OMB Clearance #1122-0009
Expiration Date / /
U.S. Department of Justice
O ffice on Violence Against Women
Semi-Annual Progress Report for
Safe Havens: Supervised Visitation and Safe Exchange Grant Program
Brief Instructions: This form must be completed for each Safe Havens: Supervised Visitation and Safe Exchange Grant Program (Supervised Visitation) grant received. The grant administrator or coordinator must ensure that the form is completed fully with regard to all grant activities. If the program involves more than one site (either for provision of services or for planning), there will still be only one form completed for each program. Grant partners, however, may complete sections relevant to their portion of the grant. Grant administrators or coordinators are responsible for compiling and submitting a single report that reflects all information collected from grant partners.
All grantees should read each section to determine which items they must answer, based on the activities engaged in under this grant during the current reporting period. Sections A1, B, C2, C3, E, and F of this form must be completed by all grantees. In subsections A2, C1, and C4, and section D, grantees must answer an initial question about whether they engaged in certain activities during the current reporting period. If the response is yes, then the grantee must complete that section or subsection. If the response is no, the rest of that section or subsection is skipped.
For example, if you receive funds to hire staff for the purposes of planning and protocol development, you will complete sections A, B, C2, C3, C4, E, and F (and answer ‘no’ in C1 and D); or if you receive funds to hire staff for services and training, you will complete sections A, B, C1, C2, C3, D, E, F (and answer ‘no’ in C4).
The activities of volunteers or interns should be reported if they are coordinated or supervised by Supervised Visitation Program-funded staff or if Supervised Visitation Program funds substantially support their activities.
For further information on filling out this form, refer to the separate set of instructions, which contains detailed definitions and examples, illustrating how questions should be answered.
SECTION Page Number
Section A: General Information 1
A1 Grant Information 1
A2 Staff Information 3
Section B: Program Activities 4
Section C: Function Areas 5
C1 Training and Staff Development 5
C2 Coordinated Community Response 8
C3 Policies 10
C4 Planning 11
A. GENERAL INFORMATION
A1. Grant information
All grantees must complete this section.
1. Date of report _____________________
2. Current reporting period January 1-June 30 July 1-December 31 (Year)
3. Grantee name
4. Grant number (the federal grant number assigned to your Supervised Visitation Program grant)
5. Type of implementing agency/organization (Check one.)
Court (state or local)
Domestic violence program
Sexual assault program
State government
Supervised exchange center
Supervised visitation center
Supervised visitation and exchange center
Tribal government
Unit of local government
Other (specify):
5A. Is this a faith-based organization? Yes No
6. Grant description (Check all that apply and report the number of sites for each type of grant.)
Type of grant Number of planned sites Number of operational sites
Supervised Visitation Program (development) _________ _________
Supervised Visitation Program (continuation) _________ _________
7. Point of contact (person responsible for the day-to-day coordination of the grant)
First name ____________________MI _____________ Last name__________________________
Agency/organization name
Address
City_________________________________ State___________ Zip Code____________________
Telephone Facsimile
Does this grant specifically address tribal populations? (Check yes if your Supervised Visitation Program grant focuses on tribal populations and indicate which tribes or nations you serve or intend to serve.)
9 . What percentage of your Supervised Visitation Program grant funds was directed to each of these areas? (Report the area[s] addressed by your Supervised Visitation Program grant during the current reporting period and estimate the approximate percentage of funds [or resources] used to address each area. Grantees that are providing visitation and/or exchange services should use the number of cases in each area. Grantees that are in a planning phase should consider services that they anticipate providing.)
Throughout this form, the term sexual assault includes both assaults committed by offenders who are strangers to the victim/survivor and assaults committed by offenders who are known to, related by blood or marriage to, or in a dating relationship with the victim/survivor. The term domestic violence/dating violence applies to any pattern of coercive behavior that is used by one person to gain power and control over a current or former intimate partner or dating partner. Stalking is defined as a course of conduct directed at a specific person that would cause a reasonable person to fear for his or her safety or the safety of others, or suffer substantial emotional distress. Child abuse means a threat to a child’s health or welfare by physical, mental, or emotional injury or impairment, sexual abuse or exploitation, deprivation of essential needs, or lack of protection from these, by a person responsible for the child (or as defined by your state’s statutes.) (See separate instructions for more complete definitions.)
