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CHILD ABUSE AND NEGLECT STATISTICS ADDENDUM: CHILD DEATHS AND NEAR DEATHS STATE FISCAL YEAR 2014 July 2013 — June 2014

CHILD ABUSE AND NEGLECT STATISTICS - … Report Library/S17020...child abuse and neglect statistics addendum: child deaths and near deaths state fiscal year 2014 july 2013 — june

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CHILD ABUSE AND NEGLECT

STATISTICSADDENDUM: CHILD DEATHS AND NEAR DEATHS

STATE FISCAL YEAR 2014July 2013 — June 2014

TABLE OF CONTENTSStatistics-Introduction 2

Child Death Substantiations Child Death 2004 - 2014 3 Child Death by County 4

Child Death Categories Age of Child 5 Abuse and Neglect 5 Race 6 Gender 6 Cause of Death 7

Child Death by Perpetrator Child Abuse by Relationship 8 Child Neglect by Relationship 8 Age of Perpetrator 9

Child Near Death Substantiations Child Near Death 2004 - 2014 10 Child Near Death by County 11

Child Near Death Categories Age of Child 12 Abuse and Neglect 12 Race 13 Gender 13 Cause of Near Death 14

Child Near Death by Perpetrator Child Abuse by Relationship 15 Child Neglect by Relationship 15 Age of Perpetrator 16

TABLE OF CONTENTS 1

STATISTICS — INTRODUCTIONThis statistical document is an addendum to the State Fiscal Year 2014 Child Abuse and Neglect Statistics and pertains solely to child deaths and near deaths that were investigated and substantiated to be the result of child abuse or neglect by the person responsible for the child’s care. The 34 child death and 56 near death victims in this document were previously included in the overall total of 14,159 children substantiated to be victims of abuse and neglect in state fiscal year 2014.

The Oklahoma Department of Human Services (DHS) is charged with the responsibility of promptly investigating all reports of child deaths and near deaths alleged to be the result of abuse or neglect by the person responsible for the child’s care. Persons responsible for the care of children are parents, guardians, custodians, foster parents, any other adults living in the home of the child, and operators, owners, or employees of child care facilities or homes.

For purposes of this document, the definition of near death is when a child is admitted to a hospital in either serious or critical condition with injuries sustained from abuse or neglect by the person responsible for the child’s care. DHS began publishing near death data in state fiscal year 2004.

STATISTICS 2

FiscalYear

Deaths

CHILD DEATH SUBSTANTIATIONSIn state fiscal year 2014, there were 34 child deaths substantiated to be the result of child abuse or neglect. The chart below details the number of deaths that have occurred each year since 2004.

SUBSTANTIATED CHILD ABUSE AND NEGLECT DEATHS BY YEARState Fiscal Years 2004 through 2014

FiscalYear

Deaths

2004 512005 402006 322007 392008 412009 52

2010 382011 432012 302013 222014 34

0 10 20 30 40 50 60 70

Substantiated

2013

2014

2004 51

22

34

30

43

38

52

41

39

32

402005

2006

2007

2008

2009

2010

2011

2012

Source: DHS Child Welfare Services CPS Program Office

CHILD DEATH SUBSTANTIATIONS 3

Total: 34

CHILD DEATH SUBSTANTIATIONS

CHILD DEATH SUBSTANTIATIONS BY COUNTYState Fiscal Year 2014

The map below details the substantiated child abuse and neglect deaths by county.

Adair 0Alfalfa 0Atoka 0Beaver 0Beckham 0Blaine 0Bryan 0Caddo 0Canadian 0Carter 2Cherokee 5Choctaw 0Cimarron 0Cleveland 1Coal 0Comanche 1

Cotton 0Craig 0Creek 0Custer 0Delaware 0Dewey 0Ellis 0Garfield 0Garvin 0Grady 0Grant 0Greer 0Harmon 0Harper 0Haskell 0Hughes 0

Jackson 0Jefferson 0Johnston 0Kay 0Kingfisher 0Kiowa 0Latimer 0LeFlore 2Lincoln 0Logan 0Love 0Major 0Marshall 0Mayes 0McClain 0McCurtain 3

