RESEARCH SURVEY COLLECTION|California Protective Parent Association


 

 

RESEARCH SURVEY COLLECTION

California Protective Parent Association and Our Future Charitable Foundation are conducting an ongoing collection of data for a national research project. The project involves cases of children placed by family law courts into the custody of, or unsupervised visitation with their identified abusing parent.
The collection and compilation of this data is a very important step in promoting awareness, providing actual statistics, increasing funding possibilities, and bringing about family court reform and legislative change. Your input is greatly appreciated.
You can see the results of our preliminary survey after 22 participants on our Research Data page, and an updated May 2003 statistical report after 67 participants by visiting the California Protective Parents site by clicking here.

PROTECTIVE PARENT SURVEY QUESTIONNAIRE Re: Custody Outcomes of Children Reporting Incest/Battery

NOTE: If you are concerned about secure confidentiality, we suggest you PRINT this survey (from pdf format) and mail it to us by US mail at our CPPA/OCOF address. If you prefer and are not concerned with confidentiality, you may send it online, but be aware it is not on a secured server at this time.
Identifying information is for contact information purposes only, and will not be included in our data.

CONTACT INFORMATION
 Your Name:
 Mailing Address:
 City:
 State:

Please answer all questions appropriate to your case.You may use the space below for comments or questions: Thank you for contributing to this survey.
Please print and mail this survey to: CPPA/OCOF 1731 Howe Ave. #168, Sacramento, CA 95825-9785
Or fax it to: (530) 758-9785 (phone: 800 441-7886)
Or submit it electronically by clicking the “send Request” button below. (Confidentiality respected, but not guaranteed, due to Internet security.)

