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HomeMy WebLinkAboutResolution - 2017-R0231 - MOU With Lubbock County Entities - 06_22_2017Resolution No. 2017-RO231 Item No. 6.21 June 22, 2017 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, an Interagency Agreement and related documents 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 Agreement and certain 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 June 22, 2017 L-py--- - DANIEL M. POPE, MAYOR A i EST: b -- Reb ca Garza, City Secretary APPROVED AS TO CONTENT: Gre eve , Chief of Police APPROVED John j s' tant Cif 'ttorney G ✓' RES.Agreement-County Child Protection Team.2017 doc Resolution No. 2017-RO231 LUBBOCK COUNTY MEMORANDUM OF UNDERSTANDING This Interagency Agreement 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 b} the Lubbock County Criminal District Attorneys 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 Children's Advocacy Center of the South Plains (CACSP), the Texas Department of Family and Protective Services (Child Protective Services, Adult Protective Services, and Child Care Licensing), the TTUHSC C.A.R.E. clinic, the Forensic Nurse Staffing of West Texas group, and the LUBBOCK RAPE CRISIS CENTER — d.b.a. Voices of Hope into one collaborative effort. In support of this mission. the Lubbock County Child Protection Team has the following goals: i ) To develop and maintain a cooperative, team approach to investigating child abuse. 2) To reduce to the greatest extent possible the number of interviews required of a victim of child abuse to minimize the negative impact of the investigation and the .revictimization' of the child. 3) To develop, maintain and support through the Center, a "child friendly" environment that emphasizes the best interests of the child and that provides investigative and rehabilitative services to the child victim, non -offending family members and caregivers. MEMBERSHIP The Lubbock County Child Protection Team is made up of the following entities, with their respective legal mandates, roles, and responsibilities (description of agency roles is limited to responsibilities performed within the Child Protection Team): LUBBOCK COUNTY CRIMINAL DISTRICT ATTORNEY'S OFFICE The statutory mandate of the District Attorney is to see that justice is done. The Criminal District Attorney's Office prosecutes all criminal cases of physical abuse, sexual abuse, and neglect of a child. The Civil District Attorney's office represents the Department of Family and Protective Services in civil cases involving child abuse and neglect. Responsibilities include assisting law enforcement with all aspects of criminal investigations, including assistance with grand jury subpoenas, search warrants, and charging decisions; and reviewing all criminal child abuse cases for presentation to the grand jury, closure, or return for further investigation. LUBBOCK, RANSOM CANYON, SLATON, IDALOU, ABERNATHY, NEW DEAL, WOLFFORTH, AND SHALLOWATER POLICE DEPARTMENTS 2017 Memorandum of Understanding — Lbk Co. Page 1 • One of the mandates of the Lubbock, Ransom Canyon, Slaton, Idalou, New Deal, Abernathy, Wolfforth, and Shallowater Police Departments is to investigate all criminal cases of physical abuse and neglect of children 16 years of age or younger, and sexual abuse of children younger than 17 years of age, occurring in the above named towns of Lubbock County, Texas. • Responsibilities include the gathering and preservation of evidence to ensure a prosecutable criminal case. This includes interviewing and taking statements of witnesses and suspects, evidence collection, scene preservation, and the preparation and execution of search and arrest warrants. LUBBOCK COUNTY SI IERIFF'S OFFICE • One of the mandates of the Lubbock County Sheriff s Office is to investigate all criminal cases of physical abuse and neglect oil' children 16 years of age or younger, and sexual abuse of children younger than 17 years of age. occurring in Lubbock County. Texas. • Responsibilities include gathering and preservation of evidence to ensure a prosecutable criminal case. This includes interviewing and taking statements of witnesses and suspects, evidence collection, scene preserN ation, and the preparation and execution of search and arrest warrants. TEXAS TECH HEALTH SCIENCE CENTER C.A.R.E. CLINIC • The TTUHSC C.A.R.E. Clinic is to perform forensic sexual abuse exams as requested per investigators regarding cases of sexual abuse of children younger than 17 years of age. • Responsibilities also include attendance at MDT case review meetings, sharing results of exams with partner agencies, and providing reports of exams to partner agencies as requested. FORENSIC