BIP SERVICES REFERRAL FORM
(copy and paste this form to a word document)
Contact Person and title:
FULL NAME OF CLIENT:
CONTACT PHONE NUMBER(S):
REASON FOR REFERRAL:
(PRETRIAL, DIVERSION, SUPERVISION (PO,ISO,CSO), CASE MANAGEMENT)
*The client will be contacted by phone to set an appointment to complete a Kansas Attorney General Domestic Violence Assessment. After completion the Assessment and Recommendation form will be emailed to the referral contact person. The assessment fee of $150.00 is required up front. Failure to keep a scheduled appointment (without rescheduling at least two hours prior) will result a $20.00 missed appointment.
*ASSESSMENT RECOMMENDATIONS CAN NOT BE COMPLETED UNTIL LEGAL DOCUMENTS ARE RECEIVED. THESE MAY INCLUDE: PROBABLE CAUSE AFFIDAVIT, POLICE REPORTS, ORDER OF PROTECTION, PSI, ETC.
EMAIL TO email@example.com
KSA 21- 5414 Domestic Battery
(1) Knowingly or recklessly causing bodily harm by a family or household member against a family or household member; or
(2) knowingly causing physical contact with a family or household member by a family or household member when done in a rude, insulting or angry manner.
(b) Domestic battery is:
(1) Except as provided in subsection (b)(2) or (b)(3), a class B person misdemeanorand the offender shall be sentenced to not less than 48 consecutive hours nor more than six months' imprisonment and fined not less than $200, nor more than $500 or in the court's discretion the court may enter an order which requires the offender to undergo a domestic violence offender assessment conducted by a certified batterer intervention program and follow all recommendations made by such program.
(2) except as provided in subsection (b)(3), a class A person misdemeanor, if, within five years immediately preceding commission of the crime, an offender is convicted of domestic battery a second time and the offender shall be sentenced to not less than 90 days nor more than one year's imprisonment and fined not less than $500 nor more than $1,000. The five days imprisonment mandated by this paragraph may be served in a work release program only after such offender has served 48 consecutive hours imprisonment, provided such work release program requires such offender to return to confinement at the end of each day in the work release program. The offender shall serve at least five consecutive days imprisonment before the offender is granted probation, suspension or reduction of sentence or parole or is otherwise released. As a condition of any grant of probation, suspension of sentence or parole or of any other release, the offender shall be required to undergo a domestic violence offender assessment conducted by a certified batterer intervention program and follow all recommendations made by such program.
(3) a person felony, if, within five years immediately preceding commission of the crime, an offender is convicted of domestic battery a third or subsequent time, and the offender shall be sentenced to not less than 90 days nor more than one year's imprisonment and fined not less than $1,000 nor more than $7,500. The offender convicted shall not be eligible for release on probation, suspension or reduction of sentence or parole until the offender has served at least 90 days imprisonment. As a condition of any grant of probation, suspension of sentence or parole or of any other release, the offender shall be required to undergo a domestic violence offender assessment conducted by a certified batterer intervention program and follow all recommendations made by such program, unless otherwise ordered by the court or department of corrections. If the offender does not undergo a domestic violence offender assessment conducted by a certified batterer intervention program and follow all recommendations made by such program, the offender shall serve not less than 180 days nor more than one year's imprisonment. The 90 days imprisonment mandated by this paragraph may be served in a work release program only after such offender has served 48 consecutive hours imprisonment, provided such work release program requires such offender to return to confinement at the end of each day in the work release program
BIP Services addresses the following:
(1) Identification, discussion, confrontation and change of abusive and controlling behavior to victims, including partner and children. All forms of domestic violence shall be identified and challenged, with specific attention given to all physical, emotional, verbal, mental, sexual and economic abuse, as well as intimidation and the destruction or damage to pets or property. Other methods of control shall be included.
(2) Identification and discussion of the effects battering has on victims, including children who witness such violence. The short and long term effects of abuse and violence are to be presented. Batterers shall be expected to take responsibility for creating these consequences. The goal of these exercises shall be to build empathy.
(3) Confrontation of excuses for battering. This shall include a philosophical stance that violence and abuse are the sole responsibility and choice of the batterer, and are never justified.
(4) Identification and discussion of non-cooperative and abusive forms of communication and quick fix responses.
(5) Identification and practice of cooperative and non-abusive forms of communication, positive communication skills, long term solutions and responsible ways of treating partners, children, and others.
(6) Identification of cultural and social influences that contribute to battering behavior. The program shall not allow these issues to excuse or justify individual responsibility of abuse and violence.
24 hour hotline
3320 SW Harrison
Topeka, Kansas 66611
Office: (785) 350-2858
Fax: (844) 272-4256
(1) An assessment is given to ensure appropriateness in the program (Kansas Domestic Violence Offender Assessment).