 Zip Code:
 Phone Number:
 Alternate Phone:
 E-mail Address:
CASE INFORMATION
     Case Name:
1.) Jurisdiction State:
2.) Jurisdiction County:
3.) Case Number:
4.) Year documents 1st filed:
5.) Case still in progress? Yes No
FINANCIAL COST
6.) Approximate sum of money paid related to case?
      (Include attorney fees, court filings, mediation, evaluations, supervised       visitation, court ordered classes, therapy, etc.)
7.) Have you ever had to file bankruptcy as a result of litigation costs?       Yes No
ATTORNEY HISTORY
8.) Have you ever been represented by an attorney in this case?       Yes No
9.) If so, how many attorneys represented you in this case?
10.) Has your ex-spouse/partner ever had legal representation when        you did not? Yes No
CHILDREN
11.) What were the ages of the child(ren) of this relationship at the time        of the separation?        Girl’s ages:      Boy’s ages:
12.) What is the approximate percentage of time each caretaker spent        caring for the child(ren) before the separation?         Mother:   %         Father:    %         Relative:      %         Other:          %
13.) At the time of separation, did the primary caretaker maintain primary        physical custody? Yes No
PRIMARY ISSUES
14.) Over which of the following issues were there disputes in your court        case? (mark all that apply)         Property settlement         Spousal support         Child support         Move away         Child custody/visitation         Alcoholism         Drug abuse/type of drugs:         Other:
15.) Who initiated the litigation?         Mother         Father
16.) Were you the victim of domestic violence perpetrated upon you by        the other parent? Yes No
17.) If so, did your children witness the violence?        Yes No
18.) Did the violence begin or escalate after separation?        Yes No
19.) Did your ex-spouse/partner ever threaten to take the child(ren) if        you left the relationship? Yes No
20.) Were there allegations of child abuse made during your family        court litigation? Yes No
ABUSE ALLEGATIONS
Complete the information below regarding allegations made during litigation, including who is the identified perpetrator and who first made the allegation (mark all that apply):
21.) Physical abuse allegation? Yes No        Identified as perpetrator:FatherMotherOther:        First allegated by:ChildFatherMotherOther:
22.) Sexual abuse allegation? Yes No        Identified as perpetrator:FatherMotherOther:        First allegated by:ChildFatherMotherOther:
23.) Verbal/emotional abuse allegation? Yes No        Identified as perpetrator:FatherMotherOther:        First allegated by:ChildFatherMotherOther:
24.) Neglect allegation? Yes No        Identified as perpetrator:FatherMotherOther:        First allegated by:ChildFatherMotherOther:
25.) Other allegation? Yes No        Identified as perpetrator:FatherMotherOther:        First allegated by:ChildFatherMotherOther:
26.) What was the age and gender of the first child at the onset of        his/her abuse?   Boy Girl
27.) What was the age and gender of the second child at the onset of        his/her abuse?   Boy Girl
28.) Did the child positively identify the other parent as the perpetrator?        Yes No
29.) Was there medical/physical evidence of the abuse?        Yes No
30.) Was there other corroborative evidence of the abuse?        Yes No
31.) What were the child(ren)’s symptoms? (check all that apply)         Sexual acting out         Depression         Stomach/head/other pain         Dissociation         Overwhelming anger/rage         Nightmares/insomnia/sleep disorders         Fears/phobias:         Eating disorders         Regression (bedwetting/leak feces/thumb sucking)         Constipation/diarrhea         Learning disability         Attention deficit         Suicide attempt         Other:
32.) Did the child(ren) receive Victim of Crime funding for therapy       related to the crime? Yes No
EX-SPOUSE/PARTNER HISTORY
33.) Prior to the separation, did your ex-spouse/partner receive any of the         following labels by mental health professionals? (mark all that apply)         Schizophrenia         Bi-polar disorder         Borderline personality         Depression         Anxiety         Post Traumatic Stress Disorder         Other:
34.) Does s/he have a history of alcohol and/or drug use?         Yes No
35.) If so, is s/he clean and sober?        Yes No     36.) Length of time clean and sober:
37.) Does s/he have a criminal history?        Yes No
38.) If so, what was s/he…        Arrested for?: 39.) Convicted of?:        Description:
PROTECTIVE PARENT HISTORY
40.) Prior to the separation, did you receive any of the         following labels by mental health professionals? (mark all that apply)         Schizophrenia         Bi-polar disorder         Borderline personality         Depression         Anxiety         Post Traumatic Stress Disorder         Other:
41.) Do you have a history of alcohol and/or drug use?         Yes No
42.) If so, are you clean and sober?        Yes No     43.) Length of time clean and sober:
44.) Do you have a criminal history?        Yes No
45.) If so, what were you…        Arrested for? 46.) Convicted of?        Description:
ADVISE
47.) Did anyone ever advise or insist that you not mention domestic         violence or child abuse in family law court?        Yes No
48.) If so, who advised you?         Attorney         Mediator         Advocate         Court personnel         Other:
49.) Did your attorney ever tell you that pursuing court action against        your ex-spouse/partner could negatively affect your case?        Yes No
CHILD CUSTODY
50.) Was custody changed to the other parent over your objection, by        an emergency court order, or without your court presence?        Yes No
51.) Was unsupervised contact given to the identified offender despite        evidence of violence or abuse?        Yes No