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Percentage of grant funds |
Sexual assault |
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Domestic violence/dating violence |
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Stalking |
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Child abuse |
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TOTAL |
100% |
A 2. Staff information
Were Supervised Visitation Program funds used to fund staff positions during the current reporting period? Check yes if Supervised Visitation Program grant funds were used to pay staff, including part-time staff and contractors.
Yes--answer question 10
No--skip to Section B
10. Staff (Report the total number of full-time equivalent (FTE) staff funded by the Supervised Visitation Program grant during the current reporting period. Report staff by the function(s) performed, not by title or location. Include employees who are part-time and/or only partially funded with these grant funds as well as consultants/contractors. Report grant-funded overtime. If an employee or contractor was employed or utilized for only a portion of the reporting period, prorate appropriately. For example, if you hired a full-time administrator in October who was 100% funded with Supervised Visitation Program funds, you would report that as .5 FTEs. Report all FTEs in decimals, not percentages One FTE is equal to 1,040 hours – 40 hours per week x 26 weeks. See separate instructions for examples of how to calculate and pro-rate FTEs .)
Staff |
FTE(s) |
Administrator (fiscal manager, executive director, project coordinator) |
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Program/center coordinator (training coordinator, visitation services coordinator, volunteer coordinator) |
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Security |
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Supervision staff for visitation and exchange |
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Support staff (administrative assistant, receptionist, bookkeeper, accountant) |
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Trainer |
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Translator/interpreter |
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Victim advocate (non-governmental, includes domestic violence, sexual assault and dual) |
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Other (specify): ___________________________ |
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TOTAL |
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B. PROGRAM ACTIVITIES
11. Program activities (Check all program activities supported with Supervised Visitation Program grant funds during the current reporting period.)
Check ALL that apply |
Program activities |
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Establishment or expansion of supervised visitation and exchange services.
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Development of community-based consulting committees to plan and/or implement visitation and exchange services.
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Development and implementation of policies and procedures regarding security, intake, case referral, record keeping, and confidentiality.
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Enhancement of program services to address special needs of underserved populations.
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Development and implementation of effective training for project staff and volunteers.
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12. Program priorities addressed by your grant (In addition to the program activities identified above, the Supervised Visitation Grant Application and Program Guidelines may have identified program priority areas that would receive priority consideration. If your program addressed any of these priority areas during the current reporting period, list them below.)
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C . FUNCTION AREAS
C1. Training and Staff Development
Were your Supervised Visitation Program funds used for training and/or staff development during the current reporting period? Check yes if Supervised Visitation Program-funded staff provided training or staff development, or if grant funds directly supported the training or staff development.
Yes--answer questions 13-16
No--skip to C2.
For purposes of this reporting form, training means providing information on sexual assault, dating violence, domestic violence, child abuse, and/or stalking that enables professionals to improve their response to victims/survivors as it relates to their role in the system. Staff development is training attended by staff funded under your Supervised Visitation Program grant.
13. Training and staff development events provided (Report the total number of training events and the total number of staff development events provided during the current reporting period with Supervised Visitation Program funds.)
Total number of training events provided (excluding staff development events)
Total number of staff development events provided
14. Number of people trained (Report the number of people trained during the current reporting period by Supervised Visitation Program-funded staff or training supported by Supervised Visitation Program funds. Use the category that is most descriptive of the people who attended the training event. If you do not know how many people to report in specific categories, you may report the overall number in “Multidisciplinary” but this category should be used only as a last resort. Do not include staff funded under your Supervised Visitation Program grant who attended staff development events.)
People trained |
Number |
Advocacy organization staff (NAACP, AARP) |
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Attorneys/law students (does not include prosecutors) |
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Batterer intervention program staff |
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Child welfare workers/children’s advocates |
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Corrections personnel (probation, parole, and correctional facilities staff) |
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Court personnel (judges, clerks, mediation staff) |
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Government agency staff (vocational rehabilitation, food stamps, TANF) |
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Guardians ad Litem |
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Health professionals (doctors, nurses) |
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Law enforcement officers |
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Legal services staff (does not include attorneys) |
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Mental health professionals |
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Multidisciplinary (various disciplines at same training) |
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Prosecutors |
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Sex offender treatment provider |
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Social service organization staff (non-governmental - food bank, homeless shelter) |
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Substance Abuse treatment provider |
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Supervised visitation and exchange center staff (staff not funded under your Supervised Visitation Program grant) |
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Translators/interpreters |
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Tribal government/tribal government agency |
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Victim advocates (non-governmental, includes sexual assault, domestic violence, and dual) |
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Victim assistants (governmental, includes victim-witness specialists/coordinators) |
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Volunteers |
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Other (specify): ____________________________________ |
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TOTAL |
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15. Training content areas (Indicate all topics covered in training events provided with your Supervised Visitation Program funds during the current reporting period. Do not include topics covered in staff development events. See definitions of training and staff development at beginning of subsection C1. Check all that apply.)
