DJJ Form RC8050-2 "Screening for Vulnerability to Victimization and Sexually Aggressive Behavior (Vsab)" - Florida

What Is DJJ Form RC8050-2?

This is a legal form that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2015;
  • The latest edition provided by the Florida Department of Juvenile Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DJJ Form RC8050-2 by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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Download DJJ Form RC8050-2 "Screening for Vulnerability to Victimization and Sexually Aggressive Behavior (Vsab)" - Florida

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EXHIBIT A
RC 8050-2
Revised Oct 2015
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
S cr e eni ng fo r Vu ln er abi lit y t o V i ct i miz at i o n
and Se xu al l y Ag g re s siv e Beh av i or ( V S AB )
Results:
Youth’s Name
Yes No
DJJ ID#
Sex
Race
DOB
Vulnerable to Victimization
Facility/Program
Sexually Aggressive
Current Charge(s)
I.
Vulnerability to Victimization:
Youth Interview:
1.
Experience in Institutions
Ask: Is this your first time in a DJJ facility?
(If youth has served time for previous offenses score 0)
Score
0
NO
SCORE
2
YES
SCORE
2.
Social Skills
Lead in with: How do you feel about being in a facility with so many other juvenile justice youths?
Then ask:
Do you feel you get along well with other people?
Yes/No
(Yes score 0, No score 1)
Do you find it easy to make friends?
Yes/No
(Yes score 0, No score 1)
Do you feel OK about being in groups of people you don’t know well?
Yes/No
(Yes score 0, No score 1)
Award a score of 1 for each No answer.
Score (0 – 3)
3.
Perception of Risk
Ask: Do you feel at risk from attack or abuse from other youths?
For example, have you received threats, insults or harassment from other youths?
Prompt with options if necessary
0
NOT AT ALL
SCORE
1
SOMETIMES
SCORE
2
OFTEN
SCORE
If sometimes or often, ask for more details and note youth’s statements below:
Ask: Do you identify yourself as being lesbian, gay, bisexual, transgender or intersex?
Score
0
NO
SCORE
2
YES
SCORE
4.
History of Victimization
Ask: Have you ever been attacked, bullied or abused by people your own age (peers)?
Prompt with options if necessary
0
NEVER
SCORE
2
A FEW TIMES
SCORE
4
OFTEN
SCORE
Ask: Have you ever been sexually victimized or abused?
0
NO
SCORE
If yes, ask if this information was reported to the Abuse Registry
and law enforcement. If the youth reports abuse that has never
4
YES
SCORE
been reported, a report must be made to the Abuse Registry.
The following items should be answered on the basis of judgment, observation and file review or other
)
collateral information (e.g., discussion with parent/guardian or foster care worker
5. Age of Youth
16, 17, 18 years
0
SCORE
13, 14, 15 years
1
SCORE
11 or 12 years
2
SCORE
10 years or below
3
SCORE
EXHIBIT A
RC 8050-2
Revised Oct 2015
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
S cr e eni ng fo r Vu ln er abi lit y t o V i ct i miz at i o n
and Se xu al l y Ag g re s siv e Beh av i or ( V S AB )
Results:
Youth’s Name
Yes No
DJJ ID#
Sex
Race
DOB
Vulnerable to Victimization
Facility/Program
Sexually Aggressive
Current Charge(s)
I.
Vulnerability to Victimization:
Youth Interview:
1.
Experience in Institutions
Ask: Is this your first time in a DJJ facility?
(If youth has served time for previous offenses score 0)
Score
0
NO
SCORE
2
YES
SCORE
2.
Social Skills
Lead in with: How do you feel about being in a facility with so many other juvenile justice youths?
Then ask:
Do you feel you get along well with other people?
Yes/No
(Yes score 0, No score 1)
Do you find it easy to make friends?
Yes/No
(Yes score 0, No score 1)
Do you feel OK about being in groups of people you don’t know well?
Yes/No
(Yes score 0, No score 1)
Award a score of 1 for each No answer.
Score (0 – 3)
3.
Perception of Risk
Ask: Do you feel at risk from attack or abuse from other youths?
For example, have you received threats, insults or harassment from other youths?
Prompt with options if necessary
0
NOT AT ALL
SCORE
1
SOMETIMES
SCORE
2
OFTEN
SCORE
If sometimes or often, ask for more details and note youth’s statements below:
Ask: Do you identify yourself as being lesbian, gay, bisexual, transgender or intersex?
Score
0
NO
SCORE
2
YES
SCORE
4.
History of Victimization
Ask: Have you ever been attacked, bullied or abused by people your own age (peers)?
Prompt with options if necessary
0
NEVER
SCORE
2
A FEW TIMES
SCORE
4
OFTEN
SCORE
Ask: Have you ever been sexually victimized or abused?
0
NO
SCORE
If yes, ask if this information was reported to the Abuse Registry
and law enforcement. If the youth reports abuse that has never
4
YES
SCORE
been reported, a report must be made to the Abuse Registry.
The following items should be answered on the basis of judgment, observation and file review or other
)
collateral information (e.g., discussion with parent/guardian or foster care worker
5. Age of Youth
16, 17, 18 years
0
SCORE
13, 14, 15 years
1
SCORE
11 or 12 years
2
SCORE
10 years or below
3
SCORE
Youth’s Name
DJJ ID#
6. Intellectual Impairment
From the file review and face sheet note any evidence that this person has been previously reported to have an intellectual impairment (Low
IQ). This may include reference to contacts with organizations for those with developmental disabilities, having been in “special classes” at
school, assessments included as part of psychiatric or psychological reports or community probation reports (PACT).
No evidence
0
SCORE
Evidence
2
SCORE
7. Mental Health Issues
Does case file (including PACT, Face sheet) indicate that youth has had a prior mental health or mental disability diagnosis?