NURSE STAFFING OF WEST TEXAS GROUP • In cases where a child presents to a local emergency room due to sexual assault, law enforcement will notify this group of the need for one of their group to do a forensic medical examination at the hospital. • The group agrees to inform the CACSP of all cases involving children that result in an exam in writing, attend semi-monthly MDT case review meetings, and share any additional information at case review meetings. LUBBOCK RAPE CRISIS CENTER • The LRCC is usually summoned to area hospitals in cases of acute sexual assault. • The role of the LRCC in cases of sexual assault to children younger than 17 years of age is to provide support at hospital emergency rooms. • The LRCC agrees that their role is not to interview child victims. • Responsibilities on the MDT include attendance at semi-monthly Lubbock MDT case review meetings (by the Executive Director or other paid staff member) and to share any additional information at case review on cases seen by them at the hospitals. CHILDREN'S ADVOCACY CENTER OF THE SOUTH PLAINS • The CACSP represents the investment of the community in the future of its children. 2017 Memorandum of Understanding — Lbk Co. Page 2 • The function of the CACSP is to provide the place where members of the community can show their commitment to our children through community involvement or participation in the intervention, coordination and delivery of services to children. As a non-profit, facility based community organization governed by an independent Board of Directors: the CACSP provides the voice of the community in its efforts to protect children. • The facility serves as a neutral, child -friendly environment for interviewing children about abuse or neglect. • Through collaboration with other Team members, the CACSP seeks to prevent the re - victimization of the child by the system by minimizing the trauma surrounding the interview and reducing the number of times a child must be interviewed. • The CACSP provides forensic interviewers. support services. communm education. and advocacy for children. • Responsibilities also include facilitating joint investigations and forensic interviews among member agencies. coordinating multi -disciplinary case review meetings. assisting with multi -disciplinary training. and providing case follow-up, and casetracking. TEXAS DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES — CHILD PROTECTIVE SERVICES One of the mandates of the Department of Family and Protective Services is to investigate allegations of child abuse and neglect by parents. relatives. or caretakers to assess and address any issues related to the child'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 child from the home. Responsibilities include coordinating with outside resources, family members, and the courts to address any changing factors affecting the child's ongoing safety. TEXAS DEPARTMENT OF FAMILY PROTECTIVE SERVICES — ADULT PROTECTIVE SERVICES • One of the mandates of the DFPS Adult Protective Services 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. TEXAS DEPARTMENT OF FAMILY PROTECTIVE SERVICES — CHILD CARE LICENSING • One of the mandates of the DFPS Childcare Licensing is to investigate allegations of abuse and neglect in child care facilities. 2017 Memorandum of Understanding — Lbk Co. Page 3 THE CHILD PROTECTION TEAM The members agree that forensic interviews of children 14 years of age and younger will be conducted by the CACSP, when practical. Members agree that interviews of children older than 14 are also encouraged to go through the CACSP. The choice of interviewer for all children will be at the discretion of the Law Enforcement and/or DFPS investigators handling the case. 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 ongoino evaluation of the collaborative effort. The members also agree that an adult who is elder or disabled and function «ith the mentality of a child will also be interviewed by the CACSP in cases of abuse and neglect meeting the criteria for a forensic interview. 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 on the basis of race, color. national origin, religion, sex, disability, and age in the delivery of services. 