[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 122 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)

   
Diocese
   
Eparchy
   
Religious Institute

(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?

   
5,000 - 45,000
   
88,501 - 122,000
   
239,001 - 350,700
   
45,001 - 66,000
   
122,001 - 170,000
   
350,701 - 475,000
   
66,001 - 88,500
   
170,001 - 239,000
   
475,001 - 788,700
   
788,701 - 4,500,000

 

4. What is the approximate number of parishes operated by your order at the present time?

   
8-35
   
57-71
   
98-119
   
36-46
   
72-84
   
120-138
   
47-56
   
85-97
   
139-185



5. Check all regions in which the order is active.

   
I
   
IV
   
VII
   
X
   
XIII
   
II
   
V
   
VIII
   
XI
   
XIV
   
III
   
VI
   
IX
   
XII


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)

   
Religious Institute
   
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?

   
1 - 10
   
31 - 40
   
111 – 150
   
541 and up
   
11 - 20
   
41 - 75
   
151 - 305
 
   
21 - 30
   
76 - 110
   
306 - 540
 

4. What is the approximate number of priests and fathers who are now members the religious institute or province?

   
1 - 6
   
22 - 35
   
81 – 110
   
400 and up
   
7 - 14
   
36 - 57
   
111 - 176
   
 
   
15 -21
   
58 - 80
   
177 - 399
   
 

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)

   
Diocesan Priest
   
Eparchian Priest
   
Extern Priest
   
Religious Priest
   
Transitional Deacon
   
Permanent Deacon
   
Eparch
   
Bishop
   
Cardinal
   
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)?

   
Yes
   
No

6. Does the cleric have a history of being a victim of abuse?

   
Yes
   
No
(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)

   
Physical abuse
   
Emotional Abuse
   
Sexual Abuse
   
Verbal Abuse
   
Physical & Sexual Abuse
   
Neglect
   
Other (specify): ________
 

8. This abuse was allegedly committed by: (check all that apply)

   
Mother
   
Peer/acquaintance
   
Father
   
Person in a position of authority (e.g., babysitter,
coach)
   
Sibling
   
Priest
   
Other family member
   
Deacon
   
Teacher
   
Other (please specify): __________


9. Are there indications in the record that the cleric had problems with alcohol or substance abuse?

   
Yes, Alcohol
   
Yes, Drugs
   
Yes, Alcohol & Drugs
   
No (If no, skip to question 13)

[page 130 begins]

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)

   
Referral for Evaluation
   
Spiritual Counseling Provided
   
Referral for Treatment
   
Intervention
   
Spiritual Counseling Recommended
   
No action taken
   
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)?

   
Yes
   
No

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)

   
Yes
   
No

14. Please describe the problem to the extent possible__________________________________
__________________________________________________________________________

15. Was the problem recognized before any allegation of abuse?

   
Yes
   
No

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?

   
Yes
   
No
   
No information in file

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________

[page 131 begins]

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) _____________________________________________________
   
No

 

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)?

   
Yes
   
No

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 reinstated
   
Cleric removed from clerical state
   
Cleric suspended from ministry
   
Other (specify)________________
   
No action taken
 

 

28. If the cleric was reinstated, was it:

   
Within the diocese, same parish
   
Within the diocese, different parish
   
Different diocese
   
Restricted ministry

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
   
Psychotherapist
   
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?

   
Yes
   
No
   
No information in file

34. If cleric received treatment, did he re-offend after he finished treatment?

   
Yes
   
No
   
No information in file

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)

   
Male
   
Female

 

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
   
The victim’s parent(s) or guardian(s)
   
A teacher
   
A police officer
   
A cleric
   
A lay person in the Church
   
Other (specify)____________________
   
A doctor
   
 
   
Victim’s attorney

 

5. How was the allegation initially made?

   
Called the parish
   
Called the diocese
   
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
   
Went to the parish
   
Went to the 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?

   
No
   
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?

   
Once
   
More than once (number __)
   
numerous (unknown number)

9. Did the victim allege abuse by more than one cleric? (If no, skip to question 12)

   
Yes
   
No
   
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)

   
Before
   
Concurrent with
   
After

[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?

