[page 121 begins]
APPENDIX A1.1.1
QUESTIONS |
The President of John Jay College, Dr. Gerald Lynch, and members of the faculty
met with
Ms. McChesney and representatives of the USCCB to discuss possible approaches
to the
study of the nature and scope of child sexual abuse in the Church. After several
weeks of
discussion, Kathleen McChesney, on behalf of the USCCB, gave the John Jay College
faculty group a specific set of questions to be answered, and thus defined the
scope of the
study. These questions were divided into four categories, as follows:
Information about the alleged offenses
° How many offenses were alleged or confirmed by conviction about any Catholic
priest
or deacon in the diocese?
° What was the time frame(s) of the alleged and confirmed offenses?
° Were alcohol and/or drugs used by the victim or offender at the time
of the offense?
° In what location(s) did the offense occur?
Information about those who have made accusations
° The age and gender of the victims at the time of the offense.
° With whom did the victim live at the time of the offense?
° What was the relationship between the victim and the offender at the
time of the
offense?
° Where there any threats to the victim or grooming behavior on the part
of the offender
at the time of the offense?
° How long did the victim wait to report the offense?
° When was the offense reported?
Information about the accused clerics
° What diocese or religious order did the offender belong to at the time
of the offense and
what status did he hold in that order?
° What was the offender’s job description/duties?
° If the offender was a deacon, was he married or unmarried at the time
of the offense?
° What age was the offender at the time of the first and last alleged and/or
confirmed
offense?
° How many years was the offender ordained at the time of the first offense?
° How many alleged or confirmed victims did the offender have?
° Was there a civil or criminal action against the offender and what were
the
consequences?
° Was the offender a victim of any type of child sexual abuse?
° Did the offender receive any type of psychological treatment (i.e., for
either
psychological, sex offending, and/or substance abuse)?
° Was the offender transferred to another ministerial assignment subsequent
to offending,
and if so, did he re-offend?
° Did the offender have a record of having been abused by a fellow priest
and/or
deacon?
[page 121 begins]
Information about the financial impact on the dioceses and religious
community
° What was the financial cost to the Dioceses or religious community as
a result of each
alleged or confirmed offense?
In additional to these questions, the Board and USCCB asked for the best estimates
that could
be made of the extent of child sexual abuse in the United States.
[page 123 begins]
APPENDIX A.1.1.2
DIOCESAN PROFILE |
DIOCESAN PROFILE:
CONFIDENTIAL
[page 124 begins]
FORM #1: DIOCESAN PROFILE
Please answer these ten questions to the best of your knowledge. It
should include information between 1950-2002.
1. Is this institution a(n): (Please check one)
(NOTE: If a question is not applicable to your order, please write
N/A.)
2. List the approximate number of active and retired Priests and Fathers in
the order from 1950 (or since the establishment of the diocese) to 2002:
a. diocesan priests: incardinated
______ extern _______
b. religious institute priests:
________
c. diocesan deacons
________
d. religious institute deacon in diocese ________
3. What is the approximate number of Catholics in your order at this time?
4. What is the approximate number of parishes operated by your order at the
present time?
5. Check all regions in which the order is active.
6. Based on your review of the records, indicate how many clerics have had allegations
made against them while in your order.
Number of incardinated __________ number of extern
__________
7. How many clerics with allegations have been completely exonerated? _______________
8. Based on your reviews of the records, please indicate the total number of
victims who have made allegations against clerics in your order. ____________________
9. Based on your reviews of the records, please indicate the total amount of
money paid out by your order to alleged victims of sexual abuse between 1950
and 2002. ___________________
10. For how many of the victims in Question #8 have:
__________ all of their allegations been shown to be known false
(# of victims)
__________ all of their allegations been withdrawn
(# of victims)
(NOTE: do not include these victims in the remainder of the
survey)
For research use only: Dio Code: ___________
[page 125 begins]
APPENDIX A1.1.3
RELIGIOUS ORDER PROFILE |
ORDER PROFILE:
CONFIDENTIAL
[page 126 begins]
FORM #1: RELIGIOUS INSTITUTE PROFILE
Please answer these nine questions to the best of your knowledge. It should
include information between 1950-2002.
1. Is this institution a: (Please check one)
|
|
|
Province of a Religious Institute |
|
2. List the approximate number of active and retired clerics who have ministered
in your religious institute or province from 1950 (or since the establishment
of the religious institute) to 2002:
a. religious priest members: _______
b. permanent deacon members: _______
3. What is the approximate membership of the religious institute or province
at this time?
4. What is the approximate number of priests and fathers who are now members
the religious institute or province?
5. Based on your review of the records, indicate how many member religious
priests or permanent deacons have had allegations made against them while ministering
within your province or religious institute. If any religious priests (not counted
as members of your province or religious institute - but perhaps visiting from
another province) were subject of such allegations while ministering in your
province, please give that information on the second line in the category of
"Others."
Religious priests __________ Permanent
deacons __________
Others ___________
6. How many clerics with allegations have been completely exonerated? _______________
7. Based on your reviews of the records, please indicate the total number of
victims who have made allegations against clerics in your province or religious
institute. ____________________
8. Based on your reviews of the records, please indicate the total amount of
money paid out by your province or religious institute to alleged victims of
sexual abuse between 1950 and 2002.