2017 Memorandum of Understanding - Lbk Co. Page 4 THE: UPDERSIGNED AGREE TO TIIE TERMS OF THIS INTERAGENCY AG MENT �/ tIll Ziff" v/ Matt Powell Lubbock County Criminal District Attorney GrcO ell' u Laub ock Police Department Chief Ad - Becky Garza CAN of Lubbock Sccretarn Kelly Rowe Lubbock County Sheriff James Hill Ransom Canyon Police Chief Trevor Barnes SIaton Police Chief /t/ ae, David Wilson Idalou Police Chief Michael Ho on New Deal Police Chief D e -tl, ---P- ---/�- Date Date Date Date Date & �-- Date 6 - /`f"/7 Date 2017 Memorandum of Understanding - Lbk Co. Page 5 Tl lL UNDI;RSIGNLD AC'RI:L TO TIII I U RMS Ol TI IIS IN I LRAGL•NCY AGi MINT r Lubbock County' Criminal District Atlorne) l..ubl uck Poiiee Department Chiel Becky Gan ) U�.t: Lub&)ck County Sheriff!' Janes Hill Ou.r Ransom Canyon Police Chief' Trevor Herne,, i),LtO Slaton police Chief -,q. J. /,/ -4., David Wilson Uatc Idalou Police Chief' Michael Hobson Oat.! New Deal Police Chief' 2017 Memorandum of Underst.indtng - Lbk Co. Page THE UNDERSIGNED AGREE TO TI IF "PERMS OF THIS INTERAGENCY AGREEMENT Matt Powell Lubbock County Criminal District Attorney Greyu Sc� c, Lubbock Polio DepLirtlllent Chief Becky Garza City or Lubbock SecretarN Date Date Date Kelly Rowe Date Lubbock County Sheriff <, 6 /� h-) --- James Hill Date Ransom Canyon Police Chief IC �Ue4l� tele-11 7 Trevor Barnes Date Slaton Police Chief David Wilson Date Idalou Police Chief Michael Hobson Date New Deal Police Chief 2017 Memorandum of Understanding - Lbk Co. Page 5 Cameron Bowman Abernathy Paliw Chief Rick Scoa Woiffonh Police Chief Michael Neighbors Shallowater Police Chief Dr. Patti Pawman TTUHSC DirmtorQf Child Abuse Pediatrics LUBBOCK RAPE CRISIS CENTER—d.b.a. Voices of Hope Exmutivc Director Wwa Vandygriff Texas Depariment of Family Protective Services — CPS Bernal Director Darla Warren Texas Departaawnt of Family Protective Services — APS Interim District Director lean Shaw Texas Department of Family Protective Services — CCL Associate Commissianer (-L / n Date Dale Date Date �n --/ ` — Date , Date Date Date. 2017 Memorandum of Understanding— Lbk Co. Page 6 Rick Scott Wolfforth Police Chief Dr. Patti Patterson TTUHSC Director of Child Abuse Pediatrics ha4 ��A LUBBOCK RAPE CRISIS CENTER d.b.a. Voices of Hope Executive Director Shawn Vandygriff Texas Department of Family Protective Services CPS Regional Director Karla Warren Texas Department of Family Protective Services — APS Interim District Director Jean haw Texas Department of Family Protective Services — CCL Associate Commissioner Date Date (0 : I If , --� Date Date Date LC/111,7 Date 2017 Memorandum of Understanding — Lbk Co. Page 6 --Rj a� Rick Scott Wolfforth Police Chief Shallowater Police Chief a� M� r. attLEatterson TTUHSC Director of Child Abuse Pediatrics Kim Stark LUBBOCK RAPE CRISIS CENTER — d.b.a. Voices of Hope Executive Director Shawn Vandygriff Texas Department of Family Protective Services — CPS Regional Director Karla arren Texas Department of Family Protective Services — APS Interim District Director Amy Woodard Texas Department of Family Protective Services — CCL District Director Date Date IIZ/ of Date Date V)-- (o I1 Date S-I�-1"7 Date Date 2017 Memorandum of Understanding - Lbk Co. Page 6 �- � �r 6- 6-.20/? Rick Scott Date Wolfforth Police Chief + idT"l Neig� Date Shallowater Police Chief Dr. Patti Patterson Date TTUIJSC Director of Child Abuse Pediatrics Kim Stark Date LUBBOCK RAPE CRISIS CENTER — d.b.a. Voices of Hope Executive Director Shawn Vandygriff Date Texas Department of Family Protective Services — CPS Regional Director Karla Warren Date Texas Department of Family Protective Services — APS Interim District Director Jean Shaw Date Texas Department of Family Protective Services — CCL Associate Commissioner 2017 Memorandum of Understanding — Lbk Co. Page 6 Co.� e &aj-ILS Forensic Nurse Staffing of West Texas Sheri Nugent Children's Advocacy Center Board President Dcre , Danner Children's Ad-%,ocacv Center Executive Director y, Date �p<<3L r Date .s/-zlz;?- I)ate 2017 Memorandum of Understanding — Lbk Co. Page 7 WORKING PROTOCOLS LUBBOCK COUNTY All State and Federal confidentiality laws will be followed in connection with this agreement. This agreement can be terminated by any party without cause by giving written notice to the other parties. 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 conlnlUlllty investigative, legal, and social sera ices provided by the Lubbock County District Attorneys 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 Texas Tech University C.A.R.E. clinic, the Lubbock Rape Crisis Center-d.b.a. Voices of Hope, the Forensic Nurse Staffing of West Texas group. the CACSP. and the Texas Department of Family and Protective Services (CPS. APS, and CCL) 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 members of 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 Sheriffs 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. Voices of Hope, the CACSP, and the Texas Department of Family and Protective Services (CPS, APS, and CCL). 