RESPONDING TO SUSPECTED STUDENT SEXUALOFFENDING TEMPLATE

RESPONDING TO SUSPECTED STUDENT SEXUAL OFFENDING TEMPLATE
Lighthouse Christian College acknowledges that this document is an adaption of the Department of Education and Training Victoria’s ‘Responding to an incident of disclosure or suspicion of child abuse.’ These organisations have contributed to the information contained in this document.

When to use this template?
Staff should use this template to document any incident, disclosure, or suspicion that a student is victim to, or has engaged in student sexual offending. This template should be used in conjunction with the 4.24b Responding to Student Sexual Offending Procedure.

Completing this form should not impact on reporting times. If a child is in immediate danger, you should report immediately to Victoria Police.

Whilst you may need to gather the information to make a report, remember it is not the role of school staff to investigate abuse, leave this to Victoria Police and/or DFFH Child Protection.

Why record this information?
When completing this template your aim should be to provide as much information as possible. This information will be critical to any reports and may be sought later if the matter is the subject of court proceedings. These notes may also later assist you if you are required to provide evidence to support any decisions.

It is a requirement under Ministerial Order No. 870- Child Safe Standards- Managing the risk of child abuse in schools for schools to keep clear and comprehensive notes on all observations, disclosures and other details that led them to suspect the abuse.
RESPONDING TO AN INCIDENT, DISCLOSURE OR SUSPICION OF STUDENT SEXUAL OFFENDING

PLEASE NOTE: IF YOU ARE MAKING A REPORT TO DFFH CHILD PROTECTION OR VICTORIA POLICE YOU MUST SEEK ADVICE BEFORE CONTACTING PARENTS/CARERS SO AS NOT TO COMPROMISE ANY INVESTIGATION OR PLACE A CHILD AT FURTHER RISK
Staff member leading the response
Name:*
Position:*
Work Email:*
RELEVANT HEAD OF STUDENT WELLBEING EMAIL:*
Relevant Head of Student Wellbeing Email:*
Relevant Deputy Principal:*
RELEVANT DEPUTY PRINCIPAL: *

Critical Action 1
Immediate response to an incident

If anyone is in immediate danger you must report immediately to Victoria Police on 000.
RESPONDING TO AN EMERGENCY
Do any students require First Aid?*

YesNo
Provide details if ‘YES’
Who administered this? (Name & Title)
Do any children require immediate medical assistance?
Current location and safety status:
E.g. are all impacted students safe and not in any immediate danger? if a child is in immediate DANGER, REPORT immediately to victoria police on 000

INFORMATION OF THE ALLEGED VICTIM
STUDENT'S DETAILS
Name:*
Gender:*
Class:*
Date of birth:*

DayMonthYear
Date
Residential address:*

Street Address

Street Address Line 2

CityState / Province

Post Code
Parent/Carer Name/s:*
Parent/Carer contact:*
Disabilities, Mental or Physical Issues:*

CHILD’S BACKGROUND (ALLEGED VICTIM)
Previous history or indicators of being a victim to sexual offence or any underlying protective concerns: *
FAMILY’S BACKGROUND (ALLEGED VICTIM)
Family composition (if known):*
List parenting or care arrangements and siblings names and ages
Any other people living with child (if known):*
Likely reaction to report being made (if known):*

GROUNDS FOR YOUR BELIEF THAT A STUDENT IS A VICTIM OF STUDENT SEXUAL OFFENDING:
List indicators or instances which led you to believe that a student is a victim to student sexual offending: *
Detail any disclosures or incidents or suspicions (including names, times, and dates documenting a child’s exact words as far as possible). Include specific detail here on what led you to form a reasonable belief that a child has been, or is at risk of being abused.
List any physical indicators of abuse:*
List any behavioural indicators of abuse:*
List any patterns of behaviour or prior concerns leading upto an incident, disclosure or suspicion:*
If there is more than one child alleged to have engaged in student sexual offending, or more than one child who is the victim of student sexual offending, please complete an additional student details form for each child.

INFORMATION OF THE CHILD ALLEGEDLY ENGAGED IN STUDENT SEXUAL OFENDING
CHILD’S PERSONAL DETAILS
Name:*
Gender:*
Year level/Class:*
Date of birth:*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Post Code
Parent/Carer name/s:*
Parent/carer contact:*
Language(s) spoken by child:*
Disabilities, mental or physical health issues:*

CHILD’S BACKGROUND (ALLEGED TO HAVE ENGAGED IN THE OFFENCE)
Previous history or indicators of being victim to sexual offence or any underlying protective concerns: *
FAMILY’S BACKGROUND (CHILD ALLEGED TO HAVE ENGAGED IN THE OFFENCE)
Family composition (if known):*
Any other people living with the child (if known):*
Likely reaction to report being made (if known): *

