|
Yes (specify) _____________________________________________________ |
|
|
NOW WE ARE GOING TO ASK ABOUT THIS CLERIC’S ALLEGED
VICTIM(S) FROM YOUR DIOCESE
23. How many victims made allegations of sexual abuse against this cleric
in your diocese? ________
24. Is there any indication that the cleric has
abused more victims than there are official allegations made (e.g., victims
who made a complaint claim that there are other victims who do not want
to come forward)?
25. If yes, please indicate how many other alleged victims there are who
have not officially made a complaint against this cleric. _____________________
26. How many allegations of abuse of minors does
the cleric have in each of the following age ranges and genders at your
diocese? (give your best approximation of the age range based on information
in the file)
# of victims under 8 years of age ________ # male _______ #
female ________
# of victims 8 - 10 years of age ________ # male
_______ # female ________
# of victims 11-14 years of age ________ # male
_______ # female ________
# of victims 15 - 17 years of age ________ # male _______ #
female ________
THE FOLLOWING QUESTIONS HAVE TO DO WITH THE INSTITUTION’S RESPONSE TO THE
SEXUAL ABUSE ALLEGATIONS AGAINST THIS PARTICULAR CLERIC
27. What did the diocese do in response to the allegation(s) of sexual
abuse against this cleric? (check all that apply)
|
Cleric reprimanded, returned
him to duties |
|
|
Cleric referred for spiritual retreat |
|
|
Cleric referred for evaluation |
|
|
Cleric referred for treatment |
|
|
Cleric given administrative leave |
|
|
Cleric given medical leave |
|
|
Cleric resigned or retired |
|
|
Cleric sought laicization |
|
|
|
Cleric removed from clerical state |
|
|
Cleric suspended from ministry |
|
|
Other (specify)________________ |
|
|
|
28. If the cleric was reinstated, was it:
|
Within the diocese, same
parish |
|
|
Within the diocese, different parish |
|
|
|
29. What year(s) did the diocese take action against the cleric?
[page 132 begins]
Year__________ Action___________________
Year__________ Action___________________
Year__________ Action___________________
30. If the cleric participated in any type of treatment to address the
sexual abuse allegations, what kind of treatment was it? (check all that
apply) If no treatment, skip to question 35.
|
Specialized sex offender
treatment program specifically for clergy |
|
|
Specialized sex offender treatment program for all
sex offenders, not just for clergy |
|
|
General treatment program not specifically for sex
offenders |
|
|
One-on-one counseling w/ psychiatrist, psychologist,
or other mental health expert |
|
|
|
Relapse prevention treatment program |
|
|
Evaluation by mental health professional or expert,
but no indication of treatment |
|
|
Spiritual counseling or direction provided by the
church |
|
|
Other (specify):____________________ |
|
|
31. If the cleric participated in treatment, at which facility?
|
Behavioral Medicine Institute
of Atlanta, GA |
|
|
Servants of the Paraclete, Jemez Springs, NM |
|
|
Is[a]ac Ray Center, Chicago, Il |
|
|
Servants of the Paraclete, Albuquerque Villa, NM |
|
|
Johns Hopkins Medical Institutions, Baltimore, MD |
|
|
St. Louis Consultation Service, St. Louis, MO |
|
|
Progressive Clinical Services, Cincinnati, OH |
|
|
Institute of Living, Hartford, CT |
|
|
St. Luke Institute, Suitland, MD |
|
|
Menninger Clinic, Topeka, KS |
|
|
Servants of the Paraclete, St. Louis, MO |
|
|
New Life Center, Middleburg, VA |
|
|
Shalom Center, Inc., Splendora, TX |
|
|
Villa St. John Vianney, Downingtown, PA |
|
|
Southdown, Aurora, Ontario, CN |
|
|
Other (specify)_________________ |
|
32. How many times did the cleric participate in a sex offender treatment
program? ________
33. Did the cleric complete a treatment program?
34. If cleric received treatment, did he re-offend after he finished treatment?
35. Provide additional information known or from the record that would
assist in understanding the behavior of this cleric.