52.) Was unsupervised contact given to the identified alcoholic/drug         abuser without drug testing?        Yes No N/A
53.) Was custody changed after you raised any of the following issues?        (Mark all that apply)         Violence         Child abuse         Substance abuse         Criminal conduct         Violations of court order         Move-away         Spousal support         Child support
54.) Were judicial findings made stating that you were a danger to your        child(ren) or that you were an unfit parent?        Yes No
55.) Were you ever placed on supervised visitation?        Yes No     56.) If so, length of time:
57.) Were you restricted from having any contact with your child(ren)?        Yes No     58.) If so, length of time:
59.) Do you believe the other parent attempted to gain increased custody        to avoid paying child support?        Yes No
60.) Was financial discovery conducted in your case?        Yes No
61.) Did you give up assets to keep custody?        Yes No
COURT MEDIATION
62.) Did you participate in court-connected mediation regarding custody?        Yes No
63.) If so, was mediation:         Voluntary         Court ordered         Coerced by threats
64.) Were you required to meet face-to-face with an ex-spouse/partner        who perpetrated violence and/or threats of harm?        Yes No
65.) Did you lose any custody rights or contact with your children as a        result of recommendations by a mediator?        Yes No
EVALUATIONS
66.) Did you participate in court connected evaluations regarding        custody?        Yes No
67.) If so, who was evaluated?:         Mother         Father         Child(ren)         Others:
68.) Who selected the evaluator?:         Mother         Father         Court         Others:
69.) Who paid for the evaluator?:         Mother         Father         Court         Others:         
70.) Total amount paid for custody evaluation:
71.) Did you lose any custody rights or contact with your children as a         result of recommendations by the evaluator?        Yes No
CHILD’S ATTORNEY
72.) Did your child(ren) have an attorney/guardian?        Yes No
73.) If so, was he/she court appointed?:        Yes No
74.) Who selected the child(ren)’s attorney?:         Mother         Father         Court         Others:
75.) Who paid for the child(ren)’s attorney?:         Mother         Father         Court         Others:
76.) Total amount paid for child attorney:
77.) Did this attorney aggressively advocate for the safety of your         child(ren)?        Yes No
SYSTEM SUPPORT
78.) Was the other parent ever Arrested and/or Prosecuted        for spousal or child abuse?        Yes No
79.) Was Child Protective Services ever contacted to intervene in your        case?        Yes No
80.) If so, did they protect your child?        Yes No
EVIDENCE
81.) Did any court related professional ignore, minimize, or refute        evidence of abuse in your case?        Yes No
82.) If so, who?         Mediator         Evaluator         Attorney for minor         Judge         Other:
83.) Did any court related professional label you with any of the        following?         Parent Alienation Syndrome         Alienator         Folie a duex         Munchhausen’s Syndrome by Proxy         Delusional         Schizophrenia         Bi-polar disorder         Borderline personality         Depression         Anxiety         Post traumatic stress disorder         Other rare/unscientific label:
84.) In your case, was Richard Gardener, MD.:         An expert witness         A consultant         Quoted         Other:
PROCESS
85.) Do you believe you were discriminated against for your        attempts to protect yourself and/or your child(ren)?        Yes No
86.) If so, do you believe this occurred due to:         Unethics among court-related professionals         Unethics between ex-spouse/partner & court-related professionals         Financial/social status of your ex-spouse/partner         Gender bias         Other:
87.) Were evaluator or mediator recommendations ever provided to the        court less than 10 days before a hearing?        Yes No
88.) Were you prevented from seeing evaluations or reports that resulted        in custody decisions?:        Yes No
89.) Were you ever denied the ability to adequately present your case        (unable to present/examine witnesses, etc.)?:        Yes No
90.) Were hearings resulting in custody decisions held without your        knowledge or ability to be present (ex parte)?:        Yes No
91.) Were hearings regarding custody and visitation ever conducted        without a court reporter present?:        Yes No
92.) Were you ever threatened that talking publicly could result in        damage to your case?:        Yes No
93.) Were court transcripts complete and accurate?:        Yes No
94.) Were court transcripts denied or delayed?        Yes No
95.) If so, how long were the transcripts denied?
96.) Have you ever been incarcerated in a jail or mental health        facility due to the family law case?:        Yes No
CURRENT CUSTODY ARRANGEMENT
97.) What best describes your children’s current custody         arrangement? (mark all that apply)         Primary with protective parent, supervised with perpetrator         Primary with protective parent, UNsupervised with perpetrator         Joint custody         Full custody with perpetrator parent         Supervised visitation with protective parent         No contact with protective parent         Other:
98.) Are you able to protect your child(ren)?         Yes No
99.) Do you believe your child(ren) are still being abused?         Yes No
100.) Did your child(ren) continue to report abuse after custody was        changed to the identified abuser?:        Yes No
101.) Did you stop reporting suspected child abuse for fear your contact        with your child(ren) will be terminated?:        Yes No
Do you give us permission to contact you for further information?        Yes No
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