Domestic violence, dating violence, sexual assault and child abuse
Advocate response
Child abuse overview, dynamics, and services
Child development
Child protective services
Child witnesses
Custody statutes/codes
Confidentiality
Dating violence overview, dynamics, and services
Domestic violence overview, dynamics, and services
Dynamics relating to non-offending parents and offending parents
Family law
Parenting issues
Resources for families
Safety planning
Sexual assault overview, dynamics, and services
Stalking overview, dynamics, and services
Supervised visitation and exchange
Other (specify):
Justice system
Civil court procedures
Child abuse statutes/codes
Custody statutes/codes
Domestic violence statutes/codes
Expert testimony
Family law
Judicial response
Law enforcement response
Mandatory reporting requirements
Probation response
Protection orders (including full faith and credit)
Sexual assault statutes/codes
Stalking statutes/codes
Supervised visitation and exchange
Other (specify): ____________________
Underserved populations
Issues specific to families who:
are American Indian or Alaska Native
are Asian
are black or African American
are elderly
are Hispanic or Latino
are homeless or living in poverty
are immigrants, refugees, or asylum seekers
are lesbian, gay, bisexual, transgender, or intersex
are Native Hawaiian or other Pacific Islander
have disabilities
have limited English proficiency
have mental health issues
have substance abuse issues
live in rural areas
Other (specify): ___________________
Organization and community issues
Collaboration
Community response to sexual assault
Coordinated community response
Technology
Other (specify): ___________________
16. Number of staff who attended staff development events (Report the number of staff funded under your Supervised Visitation Program grant who attended staff development events.)
Number of people
17. (Optional) Additional information (Use the space below to discuss the effectiveness of the training activities funded or supported by your Supervised Visitation Program grant and to provide any additional information you would like to share about your training activities beyond what you have provided in the data above. An example might include: “The visitation center program director and the children’s program director at the local domestic violence center developed a training curriculum based upon “The Batterer as Parent” by Lundy Bancroft and Jay Silverman. This training was delivered to local professionals, including attorneys, mental health professionals and child protective service workers. Evaluation results showed increased knowledge in the effects of DV on children and how to work with battering parents.”)
C 2. Coordinated Community Response
18. Coordinated community response (CCR) activities (Check the appropriate boxes to indicate the agencies or organizations, even if they are not memorandum of understanding [MOU] partners or consulting committee members, that you provided family referrals to, received referrals from, engaged in consultation with, provided technical assistance to, and/or attended meetings with, during the current reporting period, according to the usual frequency of the interactions. If the interactions were not part of a regular schedule, you will need to estimate the frequency with which these interactions occurred during the current reporting period. If Supervised Visitation Program-funded staff participated in a task force or work group, indicate that under “Meetings” by checking the frequency of the meetings and the types of organizations participating. Indicate which of these agencies/organizations are consulting committee members for your Supervised Visitation Program grant. In the last column, indicate the agencies or organizations with which you have an MOU for the purposes of the Supervised Visitation Program grant.)
If you have a planning grant, report planning meetings, consulting committee members and MOU partners.
Agency/ organization |
Family referrals, consultations, technical assistance |
Meetings |
Consulting committee member |
MOU partner |
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Daily |
Weekly |
Monthly |
Weekly |
Monthly |
Quarterly |
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Advocacy organization (NAACP, AARP) |
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Batterer intervention program |
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Child advocacy program |
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Child protective services |
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Corrections (probation, parole, and correctional facilities) |
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Court |
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Domestic violence program |
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Educational institutions/organizations |
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Faith-based organization |
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Government agency (INS, Social Security, TANF) |
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Health/mental health organization |
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Law enforcement agency |
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Legal organization (legal services, bar association, law school) |
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Prosecutor’s office |
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Sexual assault organization |
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Social service organization (non-governmental) |
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Substance abuse treatment provider |
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Tribal government/Tribal government agency |
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Other (specify): _______________________ |
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18A. Number of communities with improved CCR capacity (Provide the number of communities that have improved their capacity to respond to domestic violence, dating violence, sexual assault, and stalking as a result of the coordinated community response activities described above. For purposes of this question, a community may be defined as a city or town that you serve, but in larger metropolitan areas a “community” may be a neighborhood or borough.)