[page 133 begins]
REMEMBER – DO NOT PROVIDE ANY NAMES OR OTHER IDENTIFYING
INFORMATION
For research use only: Dio Code: ____________ AB Code: ___________
[page 134 begins]
APPENDIX A1.1.5
VICTIM SURVEY |
VICTIM SURVEY:
CONFIDENTIAL
[page 135 begins]
FORM # 3: VICTIM SURVEY CLERIC
# ___________
Prepare a separate profile for each victim who issued an allegation
against this particular cleric. If a cleric had multiple allegations, prepare
a separate victim profile for each victim who initiated an allegation. Please
answer each of these questions to the best of your knowledge and indicate
when an answer is approximate rather than specific. Remember to write the
matching cleric’s number in the upper right hand corner.
WE ARE NOW GOING TO ASK YOU TO PROVIDE SOME BASIC INFORMATION ABOUT EACH
VICTIM WHO BROUGHT AN ALLEGATION AGAINST THIS PARTICULAR CLERIC.
1. Gender of victim (check one)
2. When did the alleged abuse occur? (Be as specific about the date or
range of dates as possible)
Month __ __ Day __ __ Year __ __ __ __ OR range of dates _______________________
3. When was this abuse reported? (Be as specific as possible)
Month __ __ Day __ __ Year __ __ __ __
4. Who initially made the allegation?
|
|
The victim’s parent(s) or guardian(s) |
|
|
|
|
|
A lay person in the Church |
|
|
Other (specify)____________________ |
|
|
|
|
5. How was the allegation initially made?
|
|
|
Sent a signed letter to the parish |
|
|
Sent a signed letter to the diocese |
|
|
Sent an anonymous letter to parish |
|
|
Sent an anonymous letter to diocese |
|
|
|
|
Told trusted priest/deacon who brought complaint
to diocese or order |
|
|
Called the Provincial or Major Superior of the order
or congregation |
|
|
Information obtained through the media |
|
|
Sent signed letter to the Provincial or Major Superior
of the order or congregation |
|
|
Other (specify): ___________________ |
|
|
Sent anonymous letter to the Provincial or Major
Superior of the order or congregation |
|
6. Is there a record of the victim or victim’s family following up on the
allegation?
|
|
Yes (specify method of follow up):______________ |
|
7. If the victim/victim’s family did follow up, how many times? __________________
8. How many times was the victim allegedly abused?
|
|
More than once (number __) |
|
|
numerous (unknown number) |
|
9. Did the victim allege abuse by more than one cleric? (If no, skip to
question 12)
|
|
|
Information not in the file |
|
10. If yes, how many clerics allegedly abused this victim? _________
11. Did the abuse by the other cleric(s) occur before, concurrent with
or after this cleric? (check all that apply)
[page 136 begins]
12. Age (in years) when alleged abuse began (or occurred, if only happened
once). ___________ years
13. Age (in years) when abuse ended (if occurred more than once). ____________
years
14. Age (in years) when victim first told someone about the abuse. ______________
years
15. Number of months/years the victim waited to report the abuse. _____________
16. Where did the victim first meet the cleric?
|
|
|
Boys club/youth recreation |
|
|
|
Teacher in preschool, kindergarten, or elementary
school (up to grade 6) |
|
|
|
Teacher in middle school (grades 7-8) |
|
|
|
Teacher in high school (grades 9-12) |
|
|
|
|
|
|
In jail/prison/youth offender residence |
|
|
|
|
At a social function w/ victim’s family |
|
|
|
Other (specify)________________ |
|
|
While assigned to the victim’s parish (e.g., as
an extern priest) |
|
17. What was the cleric’s primary duty when he met the victim? (check all
that apply)
