to place it on the MDT list. • The Lubbock Forensic Interviewer or other designated representative of the CACSP is responsible for generating the case list and agenda for each meeting. The list and agenda are disseminated via encrypted e-mail the week of the meeting. • MDT case review meetings are facilitated by the Executive Director or other designated CACSP representative. • CACSP staff is responsible for documentation of the outcome of case review and information will be entered into the agency case tracking system database. • Any recommendations from the team regarding concerns about the family should be followed -up with by the lead investigator or the family advocate and a report made at the next case review meeting as to the status of the recommendations. • Case disposition should be communicated to CAC staff at case review meetings by investigators and if unable to attend the meeting provide the information by phone or email. 2022 Working Protocols - Lbk Co. Page 14 • The appropriate prosecution authority's office can be available to conduct preliminary intake of cases for initial filing decisions at each staffing. Case Tracking • CACSP provides case tracking via CACTX Collaborate, cases receiving services are entered into the database. The cases that are identified based on pending criminal charges and civil dispositions due to law enforcement and/or DFPS involvement and are tracked through completion. • CACSP will also monitor cases and update the database when services are accessed through completion • MDT partner agencies may contact CACSP staff regarding information in the database • The information is available for statistical information, grant reports, and team members Mental Health Component • The CAC provides free Trauma Focused Cognitive -Behavioral Therapy for abused children and their non -offending caregivers, siblings, etc. that meets the target population at a designated location or the child's school. The funding is provided by grants and volunteers. • Therapy is not a part of the forensic process and is not intended for gathering information of abuse. Therapy is about helping the child heal from trauma and should only be started after the forensic interview has been completed. • If investigators decide to refer the child off -site for a forensic evaluation, therapy may not begin until after that process has been completed. • Therapists at the CACSP do not conduct forensic evaluations to determine whether abuse has taken place. • Therapy is provided by four full time therapists, one part time therapist. • Therapy is also provided by four graduate student interns supervised by the CACSP contracted supervisor. • Interns providing therapy are master and doctoral level graduate student interns in a counseling/therapy field. • Therapy/counseling is offered to individuals and families as well as in group settings. • Therapy can also be conducted through tele-health. • Referrals for therapy may be initiated by CACSP staff or any MDT partner agency staff. • The initial appointment for therapy is scheduled by the Family Advocate or the Executive Director. Therapists are responsible for subsequent appointments. 2022 Working Protocols - Lbk Co. Page 15 • Referrals to other therapy resources will be made when all CACSP therapy slots are filled or when the child did not make an outcry during their FI • Information on progress in therapy requires a release of information form and may be shared at case review meetings. • Expectations of the CACSP mental health providers include providing feedback at case review meetings, preparing children for court, and providing copies of therapy case notes upon subpoena. • Volunteers and staff monitor (both visual and auditory) families in the building for therapy to keep an eye on any sexually reactive children who may be attending therapy as well as to assure that adults are not freely entering other offices where confidential documents may be kept. • MSFI consideration: Referrals to mental health services should be made at the conclusion of MSFI sessions. The exception to this would be with victims of human trafficking. • Therapist will serve as clinical consultant to the MDT on issues relevant to child trauma and evidence -based treatment. • Present pertinent case information at MDT case review meetings Medical Component Inability to pay for a forensic medical evaluation does not present a barrier to receiving one in our area that meets the target population we serve. Exams that are performed at the hospitals are requested by the Police Department or Sheriff's office. SANE will be reimbursed through a fund out of the Victim's Services Office of the Attorney General. If a family has medical insurance, it can be billed to their insurance, however not having insurance does not exclude anyone from getting an exam if needed. • The CACSP collaborates with the Texas