Number of communities _____________
19. (Optional) Additional information (Use the space below to discuss the effectiveness of CCR activities funded or supported by your Supervised Visitation Program grant and to provide any additional information you would like to share about your CCR activities beyond what you have provided in the data above. An example might include an increase in appropriate referrals to the supervised visitation center from the three local courts following a series of planning meetings of a multi-disciplinary workgroup with membership from judges, domestic violence programs, law enforcement agencies, and the supervised visitation center.)
C 3. Policies
20. Types of policies or protocols developed, substantially revised, or implemented during the current reporting period (Check all the types of policies or protocols developed, substantially revised, or implemented during the current reporting period. Check all that apply.)
Confidentiality
Flexible hours of operation
Income-based fees (sliding scale)
Program does not charge fees
Recordkeeping and report writing
Staff, board, and/or volunteers represent the diversity of your service area
Other (specify):
Appropriate response to underserved populations
Child-friendly (toys, games, appropriate décor)
Court feedback procedures
Courtesy monitoring
Document exchange procedures
Mandatory training on domestic violence, sexual assault, child abuse, and stalking
Out-of-jurisdiction referrals
Parent education program procedures
Service termination
Supervised exchange procedures
Security and safety
Different entrances for parties
Escort for children and custodial parent
Metal detectors
Panic button(s)
Private, secure drop-off locations for children
Private, secure entrances for children and custodial parent
Security guards
Security measures in place (cameras, staff, etc.)
Security staff observations
Staggered arrival/departure times
Other (specify):
21. (Optional) Additional information (Use the space below to discuss the effectiveness of policy development activities funded or supported by your Supervised Visitation Program grant and to provide any additional information you would like to share about your policy development activities beyond what you have provided in the data above. An example might include an increase in the number of families participating in the supervised visitation program following the development and implementation of an income based fee scale.)
C4. Planning
A re you in the planning phase of a Safe Havens Development Grant? Check yes if you have a Supervised Visitation Program development grant and you are in the planning phase. Only those grantees who received a Supervised Visitation Program development grant and who are in the planning phase will answer questions 22-25.
Yes--answer questions 22-25
No--skip to Section D
22. Planning meetings (Report the total number of planning meetings and the total number of people attending planning meetings during the current reporting period.)
Total number of planning meetings |
Total number of people attending |
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23. Planning activities conducted (Check all that apply.)
Conducting needs assessments
Creating goals and objectives
Creating personnel and agency policies
Identifying location(s) for visitation center(s)
Identifying resources
Identifying visitation center models
Other (specify): _____________________________
24. Number of site visits to visitation and/or exchange centers (Report the number of site visits to visitation and/or exchange centers.)
Number of visits
25. (Optional) Additional information (Use the space below to discuss the effectiveness of planning activities funded or supported by your Supervised Visitation Program grant and to provide any additional information you would like to share about your planning activities beyond what you have provided in the data above. An example might include describing the location that has been found for the future visitation center and listing the community resources/members (construction, painting, refurbishing, etc.) that have committed to making the center usable.)
D. Services
26. Number of families served, partially served, and families seeking services who were not served Please do not answer this question without referring to the separate set of instructions for further explanation and examples of how to distinguish among these categories. (Report the following, to the best of your ability, as an unduplicated count for each category during the current reporting period. This means that each family who sought or received services during the current reporting period should be counted only once and in only one of the listed categories. Do not count or report families that do not meet grant eligibility or statutory requirements.)
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Number of families |
A. Served: Families who received the service(s) they requested, if those services were provided under your Supervised Visitation Program grant |
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B. Partially served: Families who received some service(s), but not all of the services they requested, if those services were provided under your Supervised Visitation Program grant |
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TOTAL SERVED and PARTIALLY SERVED (26A +26B) |
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C. Families seeking services who were not served: Families who sought services and did not receive service(s) they needed, if those services were provided under your Supervised Visitation Program grant
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27. Reasons families seeking services were not served or were partially served (Check all that apply. If you check “Party(ies) not accepted into program,” report on the reason[s] in question 28.)
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Reasons not served or partially served |
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Hours of operation |
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Insufficient/lack of culturally appropriate services |
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Insufficient/lack of services for people with disabilities |
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Insufficient/lack of language capacity (including sign language) |
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Party(ies) not accepted into program |
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Program reached capacity |
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Program rules not acceptable to party(ies) |
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Services inappropriate or inadequate for people with substance abuse issues |
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Services inappropriate or inadequate for people with mental health issues |
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Services not appropriate for party(ies) |
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Transportation |
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Other (specify): ______________________________________________________ |
28. Number of families not accepted into program and reasons (Report the total number of families who were not accepted into the program during the current reporting period by the reason they were not accepted.)