McIntosh 0Murray 0Muskogee 0Noble 0Nowata 0Okfuskee 3Oklahoma 7Okmulgee 0Osage 0Ottawa 0Pawnee 0Payne 1Pittsburg 0Pontotoc 0Pottawatomie 0Pushmataha 0

Rogers 0Roger Mills 0Seminole 0Sequoyah 1Stephens 0Texas 0Tillman 0Tulsa 6Wagoner 1Washington 1Washita 0Woods 0Woodward 0

TOTAL 34

CUSTER

ELLIS

BECKHAM WASHITA

CADDO

McCLAIN

SEM

INO

LE

HUGHESHASKELL

Le FLORE

LATIMERPITTSBURG

COAL

ATOKA

PONTOTOC

JOHNSTON

GARVIN

MURRAY

CARTER

LOVE

BRYAN CHOCTAW

PUSHMATAHA McCURTAIN

GRADYKIOWA

TILLMAN

JACKSON

HA

RMO

N

GREER

COTTON

JEFFERSON

STEPHENS

COMANCHE

McINTOSH

CLEVELAND

POTT

AWAT

OM

IE

BLAINEDEWEY

CANADIAN

MAJOR

GRANT KAY OSAGE

WA

SHIN

GTO

N

CRAIG

ROGERS

NOWATA

CHEROKEEADAIR

TULS

A

WAGONER

MAYES

OKMULGEE

CREEK

LINCOLN

LOGAN PAYNEKINGFISHER

OKLAHOMAOKFUSKEE

MUSKOGEESEQUOYAH

DEL

AWA

REO

TTAW

A

GARFIELD NOBLE

PAWNEE

WOODS ALFALFAHARPERBEAVERTEXASCIMARRON

WOODWARD

ROGER MILLS

MARSHALL

0

0

0 00

0

00 0

2

00

0

0

0

0

0

0

2

0 0 0

0 3

00

0

0

0

0

0

0

0

1

01 0

00

0

0

0 0 0 1 0

0

0

50

6

1

0

0

00

0 10

73

01

0

0

0 00

0 00000

0

0

0

Child Abuse and Neglect Deaths

0 (64)1 (6)2 (2)

3 to 7 (5)

Source: DHS Child Welfare Services CPS Program Office

4 CHILD DEATH SUBSTANTIATIONS

CHILD DEATH CATEGORIESAs shown on the chart below, children age 2 years and younger make up the majority of deaths by abuse and neglect.

SUBSTANTIATED DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECTBY AGE OF CHILD State Fiscal Year 2014

Age Count Percent

Under 1 Year 13 38.24%

1-2 Years 10 29.41%

3-6 Years 6 17.65%

7-11 Years 1 2.94%

12 Years and older 4 11.76%

TOTAL 34 100.00%

3-6 Years17.65%

12 Years and Older11.76%

Under 1 Year38.24%

1-2 Years29.41%

7-11 Years2.94%

Source: DHS Child Welfare Services CPS Program Office

As shown in the chart below, neglect accounts for more deaths than those resulting from abuse or both abuse and neglect.

SUBSTANTIATED DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECTState Fiscal Year 2014

Category Count Percent

Neglect 20 58.82%

Abuse 11 32.35%

Both Abuse and Neglect 3 8.83%

TOTAL 34 100.00%

Neglect58.82%

Abuse32.35%

Both Abuse& Neglect

8.83%

Source: DHS Child Welfare Services CPS Program Office

CHILD DEATH CATEGORIES 5

CHILD DEATH CATEGORIESThe race of the child victim in substantiated child abuse and neglect deaths is shown on the chart below.

SUBSTANTIATED DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECTBY RACE OF CHILD VICTIM State Fiscal Year 2014

Race Count Percent

White 16 47.06%

American Indian/Alaskan Native 9 26.47%

Black/African American 8 23.53%

Hispanic 1 2.94%

Asian 0 0.00%

TOTAL 34 100.00%

Black/African American23.53%

Asian4.54%

White47.06%

American Indian/ Alaskan Native26.47%

Hispanic2.94%

Source: DHS Child Welfare Services CPS Program Office

The gender of the child victim in substantiated child abuse and neglect deaths is shown on the chart below.

