<> To report child abuse, call the CPS Central Intake Center at 1-855-422-4453. Legal Options and Rights. North Dakota Child Protection Program REPORT Suspected Child Abuse and Neglect. <> 1 0 obj Department of Health and Human Services. .P e$ 3210r>@ ]H % =C~rO~:C9rRQ]5$d1% > M*xYaX\s@4wFG5V>K,tG9V9XTfca;l2%s=P^T Yes No ( If yes, Intake ID # ( If no, contact Centralized Intake (855-444-3911) immediately INSTRUCTIONS: REPORTING PERSON: Complete items 1-19 (20-28 should be completed by medical personnel, if applicable). %PDF-1.7 endobj %PDF-1.7 endstream endobj 57 0 obj <>stream Remote. 9fp |#A{=EU-ENT%Q;iQ%I#@ kw1TqQu f%U 6 0 0 Td (4) Tj About Sexual Assault and Abuse collapsed link, Sexual Assault Medical Forensic Examination (Rape Kit), https://dev.michigan.local/som/json?sc_device=json, Go to Child Sexual Abuse and Warning Signs, Go to Elder Sexual Abuse and Warning Signs, Go to Talking with Others, Confidentiality, and Privacy, Go to Sexual Assault Medical Forensic Examination (Rape Kit), Go to Medical Evaluation for Child Sexual Abuse, Go to Reporting to Child Protective Services, Go to Other Options for Students, Title IX, Go to Options for Military Personnel and Veterans, Go to Victim Rights to Evidence Kit Testing Information, Go to Victim Notification and Sex Offender Registry, Go to How to Help and Empathetic Responses, Go to Helping Elderly Survivors or Survivors with Special Needs, Go to Things You May Be Feeling as a Friend or Family Member. Under the Michigan Child Protection Law, MDHHS can have contact with the child at school without parental consent, and the school is expected to cooperate with this aspect of the investigation. REPORT OF ACTUAL OR SUSPECTED CHILD ABUSE OR NEGLECT Michigan Department of Health and Human Services Was Complaint Phoned to MDHHS? In addition to the information above, please see the links below that may be able to assist you: Comments that are off-topic, attacking without a constructive purpose, offensive (including abbreviated or masked swearing), written in all capital letters (viewed as shouting), and/or for commercial purposes, may be blocked by our website team. This is assigned to CPS. endobj <>/Metadata 823 0 R/ViewerPreferences 824 0 R>> Region 1. 1 0 obj Adult Behavioral Health & Developmental Disability Services. $H?! Commencement means to begin the investigation with any activity including, but not limited to: ('"QoPYN>*3ABf*r:9GQ`(5J0U8Z`cnifPc.DJ#|+xJn'Yd{Ba$%x !z+O C+;`kj 83'/[`cmaj#\(cvF_m2c\xufQZ_SxeP7-h 8Xp Fax Number 1-888-704-9391 (Only for Food Stamp, Medicaid, TANF or Child Care Verification) Regional Map. endobj <> In the new program, one toll-free number, 1-855-444-3911, is available to everyone, including mandatory reporters (teachers, physicians, law enforcement, etc.) Revised 6/14/2021 Wayne County. n The 3200 form is available in the "Make a Report" page on the right hand side of your screen. A report that is made out of genuine concern for a childs well-being is considered an "in good faith" report. Birth, Death, Marriage and Divorce Records. 1 1 7.84 7.84 re <>/Metadata 260 0 R/ViewerPreferences 261 0 R>> Mandated Reporters shall make an immediate report to Centralized Intake, by telephone or through the online reporting system, of suspected child abuse or child neglect. Please see the below message regarding the statewide implementation of the new unit that will house Centralized Intake for Abuse and Neglect. (Prevent Child Abuse Michigan), 1-800-Children: Phone: (800) 244-3736: Fax: (517) 241-7038: Address: Grand Tower Suite 1411 : PO Box 30037 : Lansing, MI 48909: . 10 0 obj q Talking with Others, Confidentiality, and Privacy, Sexual Assault Medical Forensic Examination, Medical Evaluation for Child Sexual Abuse, Options for Military Personnel and Veterans, Victim Rights to Evidence Kit Testing Information, Victim Notification and Sex Offender Registry, Helping Elderly Survivors or Survivors with Special Needs, Things You May Be Feeling as a Friend or Family Member. Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps. <> |`('F|8A#&#$A#=H<80(>)K$rV;?O{F_-}0` |psaAfhg4pa_].4q'yYm=:Ef endobj Information about the health care programs available through Medicaid and how to qualify. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Sec. BT Centralized Intake : 5321 28th Street Ct SE : endstream endobj 48 0 obj <> endobj 49 0 obj <> endobj 50 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/Type/Page>> endobj 51 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Section 722.622: Section: Definitions. In addition, the Child Protection Law requires certain professionals to report suspected child abuse or neglect. Information for mandatory reporters for APS in Public Act 519 of 1982. endstream endobj 54 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream (E-mail provided for the sending of a DHS-3200). [Eu9IQwLWc?RNOGKNF'j+dJ LtERq8` If you file the report over the phone, you must complete and file a 3200 Form to MDHHS within 72 hours of the phone call. When the intake process does not provide sufficient information to complete a screening decision, Centralized Intake (CI) will Child Welfare Medical and Behavioral Health Resources. Also, knowledge, or from the child's symptoms reasonable cause to suspect, that a newborn infant has any . endobj Once you have registered and/or logged in, you will have access to the Mandated Reporters Dashboard where you can file a report by clicking the "Create a new complaint" button. They may also choose to meet with the staff person WITHOUT the child to discuss additional information as they see fit. Information about audits conducted by the Office of Audit. Lansing, Mich. March 5, 2012 - The Michigan Department of Human Services today launched a new statewide program for reporting abuse and neglect complaints involving both children and adults. Central Intake replaces the former system, where calls would go to individual DHS county offices. A report is a statement that someone is concerned for a childs welfare. endobj <> New Central Intake for Complaints Involving Abuse and Neglect, Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Informed Consent for Abortion for Patients, Informed Consent for Abortion for Providers, Go to Child Welfare Medical and Behavioral Health Resources, Go to Children's Special Health Care Services, General Information For Families About CSHCS, Go to Emergency Relief: Home, Utilities & Burial, Supplemental Nutrition Assistance Program Education, Go to Low-income Households Water Assistance Program (LIHWAP), Go to Children's & Adult Protective Services, Go to Children's Trust Fund - Abuse Prevention, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Go to Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Go to Birth, Death, Marriage and Divorce Records, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Go to Contractor and Subrecipient Resources, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, MI Interagency Migrant Services Committee, Go to Protect MiFamily -Title IV-E Waiver, Students in Energy Efficiency-Related Field, Go to Community & Volunteer Opportunities, Go to Reports & Statistics - Health Services, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy, Go to Reports & Statistics - Human Services. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Child Protective Services Central Registry, 050C-3 P. O. Legislation policy and planning information. If the report is false, the mandated reporter is guilty of a felony punishable by the lesser of the two sentences: CARE House of Oakland County 44765 Woodward Avenue Pontiac, Michigan 48341-5021, P: 248.332.7173 F: 248.333.1539 Email: information@carehouse.org, Provide name, birth date, sex, race, address, phone number, and parent information, Include dates, times and descriptions of observations and communications with the child, Use childs exact words (or as close as possible) when reporting to CPS, Note and report any developmentally inappropriate behaviors, Include all symptoms/concerns in detail including neglect, Include names of anyone who witnessed/heard report or spoke with child. Send to Centralized Intake at the address listed on . This immunity from civil or criminal liability extends only to acts done according to this act and does not extend to a negligent act that causes personal injury or death or to the malpractice of a physician that results in personal injury or death.. Meetings with children in school will NOT require the child to remove their clothes for an examination of their genitalia unless MDHHS obtains a court order to do so. CPS. cqg?a:@b54uBp}paPP"TsmY;pF1" _L^peMiGi9.YqgQ ~0^~N9)V~=x}Xwujl?H, J9NCo7[0v#A1GV1NY _bm ! Transferred to another agency for investigation, such as law enforcement or the Bureau of Child and Adult Licensing. AN ACT to require the reporting of child abuse and neglect by certain persons; to permit the reporting of . Reasonable cause to suspect child abuse or child neglect. Within 72 hors of making an oral report by telephone, the reporting person shall file a written report (DHS 3200). hb```a``"32 /P9>|Pb?^GG!M HX$W{g*~; G]/6f6ex'+ Review the Mandated Reporterssection of the Michigan Department of Health and Human Services website for more details. For questions regarding Food Stamps, Medicaid, TANF or Childcare, contact the Customer Contact Center at: 1-877 423 4746. 168 0 obj <>stream If the child is still under age 18, you should report any past unreported abuse or neglect that you learn about or suspect. 69 0 obj <>/Filter/FlateDecode/ID[]/Index[47 122]/Info 46 0 R/Length 102/Prev 225680/Root 48 0 R/Size 169/Type/XRef/W[1 2 1]>>stream Within CPS, there are three main types of workers, the first of which is the Central Intake Worker. CPS found evidence of child abuse or neglect, and the child is at significant risk of harm in the future. For States that do not have specific reporting procedures for suspicious child deaths, standard child abuse reporting procedures apply. It goes over setting up the assessment, completing the assessment, viewing the automatically generated reports, and creating a plan for the youth going forward. 