GROUNDS FOR YOUR BELIEF THAT A STUDENT HAS COMMITTED STUDENT SEXUAL OFFENDING:
List indicators or instances which led you to believe that a student has engaged in student sexual offending: *
DETAIL ANY DISCLOSURES OR INCIDENTS OR SUSPICIONS (INCLUDING NAMES, TIMES, AND DATES DOCUMENTING A CHILD’S EXACT WORDS AS FAR AS POSSIBLE)
List any physical indicators of abuse:*
List any behavioural indicators of abuse:*
List any patterns of behaviour or prior concerns leading up to an incident, disclosure or suspicion:*
Any other grounds for belief that:

- the student may be subject to another form of abuse themselves

- the student’s parents are unable to protect the child

- the student is aged over 10 years and under 15 years and is exhibiting sexually abusive behaviours and may be in need of therapeutic treatment to address these behaviours.
If there is more than one child alleged to have engaged in student sexual offending, or more than one child who is the victim of student sexual offending, please complete an additional student details form for each child.

CRITICAL ACTION 2: REPORTING
See Action 2 of 4.24b Responding to Student Sexual Offending Procedure.
REPORTING TO AUTHORITIES
Tick the authorities you have reported to:*

VICTORIA POLICEDFFH CHILD PROTECTIONCHILD FIRSTDECISION NOT TO REPORT
If you’ve decided not to report, list your reasons here. Also include any follow-up actions undertaken by you below:*
PROVIDE DETAILS OF REPORT
Date/Time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Authority:*
Name of person spoken to: *
Outcomes from the report:*
REPORTING INTERNALLY

Provide details of your Discussion with school leadership:
Date/Time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Names:*
Discussion outcomes:*

CRITICAL ACTION 3: CONTACTING PARENTS/CARERS
See Action 3 of 4.24b Responding to Student Sexual Offending Procedure.
PROVIDE DETAILS OF YOUR DISCUSSION WITH PARENTS/CARERS (IF APPROPRIATE):
School staff must consult with Victoria Police to determine if it is appropriate to contact parents/carers. If it is appropriate, parents/carers must be contacted as soon as possible (preferably on the same day of the incident/ disclosure or suspicion).
Have you sought advice from DFFH Child protection or Victoria Police?*

YesNo
Is it appropriate to contact the parent/carer?*

YesNo
List reasons if it is not appropriate to contact the parent/carer:*
IF CONTACTING PARENT/CARER, PROVIDE THE FOLLOWING DETAILS:
Name of staff member making the call:*
Name of parent/carer receiving the call:*
Discussion outcomes:*

CRITICAL ACTION 4: PROVIDING ONGOING SUPPORT
See Action 4 of 4.24b Responding to Student Sexual Offending Procedure.
PLANNED ACTIONS (ALLEGED VICTIM)
Include detail on what follow-up actions have occurred to support the student (for example, referral to wellbeing professionals and other specialised services, the convening of a student support group and development of support plans):*
Follow up actions:*
Support:*
Referrals:*
PLANNED ACTIONS (CHILD ALLEGED TO HAVE ENGAGED IN THE OFFENCE)
Include detail on what follow-up actions have occurred to support the student (for example, referral to wellbeing professionals and other specialised services, the convening of a student support group and development of support plans):*
Follow up actions:*
Support:*
Referrals:*
Should be Empty:

RESPONDING TO SUSPECTED STUDENT SEXUAL OFFENDING TEMPLATE

RESPONDING TO AN INCIDENT, DISCLOSURE OR SUSPICION OF STUDENT SEXUAL OFFENDING

Staff member leading the response

Critical Action 1

Immediate response to an incident

RESPONDING TO AN EMERGENCY

INFORMATION OF THE ALLEGED VICTIM

STUDENT'S DETAILS

CHILD’S BACKGROUND (ALLEGED VICTIM)

FAMILY’S BACKGROUND (ALLEGED VICTIM)

GROUNDS FOR YOUR BELIEF THAT A STUDENT IS A VICTIM OF STUDENT SEXUAL OFFENDING:

INFORMATION OF THE CHILD ALLEGEDLY ENGAGED IN STUDENT SEXUAL OFENDING

CHILD’S PERSONAL DETAILS

CHILD’S BACKGROUND (ALLEGED TO HAVE ENGAGED IN THE OFFENCE)

FAMILY’S BACKGROUND (CHILD ALLEGED TO HAVE ENGAGED IN THE OFFENCE)

GROUNDS FOR YOUR BELIEF THAT A STUDENT HAS COMMITTED STUDENT SEXUAL OFFENDING:

CRITICAL ACTION 2: REPORTING

REPORTING TO AUTHORITIES

PROVIDE DETAILS OF REPORT

REPORTING INTERNALLY

CRITICAL ACTION 3: CONTACTING PARENTS/CARERS

CRITICAL ACTION 4: PROVIDING ONGOING SUPPORT

PLANNED ACTIONS (ALLEGED VICTIM)

PLANNED ACTIONS (CHILD ALLEGED TO HAVE ENGAGED IN THE OFFENCE)