Tech Health Sciences Center C.A.R.E. clinic and Forensic Nurse Staffing of West Texas (FNSWT) affiliated with Covenant Health Systems and University Medical Center who provide forensic sexual abuse exams. • If a sexual assault is reported within 120 hours after the assault, DFPS or Law Enforcement shall request a forensic medical examination. If after the 120 hours, DFPS or Law Enforcement shall request for a medical examination at the C.A.R.E. Center. Exams for sexual assaults that have occurred within 120 hours (acute exams) should be referred to the emergency rooms at the above -mentioned hospital. If patients present at the ER for a non -acute sexual assault case, the ER staff will notify the SANE on -call. The SANE on -call will evaluate the patient and determine whether a SANE exam should be performed or if the patient would be best served by a referral to the C.A.R.E. Center. The SANE on -call will notify the CARE Center of the patient's information they are referring. • Exams not considered acute (assault has taken place more than 120 hours ago), can be seen Monday through Friday between 8 and 5 may be scheduled with the TTUHSC C.A.R.E. 2022 Working Protocols - Lbk Co. Page 16 clinic by calling that agency at (806) 743-7770. Exam appointment may be scheduled by the investigator or by CACSP staff (at the request of investigators). • Forensic interviews generally will occur after an acute SANE exam and usually before a non -acute exam. • Forensic sexual abuse exams are conducted by specially trained Sexual Assault Nurse Examiners only. • Medical services results may be shared with the MDT at case reviews as well as in written fashion to investigators by medical personnel providing the service. • Exams for physical abuse are at the direction and discretion of the investigators (law enforcement or DFPS). • Medical examinations/reports provided by a medical provider that is not an MDT partner shall be referred by DFPS or Law Enforcement to the MDT medical partner for review. • Medical providers are expected to attend case reviews and be prepared to discuss exam results. Medical providers may also provide reports to the investigators regarding exam results. • CACSP agrees to pay an amount of $1250.00 per month as a retainer fee to TTUHSC C.A.R.E. clinic. This amount is reimbursed to CACSP through an agreement with Lubbock County. Billing for this amount will come from the TTUHSC C.A.R.E. clinic to the CACSP. Billing may also be filed with health insurance or Medicaid when clients have these available and may also be filed with Crime Victims Compensation and are ultimately the responsibility of the department requesting the exam. • Circumstances under which a medical evaluation is recommended: o For acute/hospital cases - All El� patients are screened and cleared medically by the ER physician prior to the SANE exam. SANE's consult with the ER physician following the forensic exam if needed for additional treatment or follow-up care. o For C.A.R.E. cases - where there are allegations or an outcry of sexual abuse. • Purpose of the medical evaluation: o For acute/hospital cases - To screen for injuries and/or underlying medical conditions aside from the sexual assault o For C.A.R.E. cases - to determine if there are any physical findings to corroborate a sexual assault • How the medical evaluation is made available: o For acute/hospital cases - once it has been determined by medical staff and an investigator that an exam is necessary there is contact made to a West Texas Forensic Staff SANE on -call to present themselves at the hospital to do the exam 2022 Working Protocols - Lbk Co. Page 17 o For C.A.R.E. cases - an appointment is scheduled by the investigator or by CACSP staff if requested by the investigator • How emergency situations are addressed: o For acute/hospital cases - Emergency situations are handled by the hospital Emergency Department physicians o For C.A.R.E. cases - emergency cases can be seen between 8-5 weekdays • How multiple evaluations are limited: o The Forensic Nurse Staffing of West Texas and the C.A.R.E. clinic will contact each other to make sure an exam was not already done at the other department • How medical care is documented: o For acute/hospital cases - The medical evaluation and hospital staff nursing notes are available in the patient's medical record. The forensic files are kept separate from the patient's hospital chart. o For C.A.R.E. cases - the SANE report includes history taking as well as the results of the examination. These are shared with the investigator and talked about at case review. • How the medical evaluation is coordinated with the MDT in order to avoid duplication of interviewing and history taking: o There is communication at the MDT case review about whether an exam was already done and whether one is needed or not. • Procedures for medical intervention in