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 • Collaborate with other MDT members in child abuse investigations • Attends MDT case review meetings • Presents pertinent case information at MDT case review meetings 2017 Working Protocols — Lbk Co. Page 1 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 towns of Lubbock County, Texas. • 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 • Provides a secure, confidential area for forensic interviews as needed (if the CACSP mobile interviewing unit is unavailable) • Attends MDT case review meetings • Presents pertinent case information at MDT case reN ie\\- meetings 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 • 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 • Provides a secure, confidential area for forensic interviews as needed (if the CACSP mobile interviewing unit is unavailable) • Attends MDT case review meetings • Presents pertinent case information at MDT case review meetings Texas Tech University Health Sciences C.A.R.E. Clinic • Performs forensic sexual abuse exams • 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 Informs and shares information with the CACSP about any children's cases they deal with 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. Voices 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 • Attends MDT case review meetings and shares pertinent case information on cases seen at Lubbock hospitals Texas Department of Family Protective Services — Child Protective Services • Investigate allegations of child/elder/disabled abuse and neglect by parents, relatives, or caretakers 2017 Working Protocols — Lbk Co. Page 2 • Assess and address any issues related to the child's protection, including issues of present or future risk of abuse or neglect • 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 • 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 • Attend MDT case review meetings • Present pertinent case information at MDT case review meetings Texas Department of Family Protective Services — Adult Protective Services • One of the mandates of DFPS — APS 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 anv chancing 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 • Attend MDT case review meetings • Present pertinent case information at MDT case review meetings Texas Department of Family Protective Services — Child Care Licensing • One of the mandates of DFPS — CCL is to investigate allegations of abuse and neglect in child care facilities. • 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 • Attend MDT case review meetings • Present pertinent case information at MDT case review meetings 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 If our mobile interviewing equipment is not working, arrangements can be made to use recording equipment available at local police departments or sheriff's office, provided confidentiality can be assured. o CACSP staff ensures the separation of victims and alleged offenders (juvenile offenders) 2017 Working Protocols — Lbk Co. Page 3 • 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 case tracking via CTS tracking system • 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 Definitions 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. • 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. • 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 Target Population The target population for the Child Protection Team includes: • Children between the ages of 2 to 17 who have made an outcry of sexual or severe physical abuse/neglect meet the criteria for a forensic interview • Children between the ages of 2 to 17 involved in reports made by adults who have concerns of sexual or severe physical abuse/neglect of such children meet the criteria for a forensic interview • Children who are considered to be at risk for sexual or severe physical abuse/neglect due to reported allegations of abuse for other children meet the criteria for a forensic interview 2017 Working Protocols — Lbk Co. Page 4 • Developmentally delayed adults over the age of 17 who are suspected victims of abuse/neglect meet the criteria for a forensic interview • Children who have been witnesses to abuse/neglect, domestic violence, kidnappings, homicides. suicides, and other suspected criminal proceedings meet the criteria for a forensic interview • 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 meet the criteria for a forensic interview Intake Process • Intake of initial reports of abuse/neglect will go through CACSP, law enforcement and/or Child Protective Services • CACSP will review the intakes and make contact with the appropriate agencies on the intakes sleeting the criteria to assist in setting Lip a forensic inter\ iev,. • Upon determination of the suspected allegations, it «ill 