   
Mass
   
Choir
   
Boys club/youth recreation
   
Sunday school teacher
   
Teacher in preschool, kindergarten, or elementary school (up to grade 6)
   
At an altar service
   
Teacher in middle school (grades 7-8)
   
In the rectory
   
Teacher in high school (grades 9-12)
   
Work in a hospital
   
Orphanage
   
Seminary faculty
   
Home of victim
   
In jail/prison/youth offender residence
   
At a vocational inquiry
   
Home of cleric
   
At a social function w/ victim’s family
   
Seminary administrator
   
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)

   
Pastor
   
Associate pastor
   
Resident priest
   
Seminary faculty
   
Boys club/youth recreation
   
Catechism teacher
   
Teacher in preschool, kindergarten, or elementary school (up to grade 6)
   
Choir
   
Teacher in middle school (grades 7-8)
   
Chaplain
   
Teacher in high school (grades 9-12)
   
Worked in a hospital
   
Seminary administrator
   
Saying Mass
   
Guidance counselor
   
Bishop, Vicar, Chancellor, Cardinal
   
Other (specify)________________
   
Coach

 

18. Did the cleric socialize with the family of the alleged victim(s)?

   
Yes
   
No
   
Information not in the file

 

19. If yes, in what way? (check all that apply)

   
In the church
   
In church day activities (e.g., picnics)
   
Spent time with the family in his residence
   
He spent time with the family in their residence
   
Vacations
   
Other (specify):____________

20. Type of behavior alleged by this victim (check all that apply):

   
Verbal (sexual talk)
   
Photos taken of victim while victim was disrobed
   
Victim disrobed
   
Masturbation in front of victim
   
Cleric disrobed
   
Mutual masturbation
   
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?

   
Yes
   
No
   
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
   
Spiritual manipulation
   
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 church
   
In the parish residence
   
In the home of the victim
   
Cleric’s office
   
In school
   
In the hospital
   
In a hotel room
   
In a car
   
Retreat house
   
Vacation house
   
Other (specify):__________________
   
 


24. When did the abuse reportedly occur?

   
During a retreat
   
During a social event
   
During a church service
   
During reconciliation
   
During travel
   
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?

   
Yes
   
No
   
Information not in the file

 

26. If yes, what type of gift(s)? __________________________________________

27. Were there any other enticements given to this victim?

   
Yes
   
No
   
Information not in the file


28. If yes, what were the enticements? (check all that apply)

   
Given money
   
Allowed to do special church activities (e.g., solo in the choir)
   
Allowed to stay up late
   
Given alcohol or drugs
   
Allowed to drive a car
   
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)

   
Mother only
   
Father only
   
Both parents
   
Brother(s)
   
Sister(s)
   
Other guardian
   
Grandparents
   
Boarding school
   
Foster parents
   
Orphanage
   
With the cleric
   
Other (specify)____________
   
In the rectory or church-related residence
   

 

30. Were any of victim's siblings also abused by any cleric?

[page 138 begins]

   
Yes
   
No
   
Information not in the file

 

31. At the time of the alleged abuse, was the victim under the influence of alcohol or drugs?

   
Yes
   
No
   
Information not in the file

 

32. At the time of the alleged abuse, was the cleric under the influence of alcohol or drugs?

   
Yes
   
No
   
Information not in the file

 

33. Was there a diocesan investigation? (If no, skip to Question 37)

   
Yes
   
No
   
Information not in the file

 

34. If there was a diocesan investigation, what was the result? (check all that apply)

   
Allegation substantiated
   
Allegation unsubstantiated
   
Cleric admitted abuse
   
Allegation found to be false
   
Other (specify) ________________
 


35. What action was taken regarding the cleric?

   
No action taken
   
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 was reinstated
   
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?

   
Yes
   
No
   
Information not in the file

 

37. Did the victim report the incident to the police or district attorney?

   
Yes
   
No
   
Information not in the file

 

38. Was there a police investigation?

   
Yes
   
No
   
Information not in the file

 

39. Was the cleric charged with a criminal offense? (If no, skip to Question 45)

   
Yes
   
No
   
Information not in the file

 

40. If yes, what charge was brought?________________________________________

41. Did the charges result in a conviction?

   
Yes
   
No
   
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)

   
Fine
   
Jail
   
Probation
   
Prison
   
House arrest
   
Electronic monitoring
   
Community service
   
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?

   
Yes
   
No
   
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?

   
Yes (specify) ________
   
No
   
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?

   
Yes
   
No
   
Pending
   
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.

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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.

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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!!

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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?

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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

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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:

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• 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 ___________________

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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:________________________

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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

 

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