|
|
|
|
|
Boys club/youth recreation |
|
|
|
Teacher in preschool, kindergarten, or elementary
school (up to grade 6) |
|
|
|
Teacher in middle school (grades 7-8) |
|
|
|
Teacher in high school (grades 9-12) |
|
|
|
|
|
|
Bishop, Vicar, Chancellor, Cardinal |
|
|
Other (specify)________________ |
|
|
18. Did the cleric socialize with the family of the alleged victim(s)?
|
|
|
Information not in the file |
|
19. If yes, in what way? (check all that apply)
|
|
In church day activities (e.g., picnics) |
|
|
Spent time with the family in his residence |
|
|
He spent time with the family in their residence |
|
|
|
Other (specify):____________ |
|
20. Type of behavior alleged by this victim (check all that apply):
|
|
Photos taken of victim while victim was disrobed |
|
|
|
Masturbation in front of victim |
|
|
|
|
Sexual touching over clothes of victim |
|
|
Manual (finger) penetration (of vagina or anus) |
|
|
Sexual touching over clothes of the cleric |
|
|
Penetration with foreign object (e.g., sexual aid) |
|
|
Sexual touching under clothes of victim (no penetration) |
|
|
Oral/genital contact where offender performed fellatio/cunnilingus |
|
|
Sexual touching under clothes of cleric (no penetration) |
|
|
Oral/genital contact where victim performed fellatio/cunnilingus |
|
|
Victim shown pornographic videos
[page 137 begins] |
|
|
Penile penetration (of anus or vagina)
|
|
|
Victim shown pornographic magazines/photos |
|
|
Other _________________________ |
|
21. Was the victim threatened by the cleric in any way?
|
|
|
Information not in the file |
|
22. If yes, what type of threat?
|
Physical threat, with
weapon |
|
|
Physical threat, no weapon |
|
|
Verbal threat (of harm to the victim) |
|
|
Verbal threat (that harm will come to the cleric) |
|
|
Threatened family of victim |
|
|
|
Threatened public exposure of victim’s behavior
to family or others |
|
|
Other (specify):__________________ |
|
23. Where was the abuse reported to have occurred? (check all that apply)
|
|
|
In the home of the victim |
|
|
|
|
|
|
|
|
|
Other (specify):__________________ |
|
|
24. When did the abuse reportedly occur?
|
|
|
|
|
|
During a sporting event (e.g., swimming) |
|
|
During counseling session |
|
|
During other type of travel |
|
|
Other (specify):_________________ |
|
|
25. Did the victim receive any gifts from the cleric?
|
|
|
Information not in the file |
|
26. If yes, what type of gift(s)? __________________________________________
27. Were there any other enticements given to this victim?
|
|
|
Information not in the file |
|
28. If yes, what were the enticements? (check all that apply)
|
|
Allowed to do special church activities (e.g., solo
in the choir) |
|
|
|
|
|
Taken to sporting matches or other recreational
activities |
|
|
Access to pornography, videos |
|
|
Allowed to stay overnight with the cleric |
|
|
Other (specify) ___________ |
|
|
Sports-related enticement (e.g., put in starting
position of a team) |
|
29. Who did the victim live with when allegedly abused (check all that
apply)
|
|
|
|
|
|
|
|
|
|
|
|
Other (specify)____________ |
|
|
In the rectory or church-related residence |
|
|
30. Were any of victim's siblings also abused by any cleric?
[page 138 begins]
|
|
|
Information not in the file |
|
31. At the time of the alleged abuse, was the victim under the influence
of alcohol or drugs?
|
|
|
Information not in the file |
|
32. At the time of the alleged abuse, was the cleric under the influence
of alcohol or drugs?
|
|
|
Information not in the file |
|
33. Was there a diocesan investigation? (If no, skip to Question 37)
|
|
|
Information not in the file |
|
34. If there was a diocesan investigation, what was the result? (check
all that apply)
|
|
Allegation unsubstantiated |
|
|
|
Allegation found to be false |
|
|
Other (specify) ________________ |
|
|
35. What action was taken regarding the cleric?
|
|
Transferred cleric to another parish w/in the diocese |
|
|
Cleric suspended w/ treatment ordered |
|
|
Transferred the cleric to another diocese |
|
|
Cleric resigned or retired |
|
|
|
Cleric received treatment but continued in ministry |
|
|
Dismissed from clerical state |
|
|
|
Other (specify)__________________ |
|
36. Was the victim or their family ever contacted regarding the results
of the investigation?
|
|
|
Information not in the file |
|
37. Did the victim report the incident to the police or district attorney?
|
|
|
Information not in the file |
|
38. Was there a police investigation?
|
|
|
Information not in the file |
|
39. Was the cleric charged with a criminal offense? (If no, skip to Question
45)
|
|
|
Information not in the file |
|
40. If yes, what charge was brought?________________________________________
41. Did the charges result in a conviction?
|
|
|
Information not in the file |
|
42. If yes, for what offense? _____________________________________
43. If there was a conviction, what was the sentence? (check all that apply)
|
|
|
|
|
|
|
|
Other (specify) _____________ |
|
44. If there was a conviction, what was the length of the sentence imposed?
__________________
45. Was there any civil action taken against the cleric or the diocese
for damages?
|
|
|
Information not in the file |
|
[page 139 begins]
46. Was there any other form of legal action taken with respect to this
cleric and this victim?
|
|
|
Information not in the file |
|
NOW WE ARE GOING TO ASK ABOUT FINANCIAL INFORMATION IN REGARD TO THIS VICTIM.