cases of suspected physical abuse and maltreatment, if applicable: o For acute/hospital cases - emergency room personnel contact DFPS and/or Law Enforcement in those cases o For C.A.R.E. cases - DFPS and/or Law Enforcement are contacted regarding the concerns • Present pertinent case information at MDT case review meetings Victim Advocacy Component • The CACSP is responsible for providing a family advocate for clients accessing CACSP services that meets the target population we serve. • Initial contact between the family and the CACSP family advocate occurs when the family comes in for the forensic interview appointment. • The Family Advocate (or if necessary trained CACSP staff) provides the following services to families: 2022 Working Protocols - Lbk Co. Page 18 o Sits with the non -offending caregivers while other CACSP services are being conducted o Explains the MDT response for all cases whether a forensic interview cannot be conducted i.e.: too young, non-verbal o Explains when conducted the process of a forensic interview o Assists the family with filling out intake paperwork o Explains the rights families have in the process o Explains Crime Victim's Compensation and assists in filling out paperwork o Explains crime victims' rights o Assesses the families for unmet needs and makes referrals to social service agencies for those unmet needs o Education regarding the dynamics of abuse o Provides families with trauma symptom checklist o Provides crisis intervention when needed o Discusses the importance of therapy with the family and makes referrals for therapy to the CACSP clinical director o Explain the medical forensic evaluation to families o Makes follow-up phone calls to families to check on their progress or needs they may have o MDT participation presenting pertinent case information at MDT case review meetings o Is responsible for contacting families regarding an appointment for court room orientation when a case is going to criminal court proceedings o Accompanies families to court proceedings during trial Records Retention It is the policy of the CACSP that all the client files are confidential and not subject to public release under Chapter 552, Government Code, and may only be disclosed for purposes consistent with this chapter. Client files include but are not limited to the files, reports, records, communications, and working papers used or developed in providing services. Client data consists of such information as: name, address, names of children, children's DOB, ages, school attended, type of alleged abuse, alleged perpetrator, age and sex of alleged perpetrator. Included is information regarding who is conducting the interview, who is in the screening room watching the interview, who received the digital recording of the interview and any referral for additional services. 2022 Working Protocols - Lbk Co. Page 19 Confidentiality All personnel involved with the operations of the CACSP, within the bounds allowed by law, agree to maintain confidentiality of all records and information gathered on all child sexual and physical abuse cases as outlined by the Texas Family Code. 2. All agencies/organizations participating in the MDT will immediately share pertinent case information with the appropriate agency within 24 hours. In situations involving public agency, medical staff or staff as suspected offenders, confidentiality will be maintained, and these cases will not be staffed in the weekly staffing sessions. Conflict Resolution Any conflicts that occur between agencies regarding cases being addressed by the CACSP and members of its Multidisciplinary Team shall be taken to their immediate supervisors. If not resolved, then the dispute will be addressed by a meeting between designated agency representatives and the CACSP Executive Director. It is the role of the CACSP to assure that continued collaboration and communication between partner agencies is encouraged and reinforced. Other general provisions All agencies will be invited and encouraged to attend training sponsored by the CACSP. The CACSP will provide financial support for professionals and volunteers to attend specialized training when possible. 2. All community volunteers must meet the criteria set by the CACSP in order to qualify as volunteers. 3. It is expressly understood that each agency will work within its departmental mandates and policies. Nothing contained herein supersedes the statutes, rules and regulations governing each agency. To the extent that any provision of this agreement is inconsistent with any such statute, rule, or regulation, the statute, rule, or regulation shall prevail. 4. All agencies/ organizations participating in the CACSP agree to provide specially trained professionals with skills in child abuse interviewing, assessment, and investigation to be jointly assigned as teams to handle appropriate cases of child sexual and physical abuse. 