Reason |
Number of families declined |
Conflict of interest |
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Client unwilling to agree with program rules |
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Too dangerous |
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Other (specify): ____________________________ |
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Total |
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29. Demographics of family members served or partially served (Report the numbers of parents and children served. These numbers should be based on the individuals in the families counted in question 26A and 26B. Because individuals may identify in more than one category of race/ethnicity, the total for “Race/Ethnicity” may exceed the total number of victims/survivors reported in 26A and 26B. However, the total number of victims/survivors reported under Race/Ethnicity should not be less than the total number of victims/survivors reported in 26A and26B. The total number of victims/survivors reported under “Gender” and the total number reported under “Age” should equal the total number of victims/survivors reported in 26A and 26B. Those victims/survivors for whom gender, age, and/or race/ethnicity are not known should be reported in the “unknown” category.)
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Custodial parents |
Non-custodial parents |
Children |
Race/ethnicity (individuals should not be counted more than once in either the category “American Indian and Alaska Native” or in the category “ Native Hawaiian and other Pacific Islander” ) |
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Black or African American |
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American Indian and Alaska Native |
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Asian |
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Native Hawaiian and other Pacific Islander |
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Hispanic or Latino |
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White |
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Unknown |
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TOTAL RACE/ETHNICITY (should not be less than the sum of 26A and 26B) |
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Gender |
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Female |
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Male |
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Unknown |
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TOTAL (should equal the sum of 26A and 26B) |
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Age |
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0 to 6 |
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7 to 12 |
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13 to 17 |
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18 to 24 |
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25 to 59 |
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60+ |
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Unknown |
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TOTAL (should equal the sum of 26A and 26B) |
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Other demographics |
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People with disabilities |
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People with limited English proficiency |
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People who are immigrants/refugees/asylum seekers |
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People who live in rural areas |
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30. Number of families by primary victimization and referral source (Report the number of families by primary type of victimization and referral source. This is an unduplicated count and each family should only be counted once. This should equal the sum of 26A and 26B. Refer to the separate set of instructions for further explanation and examples.)
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Total number of families |
Sexual assault |
Domestic violence/ dating violence |
Stalking |
Child abuse |
Total |
Referral Source |
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Child welfare agency |
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Other social services |
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Criminal court order |
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Family court order |
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Juvenile court order |
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DV Court order |
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Protection order |
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Other civil court order |
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Mediation services |
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Self-referral |
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Other (specify): ________ |
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TOTAL |
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31. Family issues (Report all of the issues identified for each family, including victimization and other problems or challenges.) The column “total number of families” should equal the sum of 26A and 26B and should be identical to the numbers in the “total number of families” column reported in question 30. Multiple victimizations and problems may be reported for each family.)
Total number of families |
Sexual assault |
Domestic violence |
Stalking |
Child abuse |
Emotional abuse |
Substance abuse |
Threat of parental abduction |
Mental illness |
Homelessness |
Violation of court orders |
Other (specify): |
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32. Services provided with Supervised Visitation Program funds (Report the number of families receiving each of these services and the number of times the services were provided during the current reporting period. See separate instructions for examples and for the definition of therapeutic supervision.)
Type of service |
Number of families |
Number of times services provided |
Group supervision |
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One-to-one supervision |
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Supervised exchange |
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Telephone monitoring |
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Other (specify): __________ |
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33. Visits terminated (Document each supervised visitation that is terminated for any reason. Report the total number of visits terminated during the current reporting period. See definition of terminated in the separate instructions.)
Reason |
Total occurrences |
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Custodial |
Non-custodial |
Child |
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Child’s request |
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Non-compliance with program rules |
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No-shows |
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Parent’s request |
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Other (specify): ________________________________ |
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TOTAL |
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34. Safety and security problems (Report the number of safety and security problems, including the number of parental abduction cases that occurred during supervised visitation and/or supervised exchange funded under the Supervised Visitation Program grant during the current reporting period.)
Safety or security problem |
Number of occurrences |
Attempted parental abductions |
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Attempted to contact other party |
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Parental abductions |
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Security staff unavailable |
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Threats |
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Violence |
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Violation of protection order |
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Other (specify): ____________________________ |
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TOTAL |
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35. Services terminated or completed (Report the number of families whose services were terminated or completed during the current reporting period. Report the family by the primary reason.)