No evidence
0
SCORE
Evidence
2
SCORE
8. “Lack of fit” with juvenile justice facility culture
This item requires a judgment by the screener that this youth is unlikely to “fit in” within the mainstream juvenile offender culture.
(Place a check  in applicable box)
Look for features of the youth’s physical appearance such as:
Small build
Impaired vision (requires glasses)
Pronounced disfigurement
Physical disability
Deaf
Appears frail, weak
Look for features of the youth’s presentation and behaviors such as:
Inappropriate verbal behavior (e.g., giggling, odd remarks)
Inappropriate physical behavior (boys wearing makeup, sexual behavior)
Hunched fearful posture (e.g., very fearful, very shy)
Obvious effeminate behavior
Speech impediment
Appears slow or “dull”
Behaviors that are likely to irritate and annoy other youths (e.g., immature, silly)
Behaviors that appear related to mental illness (jittery, crying, bizarre)
Any gender nonconforming appearance or manner or identification as lesbian, gay, bisexual, transgender,
or intersex
Look for features of the youth which make him or her standout such as:
Having a lack of exposure to criminal lifestyle
Being from a minority not well represented in the offender population
Membership in a gang that is likely to be a target of attack from others
Note other features not listed above:
None or only one feature
0
SCORE
Two or three features
2
SCORE
Multiple features (Four or more features)
4
SCORE
ITEMS 1-8
TOTAL SCORE
Collateral Information:
1.
Review all available file information. Where possible ensure that Probation and Community Corrections reports, judges sentencing
notes, and any psychiatric or psychological reports written for the court or DJJ are obtained and reviewed.
2.
Contact Parent/Guardian or Foster Care Worker and question using the guidelines below:
Introduce yourself – saying who you are and where you are from.
a.
Explain the purpose of your contact with them. For example, “This is John Smith of ---- Facility/Program. I have the permission of
b.
[youth] to speak with you as part of his/her intake screening. I mainly want to find out if you have any concerns about [youth] and if
you believe he/she is at any risk while he/she is in the facility/program”.
c.
The aim is to engage the significant other in a general discussion focusing on the areas assessed by the items in the main body of
the scale. It is important that at some stage you gain answers to the following:
How do you feel [youth] will cope in the juvenile justice facility?
Do you believe that [youth] will be able to look after himself/herself in the juvenile justice facility? (If not, note why not
below) )
To your knowledge has [youth] ever been the victim of attacks, bullying or other victimization in the past?
Is there any history of mental health issues concerning youth which would place them at risk of being bullied or harmed in
a facility?
Parent/Legal Guardian’s statements
:
Youth’s Name
DJJ ID#
3.
Areas to Cross-check in File Review
a.
First time incarcerated?
b.
Any other experience in secure institutions?
c.
Social skills (gets along with others, easy to make friends, ok in groups?)
d.
History of victimization by peers?
e.
Sexual offenses?
f.
Intellectual impairment (Low IQ, Special Classes in School)?
g.
Mental illness? (Contact with psychiatrist, psychologist or other mental health professional in last year?)
Vulnerability to Victimization Scoring:
(Add the scores of items 1-8 above. Amend scores obtained in youth interview when increased
risk of vulnerability is reflected by collateral information [parent interview or file review]. Amendments should only be made to increase a score
as a result of collateral information) If the total score is twelve (12) or higher, denote the youth as “Vulnerable to Victimization” in
appropriate box at top of page one.
OVERRIDE DUE TO SEVERE DISABILITY
(Regardless of the total score above, any youth that exhibits behaviors which suggest
that he/she is incapable of caring for himself or herself in a juvenile justice setting due to severe developmental disability (mental retardation),
severe mental illness or severe physical handicap must be denoted as Vulnerable to Victimization.) Place a check in the “Override Due to
Severe Disability” box and denote the youth as Vulnerable to Victimization in the appropriate box at the top of page one.
OVERRIDE DUE TO SAFETY CONCERN –
Screening observations indicate youth is at risk for victimization.
Explain in detail:
II.
Sexually Aggressive Behavior:
File Review / Face Sheet Review:
Does file indicate the youth has been previously charged with a sex offense?
N
O
Y
ES
Any information suggests prior sexual aggression or sexual victimization of others?
N
O
Y
ES
Sexually Aggressive Behavior:
“Yes” or collateral information [parent interview or file review] indicates “Yes” to sexual aggression, sexual assault or sexual
victimization of others, denote the youth as sexually aggressive in appropriate box on page one.
Recognizing the potential risks of relying solely on an initial assessment, standard §115.341 requires facilities to
“reassess the youth’s risk of victimization or abusiveness based upon any additional, relevant information received by the
facility since the intake screening” within “a set time period, not to exceed 30 days from the youth’s arrival at the
facility.” While the Standards require that youth be re-evaluated within 30 days, it may be more appropriate to re-evaluate
more frequently, especially early in a youth’s detention or residential placement.
Signature of Screener:
Date:
Time:
Reviewed by staff
making room
assignment:
Date:
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