ࡱ>  zt @ bjbjʚʚ \z<`D|6Wp>HW;LUUUUUU$XRN[U)cccUVcW;cW;b$= Q)V"\W06W3 \\=\Kw^L!BUU$: CHILDREN S FOSTER CAREDHS FC Worker Load #: FORMTEXT      UPDATED SERVICE PLANDHS FC Worker Name: FORMTEXT      Michigan Department of Human ServicesPOS Agency Name: FORMTEXT      POS Agency Worker Name: FORMTEXT      County of Referral: FORMTEXT      Court Jurisdiction: FORMTEXT      Court Docket #: FORMTEXT      Report Period:  FORMTEXT      to FORMTEXT       (maximum three months) Report Date:  FORMTEXT       The date the report is completedIDENTIFYING INFORMATIONChild(ren): (List separately) name, date of birth, case number, date entered care, current placement type (if relative care, name and address of relative; if institution, name and address of institution; if foster home, note foster home placement only), date entered current placement, and permanency planning goal. Specify if the child(ren) is Native American and tribal affiliation, if applicable.NameDate of BirthLog NumberCase NumberChild GenderChild RaceHeightWeightHair Color FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Eye ColorReligionDated Entered CareDate of Current PlacementCurrent Placement TypeAnticipated Next Placement FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMDROPDOWN Date of Anticipated Next PlacementCurrent Legal StatusFederal Permanency Plan GoalMichigan Specific Goal Description FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMDROPDOWN Child s Address (if not FH) FORMTEXT      Native American? FORMDROPDOWN If Yes, Tribal Affiliation FORMTEXT      Parent (Caretaker) Name(s): Name and relationship to child, date of birth, address/phone (if multiple children are included in this service plan, the names of each mother and father should be listed; mane of father or mother should be listed even if whereabouts are unknown). Include any non-parent adults involved in the household that the court may order to participate in the service plan or who will be involved in the service planning. A household contains biological or legal parents. If there is a step-parent that person must be in the household. These households must be designated as participating or non-participating. Indicate Yes or No if the parent is participating in service planning, cant locate/unavailable, deceased, incarcerated, PFFA in place, parental rights terminated, refused reunification services not needed/per court order, or unwilling. Definitions: Cant locate / Unavailable Worker has completed a diligent search for parent(s) with legal right to the child(ren) through such things as Secretary of State inquiry, search of telephone books, US Post Office address search, follow up on leads provided by friends and relatives, legal publication, etc. and has been unable to locate. The parent(s) has refused to respond to mailings from the worker. If there is no legal father, attempts should be made by the worker to identify and locate the putative father in order to establish paternity. (See CFF 722-6, Efforts to Identify and Locate Absent/Putative Parent(s) for more information.) Deceased This is used when the parent is deceased. Incarcerated Worker has confirmed parent(s) with legal right to the child(ren) is in jail or in prison without access to reunification services for a period of two years or more. Not an Assessment Household There is no legal, biological, or putative parent in the household. Permanent Foster Family Agreement in Place (PFFA) For youth 14 and older that have a PFFA accepted by the court (CFF 722-7). Parental Rights Terminated Is used when parental rights have been terminated. Refused The parent has indicated in writing to the court that he/she does not intend to participate in reunification service. Reunification Services not Needed/Per Court Order The court has determined that reunification services no longer need to be offered to the parent. Document court determination that reunification services no longer need to be offered in the Reasonable Efforts section of the service plan. Unwilling Worker has attempted to engage parent(s) with legal rights to the child(ren) in reunification services through scheduled appointments in the office, in the parents residence, or at a location designated by the parent at least once a month in a 6 month period as documented in the case file. NameRelationshipChildrenParticipating FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN Parent s Current Address: FORMTEXT      Date of Birth FORMTEXT      Telephone: FORMTEXT      I.LEGAL STATUSA.Court History Child(ren): (list separately) name, petition date, petition type, hearing date, hearing outcome, order date, order type, requirements of the court through its order.  MACROBUTTON [2] "Click Here and Type"  B.Next Court Date:  MACROBUTTON [2] "Click Here and Type"  II.REASONABLE EFFORTS Note:For children who may be Native American, see Services Manual Item 742, Active and Reasonable Efforts A.Services provided to or offered to child(ren), parent(s), guardian, or custodian, and non-parent adult(s), if applicable, to return the child(ren) home (unless the child is at home) or to finalize another permanency plan. Reference the Parent-Agency Treatment Plan and Service Agreement for services provided.  MACROBUTTON [2] "Click Here and Type"  B.List the reasons why the agency believes that providing services for reunification are not reasonable.  