Reason terminated or completed |
Number of families |
Cessation of threats/use of violence |
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Change in court order |
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Child refuses to participate |
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Deceased |
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Deported |
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Habitual non-compliance with program rules |
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Habitual no-shows or cancellations |
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Incarcerated |
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Moved |
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Mutual agreement of both parties |
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Parent completed treatment program |
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Supervisor's discretion |
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Unknown |
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Other (specify): _______________________ |
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TOTAL |
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36. (Optional) Additional information (Use the space below to discuss the effectiveness of services funded or supported by your Supervised Visitation Program grant and to provide any additional information you would like to share about services beyond what you have provided in the data above. An example might include the results of an internal survey that shows that custodial parents feel increased safety for themselves and their children due to the services and safety measures available at your visitation center.)
E . COMMUNITY MEASURES
37. Parental abductions (Report the number of parental abduction cases, identified through criminal prosecution and custody violation court records, that occurred in the judicial districts that routinely use your supervised visitation and/or exchange center[s] during the current reporting period.)
Number of parental abductions |
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Criminal |
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Civil |
38. Limitations (If the information provided in question 37 is limited in any way, describe the efforts you made to obtain that information, the reasons for the limitations, and what steps you are taking to address those limitations. For example, if the data includes non-parental abductions, and/or if your jurisdiction’s data collection methods do not provide information on parental abductions, and/or if you have begun to implement different data collection tools, please report that here.)
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All grantees must answer question 39.
Please limit your response to four pages.
39. Report on the status of your Supervised Visitation grant goals and objectives as of the end of the current reporting period. (Using Appendix A as a guide, report on the status of the goals and objectives for your grant as of the end of the current reporting period, as they were identified in your grant proposal or as they have been added or revised. Indicate whether the activities related to your objectives for the current reporting period have been completed, are in progress, are delayed, or have been revised. Comment on your successes and challenges, and provide any additional explanation you feel is necessary for us to understand what you have or have not accomplished relative to your goals and objectives. If you have not accomplished objectives that should have been accomplished during the current reporting period, you must provide an explanation.)
All grantees must answer questions 40 and 41 on an annual basis. Submit responses on the January to June reporting form only.
Please limit your response to two pages for each question.
40. What do you see as the most significant areas of remaining need, with regard to improving services to victims/survivors of sexual assault, domestic violence, dating violence and stalking, increasing the safety of families and enhancing community response (including offender accountability for both batterers and sex offenders?) (Consider geographic regions, underserved populations, service delivery systems, types of victimization, and challenges and barriers unique to your state or service area.)
41. What has the Supervised Visitation Program funding allowed you to do that you could not do prior to receiving this funding? (e.g. expand hours, develop new services and/or programs, build partnerships, and provide additional security)
Questions 42 and 43 are optional.
Please limit your response to two pages.
42. Provide any additional information that you would like us to know about your Supervised Visitation Program grant and/or the effectiveness of your grant. (If you have other data or information regarding your program that would more fully or accurately reflect the effectiveness of your Supervised Visitation Program other than the data you have been asked to provide on this form, answer this question. If you have not already done so elsewhere on this form, feel free to discuss any of the following: policies, and/or protocols, community collaboration, the removal or reduction of barriers and challenges for families, promising practices, positive or negative unintended consequences, and parental abductions.)
43. Provide any additional information that you would like us to know about the data submitted. (If you have any information that could be helpful in understanding the data you have submitted in this report, please answer this question. For example, if you submitted two different progress reports for the same reporting period, you may explain how the data was apportioned to each report; or if you funded staff but did not report any corresponding services you may explain why; or if you did not use program funds to support either staff or activities during the reporting period, please explain how program funds were used, if you have not already done so.)
Public Reporting Burden
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. We try to create forms and instructions that are accurate, can be easily understood, and which impose the least possible burden on you to provide us with information. The estimated average time to complete and file this form is 60 minutes per form. If you have comments regarding the accuracy of this estimate, or suggestions for making this form simpler, you can write to the Office on Violence Against Women, U.S. Department of Justice, 810 7th Street, NW, Washington, DC 20531.
File Type | application/msword |
File Title | VIOLENCE AGAINST WOMEN OFFICE |
Author | JAtkins |
Last Modified By | Anita St. Onge |
File Modified | 2008-04-28 |
File Created | 2008-04-28 |