SOP_NUMBER: 508.22-att-1
TITLE: Sexual Allegation Notification and Evaluation Log
REFERENCE_CODE: VG55-0001
DIVISION: Mental Health Administration/Staff/Certification
TOPIC_AREA: 508 Policy-MH Administration/Staff/Certification
EFFECTIVE_DATE: 2018-05-03
WORD_COUNT: 87
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/353067
URL: https://gps.press/sop-data/508.22-att-1/

SUMMARY:
This form is used to document and track sexual allegations reported at correctional facilities, including notification to mental health staff and evaluation information. The log captures details about the alleged victim (offender), the evaluator who assessed them, whether they were already in mental health services or newly added, and notification information about the alleged perpetrator. Facilities must maintain completed logs for 10 years in the mental health area.

KEY_TOPICS: sexual allegations, sexual assault, mental health evaluation, trauma treatment, notification log, offender safety, SART (Sexual Assault Response Team), evaluation tracking, mental health services, institutional safety, victim assessment

ATTACHMENTS:
  1. Sexual Allegation Notification and Evaluation Log
     URL: https://gps.press/sop-data/508.22-att-1/
  2. Consent to Sexual Abuse Evaluation
     URL: https://gps.press/sop-data/508.22-att-2/
  3. Mental Health Sexual Allegation Follow-Up Report
     URL: https://gps.press/sop-data/508.22-att-3/
  4. Mental Health Initial Sexual Allegation Evaluation
     URL: https://gps.press/sop-data/508.22-att-4/

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FULL TEXT:
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SOP 508.22
Attachment 1

5/3/18
# **SEXUAL ALLEGATION NOTIFICATION AND EVALUATION LOG**

**Evaluating Facility:** **Month:** **Year:**






























|Identifying information|Col2|Notification<br>To MH|Evaluation Information|Col5|Col6|Col7|Col8|Col9|Warden/Designee/SART<br>Notification|Col11|Alleged<br>Perpetrator<br>(check one)|Col13|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|Offender Name|GDC#|Date|Date|Evaluator<br>Name|Already<br>MH<br>Y/N|Added to<br>MH<br>Y/N|Follow-up<br>Evaluation<br> <br>Date|Trauma<br>Treatment<br> <br>Begin Date|Date/Time|Name|Offender|Staff|
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Form no. M55-01-01

Retention Schedule: Upon completion, this form shall be maintained in the mental health area for 10 years.