YOU MAY NEED ASSISTANCE FROM THE ACTING BUDGET/FINANCIAL OFFICER OR
ACCOUNTANT WITHIN THE DIOCESE TO ANSWER THESE QUESTIONS.
47. Was the victim given any type of compensation to settle the allegation
of abuse?
|
|
|
|
Information not in the file |
|
48. What was the approximate total compensation or payment made to date
to this victim from all sources? $ _________
49. How much of this was covered by, or derived from, insurance? $_______________
50. What was the approximate payment to date for treatment for this victim?
$ ____________
51. How much of this was covered by or derived from insurance? $______________
52. What was the approximate payment to date for treatment for this cleric?
$_____________
53. How much of this was covered by or derived from insurance $______________
54. What was the approximate total payment to date made by the diocese
to attorneys to represent the diocese related to this victim’s allegations?
$______________
For research use only: AB Code: _______ VM Code ________
Dio Code:_________
[page 140 begins]
APPENDIX A1.1.6
WRITTEN INSTRUCTIONS |
WRITTEN
INSTRUCTIONS
(PLEASE READ CAREFULLY AS YOU COMPLETE THE SURVEY
FORMS)
[page 141 begins]
SECTION 1: DIOCESAN PROFILE. Please complete this section
and send it to the independent auditor no
later than August 31.
The independent auditor’s address is:
Roger C. Viadero, CPA, CGFM
Ernst & Young, LLP
1225 Connecticut Avenue, NW
Washington, DC 20036
1. Institution type.
2. Number of active and retired clerics by institution type. Make sure to
include all clerics from 1950-2002, to the best of your knowledge.
3. Check the box that most closely describes the number of clerics in your
religious institute at this time.
4. Check the box that most closely describes the number of parishes served
by your religious institute.
5. Region code: I to XIV. You can find the regional code in the Catholic
directory.
6. Write in the TOTAL number of clerics with allegations of abuse in your
diocese. Make sure to include all clerics with allegations from 1950-2002.
7. Write in the number of clerics who have had allegations made against
them but were completely exonerated. Exonerated means that the cleric was
completely cleared of the charge.
8. Write in the TOTAL number of individuals who made allegations of sexual
abuse against them as children in your dioceses between 1950 and 2002. This
includes all false allegations and allegations where the victim later withdrew
the allegation.
9. Write in the TOTAL amount of monies paid to victims between the years
1950 and 2002. You may need the assistance of your financial/budget officer
to answer this question.
10. Explain how many of the alleged victims in Question #8 made false allegations
or later withdrew their allegations. The reports made by these victims will
not be counted in the remainder of the survey.
[page 142 begins]
SECTION 2: CLERIC AND VICTIM SURVEYS. Please complete
these surveys to the best of your knowledge. Please note that for purposes
of clarity and flow, when the term diocese is used in a question, it will
be understood to refer to dioceses, eparchies, and religious institutes.
Before you begin to fill in this survey, please make photocopies
of the survey instrument. You must make enough for each cleric with allegations
of abuse against him. Once you do this, please number each of the surveys
from 1 to the total number of clerics with allegations, and write that number
in the upper right hand corner of the cleric survey form. You must write
this number on the cleric encryption page and the four pages of the survey.
The purpose of this is to link each cleric with his victim(s). You will
write this same number on his victim(s)’ survey forms.
Cleric Encryption. The first and last initial and birth
date are converted to a unique code to provide anonymity. Please make sure
that this information has been provided so that the transformation can be
applied correctly.
Cleric Survey.
1. Write in the cleric’s year of birth.
2. Type of cleric at time of the offense. If the cleric committed numerous
offenses over a period of time, and he fulfilled multiple roles during the
time he abused, please check all that apply.
3. Year ordained, if applicable.
4. Write in the name/location of the seminary that the cleric attended.
5. If a married cleric, was cleric married at the time of the alleged offense.
If the cleric has multiple allegations, check yes if he was married at the
time of any of these alleged offenses.
6. Any event of any types of abuse anytime in cleric's life history including
the types listed in Question 7.
7. Identify all the types of abuse that the cleric is known to have experienced
or is indicated in the record.
8. Identify the most likely abusing actors of the abuses identified in Question
7.
9. Identify if the cleric has abused alcohol or drugs at any time in life
history.