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 previoLisl} mentioned. • The prepri-ed location for forensic interviews is at the established CACSP office due to the specific equipment available there and that it is neutral, child -friendly, safe environment. • The location of the interview is at the discretion of the investigator. keeping in mind that the CACSP office is considered the preferred location. • In cases where a CPS investigator determines that a school visit is most appropriate there will need to be approval from a CPS supervisor. Forensic Interview Process CPS, APS, and CCL will assume responsibility for referring cases in which they have involvement. Law enforcement agencies will need to refer those cases that do not fall Linder the jurisdiction of CPS. 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 forensic interviewer's cell phone. o If investigators cannot get in touch with the forensic interviewers, 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 locate the forensic interviewer and relay the need for a return call to the investigator. o Only forensic interviewers may schedule their 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 forensic interviewers 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). o CACSP will conduct emergency forensic interviews after hours, weekends and holidays. • Who conducts interviews 2017 Working Protocols — Lbk Co. Page 5 o Interviews may only be conducted by the CACSP's trained forensic interviewers 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 the 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 interN iews. 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. • Videotaping 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 videotaped. • Which interviews will be videotaped o All forensic interviews involving outcries and/or reports of child abuse/neglect that fit the criteria will be videotaped. o DFPS investigators who decide to have the Forensic Interviewer interview a child at school are responsible for audio -taping the interview. • Operation of video equipment o The Forensic Interviewers are responsible for operation of video 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 in regards to 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 All videotaped and audio -taped interviews are the property of the agency leading the investigation (law enforcement or DFPS). 2017 Working Protocols — Lbk Co. Page 6 o The CACSP does not usually store copies of the interviews. The investigating agency has sole responsibility for storage of videotaped interviews. (**Exceptions to this are delineated below). o The CACSP will provide one additional copy of the videotape to other partner agencies participating in the investigation as needed The CACSP has duplication equipment located at the Lubbock office. The equipment may only be used by designated staff who are familiar with its use. If partner agencies need more than 1 copy, they may provide additional DVD's and request those additional copies. c. Videotapes are the property of the investigating agency and thus it is their discretion as to who may view those videotapes. The exception to this being those cases selected by forensic interviewers for peer review. ** The CACSP Forensic Interviewers have the right to make copies of some of the interNiek�s with the permission of parents/guardians. **These copies are for the purpose of peer review meetings where forensic inter,�ie.vers 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 laNA enforcement officers on the CAC model and procedures. Joint in-vestiaations • Procedures for notifying other agencies of interN iews o Lead investigators are responsible for notifying investigators from partner agencies of interviews (i.e., DFPS will notify lakx enforcement and vice versa in cases that could involve criminal proceedings). 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. 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 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. O Information sharing may take place during staffing and/or during MDT case review meetings as well as e-mails and phone calls. 