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)

28. If the cleric was reinstated, was it:

29. What year(s) did the diocese take action against the cleric?

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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.

31. If the cleric participated in treatment, at which facility?

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.

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REMEMBER – DO NOT PROVIDE ANY NAMES OR OTHER IDENTIFYING INFORMATION

For research use only: Dio Code: ____________ AB Code: ___________

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VICTIM SURVEY:
CONFIDENTIAL

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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?

5. How was the allegation initially made?

6. Is there a record of the victim or victim’s family following up on the allegation?

7. If the victim/victim’s family did follow up, how many times? __________________

8. How many times was the victim allegedly abused?

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

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)

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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?

17. What was the cleric’s primary duty when he met the victim? (check all that apply)

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

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

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

21. Was the victim threatened by the cleric in any way?

22. If yes, what type of threat?

23. Where was the abuse reported to have occurred? (check all that apply)

24. When did the abuse reportedly occur?

25. Did the victim receive any gifts from the cleric?

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

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

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

29. Who did the victim live with when allegedly abused (check all that apply)

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

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

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

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

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

35. What action was taken regarding the cleric?

36. Was the victim or their family ever contacted regarding the results of the investigation?

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

38. Was there a police investigation?

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

40. If yes, what charge was brought?________________________________________

41. Did the charges result in a conviction?

42. If yes, for what offense? _____________________________________

43. If there was a conviction, what was the sentence? (check all that apply)

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?

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46. Was there any other form of legal action taken with respect to this cleric and this victim?

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?

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:_________

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WRITTEN
INSTRUCTIONS

(PLEASE READ CAREFULLY AS YOU COMPLETE THE SURVEY FORMS)

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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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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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