10. Identify the action taken as a response to the drug or alcohol abuse.
11. If there was treatment for the drug or alcohol abuse, where did this
treatment take place?
12. If the cleric acknowledged, during the drug or alcohol treatment program,
that he abused a minor, check yes.
13. Did the cleric have any medical or psychological problems that could
lead the diocese to believe he may not be fit for ministry?
14. Describe this problem. Be as specific as possible.
15. Was the problem(s) in Question 14 identified prior to the allegations
of abuse?
16. What was the date this problem became known?
17. For multiple problems, identify the dates that each problem became known.
If there are more than three known problems, please check the box provided
and continue to identify the problems and dates on the back of the page.
18. Number of dioceses this cleric has served in, including yours.
19. Number of parishes this cleric has served in.
20. Does the cleric have any known allegations of abuse in any dioceses
other than yours listed in Question 18?
21. You need to write in the total number of allegations against this cleric
in all dioceses (including yours).
22. Identify any problems noted in this cleric’s file other than sexual
or substance abuse problems.
Information on the cleric’s victim(s)
23. The total number of victims who have made allegations against this cleric
in your diocese. You must fill out a victim form for each of the alleged
victims in the cleric’s file.
[page 143 begins]
24. Does your diocese have reason to believe that there are more victims
than those listed official in the cleric’s file? For instance, a known victim
might have reported that he/she was abused as the same time as another minor,
but the other minor did not come forward and make an allegation.
25. Number of other potential victims. You do not need to fill out a victim
survey for the potential victims in this question.
26. Breakdown of ages of alleged victims. Only fill this in for the victims
who have made allegations, not the potential victims listed in Question
25. If the exact age of a victim cannot be determined then approximate the
age based upon the information available.
Responses to Allegations Made Against Cleric
27. Identify all the specific actions taken with this cleric in response
to all the abuse allegations associated with this cleric.
28. If reinstated, identify where.
29. Identify years in which action(s) was taken. If multiple actions were
taken, identify all years in which those actions were taken.
30. Identify all the specific treatment strategies and protocols attempted
with this cleric. Questions 31-34 address the particulars of treatment.
Clerics not assigned to any treatment will have no data in Questions 31-34.
31. Identify the specific facility where the cleric participated in treatment.
If the treatment center is not listed, check other and write in the proximate
location of the treatment site.
32. The number of different enrollments or discrete participations in sex
abuse / offender treatment programs designed or intending to achieve this
type of remediation is sought.
33. Did the cleric complete the programs? If the cleric participated in
more that one and completion is mixed, please characterize the completions
of the treatment programs.
34. Did the cleric have allegations made against him after participating
in a treatment program?
35. After you have reviewed the record of this cleric there may be facts,
entries or comments that you will have found that provide added understanding
concerning the cleric and responses made to the allegation of sexual abuse.
Please share you insights into your reading of the record.
REMEMBER, DO NOT WRITE IN THE NAMES OF ANY CLERICS OR VICTIMS OF
ABUSE!!
[page 144 begins]
Victim Survey. This must be completed for each victim
of each cleric. Before you begin, photocopy the victim survey so that you
have enough for all victims. If you need additional copies, you can print
them out from the floppy disk. Remember to write the number of the cleric
who allegedly abused this victim in the upper right hand corner of the survey
instrument. Once you are finished, staple or clip together the associated
cleric and victim survey instruments.
1. Gender as indicated.
2. Date alleged abuse of this victim occurred by this cleric. If
the abuse occurred over a period of time, list the range of dates the abuse
occurred. If there is no specific date(s) known, approximate the date or
range of dates to the best of your knowledge based upon the files.
3. Date abuse was reported.
4. Person who made the allegation in Question 3.
5. How was the allegation made in Question 3.
6. Were any follow-ups made by the victim or anyone acting for the victim?
7. Number of follow-ups. Explain the method of follow up (letter, telephone,
conversations).
8. Number of times this victim was abused by this cleric. If you do not
know the specific number, check numerous.
9. Did other clerics allegedly abuse this victim?
Please note the clerics identified here will have data from their files
developed for this victim.
10. Total number of clerics who allegedly abused this victim.
11. If other clerics abused this victim, explain the sequential position
of this cleric’s alleged abuse, relative to other clerics’ alleged involvement
with this victim.