MACROBUTTON [2] "Click Here and Type"  C.If services were not provided, explain the reasons why the services were not provided.  MACROBUTTON [2] "Click Here and Type"  Likely harm to child(ren) if separated from, or returned to, a parent, guardian, or custodian.  MACROBUTTON [2] "Click Here and Type"  III.SOCIAL WORK CONTACTS ( List date, person(s) contacted, role/position, type of contact (telephone, in person, home visit, office visit, etc.) for each contact, attempted contact and scheduled but unkept appointment. Provide a brief narrative statement of the specific reason for the contact. Limit the narrative to one sentence.   MACROBUTTON [2] "Click Here and Type"  IV.PROGRESS SUMMARY A.Child(ren) Reassessment 1.Child Needs and Strengths and Current Status: Indicate for each child under court jurisdiction. Address and explain each individual item scored as a strength or need on the Child Assessment of Needs and Strengths. Please attach a DHS 432-5. Identify and describe the priority needs of the child for service. Identify the situational concerns, which cannot be identified in consecutive report periods. List and describe all other strengths of the child whether identified on the assessment or not.   MACROBUTTON [2] "Click Here and Type"  2.Placement Information: Indicate for each child under court jurisdiction: The current placement and Any replacements during the report period; Any change in the placement household during the review period. Include results of central registry and criminal record checks and assessment of investigation if applicable, if new adults are in the placement household Child nameLiving ArrangementBegin DateEnd Date FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Reason for Replacement:  MACROBUTTON [2] "Click Here and Type"  3.Child(ren)s Current Status Describe current status of child including Significant events since the last assessment; Distinctive characteristics; Emotional and physical development; Hobbies, likes and dislikes, etc.; Relationships with siblings, if applicable. Behavior, and past experiences   MACROBUTTON [2] "Click Here and Type"  4.Education Information Educational including the current school, grade, and pass or fail.   MACROBUTTON [2] "Click Here and Type"  5.Medical and Dental Information Medical/dental and optical appointments and outcomes during report period.   MACROBUTTON [2] "Click Here and Type"  6.Placement Resources a. Sibling Placement If child(ren) has siblings and who are not placed in the same placement, provide an explanation of the reasons for the split placement. Note: If Sibling Placement is split, second line supervisory approval is required. The Second Line Supervisor must sign the USP in the signature section. If there are no siblings or if siblings are placed together, write N/A.   MACROBUTTON [2] "Click Here and Type"  b. Sibling and Relative Visitation Provide a report on all visits between siblings, if in separate placements, or any relative visits. Include all visits with adult siblings, siblings not in care and potential placements in the relative network. Include observations on the quality of the visits. Include a discussion of any exceptions (missed appointments, changed appointments, suspensions of appointments and changes in supervision status) to the plan during the reporting period. If there are no siblings or planned relative visits, write N/A in the space below.   MACROBUTTON [2] "Click Here and Type"  c. Relative Resources and Placement Identify any relative resources (in Michigan and other states, per Interstate Compact for Placement of Children ICPC - procedures) with the potential to provide placement for the child, including relatives identified by the parent and child. If a decision has been made regarding relative care placement of the child, include the decision and the rationale for the decision or attach a copy of the DHS-31, Foster Care Placement Decision Notice to this USP. Attach any completed home studies. A statement of the efforts that were made to place the child(ren) with the family or with the Relative Network.   MACROBUTTON [2] "Click Here and Type"  d. Best Interests of Current Placement Describe the foster parent / relative caregivers willingness and capacity to meet the specified needs of the child and Why the current placement is in the childs best interest.   MACROBUTTON [2] "Click Here and Type"  7.Residential CareIdentify the plan for services that will allow the youth to be placed in a less restrictive setting. If the youth is 10 years of age or over and is placed in a residential or institutional setting, the worker should document if Wraparound or Assisted Care Efforts were made to prevent the custodial placement. If the child is under age 10 and is placed in a residential or institutional setting, the worker must document the Wraparound or Assisted Care Efforts made to prevent the custodial placement. If there were no services provided, explain why not. If the youth is not placed in a residential or institutional setting, write N/A in the space provided.  MACROBUTTON [2] "Click Here and Type"  8.Permanent WardshipFor each child, list the permanency planning and Michigan goal. Describe the efforts made to finalize the permanency plan. Reasons why it is not in the childs best interests to be returned home, placed for adoption or within the relative network.  