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CIP Debrief Form
For questions 5-12, please answer 3 or more as you reflect on the CIP conversation.
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1.
Your name:
(Required.)
2.
Co-Panelist's name(s)
1
2
3
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3.
Case Number
(Required.)
*
4.
CIP length:
(Required.)
5.
How did I act in a respectful manner (remembering that people are not willing to change behavior or learn unless they feel respected and in a safe environment)?
6.
How did I discuss my emotional impact of the incivility?
7.
Did I speak about how the crime affects me personally?
8.
How did I give the offender(s) an opportunity to take responsibility for the crime?
9.
Did I have a conversation with the offender about the incivility?
10.
How did I help the offender see his/her responsibility for civility in the community?
11.
What positive shifts did I notice in the parties regarding the incident or the panel itself?
12.
Were any issues raised by the youth or parent about their interaction with the police? If yes, please describe.