2017 Working Protocols — Lbk Co. Page 7 MSFI considerations • If determined after the initial forensic interview that a MSFI is needed, it will be conducted by the managing forensic interviewer • All tools used during the interviews will be turned over to the investigators after each MSFI session • 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 • Staffing at MDT case review will occur as usual with continued discussion at subsequent case review meetings until the case is resolved • Sessions should be scheduled close together (later the same day or the next day) when possible • For each session the "Case Team" xxill consist of the same MSFI trained Forensic Interviewer and when possible, the same investigators from law enforcement and. or DFPS (CPS, APS, or CCL) 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 Team Meeting/Case Review Process • Cases reviewed are those that have met the criteria for a forensic interview. • Case review meetings for Lubbock County will be held twice monthly usually on the Itit and 3rd 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, CPS, the CACSP, Prosecutor's office, C.A.R.E. clinic staff, WT Forensic Nurse Staffing, LRCC 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. • CCL and APS 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 and CCL 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 the case is resolved, closed, or presented for charges. • 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. 2017 Working Protocols — Lbk Co. Page 8 Case disposition should be communicated to CACSP staff at case review meetings by investigators. The appropriate prosecution authority's office can be available to conduct preliminary intake of cases for initial filing decisions at each staffing. Mental Health Component • The CACSP provides free counseling/therapy for abused children and their non -offending caregivers, siblings, etc. at the Lubbock therapy office. The finding 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 investioators decide to refer the child off -site for a forensic evaluation. therapy may not beuin 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 trivo Rill time therapists. one part time therapist and graduate student interns supervised by the CACSP clinical director. • 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. • Referrals for therapy may be initiated by CACSP staff or any MDT partner agency staff. • Referrals will be given in writing to the clinical director of the CACSP. • The initial appointment for therapy is scheduled by the Family Advocate or the Executive Director. Therapists are responsible for subsequent appointments. • 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. • Families in the building for therapy are kept separated in different waiting areas to promote confidentiality. • Volunteers and staff monitor (both visual and auditory) families in the building for therapy in order 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. Medical Component Inability to pay for a forensic medical evaluation does not present a barrier to receiving one in our area. Exams that are performed at the hospitals are reimbursed to the Police Department or Sheriff's office through a fund out of the Victim's Services Office of the Attorney General. The SANE's who rotate at the hospital emergency rooms charge the police department and sheriff's 2017 Working Protocols — Lbk Co. Page 9 office an agreed upon fee for each exam performed by them. 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 affiliated with Covenant Health Systems and University Medical Center who provide forensic sexual abuse exams. • Exams for sexual assaults that have occurred within 72-96 hours (acute exams) should be referred to the emergency rooms at the above mentioned hospitals — especially during the evenings and week -ends. • Exams not considered acute (assault has taken place more than 72-96 hours ago), and acute exams that can be seen Monday through Friday between 8 and 5 may be scheduled with the TTUHSC C.A.R.E. 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 sexual abuse exams are conducted by especially trained Sexual Assault Nurse Examiners only. Determination of the need for an exam is at the discretion of the investigating officer or CPS investigator or emergency room physicians in the case of emergency room visits. • 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 providers are expected to attend case reN iews 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 ER 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 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 2017 Working Protocols — Lbk Co. Page 10 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 or not an exam \\•as 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 Victim Advocacv Component • The CACSP is responsible for providing a family advocate for clients accessing forensic mterviewmg services. • 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 trained CACSP staff/volunteers) provides the following services to families: o Assists the family with filling out intake paperwork o Explains the process of a forensic interview o Explains the rights families have in the process