Now that you are familiar with the development of the PSI report consider the following scenario and complete the first section of the PSI report. A template can be found here.
PROJECT
Each week, you’ll be completing a section of a term-long project.
This is the first section of a six part project that will conclude for final submission in week 6. Now that you are familiar with the development of the PSI report consider the following scenario and complete the first section of the PSI report. A template can be found here.
Benny Smith pled guilty to an armed robbery on October 2, 2010. He is now being sentenced by The Honorable Judge Judy Fallon. Please complete the following:
The demographic and case information sections of the PSI. Be as creative as you want. You can make up any information not provided in the notes section. This includes address, prosecutor info, etc. State Of Ohio – Adult Parole Authority
373 S. High Street, Columbus, Ohio 43215
☐ Pre-sentence Investigation
☐ Post-sentence Investigation
I. Case Data
Offender:
Alias (ES):
Address:
County: Franklin
Phone:
DOB: Age:
Sex/Race:
Birthplace:
U.S. Citizen: ☐ Yes ☐ No
Other:
SSN:
DL No.:
ID No.:
FBI No.:
BCI No.:
Height: Weight:
Eyes: Hair:
☐ RT ☐ LT Handed
ID Marks: ☐ Yes ☐ No
Functional Limitations: ☐ Yes ☐ No
Highest Grade Completed:
Military Veteran: ☐ Yes ☐ No
Docket Number:
County:
PDN:
Presiding Judge: The Honorable Judge Reece
Prosecutor:
Phone:
Defense Counsel:
Phone:
Investigating Officer: Amy Ng
Referred: 27 March 2006
Follow Up: 24 April 2006
Completed: 25 April 2006
Typed:
In Custody: ☐ Yes ☐ No
Facility & Location:
Pretrial Supervision: ☐ Yes ☐ No
Pretrial Officer/Phone:
Active Probation/Community Control: ☐ Yes ☐ No
Officer/Phone:
Active Parole/Post Release Control: ☐ Yes ☐ No
Officer/Phone:
Detainers/Charges Pending: ☐ Yes ☐ No
Disposition/Date: /
II. Court Data
Indictment/Date: /
Plea/Date: /
ORC No.:
Statutory Penalty:
Bond Amt. /Type:
Total Jail Credit:
Co-Offender (s): ☐ Yes ☐ No
(If yes, list name (s) and docket number (s):
1. Name: / Docket Number:
2. Name: / Docket Number:
3. Name: / Docket Number:
Indictment/Date: /
Plea/Date: /
ORC No.:
Statutory Penalty:
Bond Amt. /Type:
Total Jail Credit:
Co-Offender (s): ☐ Yes ☐ No
(If yes, list name (s) and docket number (s):
1. Name: / Docket Number:
2. Name: / Docket Number:
3. Name: / Docket Number:
Indictment/Date: /
Plea/Date: /
ORC No.:
Statutory Penalty:
Bond Amt. /Type:
Total Jail Credit:
Co-Offender (s): ☐ Yes ☐ No
(If yes, list name (s) and docket number (s):
1. Name: / Docket Number:
2. Name: / Docket Number:
3. Name: / Docket Number:
Indictment/Date: /
Plea/Date: /
ORC No.:
Statutory Penalty:
Bond Amt. /Type:
Total Jail Credit:
Co-Offender (s): ☐ Yes ☐ No
(If yes, list name (s) and docket number (s):
1. Name: / Docket Number:
2. Name: / Docket Number:
3. Name: / Docket Number:
III. Offense Data
Details Of The Instant Offense:
Offenders’ Version:
IV. Criminal Record
Juvenile: None
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Supervision Adjustment (Juvenile):
Adult:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Date
Offense
Place
Disposition
Details:
Dismissed/Nollied/Unknown/Traffic Offenses:
Supervision Adjustment (Adults):
V. Social Summary
Domestic Relationship:
Marital Status At Time Of Instant Offense:
