HB 3328: Karly

1. HB 3328: Karly�s Law What it means for your MDT Stacy Liskey CAMI Program Coordinator

3. When do the changes from Karly�s Law become effective? NOW!!!

4. What does HB 3328 do? Defines �Suspicious Physical Injury� Photographs Medical Assessments Designated Medical Professional Early Intervention DHS Critical Incident Response Teams

5. Suspicious Physical Injury Burns or scalds Extensive bruising or abrasions on any part of the body Bruising, swelling, or abrasions on the head, neck or face Fractures of any bone in a child under 3 Multiple fractures in a child of any age Dislocations, soft tissue swelling or moderate to severe cuts

6. Suspicious Physical Injury Loss of ability to walk or move normally according to the child�s developmental ability Unconsciousness or difficulty maintaining consciousness Multiple injuries of different types Injuries causing serious or protracted disfigurement or loss or impairment of any bodily organ Any other injury that threatens the physical well-being of a child

7. Photographs Suspicious physical injury Must be taken every time a suspicious physical injury is observed Copies of photos must be provided to the designated medical professional within 48 hours

8. Photographs A copy of the photos must be put in any relevant files on the child Photos will be made available to MDT members at the first meeting regarding the child�s case after the photos are taken

9. Medical Assessments Must take place within 48 hours Must be conducted by the designated medical professional If the designated medical professional is not available, the child should be seen by any available physician The person conducting the medical assessment may access records from the child�s regular physician

10. Designated Medical Professional Trained to conduct medical assessments as defined in ORS 418.782 Regularly available to conduct medical assessments

11. DESIGNATED MEDICAL PROFESSIONAL INFORMATION DUE: SEPTEMBER 1, 2008!!!

12. Early Intervention If the child is under 5 years of age the designated medical professional may refer the child for a screening for early intervention services If the child is already receiving early intervention services, a person involved in the delivery of those services shall be invited to participate in the MDTs review of the child�s case

13. DHS Critical Incident Response Teams DHS shall assign a CIRT to respond to a child fatality within 24 hours after DHS has determined that the fatality was related to child abuse or neglect if: The child was in DHS custody at the time of death The child was the subject of a CPS assessment within 12 months of the date of death

14. HB 3328 is effective IMMEDIATELY!

15. ANY QUESTIONS?

16. Thank you!

17. Stacy LiskeyCAMI Program Coordinator(503) 378-5344stacy.liskey@state.or.us