2 0 obj The Office of Child and Family Services line is staffed 24 hours a day, 7 days a week, including on holidays. /ZaDb 9 Tf Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. If submitting online, visit newmibridges.michigan.gov and click the "Partnerships" tab. Date - Enter the date the form is being completed. % <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 1>> % . A variety of reports & statistics for programs and services. Within 24 hours of gaining suspicion, file your report with Centralized Intake by either calling (855) 444-3911, or visiting newmibridges.michigan.gov. . Employing Unit: ND DHS - Children and Family Services Division. Grand Rapids, MI 49546. BT Information on the Children's Foster Care program and becoming a Foster Parent. 0 Complaints involving abuse or neglect of adults will be fully documented by intake staff and referred to counties for an investigation decision. "Central Intake marks an important step forward in our continuing effort to protect the abused and neglected, both children and adults," said DHS Director Maura Corrigan. TTY Number: ND Relay Service 1-800-366-6888 (text); 1-800-366-6889 (voice) If you are experiencing technical difficulties with the Application Process or . On the "Welcome MDHHS Partners" page, click the "Mandated Reporters" link on the right, and then click the "Register" button below [click the "Login" button if you have an active registration in Michigan Bridges]. Attach to the report any documents that support the facts of the report. Apply to Intake Specialist, Engagement Specialist, Specialist and more! endstream endobj 56 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream This includes receiving and investigating reports of child abuse and neglect, working to prevent domestic violence, helping families to stay together or reunite, and finding placements in foster or adoptive homes. Region 1 Flyer. 47 0 obj <> endobj Q RkC[FGIG#Zym+FSEL }EQb.X~Y||pO'C76b^hhY x\mo8 AVQa@vi\\GN8vVdRI3bE3I/r:TWxrQ_N|.>*O7_+~^:Id42`8e,vw%H';{Y~2aA Q*v'W48_9}oovw?-8'L Reporting to Child Protective Services. DHS-3243-SP, Solicitud Para Medicaid Retoactivo. Fax this form to 616-977-1154 or 616-977-1158. Information on child support services for participants and partners. 1f/kB6i/+=aXX6( qvy|TT#ULHF R 7 0 obj <> 8.667 TL 8.667 TL On-call workers are listed daily with each worker's Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. Information on communicable & chronic diseases. P: 248.332.7173 F: 248.333.1539 Email: information@carehouse.org endobj *%IR!$PXPL!$B\!l(a` X Mail. *]?GE=0O0wEnR ~` & Requestor Fax or Mail document Grand Rapids, MI 49546 OR Fax this form to 616-977-8900 or 616-977-8050 or 616-977-1158 or 616-977-1154 OR email this form to DHS-CPS-CIGroup@michigan.gov 1. Children's Special Health Care Services information and FAQ's. Telephone Number: 701-328-3587. <>/F 4/A<>/StructParent 1>> Email - MDHHS-CPS-CIGroup@michigan.gov. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. 1 The study focused on such front-end . If you need to use this paper application, keep in mind that you'll need to print and complete the application, and then take it to your local MDHHS office. Mandated reporters should provide Centralized Intake with their name in order to document that they have met their legal mandate. Medical Child Abuse: A Collaborative Approach to Investigation, Assessment and Intervention - DHS Pub-17. h[]s6+x5gnLnvAh[;6_ -). D/`^I+"IoP&-1tL 3EB r F J,:8i38t1t1R%3 endstream endobj 52 0 obj <>/Subtype/Form/Type/XObject>>stream A person making a report or assisting in any other requirement of this act is presumed to have acted in good faith. x]s6>]">It:_Y#u2}I. Mrcbb_>|x|_~Ow6O The People of the State of Michigan enact: 722.621 Short title. stream endobj MDHHS News, Press Releases, Media toolkit, and Media Inquiries. In addition to making a report to law enforcement, anyone, including a child, who suspects child abuse or neglect, can make a report to Children's Protective Services by calling 855-444-3911. 4 0 obj Beginning at 8:00am on March 5, 2012, all CPS and APS abuse and neglect complaints made in the State of Michigan are to be called to the Centralized Intake unit. <>/Metadata 261 0 R/ViewerPreferences 262 0 R>> }_Ygt u9MCg 3j;hkV);2 N+.q]UEhxST9hRm9)*_\'SGIY wP$oS7Ywrl++bc#ncT|937.>NJ!`=9G~.o'uU9tPE/<7qUIqT(. "Central registry" means a repository of names of individuals who are identified as . <> 0 0 9.84 9.84 re Court SE, Grand Rapids, MI . If the facts gathered during the assessment does not confirm the child was neglected or abused, you will not be penalized. %PDF-1.6 % stream The office for Centralized Intake is in Grand Rapids and will accept and process reports of alleged abuse and neglect twenty four (24) hours a day, seven (7) days a week throughout the year. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> H237402VH2P0P0E\i\\ <>>> abuse or neglect may have caused the death of a child. PSM 712-8 7 of 9 CPS INTAKE COMPLETION PSB 2015-001 3-1-2015 CHILDREN'S PROTECTIVE SERVICES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES DHS-3200, Report of Actual or Suspected Child Abuse or Neglect. Contact us online or call us at 1-800-883-2138 today to set up your free consultation.