SUBSTANTIATED DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECTBY GENDER OF CHILD VICTIM State Fiscal Year 2014

Gender Count Percent

Male 18 52.94%

Female 16 47.06%

TOTAL 34 100.00%

Male52.94%

Female47.06%

Source: DHS Child Welfare Services CPS Program Office

6 CHILD DEATH CATEGORIES

Category Count Percent

CHILD DEATH CATEGORIESThe cause of death of the child victim in substantiated child abuse and neglect deaths is shown on the chart below.

SUBSTANTIATED DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECTBY CAUSE OF DEATH State Fiscal Year 2014

Category Count Percent

Drowning - Lack of Supervision 4 11.77%Gunshot - Homicide 4 11.77%Medical Neglect 3 8.83%Intentional Asphyxiation 3 8.83%Head Trauma 2 5.88%Asphyxiation - Unsafe Sleep 2 5.88%Vehicular Accident - Lack ofSupervision 2 5.88%Medication Ingestion - Lack ofSupervision 2 5.88%Smoke Inhalation - Lack ofSupervision 2 5.88%Hyperthermia - Heat Exposure 2 5.88%

Abdominal Trauma 2 5.88%Asphyxiation – Improper Sleeping Arrangements – Substance Abuse 1 2.94%Failure to Obtain PsychiatricAttention– Suicide 1 2.94%Unknown Cause of Death 1 2.94%Overall Physical Abuse/BodyTrauma 1 2.94%Vehicular Accident – SubstanceAbuse by Parent 1 2.94%Substance Exposed Infant 1 2.94%

TOTAL 34 100.00%

Medication Ingestion – Lack of Supervision5.88%

Smoke Inhalation – Lack of Supervision5.88%

Failure to Obtain PsychiatricAttention – Suicide2.94%

Vehicular Accident – Substance Abuse by Parent2.94%

Asphyxiation – ImproperSleeping Arrangements – Substance Abuse2.94%

Hyperthermia – Heat Exposure5.88%

Drowning – Lack of Supervision11.77%

Substance Exposed Infant2.94%

Unknown Cause of Death2.94%

Overall PhysicalAbuse/Body Trauma2.94%

Vehicular Accident – Lack of Supervision5.88%

Abdominal Trauma5.88%

Gunshot – Homicide11.77%

Medical Neglect8.83%

Intentional Asphyxiation 8.83%

Head Trauma 5.88%

Asphyxiation – Unsafe Sleep5.88%

Source: DHS Child Welfare Services CPS Program Office

CHILD DEATH CATEGORIES 7

CHILD DEATH PERPETRATORSThe relationship of the perpetrator to the child victim in substantiated child abuse deaths is shown on the chart below.Note: In some incidents of substantiated child abuse, more than one perpetrator is identified so the chart reflects information on both primary and secondary perpetrators.

SUBSTANTIATED DEATHS AS A RESULT OF CHILD ABUSE BY PERPETRATOR State Fiscal Year 2014

Perpetrator Count Percent

Mother 6 46.15%

Father 4 30.77%

Live-In Boyfriend 2 15.39%

Roommate 1 7.69%

TOTAL 13 100.00%

Live-InBoyfriend15.39%

Roommate7.69%

Mother46.15%

Father30.77%

Source: DHS Child Welfare Services CPS Program Office

The relationship of the perpetrator to the child victim in substantiated child neglect deaths is shown on the chart below.

Note: In some incidents of substantiated child neglect, more than one perpetrator is identified so the chart reflects information on both primary and secondary perpetrators.

SUBSTANTIATED DEATHS AS A RESULT OF CHILD NEGLECTBY PERPETRATOR State Fiscal Year 2014

Perpetrator Count Percent

Mother 18 45.00%Father 7 17.50%Grandmother 4 10.00%Grandfather 3 7.50%Uncle 2 5.00%Live-In Boyfriend 1 2.50%Legal Guardian 1 2.50%Aunt 1 2.50%Foster Mother 1 2.50%Foster Father 1 2.50%Great Grandmother 1 2.50%

TOTAL 40 100.00%

Grand-mother10.00%Grand-

father7.50%Uncle

5.00%

Mother45.00%

FosterMother2.50%FosterFather2.50%Great Grandmother2.50%

Live-InBoyfriend

2.50%Legal

Guardian2.50%

Father17.50%

Aunt2.50%

Source: DHS Child Welfare Services CPS Program Office

8 CHILD DEATH PERPETRATORS

Perpetrator Count Percent

CHILD DEATH PERPETRATORSThe age range of the perpetrators in substantiated child abuse and neglect deaths is shown on the chart below.