5. This Agreement shall be reviewed at least every three years and shall be modified as determined by the Executive Director and the Multidisciplinary Team. The appropriate agencies will be notified and will sign the modification to the agreement. This Agreement may be modified: a. to conform to existing or new statutes, rules, regulations, or departmental policies which may conflict with any provisions of this agreement. b. to better meet the needs of families and children in the provision of child abuse related services. 2022 Working Protocols - Lbk Co. Page 20 c. to improve the procedures set forth in this Agreement. d. to add or delete agencies as parties to the Agreement. e. for such other purposes as the parties may agree. 6. The Agreement may be terminated by written notice, submitted to all parties (signatories). Any party seeking to terminate the Agreement must give thirty (30) days' notice. 7. Signatories of this Agreement will include the following agencies: a. Lubbock County Criminal District Attorney's Office b. Lubbock County Sheriff's Office c. Texas Department of Family and Protective Services -CPI d. Texas Department of Family Protective Services - CPS e. Texas Department of Family Protective Services - APS f. Texas Department of Family Protective Services- CCI g. Texas Department of Family Protective Services- SI h. Health and Human Services Commission i. Lubbock, Ransom Canyon, Slaton, Idalou, New Deal, Abernathy, Wolfforth, and Shallowater Police Departments j. C.A.R.E. Clinic Director k. Lubbock Rape Crisis Center - D.B.A. Voice of Hope - Executive Director 1. Forensic Nurse Staffing of West Texas - Director m. Board Chairperson—Children's Advocacy Center of the South Plains, Texas, Inc. n. Executive DirectorChildren's Advocacy Center of the South Plains, Texas, Inc 2022 Working Protocols - Lbk Co. Page 21 The undersigned MDT partners agree to the contents and terms of this Agreement. [THIS AGREEMENT WILL BE EXECUTED IN MULTIPLE COUNTERPARTS] [SIGNATURE PAGES TO FOLLOW] [THE REMAINDER OF THIS PAGE IS LEFT BLANK INTENTIONALLY] 2022 Working Protocols - Lbk Co. Page 22 FOR THE LUBBOCK COUNTY CRIMINAL DISTRICT ATTORNEY: Sunshine Stanek Lubbock County Criminal District Attorney Date 2022 Working Protocols - Lbk Co. Page 23 FOR THE LUBBOCK COUNTY SHERIFF'S DEPARTMENT: Kelly Rowe Lubbock County Sheriff Date 2022 Working Protocols - Lbk Co. Page 24 FOR THE CITY OF LUBBOCK: - Z4,j4z��A Floyd Mi c ell Lubbock Police Department Chief ATTEST: Beck Garza City of Lubbock Secretary ,::f�i- �2 Date g-23 - 201- Date -2S -ZozZ Date 2022 Working Protocols - Lbk Co. Page 25 FOR THE CITY OF RANSOM CANYON: James Hill Ransom Canyon Police Chief Date 2022 Working Protocols - Lbk Co. Page 26 FOR THE CITY OF SLATON: Trevor Barnes Slaton Police Chief Date 2022 Working Protocols - Lbk Co. Page 27 FOR THE CITY OF IDALOU: David Wilson Idalou Police Chief Date 2022 Working Protocols - Lbk Co. Page 28 FOR THE CITY OF NEW DEAL: Michael Hobson New Deal Police Chief Date 2022 Working Protocols - Lbk Co. Page 29 FOR THE CITY OF ABERNATHY: Luis Villarreal Abernathy Police Chief Date 2022 Working Protocols - Lbk Co. Page 30 FOR THE CITY OF WOLFFORTH: Rick Scott Wolfforth Police Chief Date 2022 Working Protocols - Lbk Co. Page 31 FOR THE CITY OF SHALLOWATER: Brian Williams Shallowater Police Chief Date 2022 Working Protocols - Lbk Co. Page 32 FOR THE TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER: Dr. Patti Patterson TTUHSC Director of Child Abuse Pediatrics Date 2022 Working Protocols - Lbk Co. Page 33 FOR THE LUBBOCK RAPE CRISIS CENTER - D.B.A. VOICES OF HOPE: Kristin Murray Lubbock Rape Crisis Center - D.B.A. Voice of Hope Executive Director Date 2022 Working Protocols - Lbk Co. Page 34 FOR THE TEXAS DEPARTMENT OF FAMILY PROTECTIVE SERVICES: Tonya Harmon Date Regional Director Texas Department of Family Protective Services - CPI George Cannata Date Regional Director Texas Department of Family Protective Services - CPS Cody Minze Date District Director Texas Department of Family Protective Services - APS Joanna Golliday Date Child Care Investigator Deputy Director Texas Department of Family Protective Services Marshal Davidson Date Regional Director Department of Family and Protective Services - SI 2022 Working Protocols - Lbk Co. Page 35 FOR THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION: David Kostroun Deputy Executive Commissioner for Regulatory Services Health and Human Services Commission Date 2022 Working Protocols - Lbk Co. Page 36 FOR FORENSIC NURSE STAFFING OF WEST TEXAS: Donna Neel Date Forensic Nurse Staffing of West Texas 2022 Working Protocols - Lbk Co. Page 37 FOR THE CHILDREN'S ADVOCACY CENTER: Michael Lambert Date Children's Advocacy Center Board President Derek Danner Date Children's Advocacy Center Executive Director 2022 Working Protocols - Lbk Co. Page 38