MACROBUTTON [2] "Click Here and Type"  B.Foster Parent/Relative/Unrelated Caregiver Input Attach written input from the foster parents / relative / unrelated caregiver for the child(ren). If a written statement from the foster parents / relative / unrelated caregiver is not available, summarize the foster parents / relative caregiver feedback.   MACROBUTTON [2] "Click Here and Type"  Household  FORMDROPDOWN  of  FORMDROPDOWN C.Reunification Assessment List the household name for each household assessed, indicating First and Last Name for caretaker and whether this is the household from which the child(ren) were removed. 1.Household NameIs this the Household Children Were Removed From? (Y/N) FORMTEXT       FORMDROPDOWN 2.CPS Investigation Incident This Period? (Select One) FORMDROPDOWN Indicate whether there was a CPS investigation of the household during the report period. If no investigation occurred, select None. If there was an investigation but preponderance was not found, select Investigation Only. If there was an investigation with preponderance of evidence, select Preponderance of Evidence. Note: Select Preponderance if there was more than one investigation and one or more had preponderance. If there is a pending investigation, select Pending. If there was an investigation, describe the allegations and investigation outcome in the space below or attach a copy of the appropriate CPS report. If the answer is No, then write N/A in the space provided.  MACROBUTTON [2] "Click Here and Type"  3.Family Assessment of Needs and StrengthsAddress and explain each individual item scored as a need on the Family Assessment of Needs and Strengths for each caretaker and household). Please attach a DHS-145. Identify the needs that are primary barriers to reunification and any substance abuse needs scored. Indicate how the primary barriers are related to the reasons the child(ren) entered care, and. The priority for treatment services during the ISP planning period. Address and explain each individual item scored as a strength on the Family Assessment of Needs and Strength for each caretaker and household); List and describe strengths in the family not identified on the assessment but are present in the family. Describe all other relevant information about the caretakers and non-parent adults, including: Observations on intrafamilial relationships and participants in the case, and The results of the Central Registry and criminal history checks, if available.  MACROBUTTON [2] "Click Here and Type"  4.Specific Barrier Reduction Assessment: Parent / Caretaker Progress Towards Reduction of Primary Barriers to Reunification List the primary barriers to reunification identified on the initial or last needs and strengths assessment and any new primary barrier identified in the needs and strengths reassessment for this planning period. Any need scored in Substance Abuse must be calculated. Evaluate progress for each barrier as Substantial, Partial, Poor or Refused using the definitions below. Primary BarriersProgress Evaluation FORMDROPDOWN  FORMDROPDOWN Substantial: Caretaker(s) successfully met all treatment plan objectives for the identified barrier and routinely demonstrates desired behavior including interactions with children and others. Or Caretaker(s) actively participating in programs; pursuing objectives detailed in treatment plan, there is significant progress in reducing the identified barrier and routinely demonstrates desired behavior including interactions with child(ren) and others. Partial: Caretaker(s) participating in, or have completed, treatment plan activities with positive progress but barrier resolution is not complete. Occasionally demonstrates desired behavior including interaction with children and others. Poor: Caretaker(s) unable to participate in treatment plan activities and there is minimal or no progress in reducing barriers. Rarely or never demonstrates desired behavior including interaction with children and others. Or Caretaker(s) participates in, or has completed, treatment plan activities but there is minimal or no progress in reducing barriers. Rarely or never demonstrates desired behavior including interaction with children and others. Refused: Caretaker(s) refuses, either verbally or in writing, to participate in treatment plan activities. 5.Overall Barrier Reduction Assessment Answer the following question. Has parent/caretaker made progress in addressing barriers that reduce the risk of subsequent harm if the child is returned home? Note: If a family has made substantial progress on all barriers, Overall Barrier Reduction should be substantial. If a family has made partial progress in all areas, Overall Barrier Reduction should be partial. If a family has made poor progress in all areas or refused, Overall Barrier Reduction should be poor or refused. FORMCHECKBOX a. Yes, Caretaker(s) have substantially reduced barriers. FORMCHECKBOX b. Yes, Caretaker(s) have made partial progress in reducing barriers. FORMCHECKBOX c. No, Caretaker(s) progress is poor or they have refused services and barriers have not been reduced.6.Progress to DateThe following must be addressed: Describe the familys reaction to the agencys assessment of progress. Describe the progress the family feels has been made. Describe the familys feelings regarding the resources provided by the kinship network and the community. Describe any other resources the family feels they need to resolve the issues. Describe changes in the family since the child(ren) entered care. Describe any significant events in the family since the last service plan. Provide information on conviction sentence, possible release date, correctional facility for all incarcerated parents.  