☐ Single ☐ Married ☐ Divorced ☐ Separated ☐ Widowed
Current Marital Status: ☐ Single ☐ Married ☐ Divorced ☐ Separated ☐ Widowed
Number Of Marriages: Current Marital Relationship: ☐ Good ☐ Fair ☐ Poor
Spouse: Age: Address: Occupation:
Children:
If Yes, How Many Children Is The Offender The Biological/Custodial Parent: 2
Name
Age
Location
Other Parent
Child Support Status
☐ Amount Owed
☐ Paid Monthly
☐ Amount Owed
☐ Paid Monthly
☐ Amount Owed
☐ Paid Monthly
☐ Amount Owed
☐ Paid Monthly
Contact Person:
Relationship:
Address:
Phone:
Comments:
Associations:
Instant Offense Involved Co-Offender (s)/Accomplices: ☐ Yes ☐ No
History Of Criminal Activity Involving Co-Offender (s)/Accomplices: ☐ Yes ☐ No
Organizations/Social Groups: ☐ Yes ☐ No
Gang/Security Threat Groups Affiliations: ☐ Yes ☐ No
If yes, list gang/rank:
Comments:
Residence:
Living Arrangement At Time Of Instant Offense:
☐ Alone ☐ With parent (s) ☐ With children ☐ With spouse/domestic partner
☐ Grandparent (s)
Other (please indicate):
Current Living Arrangement:
☐ Alone ☐ With parent (s) ☐ With children ☐ With spouse/domestic partner
☐ Grandparent (s)
Other (please indicate):
Current Residence: ☐ House ☐ Trailer ☐ Apartment ☐ Room townhouse/condo
Other (please indicate):
Lives With (Names):
Cost: ☐ Owns/Mortgage ☐ Rents ☐ No Cost ☐ Subsidizes
Amount Offender Pays Per Month:
Length Of Time At Current Address:
Number of Addresses During Past Two Years:
Non-U.S. Citizens – Residence status:
INS Notified: ☐ Yes ☐ No Deportable: ☐ Yes ☐ No
Comments:
Education:
Last Grade Completed: Year:
Reason For Leaving:
Last School Attended:
Location:
GED: ☐ Yes ☐ No Year:
Difficulty Reading/Writing/Comprehending: ☐ Yes ☐ No
Certifications/Special Training: ☐ Yes ☐ No
If yes, list:
Comments:
Physical Health:
Current Status: ☐ Good ☐ Fair ☐ Poor ☐ Disabled
Nature of Disability:
Presently Under Doctor’s Care:
Medical Condition (s):
Doctor/Phone:
Current Status: ☐ No Medical Provider Assigned ☐ Current Medical Provider Assigned ☐ Seeking New Medical Provider
Nature Of MH Issues:
In Counseling Currently:
Therapist/Phone:
Childhood Abuse: ☐ Yes ☐ No
Suicide Attempts: ☐ Yes ☐ No
MH Hospitalizations: ☒ Yes ☐ No
When & Where: 1991-1992
Hospital: Unknown
Diagnosis: Depression
Past Social Service Involvement: ☐ Yes ☒ No
When & Where:
PSYCH. Medication: ☐ Yes ☐ No
Comments:
Current Status: Stable
Drugs Currently Being Used: None
Amount/Frequency:
Drug Treatment:
Where and When:
Was Treatment Completed: ☐ Yes ☐ No
Current Status: Stable
Age Of First Alcohol Use:
Alcohol Currently Being Used:
Alcohol Treatment:
Where and When:
Was Treatment Completed:
Comments:
Primary Source Of Income:
Total Monthly Expenses:
Restitution Requested By Victims:
Total Amount Requested:
Comments:
Current Status:
Reason For Not Working:
Current Employer/Phone:
Job Title: Manager
Start Date: Supervisor:
Hours Worked Per Week:
Comments:
Comments:
Respectfully submitted,
[img src=”file:/C:\DOCUME1\MMEDIN1\LOCALS1\Temp\msohtmlclip1\01\clip_image001.png” height=”2″ width=”234″> Amy Ng
Approved By:
[img src=”file:/C:\DOCUME1\MMEDIN1\LOCALS1\Temp\msohtmlclip1\01\clip_image002.png” height=”2″ width=”234″> John Doe
cc: Judge (original)
Defense Counsel (1)
Prosecutor (1)
File (2)
Victim’s Version And Restitution
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