12. Victim’s age at the time of, or beginning of, the alleged abuse.
13. Victim’s age when the abuse ended, if it occurred over a period of time.
14. Age of victim at the time the first complaint or first allegation was
expressed in Question 3.
15. Elapsed time between when the time of the first reported abuse and when
the abuse occurred. Specify months or years.
16. Situation where cleric and victim first encountered each other. If the
record is not descriptive, then identify the earliest encounter available
in the record.
17. Cleric's duty or role when encountering the victim initially.
18. Did the cleric have social contact of any kind with the victim's family?
19. Type of socialization had with victim's family. Enter all the types
of interactions with any of the victim's family members.
20. Identify ALL types of abuse that allegedly occurred against this victim.
21. Did cleric make any overt or implied threats directed at the victim
or family members or did the victim or family members perceive that a threat
was made by the cleric?
22. Nature of all threats alleged by cleric directed at victim or family
members.
23. Where the alleged abuse(s) occurred.
24. When the alleged abuse(s) occurred.
25. Did the victim or family receive or have offered any type of gift, inducement,
favor, benefit that had a relationship to the abuse or in response to the
allegation?
26. What gift(s) was offered?
27. Were any other enticements offered to encourage the victim to participate
in the abuse?
28. What were the enticements?
29. With whom did the victim live at the time of the abuse or earliest abuse
in the record?
30. Did this victim have any siblings who were also allegedly abused by
this cleric?
31. Was the victim under the influence of drugs or alcohol at any
time during the abusive period?
32. Was the cleric under the influence of drugs or alcohol at any
time during the abusive with this particular victim?
33. At any time in the association between this cleric and this victim,
was there a diocesan inquiry, investigation or fact finding related to the
abuse or first abuse allegation?
34. What was the result of that inquiry?
[page 145 begins]
35. As a result of that inquiry, investigation or fact finding what actions
were taken against the cleric? If multiple actions were taken singly or
together enumerate that range of actions applied against this cleric in
response to this victim's allegation(s).
36. Did the Church report its findings to the victim or victim’s family?
37. Any type of complaint reported to police or governmental representative
involving this cleric and this victim?
38. Was there a criminal investigation?
39. Identify any criminal charge(s) brought against this cleric as a result
of the victim's allegations.
40. Specific charges brought involving this cleric and this victim. If more
that once charge brought, enter all those brought.
41. Any criminal convictions, including plea agreements associated with
any charges in Question 40.
42. Specify the offense for which the cleric was convicted.
43. Sentence or penalty imposed as a result of the criminal conviction(s).
44. Length of sentence imposed as a result of any criminal convictions.
45. Any civil action brought against the cleric or religious institute?
46. Other legal actions, including secular administrative remedies sought
related to this cleric and this victim.
Financial information
47. Compensation (monetary or things of value in any form) made directly
or indirectly to the victim, victim's family, representative, etc.
48. Total value expended for victim's compensation from all sources.
49. Identify the amount of money in Question 48 that was derived from insurance.
50. Total value expended for victim's treatment.
51. Identify the amount of money in Question 50 that was derived from insurance.
52. Total value expended for the treatment of the cleric.
53. Identify the amount of money in Question 52 that was derived from insurance.
54. Identify the total amount of monies paid to the attorneys in regard
to this victim.
REMEMBER, DO NOT WRITE IN THE NAMES OF ANY CLERICS OR VICTIMS OF
ABUSE!!
When you complete all the surveys, please send them to the independent auditor.
The independent auditor’s address is:
Roger C. Viadero, CPA, CGFM
Ernst & Young, LLP
1225 Connecticut Avenue, NW
Washington, DC 20036
[page 146 begins]
Appendix A1.1.7
RESEARCH PARTICIPATION STATEMENT |
Catholic Bishops’ Study
RESEARCH PARTICIPATION STATEMENT
To be retained by the study participant.
This letter explains the purpose of the work you have been asked to do
for the Catholic Bishops’ Study, the paramount importance we give to maintaining
the confidentiality of those persons you will read about in the church or
diocesan files, and your right to receive counselling if, as a result of
this work, you become distressed or uncomfortable. If you wish to discontinue
the work, you have the right to withdraw from the project and another person
will be chosen to complete the work..