NOTE: In some incidents of substantiated child abuse and neglect, more than one perpetrator is identified so the chart reflects information on both primary and secondary perpetrators.

SUBSTANTIATED DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECT BY AGE OF PERPETRATOR State Fiscal Year 2014

Perpetrator Count Percent

Under 18 Years 0 0.00%18-21 Years 8 15.09%22-25 Years 13 24.53%26-29 Years 8 15.09%

30-35 Years 0 0.00%36-39 Years 5 9.44%40 Years & Over 19 35.85%

TOTAL 53 100.00%

18-21 Years15.09%

22-25 Years24.53%

40 Years & Over35.85%

36-39 Years 9.44%

26-29 Years15.09%

Source: DHS Child Welfare Services CPS Program Office

CHILD DEATH PERPETRATORS 9

FiscalYear

Deaths

CHILD NEAR DEATH SUBSTANTIATIONSIn state fiscal year 2014, there were 56 near deaths substantiated to be the result of child abuse or neglect. The chart below details the number of near deaths that have occurred each year since 2004.

SUBSTANTIATED CHILD ABUSE AND NEGLECT NEAR DEATHS BY YEARState Fiscal Years 2004 through 2014

FiscalYear

Deaths

2004 422005 372006 302007 322008 402009 30

2010 312011 202012 192013 332014 56

2005

2009

2010

2011

2006

2007

2008

2012

2013 33

19

20

31

30

40

32

30

2004

0 10 20 30 40 50 60 70 Substantiated

42

2014 56

37

Source: DHS Child Welfare Services CPS Program Office

10 SUBSTANTIATIONS

CHILD NEAR DEATH SUBSTANTIATIONSThe map below details the substantiated child abuse and neglect near deaths by county.

SUBSTANTIATED CHILD ABUSE AND NEGLECT NEAR DEATHS BY COUNTYState Fiscal Year 2014 TOTAL: 56

Adair 0Alfalfa 0Atoka 0Beaver 0Beckham 0Blaine 0Bryan 1Caddo 0Canadian 1Carter 1Cherokee 2Choctaw 0Cimarron 0Cleveland 0Coal 0Comanche 1

Cotton 0Craig 0Creek 3Custer 0Delaware 2Dewey 0Ellis 0Garfield 0Garvin 1Grady 0Grant 0Greer 0Harmon 0Harper 0Haskell 0Hughes 0

Jackson 0Jefferson 0Johnston 0Kay 0Kingfisher 0Kiowa 0Latimer 0LeFlore 4Lincoln 0Logan 0Love 0Major 0Marshall 0Mayes 1McClain 0McCurtain 1

McIntosh 0Murray 0Muskogee 2Noble 0Nowata 1Okfuskee 1Oklahoma 18Okmulgee 0Osage 1Ottawa 0Pawnee 0Payne 0Pittsburg 0Pontotoc 1Pottawatomie 4Pushmataha 0

Rogers 0Roger Mills 0Seminole 0Sequoyah 2Stephens 0Texas 1Tillman 0Tulsa 6Wagoner 1Washington 0Washita 0Woods 0Woodward 0

