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Trying to differentiate between past behaviors and patterns, and whether they will continue without intervention.

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Trying to differentiate between past behaviors and patterns, and whether they will continue without intervention.

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Be forward thinking- assess what is happening or is likely to occur rather than previous incidents 

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Be forward thinking- assess what is happening or is likely to occur rather than previous incidents 

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The comments about drug use are more about the parents ability to perform parental duties than whether it is sever harm

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The comments about drug use are more about the parents ability to perform parental duties than whether it is sever harm

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Some of the concerns are focused on vulnerability rather than the severity of the harm. 

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Some of the concerns are focused on vulnerability rather than the severity of the harm. 

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I have experienced difficulty in the past with a few particular cases in which I believed that the child's basic needs were being met and I couldn't indicate severe harm was likely, however, it was likely that the neglect the child was experiencing would have negative results on that child as they grew older. I wanted to be able to prove that their brain functioning and emotional well-being depended on what they weren't receiving now as an infant but it wasn't going to impact them soon enough to be considered "foreseeable future". 

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I have experienced difficulty in the past with a few particular cases in which I believed that the child's basic needs were being met and I couldn't indicate severe harm was likely, however, it was likely that the neglect the child was experiencing would have negative results on that child as they grew older. I wanted to be able to prove that their brain functioning and emotional well-being depended on what they weren't receiving now as an infant but it wasn't going to impact them soon enough to be considered "foreseeable future". 

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I used to struggle with this one when there wasn't some sort of injury or physical condition that resulted from the maltreatment. The idea that it could be an emotional or psychological condition means that it might be harder to identify.

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I used to struggle with this one when there wasn't some sort of injury or physical condition that resulted from the maltreatment. The idea that it could be an emotional or psychological condition means that it might be harder to identify.

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Reading this section reminded me that severe harm is not just physical in nature but can be emotional harm as well.

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Reading this section reminded me that severe harm is not just physical in nature but can be emotional harm as well.

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Need to look at each child and their circumstances (vulnerability)

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Need to look at each child and their circumstances (vulnerability)

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Important to remember all types of severe harm.

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Important to remember all types of severe harm.

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Sometimes I struggle with this one, especially for neglect cases. It can also be challenging to determine harm when children are older and able to meet many of their own needs.

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Sometimes I struggle with this one, especially for neglect cases. It can also be challenging to determine harm when children are older and able to meet many of their own needs.

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With this, it is helpful to remind myself to look at the vulnerability of the child and how severe harm could actually occur.

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With this, it is helpful to remind myself to look at the vulnerability of the child and how severe harm could actually occur.

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If I focus too much on severe harm , I may miss the pain a child is experiencing or minor harm that has/or will occur. Also it is a good reminder to access all children in the home and that each child may be at different risk.

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If I focus too much on severe harm , I may miss the pain a child is experiencing or minor harm that has/or will occur. Also it is a good reminder to access all children in the home and that each child may be at different risk.

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I think it is a good reminder to look at each child individually when determining harm. It is also important that it is not just physical harm but also fear and pain.

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I think it is a good reminder to look at each child individually when determining harm. It is also important that it is not just physical harm but also fear and pain.

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Good reminder to really look at the vulnerability of each child when thinking of the level of severe harm.

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Good reminder to really look at the vulnerability of each child when thinking of the level of severe harm.

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Severe is tricky for me as it is tough to differentiate between what causes "minor harm" or "sever harm".

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Severe is tricky for me as it is tough to differentiate between what causes "minor harm" or "sever harm".

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Make sure to look at Severe harm as it relates to ALL children in home or who have access to the home

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Make sure to look at Severe harm as it relates to ALL children in home or who have access to the home

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A parent's drug use is tricky with this category and I don't think it is often articulated well.

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A parent's drug use is tricky with this category and I don't think it is often articulated well.

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ThoughtfulI think it is easy for people to just utilize the definition of "severe harm" as the explanation in the safety assessment and not actually explain how the specific observable condition is severe for the specific family. I think this section needs to be written with care and thoughtfulness in order to truly assess whether this threat could cause severe harm to the child/family.

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ThoughtfulI think it is easy for people to just utilize the definition of "severe harm" as the explanation in the safety assessment and not actually explain how the specific observable condition is severe for the specific family. I think this section needs to be written with care and thoughtfulness in order to truly assess whether this threat could cause severe harm to the child/family.

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Not just what happenedIt’s important to put more than what did happen (I.e the child sustained a significant injury) and comment more broadly on what could happen.

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Not just what happenedIt’s important to put more than what did happen (I.e the child sustained a significant injury) and comment more broadly on what could happen.

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Too often make general statements about household instead of harm on an individual basis.

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Too often make general statements about household instead of harm on an individual basis.

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Determining if there is severe harm for ALL of the children in the home is important.

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Determining if there is severe harm for ALL of the children in the home is important.

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We often need other professionals input for this, such as from medical/MH staff as we are not able to diagnosis or even give a strong medical/MH opinion.

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We often need other professionals input for this, such as from medical/MH staff as we are not able to diagnosis or even give a strong medical/MH opinion.

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Consider the nature and how each child could be harmed.

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Consider the nature and how each child could be harmed.

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Severe harm can be different for each child in a home. It is important to remember severe harm applies to more than just physical abuse.

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Severe harm can be different for each child in a home. It is important to remember severe harm applies to more than just physical abuse.

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When it comes to Severe Harm, when i am stuck i ask for coworkers and supervisors to have a staffing. It helps to hear from peers their thoughts on a situation. Defining severe can be tough as well, every child is different and when i hear the word severe i think of death and or life threatening injuries.

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When it comes to Severe Harm, when i am stuck i ask for coworkers and supervisors to have a staffing. It helps to hear from peers their thoughts on a situation. Defining severe can be tough as well, every child is different and when i hear the word severe i think of death and or life threatening injuries.

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It is important to think about the definition of severe harm because the threshold is pretty high.

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It is important to think about the definition of severe harm because the threshold is pretty high.