HOTLINE DATA COLLECTION FORM

VAdata: Virginia’s Sexual and Domestic Violence Data Collection System

WHAT IS A HOTLINE CALL

A hotline call is any call were your provide crisis/support

services by phone to a victim, family/friend of victim,

parent/guardian of victim, or perpetrator.

You will use the hotline form for all direct service calls, even those that come in

through your business line.

INFORMATION WE COLLECT ON HOTLINE Caller Demographics

Information on Presenting Sexual and/or Domestic Violence

Relationship of Caller to VictimType of Sexual and/or Domestic Violence Experienced

Perpetrator Information

INFORMATION COLLECTED CONT.

Risk Assessment

Services and Referrals Provided

Length of Hotline Call

WHY WE COLLECT WHAT WE DO

DemographicsTo show that sexual and domestic violence

affects lots of different peopleAlso, information such as, age, race,

disability status, etc. may influence your service delivery

Presenting Sexual and Domestic Violence ExperienceAllows specific information to be collected

on both experiences for victims who have experienced both sexual and domestic violence

WHY WE COLLECT WHAT WE DO Risk Assessment

We include this on hotline because it is a reminder of potential safety risks with sexual and/or domestic violence

We also hope that is promotes risk assessment and safety planning for ALL hotline calls

Services and Referrals Capture the remarkable work you all do

INFORMATION REQUIRED TO SUBMIT FORM

For all hotline calls, these fields are required:DateStaff NameGenderRace/Ethnicity (you can select unknown)Approximate Age (it’s OK to estimate)Locality (you can select unknown)Referral Source (you can select unknown)At least one serviceLength of Call

INFORMATION REQUIRED CONT.

For hotline calls with a presenting sexual and/or domestic violence experience, these fields are required:

Relationship of Caller to Victim Type of Sexual and/or Domestic Violence Relationship of Perpetrator to Victim (unknown

option available) Please note: all other perpetrator information is

optional and need only be included if known

QUESTIONS ABOUT HOTLINEWhat about calls from allied professionals

about a specific victim?

If the allied professional is seeking general information, then please complete a Community Engagement form. If they are addressing a specific victim or family, then proceed with a hotline form

If you choose to report calls from allied professional on the hotline form, you will need to complete the demographics section using the allied professional’s demographics

QUESTIONS CONT.

Do we fill out a form for crisis calls that are not related to a sexual and/or domestic violence situation?

Yes. There are places on the form to indicate that it is not a sexual and/or domestic violence related call.

QUESTIONS CONT.What about all the other calls we receive on

the hotline, such as requests for general information on our services, materials, donations, etc.?

Record these calls on the Community Engagement form

QUESTIONS CONT.What about hang up calls?

We let local agencies decide how to handle recording these calls. Two options to consider:

1. You don’t record the call since there was no information or service provided

2. Record as a non-sv and non-dv hotline call

IMPORTANT NOTE:On the Hotline Form, you will see these questions:

Please respond to these questions for ALL survivors who request emergency housing/shelter (including those who may be from out of your area or who may not be in imminent danger).

It is crucial that we document when survivors are seeking shelter but those shelters are full.

HELP OPTIONS

You may note this symbol by several fields on the form:

Click on the symbol to receive information about the field.

HELP! THINGS ARE NOT WORKING AS I EXPECTED

If you think something is wrong with VAdata, please always call us! 804.377.0335

We don’t use VAdata every day (like you do), so sometimes the only way we know that something is broken is when you tell us.

We also like to talk with you by phone when you have questions, because we usually want a whole lot of information that you might not know we need.

WHO DO I CONTACT FOR HELP?

Please contact your assigned SDVA liaison @ 804.377.0335. If they are unable to respond to your immediate concern, they will contact the VAdata staff for support.

REALLY, IT’S OK TO ASK

The Action Alliance staff urge you to contact us whenever you have a question or a concern about VAdata.

We have a saying at the Action Alliance, “there are no stupid VAdata questions.”

COMMENTS AND SUGGESTIONS

This is a great place to make a suggestion or request support that does not need immediate attention.

If you need immediate attention, please give us a call. Often we will need additional information from you, so a call is usually more expedient than an email.