TOTAL 56

CUSTER

ELLIS

BECKHAM WASHITA

CADDO

McCLAIN

SEM

INO

LE

HUGHESHASKELL

Le FLORE

LATIMERPITTSBURG

COAL

ATOKA

PONTOTOC

JOHNSTON

GARVIN

MURRAY

CARTER

LOVE

BRYAN CHOCTAW

PUSHMATAHA McCURTAIN

GRADYKIOWA

TILLMAN

JACKSON

HA

RMO

N

GREER

COTTON

JEFFERSON

STEPHENS

COMANCHE

McINTOSH

CLEVELAND

POTT

AWAT

OM

IE

BLAINEDEWEY

CANADIAN

MAJOR

GRANT KAY OSAGE

WA

SHIN

GTO

N

CRAIG

ROGERS

NOWATA

CHEROKEEADAIR

TULS

A

WAGONER

MAYES

OKMULGEE

CREEK

LINCOLN

LOGAN PAYNEKINGFISHER

OKLAHOMAOKFUSKEE

MUSKOGEESEQUOYAH

DEL

AWA

REO

TTAW

A

GARFIELD NOBLE

PAWNEE

WOODS ALFALFAHARPERBEAVERTEXASCIMARRON

WOODWARD

ROGER MILLS

MARSHALL

0

0

0 00

0

00 0

4

00

0

0

1

0

1

0

1

0 1 0

0 1

00

0

0

0

0

0

0

0

1

00 4

00

1

0

0 0 1 0 0

0

1

20

6

1

1

0

30

0 00

181

22

2

0

0 00

0 00010

0

0

0

Child Abuse and Neglect Near Deaths

0 (55)1 (13)

2-18 (9)

Source: DHS Child Welfare Services CPS Program Office

CHILD NEAR DEATH SUBSTANTIATIONS 11

CHILD NEAR DEATH CATEGORIESAs indicated on the chart below, children 2 years of age and younger make up the majority of near deaths by abuse and neglect.

SUBSTANTIATED NEAR DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECT BY AGE OF CHILD State Fiscal Year 2014

Age Count Percent

Under 1 Year 23 41.07%

1-2 Years 15 26.79%

3-6 Years 10 17.86%

7-11 Years 4 7.14%

12 Years and older 4 7.14%

TOTAL 56 100.00%

3-6 Years17.86%

7-11 Years7.14%

12 Years and older7.14%

Under 1 Year41.07%

1-2 Years26.79%

Source: DHS Child Welfare Services CPS Program Office

As shown in the chart below, neglect accounts for more near deaths than those resulting from abuse or both abuse and neglect.

SUBSTANTIATED NEAR DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECT State Fiscal Year 2014

Category Count Percent

Neglect 34 60.71%

Abuse 19 33.93%

Both Abuse and Neglect 3 5.36%

TOTAL 56 100.00%

Neglect60.71% Abuse

33.93%

Both Abuse& Neglect

5.36%

Source: DHS Child Welfare Services CPS Program Office

12 CHILD NEAR DEATH CATEGORIES

CHILD NEAR DEATH CATEGORIESThe race of the child victim in substantiated child abuse and neglect near deaths is shown on the chart below.

SUBSTANTIATED NEAR DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECT BY RACE OF CHILD VICTIM State Fiscal Year 2014

Race Count Percent

White 33 58.93%

American Indian/Alaskan Native 10 17.86%

Black/African American 7 12.50%

Hispanic 6 10.71%

TOTAL 56 100.00%

White58.93%

American Indian/Alaskan Native17.86%

Hispanic10.71%

Black/African American12.50%

Source: DHS Child Welfare Services CPS Program Office

The gender of the child victim in substantiated child abuse and neglect near deaths is shown on the chart below.

SUBSTANTIATED NEAR DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECT BY GENDER OF CHILD VICTIM State Fiscal Year 2014

Gender Count Percent

Male 36 64.29%

Female 20 35.71%

TOTAL 56 100.00%

Male64.29%

Female35.71%

Source: DHS Child Welfare Services CPS Program Office

CHILD NEAR DEATH CATEGORIES 13

Category Count Percent

CHILD NEAR DEATH CATEGORIESThe cause of near death of the child victim in substantiated child abuse and neglect near deaths is shown on the chart below.

SUBSTANTIATED NEAR DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECT BY CAUSE OF NEAR DEATH State Fiscal Year 2014

Category Count Percent

Head Trauma 20 35.71%Poisoning - Lack of Supervision 12 21.42%Vehicular Accident - Substance Abuse by Parent 5 8.92%Medical Neglect 4 7.14%Drug Exposure 2 3.57%Scalding/Burns 2 3.57%Near Drowning - Lack of Supervision 2 3.57%Substance Exposed Newborn 2 3.57%Environmental Neglect 1 1.79%

Overall Physical Abuse/BodyTrauma 1 1.79%Abdominal Trauma 1 1.79%Mauled by Dog - Lack ofSupervision 1 1.79%Stab/Knife Wounds 1 1.79%Gunshot Wound - Failureto Protect 1 1.79%Failure to Thrive 1 1.79%