___________________
9. For how many of the victims in Question #8 have:
__________ all of their allegations been shown to be known false
(# of victims)
__________ all of their allegations been withdrawn
(# of victims)
(NOTE: do not include these victims in the remainder of the
survey)
For research use only: Order Code:____________
[page 127 begins]
APPENDIX A1.1.4
CLERIC SURVEY |
CLERIC SURVEY:
CONFIDENTIAL
[page 128 begins]
FORM #2: CLERIC SURVEY CLERIC
#_________
Please complete the following information. To ensure confidentiality, this
information will be encrypted for data analysis and this page will be destroyed.
Cleric’s first initial ____
Cleric’s last initial ____
Date of Birth __ __/__ __/__ __
REMINDER: DO NOT WRITE IN THE NAMES OF ANY CLERICS OR VICTIMS
ANYWHERE ON THIS SURVEY. IF YOU HAVE ANY QUESTIONS AND YOU CALL THE JOHN JAY
COLLEGE RESEARCH TEAM HOTLINE AT (212) 237-8539, PLEASE DO NOT SAY YOUR NAME,
THE NAME OF YOUR DIOCESE, OR THE NAME OF ANY ALLEGED VICTIMS OR ABUSERS.
For research use only: Dio Code: ____________ AB
Code: ___________
[page 129 begins]
FORM #2: CLERIC SURVEY CLERIC
#_________
Please fill out this form to the best of your knowledge for every cleric
against whom there are or have been allegations of sexual abuse between 1950
and 2002. Do not fill this out for clerics against whom the only allegations
were known to be false. For the purpose of clarity and flow, the term “diocese”
is used to refer to all diocesan, eparchial and religious orders, societies
and communities.
FIRST, WE ARE GOING TO ASK YOU TO PROVIDE SOME BASIC INFORMATION ABOUT THIS
PARTICULAR CLERIC.
1. Year of birth: __ __ __ __
2. At the time of the alleged offense(s), was this cleric a(n): (check as many
answers if necessary if the allegations against this cleric extended over a
period of time)
|
|
|
|
|
|
|
|
|
|
Other (specify): __________ |
|
3. If ordained, year of ordination: __ __ __ __
4. What seminary/seminaries did the cleric attend? ____________________________
5. Was cleric married at time of alleged offense(s)?
6. Does the cleric have a history of being a victim of abuse?
|
|
|
(If No, skip to Question 9) |
7. If yes, the type of abuse indicated in the record or known to the diocese
is best described as (check all that apply)
|
|
|
|
|
|
|
Other (specify): ________ |
|
|
8. This abuse was allegedly committed by: (check all that apply)
|
|
|
|
Person in a position of authority
(e.g., babysitter,
coach) |
|
|
|
|
|
|
|
Other (please specify): __________ |
|
9. Are there indications in the record that the cleric had problems with alcohol
or substance abuse?
|
|
|
|
No (If no, skip to question 13) |
|
10. If you answered “Yes” to Question 9, then please indicate what action(s)
was taken to address the alcohol or drug abuse problem? (check all that apply)
|
|
Spiritual Counseling Provided |
|
|
|
|
Spiritual Counseling Recommended |
|
|
|
Other action taken (describe) ________ |
|
|
11. If treatment was provided, where did it occur? (if none, skip to question
13)
|
inpatient substance /alcohol
abuse treatment within the diocese |
|
|
inpatient substance/alcohol abuse treatment outside
diocese |
|
|
outpatient within diocese (specify type of program)
_________________________ |
|
|
outpatient outside of diocese (specify type of program)_______________________ |
|
12. During treatment for alcohol/drug abuse, did the cleric admit to sexual
abuse(s) of a minor(s)?
13. Are there other specific medical or psychological problems that raised
concerns about this cleric’s fitness for ministry? (if no, skip to question
18)
14. Please describe the problem to the extent possible__________________________________
__________________________________________________________________________
15. Was the problem recognized before any allegation of abuse?
16. What is the approximate date the problem was recognized? ____________
17. If the cleric has multiple medical or psychological problems, please specify
the year each was recognized (if more than three, please continue question 16
on the back.)
Year ________ problem ______________________
Year ________ problem ______________________
Year ________ problem ______________________
Check here if continued on back _____________
18. How many dioceses has this cleric served in? __________
19. How many times has this cleric transferred within your diocese?
Parishes ________
Congregations ________
20.Does this cleric have allegations of sexual abuse against him at any of
these other dioceses in which he served?
21. If yes, how many victims made allegations of abuse against this cleric
in each diocese, parish and congregation in which he served?
Dioceses ________ Parishes ________ Congregations________
22. Is it known from the files, or by other means, that this cleric had behavioral/boundary
problems other than allegations of sexual abuse of minors (e.g., letters of
complaint from parishioners)?
|
|
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?
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 |
|
|
Issac 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.
REMEMBER – DO NOT PROVIDE ANY NAMES OR OTHER IDENTIFYING INFORMATION
For research use only: Dio Code: ____________ AB Code: ___________
APPENDIX A1.1.5
VICTIM SURVEY |
VICTIM SURVEY: CONFIDENTIAL
FORM # 3: VICTIM SURVEY
CLERIC # ___________
For research use only: AB Code: _______
VM Code ________
Dio Code:_________
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)
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 |
|
|
| |