o Explains Crime Victim's Compensation and assists in filling out paperwork 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 Crisis intervention o Discusses thr, importance of therapy with the family and makes referrals for therapy to the CACSP clinical director o Makes follow-up phone calls to families to check on their progress or needs they may have o MDT participation o Is responsible for making contact with 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 o Can explain the medical forensic evaluation to families if requested to by the investigator 2017 Working Protocols — Lbk Co. Page 11 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 took the videotape or DVD of the interview and any referral for additional services. MSFI considerations: • All work products (DVDs, anatomical drawings, map or event drawings) will be turned over to the investigators (law enforcement and DFPS) at the conclusion of each session of an MSFI. • Investigators are responsible for bringing all pre\ ious work products with them to the subsequent sessions of the MSFI. PROCEDURE l . Copies of partner agency reports are not kept in the CACSP client files. 2. The CACSP client files are kept in a locked file cabinet in the office of the Program Director at 720 Texas Avenue. 3. Representatives from our partner agencies may have access to specific files on a "need to know' basis. 4. These tiles belong to the CACSP and will be available by court order. 5. When a subpoena is received a CACSP attorney will be contacted to determine the appropriate course of action. Client files will not be released without a court order. 6. Disclosure may be to TDFPS, TDFPS employees, law enforcement agencies, prosecuting attorneys, medical professionals, mental health providers, and other state agencies that provide services to children and families. Client files may be shredded on or after the 10" anniversary of the date on which the client who is the subject of the record was last seen at the CACSP or the clients' 201h birthday. PROCEDURE: VIDEOTAPES OR DVD'S 1. Forensic interviews are recorded on DVD. 2. All DVD recordings become the property of the agency that requested the interview and leave the CACSP building with the agency personnel who requested the interview. 3. Recorded DVD interviews are not kept at the CACSP. 4. The DVD's must be subpoenaed by contacting the appropriate agency who owns that DVD. 5. Each agency will have their own policy for making copies, letting other parties view the DVD's and retention of tapes. PROCEDURE: ELECTRONIC FILES 1. The CAC of the South Plains utilizes electronic files via the Case Tracking System (CTS). This information is maintained on a secure server by CTS. These files are maintained indefinitely because destroying them would be overly time consuming. 2. Electronic client files are accessible by designated CACSP staff only. 3. Designated Center staff is solely responsible for entering and maintaining these files. 2017 Working Protocols - Lbk Co. Page 12 4. Mental health records that are maintained by an on -site mental health therapist in the manner outlined in Medical Records Retention Policy. PROCEDURE 1. Medical records are maintained in a fashion that is set forth by the medical institution that has provided the medical evaluation. 2. No medical records are owned or kept by the CACSP. I Mental health records that are maintained by an on -site mental health therapist are the property of the CACSP. 4. Client mental health records will be kept for 10 years, or 10 years following the client's 18' birthday. whichever is longer. 5. Mental health records are kept on hard copy «ritten format in a locked filing cabinet in a locked office. 6. Mental health records are not to be kept on anN computer drive. 7. Mental health tiles will not be saved on laptop. PDA or MP drives. 8. Files may be saved to the official Clinical Director's USB and become the property of the mental health component of the CACSP. 9. Electronic storage media remains the property of the CACSP and will not be allowed to leave the building(. 10. The Mental Health records are maintained as separate tiles from the CACSP client tiles. 11. The counselor/therapist is bound by the rules of confidentiality and ethics which are dictated b} their profession, professional affiliations and licensing requirements. Confidentiality 1. All personnel involved with the operations of the CACSP, within the bounds allowed b} 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 1. 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 2017 Working Protocols — Lbk Co. Page 13 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; 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). Am party seeking to terminate the Agreement must give thin) (30) days notice. 