Purpose
The Charter for the Protection of Children and Young People,
issued by the Conference of Catholic Bishops in June of 2002, calls for
the promotion of healing and reconciliation within the Catholic Church in
the United States, sets out a basis for an effective response to future
allegations of abuse and establishes procedures for accountability for church
leaders. A significant part of this last commitment is Article 9, which
reads:
The work of the Office for Child and Youth Protection will be assisted
and monitored by a Review Board, including priests, appointed by the
Conference President and reporting directly to him. The Board will approve
the annual report of the implementation of this Charter in each of our
dioceses/eparchies, as well as any recommendations that emerge from
this review, before the report is submitted to the President of the
Conference and published. To understand the problem more fully and to
enhance the effectiveness of our future response, the National Review
Board will commission a comprehensive study of the causes and context
of the current crisis. The Board will also commission a descriptive
study, with the full cooperation of our diocese/eparchies, of the nature
and scope of the problem within the Catholic Church in the United States,
including such data as statistics on perpetrators and victims.
This project is the descriptive study, and its importance to the Catholic
Church and to the larger research community cannot be overstated.
Confidentiality
All information that you report will remain completely confidential.
It is of paramount importance that you not make any notation of any name
or other personal information on the survey instruments as you complete
them, or make any mention to anyone of any person whose name you read in
a file while doing this work.
Specifically, you are asked to take particular care to ensure that:
[page 147 begins]
• Any and all notes or scratch paper that you use to complete the work
be destroyed at the end of each day.
• That you refrain from any discussion of the work with any person outside
of the church or anyone who does not already have access to the files of
alleged abusers.
• That if you call the researchers for assistance you prepare to ask your
questions of them without using any names or other personal information.
• That no names are included in any material sent to the Review Board.
• That no identifying information that could link an individual to the information
on a survey instrument be included when the material is sent to the Review
Board.
• That completed surveys be placed first in one envelope with no external
markings, then in another envelope for mailing to the Review Board.
• That you will not discuss the work you have done on this research study
either during or after its completion.
Strict adherence to the principles of confidentiality will help ensure
the quality of the results.
Counseling
There is a possibility that the materials you will be reviewing in the
files will give rise to feelings of unhappiness, distress, embarrassment
or worry. Should you find that this work becomes difficult to do or makes
you sad or angry, and you wish to talk to a professional who is trained
as a counsellor, you are asked to speak to the head bishop of your diocese
immediately. He will remove you from this project and refer you to a counsellor
to speak to about your feelings of distress.
If you ask that the responsibility for this work be given to another person,
your request will be honoured.
If you understand and agree to all of the above information, please sign
and date this form.
Name (written) ___________________________
Signature ________________________________ Date
___________________
[page 148 begins]
Catholic Bishops’ Study
AFFIRMATION
I have read the Research Participation Statement and understand each of
its sections. I confirm that I understand both the purpose of and the procedures
for this work[.]
I am committed to the principles of confidentiality and the protection
of human subjects and will adhere to both the spirit and the letter of what
I have been asked to do to protect the privacy of the persons whose information
is included in the files.
I affirm that I will seek assistance should I come to feel distressed by
this work.
Print Name: ___________________________________
Signature:_____________________________________
Date:________________________
[page 149 begins]
Appendix A1.2.17 [sic]
DHHS LETTER |
[page 150 begins]
Appendix A1.2.1
CHURCH REGIONS |
REGION 1
MAINE
VERMONT
NEW HAMPSHIRE
MASSACHUSETTS
CONNECTICUT
RHODE ISLAND
REGION 2
NEW YORK
REGION 3
PENNSYLVANIA
NEW JERSEY
REGION 4
DELAWARE
MARYLAND
VIRGINIA
WASHINGTON D.C.
WEST VIRGINIA
REGION 5
KENTUCKY
TENNESSEE
MISSISSIPPI
ALABAMA
LOUISIANA
REGION 6
MICHIGAN
OHIO
REGION 7
INDIANA
ILLINOIS
WISCONSIN |
REGION 8
NORTH DAKOTA
SOUTH DAKOTA
MINNESOTA
REGION 9
NEBRASKA
KANSAS
IOWA
MISSOURI
REGION 10
OKLAHOMA
TEXAS
ARKANSAS
REGION 11
CALIFORNIA
NEVADA
HAWAII
REGION 12
OREGON
IDAHO
WASHINGTON
ALASKA
MONTANA
REGION 13
WYOMING
UTAH
COLORADO
ARIZONA
NEW MEXICO
REGION 14
NORTH CAROLINA
SOUTH CAROLINA
GEORGIA
FLORIDA |
|