MACROBUTTON [2] "Click Here and Type"  7.Parenting Time AssessmentComplete this question only if the child is in out of home placement. Evaluate compliance with the parenting time plan as Substantial, Partial, Poor or Refused using the definitions below. Substantial: Maintained parenting time schedule and caretaker-child interaction is appropriate throughout all parenting time. Partial: Generally maintained parenting time schedule. Notified agency if could not keep appointment. No major problems in caretaker behavior or caretaker-child interaction. Poor: Failed to maintain parenting time schedule. Failed to notify if unable to keep appointment one or more times. There has been poor caretaker-child interaction and/or inappropriate caretaker behavior during parenting time. Parenting time canceled due to caretaker behavior or the court has ordered no parenting time or the child refuses parenting time. Refused: Parent / Caretaker(s) refused to participate in the parenting time plan. Parent / CaretakerProgress Evaluation FORMTEXT       FORMDROPDOWN 8.Reunification Assessment Narrativea. b.Beginning with the needs and strengths items identified as barriers to reunification: 1) If new barriers to reunification have been identified in the reassessment, describe the barrier and the reasons for identifying it as a barrier. 2) Describe the reasons for the assessment of Individual Barriers to Reunification as Substantial, Partial, Poor or Refused. 3) Describe the reasons for the assessment of Overall Barrier Reduction as Substantial, Partial, Poor or Refused. 4) Describe compliance with parenting time plan and the reasons for the assessment of Substantial, Partial, Poor or Refused. Include a discussion of any exceptions (missed appointments, changed appointments, suspensions of appointments and changes in supervision status) to the plan during the reporting period. Describe the progress made by each household on other (secondary) goals established in the most recent service plan. Describe the current family situation, including any significant changes during the report period.  MACROBUTTON [2] "Click Here and Type"  9.Is a Safety Assessment of this household required? A family is eligible for reunification if parenting time and overall barrier reduction are at least partial. The answer to this question determines whether a family is eligible and if a safety assessment is required to further determine whether a child can be returned or whether the decision tree is used immediately to determine case action. If overall barrier reduction and parenting time are at least partial (boxes a, b or c), then a Safety Assessment is required. If overall barrier reduction and/or parenting time are poor, then a Safety Assessment is not required. If the child is in home placement, answer this question based on the results from Overall Barrier Reduction only..a. FORMCHECKBOX Yes, both (parenting time and overall barrier reduction) are Substantialb. FORMCHECKBOX Yes, both (parenting time and overall barrier reduction) are Partialc. FORMCHECKBOX Yes, one is Substantial, one is Partiald. FORMCHECKBOX No, either is Poor or Refused10.Safety Assessment Results If 7 a, b, or c is checked above, complete the Safety Assessment, Form DHS-0149 (SMI 722.9-B). Indicate the results (Safe, Safe with Services, Unsafe) in the space provided below. If d is checked, do not complete the Safety Assessment Form DHS-0149 (SMI 722.9-B) and go to Permanency Planning Decision Guidelines below. Describe the reasons for scoring any safety factor and protecting interventions on the Safety Assessment, Form DHS-0149. Attach the completed Safety Assessment to the USP. If the safety decision is different for children in the family, briefly explain the differences in the space provided below.  FORMDROPDOWN    MACROBUTTON [2] "Click Here and Type"  11.Permanency Planning Decision Guideline Recommendation:For each child under court jurisdiction, indicate the recommendation for placement and the permanency-planning goal based on the Reunification Assessment Planning Decision Guidelines. To determine the recommendation, see either the summary guide below or the decision tree in the foster care manual. If the recommendations to the court differ from the Guidelines, describe the reason for not following the recommendations, including overrides. Case recommendations are based on your answers to Reunification Assessment questions above, IV C-9 (Is a Safety Assessment of this household required?) and IV C-10 (Safety Assessment Results) and which Updated Service Plan you are completing. See the Decision Tree in the manual (722-9A). The following is a summary guide. If this is the first USP and IV C-9 d was selected (parenting time and/or barrier reduction is poor) or IV C.8 is Unsafe, then child(ren) remain in placement and the worker considers Permanency Planning goal change. If IV C-9 a, b or c was selected or IV C.10 is Safe or Safe with Services, then recommend return home with services this planning period. If this is the second or later USP, USP and IV C-9 d was selected (parenting time and/or barrier reduction is poor or IV C.10 is Unsafe, then one of the following recommendations will apply contingent on the status of the case: 1st Poor/Refused or Unsafe - Child(ren) remain in placement and consider goal change. 