Child abuse cases



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PROCEDURAL GUIDE

FOR

HANDLING



CHILD ABUSE CASES

Revised 2015



This Procedural Guide is to provide guidance to serve the best interests of children. Professionals should follow this Procedural Guide when suspected child abuse is identified in their daily work.



FOREWORD
Every child has a right to protection against all forms of abuse and exploitation. To ensure that the abused children could receive proper care and protection, the input of special expertise and multi-disciplinary effort among various professionals is required and significant. The skills and practices in handling child abuse should also be refined constantly over time.
The Procedural Guide for Handling Child Abuse Cases (Procedural Guide) has been reviewed and revised for a number of times. The last version was endorsed by the Committee on Child Abuse (CCA) at its meeting on 20 December 2007. After then, updating of minor changes in factual information has been done by the Social Welfare Department (SWD) with input from the professionals concerned.
Among the procedures for handling child abuse cases / suspected child abuse cases, the mechanism of holding a Multi-disciplinary Case Conference on Child Abuse for formulation of welfare plan to protect the children and assist the families has been in place for years. Frontline social workers had also reported certain concerns which they encountered when conducting the Multi-disciplinary Case Conference on Child Abuse. It was time for a review on its operation for further enhancement so that the mechanism could be more effective in protecting the children and safeguarding their welfare.
In January 2013, a Task Group on the Review of Multi-disciplinary Case Conference on Child Abuse (Task Group) under the CCA was set up to review its operation and arrangement. With thorough discussion amongst members of the Task Group and three rounds of consultations conducted with stakeholders, the Task Group recommended that the “Multi-disciplinary Case Conference on Child Abuse” be remaned as “Multi-disciplinary Case Conference on Protection of Child with Suspected Abuse” (MDCC) and has re-wirtten Chapter 11 of the Procedural Guide concerning the MDCC. Besides, revisions and enhancements have been made in contents of some other chapters including Chapter 3 and other chapters regarding invoking Protection of Children and Juveniles Ordinance, Chapter 4 regarding information sharing and Chapter 8 regarding social enquiry/investigation. Updating of some appendices has also been made. The revised version was endorsed by the CCA at its meeting on 7 October 2015 and is to be implemented on 28 December 2015.

Social Welfare Department



December 2015

C O N T E N T S








Page

Section I

Introduction




Chapter 1

Aim, Beliefs and Principles

1










Section II

Basic Knowledge




Chapter 2

Understanding of Child Abuse


3

Chapter 3

Legal Aspects


  • Annex I - Ordinances and Offences related to Child Protection and Child Abuse in Hong Kong

  • Annex II - Frequently Asked Questions about the Application of the Ordinances relating to Child Protection and Child Abuse

  • Annex III - Definition of Child and Juvenile under Different Legislations

16

Chapter 4

Information Sharing and Confidentiality


  • Annex I - Medical Practitioners and Confidentiality Issues

  • Annex II - Clinical Psychologists and Confidentiality Issues

  • Annex III - Social Workers and Confidentiality Issues

  • Annex IV – Personal Data and Data Protection Principles

  • Annex V - Sample Letter on Request for Personal Data from Other Data Users In Respect of Persons Subject / Relating to a Suspected Child Abuse Case (Consent from data subject for release of data is not available)

  • Annex VI - Frequently Asked Questions about Information Sharing and Confidentiality Issues

32

Section III

Multi-disciplinary Collaboration




Chapter 5

Case Manager and Multi-disciplinary Collaboration


52

Chapter 6

Initial Handling of Reports / Referrals

54

Chapter 7

Initial Assessment and Referral Procedures

57










Section IV

Handling of Referrals / Enquiry / Investigation





Chapter 8

Social Enquiry / Investigation

  • Annex I - Multi-disciplinary Case Conference on Protection of Child with Suspected Abuse -- Leaflet for Children

  • Annex II - Multi-disciplinary Case Conference on Protection of Child with Suspected Abuse -- Leaflet for Adolescents

  • Annex III - Social Enquiry / Investigation and Multi-disciplinary Case Conference on Protection of Child with Suspected Abuse -- Leaflet for Parents

  • Annex IV – Triangle chart for the Assessment of Children in Need and their Families

  • Annex V - Social Enquiry Report for Multi-disciplinary Case Conference on Protection of Child with Suspected Abuse

62

Chapter 9

Medical Examination

88

Chapter 10

Joint Investigation - Early consultation, Strategy Planning, Investigation interview and Immediate Case Assessment

94

Chapter 11

Multi-disciplinary Case Conference on Protection of Child with Suspected Abuse (MDCC)

  • Annex I - Sample Letter for Cases with MDCC not Conducted

  • Annex II - Reference Kit for Chairperson of MDCC

  • Annex IIA - Checklist for Chairpersons of MDCC

  • Annex III - Sample Invitation Letter for MDCC

  • Annex IV - Sample Feedback Form for Family Participation in MDCC (For Special Arrangement only)

  • Annex V - Introductory Remark in Relation to Personal Data (Privacy) Ordinance, Cap 486 by the Chairperson of MDCC

  • Annex VI - Sample Notes of MDCC

  • Annex VII - Sample Letter to Parents after MDCC

  • Annex VIII - Sample Report on Implementation of Welfare Plan

  • Annex IX - Frequently Asked Questions about MDCC

112

Chapter 12

Follow-up Service

169

Chapter 13

Victim Management Before Court Hearing and Post Abuse Therapeutic Service

172










Section V

Roles of Relevant Departments / Organisations






Roles of Social Service Units




Chapter 14

Family and Child Protective Services Units (FCPSUs)