TOTAL 56 100.00%

Head Trauma 35.71%

Drug Exposure3.57%

Medical Neglect7.14%

Vehicular Accident -Substance Abuse by Parent8.92%

Poisoning - Lack of Supervision21.42%

Overall Physical Abuse/Body Trauma

1.79%Environmental Neglect1.79%

Scalding/Burns3.57%

Near Drowning - Lack of Supervision3.57%

Stab/Knife Wounds1.79%

Gunshot Wound - Failure to Protect1.79%

Failure to Thrive1.79%

Mauled by Dog - Lack of Supervision1.79%

Abdominal Trauma1.79%

Substance Exposed Newborn3.57%

Source: DHS Child Welfare Services CPS Program Office

14 CHILD NEAR DEATH CATEGORIES

CHILD NEAR DEATH PERPETRATORSThe relationship of the perpetrator to the child victim in substantiated child abuse near deaths is shown on the chart below.

Note: In some incidents of substantiated child abuse, more than one perpetrator is identified so the chart reflects information on both primary and secondary perpetrators.

SUBSTANTIATED NEAR DEATHS AS A RESULT OF CHILD ABUSEBY PERPETRATOR State Fiscal Year 2014

Perpetrator Count Percent

Mother 11 35.48%

Father 10 32.26%

Live-In Boyfriend 4 12.90%

No Relation 3 9.68%

Child Care Provider 2 6.45%

Stepmother 1 3.23%

TOTAL 31 100.00%

No Relation9.68%

Mother35.48%

Father32.26%

Live-in Boyfriend12.90%

Stepmother3.23%

Child Care Provider6.45%

Source: DHS Child Welfare Services CPS Program Office

The relationship of the perpetrator to the child victim in substantiated child neglect near deaths is shown on the chart below.

Note: In some incidents of substantiated child neglect, more than one perpetrator is identified so the chart reflects information on both primary and secondary perpetrators.

SUBSTANTIATED NEAR DEATHS AS A RESULT OF CHILD NEGLECTBY PERPETRATOR State Fiscal Year 2014

Perpetrator Count Percent

Mother 30 60.00%

Father 15 30.00%

Grandmother 2 4.00%

Stepmother 1 2.00%

Live-In Boyfriend 1 2.00%

Stepfather 1 2.00%

TOTAL 50 100.00%

Father30.00%

Grandmother4.00%

Mother60.00%

Stepfather2.00%

Stepmother2.00%

Live-In Boyfriend2.00%

Source: DHS Child Welfare Services CPS Program Office

CHILD NEAR DEATH CATEGORIES 15

Perpetrator Count Percent

CHILD NEAR DEATH PERPETRATORSThe age range of the perpetrators in substantiated child abuse and neglect near deaths is shown on the chart below. NOTE: In some incidents of substantiated child abuse and neglect, more than one perpetrator is identified so the chart reflects information on both primary and secondary perpetrators.

SUBSTANTIATED NEAR DEATHS AS A RESULT OF CHILD ABUSE AND NEGLECT BY AGE OF PERPETRATOR State Fiscal Year 2014

Perpetrator Count Percent

Under 18 Years 0 0.00%18-21 Years 6 7.41%22-25 Years 29 35.80%26-29 Years 13 16.05%

30-35 Years 15 18.52%36-39 Years 5 6.17%40 Years & Over 13 16.05%

TOTAL 81 100.00%

18-21 Years7.41%

22-25 Years35.80%

30-35 Years 18.52%

40 Years & Over 16.05%

36-39 Years 6.17%

26-29 Years16.05%

Source: DHS Child Welfare Services CPS Program Office

CHILD NEAR DEATH CATEGORIES16

S17020 DHS Issued 7/17This publication is authorized by Oklahoma Department of Human Services Director Ed Lake and printed by DHS in accordance with state and federal regulations at a cost of $242.88 for 85 copies. Copies have been deposited with the Publications Clearinghouse of the Oklahoma Department of Libraries. DHS offices may request copies on ADM-9 (23AM009E) electronic supply

orders. Members of the public may obtain copies by calling 1-877-283-4113 (toll free), by faxing an order to (405) 962-1741, or by downloading a copy at www.okdhs.org/library.