(2) Followed by an orientation class.
(3) Then twenty-four group classes conducted weekly.
THE REQUIREMENTS include:
(1) Attendance must be maintained and a limited number of absences are allowed.
(2) Financial responsibility must be maintained and is a vital part of the accountability process.
(3) Participation in classes are required including doing assigned homework.
Clients accepting personal responsibility and accountability are vital to successfully completing this program. After fifteen weeks of attendance the participant will be required to successfully show a level of competence in understanding the curriculum in order to be allowed to complete the last nine weeks of the BIP program. There is a final letter of accountability required to be presented to the group at the final class.
ALL DOCUMENTS ARE TO BE SENT TO firstname.lastname@example.org AS ATTACHMENTS.
1) Send a completed referral form (copy form below and paste to a word document).
REFERRAL TO BE MADE FROM THE COURT OR STATE OFFICIAL REQUESTING SERVICES (ATTORNEY, CSO, ISO, PO, KVC, etc.)
2) Send legal information: police reports, probable cause affidavit, witness or police statements, journal entries, and/or PSI. GENERALLY PROVIDED BY THE COUNTY or CITY ATTORNEY that FILES CHARGES.
3) Also needed is any victim contact information if different from police reports.
THE CLIENT NEEDS TO BE CAPABLE OF PAYING THE $150.00 ASSESSMENT FEE AND THE $20.00 WEEKLY CLASS FEES AS WELL AS MAINTAINING WEEKLY GROUP ATTENDANCE BEFORE MAKING THE REFERRAL.
APPOINTMENTS WILL NOT BE MADE WITH CLIENT BEFORE THE REFERRAL FORM IS RECEIVED.
ASSESSMENT RECOMMENDATIONS ARE NOT MADE BEFORE RECEIVING THE NECESSARY LEGAL DOCUMENTS.
From the Kansas Attorney General Batterer Intervention Program Advisory Board
Class dates, times and locations
Tuesdays 6:00 pm - 8:00 pm at 1500 S. 29th Street, Parsons, KS
Wednesdays 7:00 pm - 9:00 pm at 8495 Dorn Road, Thayer KS
Fridays 6:00 pm - 8:00 pm at 705 E. Centennial Drive, Pittsburg, KS
Saturdays 1:00 pm - 3:00 pm at 305 E. Main Street, Cherryvale, KS
Trained advocates available 24/7
State of Kansas Hotline
Batterers Intervention Program Services LLC
Certified by the Office of the Kansas Attorney General
The Batterers Intervention Program (BIP) is an education based program that makes victim safety its primary priority, holding offenders accountable, and promoting a coordinated community response to domestic violence.
PO Box 405
Cherryvale, Kansas 67335
BIP Services is Certified by the Kansas Attorney Generals Office and our mission is to hold batterers accountable, create nonviolent behavior, and promote safety for victims. On a wider scale, batterers intervention seeks to create social norms that reject rather than affirm or ignore battering within intimate family and household relationships. BIP Services use the Family Peace Initiative curriculum.
Please contact us if you have any questions or concerns.
Jerry Wallace, MA, LAC
Batterers Intervention Program Services, LLC
P.O. Box 405
Cherryvale, Kansas 67335-0405
Victim Liaison and Assessments
Vickie Malle-LeFever, MSCJ, LCAC
Vickie L. Malle Consulting
Director, Assessments and Facilitator
Jerry R. Wallace, MA, LAC
Batterers Intervention Program Services, LLC
Fees for services
$150.00 assessment fee.
Includes orientation class and workbook ($50.00 value).
The BIP Classes are weekly and are $20.00 each.
There are 24 group classes required.
Topics covered by Family Peace Initiative curriculum include:
120 SW 10th Ave., 2nd Floor
Topeka, KS 66612-1597
We follow the Family Peace Initiative curriculum. We are dedicated to ending family violence through compassion, Integrity and expertise. BIP Services is committed to treating every individual with respect and dignity. The process of changing behavior begins with a safe environment where self-exploration can occur. We endeavor to create this space for those we serve.
How to make a BIP Referral
NOTE: REFERRALS ARE TO BE MADE BY A COURT OR STATE OFFICIAL
(i.e. Attorney at Law, Court Services, Community Corrections, State Parole, Child Welfare, Municipal Court)
We serve the following locations in Southeast Kansas
COUNTIES: Allen, Bourbon, Cherokee, Crawford, Labette, Montgomery, Neosho and Wilson
JUDICIAL DISTRICTS: Eleventh, Fourteenth, and Thirty-First
Batterers Intervention Program Services works closely within the legal process to include: Department of Corrections Parole Services, District Courts, Municipal Courts, County Attorney Diversion Programs as well as Child Protective Services. Private referrals outside the legal system are welcomed and encouraged. Victims safety is always the first and foremost priority of BIP Services.