178

Chapter 15

Integrated Family Service Centres (IFSCs) & Integrated Services Centres (ISCs)

182

Chapter 16

Medical Social Services Units

185

Chapter 17

Children and Youth Services

188

Chapter 18

Clinical Psychological Service

191



Roles of Health Service




Chapter 19

Clinics (Department of Health)

197

Chapter 20

Hospitals / Clinics (Hospital Authority)

201

Chapter 21

Child Psychiatry Service

206



Roles of Other Departments / Organisations




Chapter 22

Residential Child Care Service, Day Child Care Service and Special Child Care Service

210

Chapter 23

Educational Services

(Kindergartens, Kindergarten-cum-Child Care Centres, Primary Schools, Secondary Schools and Special Schools)

213

Chapter 24

Police

  • Annex I - Memo on Suspected Child Abuse Case Report

  • Annex II - Memo on Referral for Family and Child Protective Services

217

Chapter 25

Housing Department

227

Chapter 26

Other Departments, Organisations and Individual Practitioner

229










Section VI

Handling of Allegations against Staff





Chapter 27

Allegations against Staff, Carers amd Volunteers

231




Membership List of Task Group on Review of Multi-disciplinary Case Conference on Child Abuse

Appendices


Appendix I

Definition of Known Cases of Welfare Organisations

Appendix IIA

Chart on Referrals of Suspected Child Sexual Abuse / Serious Physical Abuse Cases

Appendix IIB

Chart on Procedures for Handling Suspected Child Sexual Abuse / Serious Physical Abuse Cases

Appendix IIIA

Chart on Referrals of Other Forms of Suspected Child Abuse Cases (Other Than Child Sexual Abuse and Serious Physical Abuse Cases)

Appendix IIIB

Chart on Procedures for Handling Other Forms of Suspected Child Abuse Cases (Other Than Child Sexual Abuse and Serious Physical Abuse Cases)

Appendix IV

Guide to People Working with Children Who Disclose Sexual Abuse

Appendix V

Key to Making Referrals to Child Protection Special Investigation Team (CPSIT) for Cases falling under Charter of CAIU

Appendix VI

Information Sheet on Child Protection Registry (CPR)

Annex 1 -

CPR Form I

(Initial Registration / Reporting Changes)



Annex 2 -

CPR Form II

(Data Input Form)



Annex 3A -

CPR Form IIIA

(Case Updating Form)



Annex 3B -

CPR Form IIIB

(Reporting Transfer Form)



Annex 4 -

CPR Form IV

(De-registration / Extension of Registration)





Appendix VII

 List of Social Work Officers of Family and Child Protective Services Units (SWO/FCPSU) and SWD Senior Clinical Psychologists (SCP)

Appendix VIII

 List of Police Duty Controllers

Appendix IX

Report Form for Reporting Suspected Child Abuse Cases to Police

Appendix X

Written Dated Notes

Appendix XI

 List of Designated Paediatric Department within Hospital Authority Hospitals

Appendix XII

Flow Chart on Procedures for Handling Suspected Child Abuse Cases

Appendix XIII

Record of Strategy Planning

Appendix XIV

Summary of the Phased Approach (Extracted from Memorandum of Good Practice)

Appendix XV

Immediate Case Assessment

Appendix XVI

Guidance for Paediatric Wards, A&E Department and Staff involved with Child Abuse

Appendix XVII

Summary of Handling Procedures of Child Sexual Abuse Cases for Medical Officers

Appendix XVIII

Index of Direct Disclosure and Three Levels of Suspicious Child Sexual Abuse Cases for Medical Officers

Appendix XIX

 List of Child Psychiatry Teams

Appendix XX

 List of Offices of Education Bureau

Appendix XXI

Witness Support Programme for Child Witnesses

Appendix XXII

 List of District Police Stations

Appendix XXIII

 List of Family and Child Protective Services Units / Integrated Family Service Centres / Integrated Services Centres of Social Welfare Department and Non-governmental Organisations


List of Abbreviations








AED

Accident and Emergency Department

CAIU

Child Abuse Investigation Unit

CCTV

Closed Circuit Television

CP

Clinical psychologist

CPR

Child Protection Registry

CPSIT

Child Protection Special Investigation Team

CP

Clinical Psychologist

DH

Department of Health

DSW

Director of Social Welfare

DCRVO

Domestic and Cohabitation Relationships Violence Ordinance

EDB

Education Bureau

FCPSU

Family and Child Protective Services Unit

FPM

Force Procedures Manual

FAQ

Frequently asked questions

HA

Hospital Authority

ICYSC

Integrated Children and Youth Services Centre

IFSC

Integrated Family Service Centre

ISC

Integrated Services Centre

MCCA

Medical Coordinator on Child Abuse

MDCC

Multi-disciplinary Case Conference on Protection of Child with Suspected Abuse

MO

Medical Officer

MOGP

Memorandum of Good Practice

MSSU

Medical Social Services Unit

MSW

Medical Social Worker

NGO

Non-governmental Organisation

OC Case

Officer-in-charge of the case

PCJO

Protection of Children and Juveniles Ordinance

PD(P)O

Personal Data (Privacy) Ordinance

SOPC

Specialist Out-patient Clinic

SWD

Social Welfare Department

SWO

Social Work Officer


SECTION I

INTRODUCTION
CHAPTER 1
Aim, Beliefs and Principles


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