Additional considerations that supported the agency's decision to screen the report out was that the family did not have previous involvement with the child protection system as well as the child's disability status. It was not clear to the agency that the behavioral concerns noted within the child protection report were resulting from the juvenile diabetes or from the child's disability. As a result of this, the information contained in the report which indicated that the behavioral concerns noted were directly correlated to the medical neglect of the child's juvenile diabetes needs was dampened.

Previous experiences with responding to juvenile diabetes reports also influenced staff's decision to screen this case out. Staff indicated that they had previously screened in a very similar case that resulted in a child protection investigation and an unnecessary removal of a child from his caregivers. This experience was very traumatic for the child, the family, and the staff involved in this case. As a result of this, all staff involved in the screening decision including staff involved with the previous case noted extra caution when screening and responding to this case as to not repeat actions and cause any unnecessary harm to the child and his family through a child protection response. Staff also noted that as a team this previous case and its particular impact on staff involved in this screening decision was openly discussed to try and mitigate any biases based upon the previous case when making the decision to screen this case in or out.