MISSOURI DEPARTMENT OF SOCIAL SERVICES CHILDREN’S DIVISION Critical Event Case Review – Staff Interview
Case Name:	Page:	of
(In Category C the Staff Interview is conducted by the external reviewer only):
Date of Interview:	Incident #:
Family/Child Name:
Interviewee Name:	Job Title:
Interviewer Name:	Job Title:
(Consider Child Vulnerability, Caretaker Protective Capacity and Threats of Danger throughout)
How familiar were you with the history or available information regarding this family prior to your first meeting with them?
What were your observations related to family functioning?
Describe how your supervisor, colleagues, and/or the agency supported you in your work with this family and/or in responding to this critical event?
On a scale of 0-10, with 0 being little confidence and 10 being extremely confident, how confident were you in your ability to respond to this incident? Please help me understand your rating and what would have increased your level of confidence.
Can you think of anything that might have helped you in your work with this family?
Is there anything you would change in regard to your own practice?
Are there any recommendations you would like to make regarding statewide practice, policy or training?
Is there anything else you would like to share?