2nd Poor/Refused- Child(ren) remain in placement and change goal. 2nd Unsafe or 1 Poor/Refused and 1 Unsafe - Child(ren) remain in placement and consider goal change. Any Combination of 3 Unsafe or Poor/Refused - Child(ren) remain in placement and change goal. If this is the second or later USP and IV C-9 e was selected and IV C.10 is Safe or Safe with Services, then recommend return home with services this planning period. The recommendation may be overridden for the following reasons: a. Services to address a barrier are not available in the area or unavailable to the client during the period assessed, and/or b. Assessments unable to be completed because of delayed court dispositions and/or c. A discretionary override, with prior supervisory approval, may be used with explanation in Section IV. C9 of the Updated Service Plan as to why the Permanency Planning Guideline recommendation is not in the best interests of the child(ren). Child(ren)Policy Placement RecommendationPolicy Plan RecommendationOverride Recommendation FORMTEXT       FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN Override PlacementOverride Permanency Plan FORMDROPDOWN  FORMDROPDOWN   MACROBUTTON [2] "Click Here and Type"  V.RECOMMENDATIONS TO THE COURT A.Permanency Planning HearingChild(ren) (list separately), household, recommendation, and explanation narrative  MACROBUTTON [2] "Click Here and Type"  B.Children whose length of time in care is the same or greater than 15 out of the last 22 months.  MACROBUTTON [2] "Click Here and Type"  C.Permanency Planning Hearing FORMCHECKBOX Yes FORMCHECKBOX NoThis recommendation applies to ALL children Answer yes to the question This recommendation applies to ALL children if the recommendations for the Permanency Planning Hearing section (Section V.A.) are the same for all children in this report or the report is for one child. If yes, click into the Recommendation for box, click Cancel in the Court Recommendations dialogue box, type All in the Recommendation field below and answer questions 1 through 4 as appropriate. Answer no to the question This recommendation applies to ALL children, if the recommendations for the Permanency Planning Hearing section (Section V.A.) are different for the children in this report. If no, click into the Recommendation for box, type the number of additional sections needed when prompted and click OK in the Court Recommendations dialogue box. For each section that is added, type the name of the child(ren) in the Recommendation for field in each section and answer questions 1 through 4 as appropriate for each child.Recommendation for: FORMTEXT       Enter the child s name.Check box 1 if the USP is not prepared for the Permanency Planning Hearing; Check box 2 if the USP is prepared for the permanency planning hearing and the agency is recommending a return home; provide a statement that the agency believes it is in the child(ren)s best interest not to terminate the parents rights to the child (and the reasons why in the space below); OR Check box 3 if this USP is prepared for the Permanency Planning Hearing and the agency is recommending termination of parental rights, provide a statement that termination is in the best interests of the children. Check box 4 if this USP is prepared for the Permanency Planning Hearing and the agency is not recommending termination of parental rights and that the child(ren) remain in placement, Then check as many boxes (a through I) as apply for the compelling reasons why termination is not in the child(rens) best interest. If other is checked as the compelling reason, there must be clear documentation within the service plan of the individual circumstances of the child(ren) that necessitates this selection and it must be explained in the section below.1. FORMCHECKBOX This USP is not prepared for the Permanency Planning Hearing.2. FORMCHECKBOX This USP is prepared for the Permanency Planning Hearing and the agency is recommending that the child(ren) be returned to the home of the parent(s).3. FORMCHECKBOX This USP is prepared for the Permanency Planning Hearing and the agency is recommending termination of parental rights.4. FORMCHECKBOX This USP is prepared for the Permanency Planning Hearing and the agency is not recommending termination of parental rights.Compelling Reasonsa. FORMCHECKBOX The child is age 14 or over and refuses to consent to his/her adoption.b. FORMCHECKBOX Child in treatment services are not yet completed.c. FORMCHECKBOX The youth is age 18 or over.d. FORMCHECKBOX The supervising agency has not yet provided the services detailed in the prior service plans to make reunification possible.e. FORMCHECKBOX Other. Explain below.f. FORMCHECKBOX The parent suffers from a chronic illness and the child is unable to return to the home, but there continues to be a close relationship between the child and parent.g. FORMCHECKBOX There are financial benefits for the child to maintaining parental rights.h. FORMCHECKBOX There is an appropriate relative caregiver to care for the child and the relative caregiver is not willing to adopt the child.i. FORMCHECKBOX Child is an unaccompanied refugee minor.  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