7. Signatories of this Agreement will include the follo,�ti inU agencies: a. Lubbock County Criminal District Attorneys Office b. Lubbock County Sheriff s Office c. Texas Department of Family and Protective Services CPS. APS. and CCL d. Lubbock, Ransom Canyon, Slaton. Idalou, Ne" Deal, Abernathy, Wolfforth, and Shallowater Police Departments e. C.A.R.E. Clinic Director f. Lubbock Rape Crisis Center - D.B.A. Voices of Hope Executive Director g. Forensic Nurse Staffing of West Texas - Director h. Board Chairperson—Children's Advocacy Center of the South Plains, Texas, Inc. i. Executive Director—Children's Advocacy Center of the South Plains, Texas, Inc. 2017 Working Protocols - Lbk Co. Page 14 This a;reem ires ree e, om the date of the signatures below z /,. //-0, /17 Matt owell Date Lubbock County Criminal District Attorney Grey even Lubbock Police Department Chief Becky Garza City of Lubbock Secretary Kelly RoNNe Lubbock CoUnt1 Sheriff James Hill Ransom Canyon Police Chief Trevor Barnes Slaton Police Chief David Wilson Idalou Police Chief Michael Hdbson New Deal Police Chief Date Date Dale Date Date Date 6 ic/- / 7 Date 2017 Working Protocols — Lbk Co. Page 15 This agreement expires three years from the date of the signatures below Matt Powell Date Lubbock County Criminal District Attorney Greg ens Date Lubbock Police Department Chief Becky Garza Date City of Lubbock Secretary Kell) Rowe � Date Lubbock Countti Sheriff 4 1 Ir? James Hill Date Ransom Canyon Police Chief ! L/ �// 7 Trevor Barnes Date Slaton Police Chief -.ajl,4 / T! David i son Date Idalou Police Chief Michael Hobson Date New Deal Police Chief 2017 Working Protocols — Lbk Co. Page 15 This agreem • r ire, rLr' om the date of the sibnaturti below l Ir 7 Mutt o«eli Daft Lubbock County Criminal District Attorney Lubbock Police Departmeni C'hirt' L40 Z�A±tl�_,r�Jo,' Becky Garia --� i).ite City nt•l.ubho&,,,Sccretan .ell% I), !c I.uhhoct; CouruX Sher: f: Jar.cs Hill Dax Ransom Cans on Police Chief' Trevor Baines Mitt Slaton Police Chief David Wi6on Date Idalou Po„ce Chief Michael Hobson New Deal Police Chici '2017 Working Protocols - Lbi, Co. Page 15 This agreement expires three years fram the date of the signatures below Matt Powell Date Lubbock County Criminal District Attorney Gn Stevens Date Lubbock Police Department Chief Becky Gam Date City of Lubbock Secretary Kelly Rowe Date Lubbock County Sheriff Jaynes Hill Date Ransom Crayon Polka Chief" Trevor Barnes Date slaton Police Chief David Wilson Idalou Police Chief Michael Hobson New Deal Police Chief Cameron Bowman Abernathy police Chief Date Date C,/-�t,L Date 2017 Working Protocols - Lhk Co. Page 15 Michael Neighbors Date Shallowater Police Chief G // /02o / -7z— Dr. kakti Patterson Date TTUHSC Director of Child Abuse Pediatrics Kim Stark Date Lubbock Rape Crisis Center- D.B.A. Voices of Hope Executive Director S awn Vandygriff — • Date Texas Department of Fa ily Protective Services - CPS Regional Director 1 Karla arren Date Texas Department of Family Protective Services - APS Interim District Director Carrie Edwards Date Forensic Nurse Staffing of West Texas Sheri Nugent Date Children's Advocacy Center Board President Derek Danner Date Children's Advocacy Center Executive Director 2017 Working Protocols - Lbk Co. Page 16 Texas Department of Family Protective Services - CPS Regional Director Karla Warren Date Texas Department of Family Protective Services APS Interim District Director az,_ G -- u / /17 Jean Shaw Date Texas Department of Family Protective Services CCL Associate Commissioner Donna Neel Date Forensic Nurse Staffing of West Texas Sheri Nugent Date Children's Advocacy Center Board President Derek Danner Date Children's Advocacy Center Executive Director 2017 Working Protocols - Lbk Co. Page 24 Rick Scott (0 -- (p- ?o r7 Date Wolfforth Police Chief Shallowater Police Chief Dr. Patti Patterson TTUHSC Director of Child Abuse Pediatrics �w K Lubbo �Rape risis Center - D.B.A. Voices of 1-lope Executive Director Shawn Vandygriff Texas Department of Family Protective Services - CPS Regional Director Karla Warren Texas Department of Family Protective Services - APS Interim District Director Jean Shaw Texas Department of Family Protective Services - CCL Associat minissioner. j Be�t3a �ee1• �,px e- � �, � S Forensic Nurse Staffing of West Texas .,a kk-L Sheri Nugent Children's Advocacy Center Board President Date Date Da e Date Date Date Ti" it � 7 Date 113 t.'? Date 2017 Working Protocols - Lbk Co. Page 16 erek Danner Children's Advocacy Center Executive Director Date 2017 Working Protocols - Lbk Co. Page 17