ࡱ>  pu'` "1bjbj{P{P ::bhJ,,,,,,,D1X!=Tu?DN pgF9HK- - - - - - $zhQ ,ggQ ,,n ۥۥۥ,,ۥۥۥh`,,|yG |.\& 0 $XŞ|,hJۥ3<o6Q Q * DNDNDNğDNDNDN8,,,,,,  TREATMENT 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 Goal FORMTEXT       FORMTEXT       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 parent s 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. IF HV or FF contact made, indicate where contact took place. Team Meetings: MACROBUTTON [1] "Click Here and Type"  Supervision: MACROBUTTON [1] "Click Here and Type"  Face-to-face and Home Visits: MACROBUTTON [1] "Click Here and Type"  Other Social Work Contacts: MACROBUTTON [1] "Click Here and Type"  IV.PROGRESS SUMMARY A.Child(ren) Reassessment 1. a.Child Needs and Strengths Assessment: 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. Discuss outcomes of childs updated CAFAS/PECFAS. Identify short-term goals and progress on identified goals. Identify services to meet childs needs.   MACROBUTTON [2] "Click Here and Type"   b.Mental Health Treatment: Summarize contacts made with therapist, Indicate progress on treatment goals. Attach mental health progress report.   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: Indicate activities that prepared the child for replacement.   MACROBUTTON [2] "Click Here and Type"  Discharge Plan: Indicate expected duration of treatment, recommendations that are likely to facilitate a successful discharge, and progress towards the permanency plan.   MACROBUTTON [2] "Click Here and Type"  3. a.Child(ren)s Current Status Describe current status of child including Significant events since the last assessment; adjustment to TFC. Distinctive characteristics; Emotional and physical development; Hobbies, likes and dislikes, etc.; Relationships with siblings, if applicable. Behavior, and past experiences Interventions utilized by TFC parents to support the child.   MACROBUTTON [2] "Click Here and Type"   b.Behavior Aide Activities: Describe activities utilized to support the child and parent/planning family.   MACROBUTTON [2] "Click Here and Type"  4.Education Information Educational including the current school, grade, and pass or fail. Outline strategies utilized to support the child in their educational setting. Summarize school personnels report regarding the childs progress.   MACROBUTTON [2] "Click Here and Type"  5.Medical and Dental Information Medical/dental and optical appointments and outcomes during report period. Provide names, dosages of prescriptions child is prescribed. Indicate prescribing doctor name and follow up appointments scheduled. Note date medical consents signed and by whom. Note concerns with side effects, etc.   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. Specify the visitation plan to maintain sibling connections. Note frequency and duration of visitation.   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. Planning Family: Describe interventions utilized with planning family to prepare the family for discharge of the child. Specify visitation plan with planning family to prepare the child and family for discharge. Discuss progress towards discharge. If a planning family has not been identified, specify efforts made during report period to identify a planning family.   MACROBUTTON [2] "Click Here and Type"  e. Best Interests of Current Placement Describe the TFC foster parent willingness and capacity to meet the specified needs of the child and Why the current placement is in the childs best interest. Describe strategies needed to maintain placement.   MACROBUTTON [2] "Click Here and Type"  f. Respite Plan: Describe respite plan, preparation activities for child and respite family, specify qualifications of respite provider and who will be providing respite care.   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.TFC Foster Parent 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 TFC foster parents feedback. Describe interventions utilized by the TFC family to support the childs placement and involvement with Parent/Planning Family.   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 the progress made by each household on other (secondary) goals established in the most recent service plan. 5) Describe interventions utilized with the family to assist in preparation for reunification. Describe the current family situation, including any significant changes during the report period.  MACROBUTTON [2] "Click Here and Type"  9.Parenting Time Assessment: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. Note all visits between child and family. Describe coaching strategies utilized w/ parent and familys response to interventions. Describe services offered to the birth family to prepare for long term placement after discharge.   MACROBUTTON [2] "Click Here and Type"  10.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 Refused11.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"  12.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.  MACROBUTTON [2] "Click Here and Type"  D.Recommended Court Orders In this section include: Recommendations regarding continuation of the child(ren)s placement in out-of home care. Expectations of the parents and/or caretakers. If applicable, a request for the non-parent adult to participate and comply with the services plan.   MACROBUTTON [2] "Click Here and Type"  Prepared and Approved by: If siblings are placed in different facilities as indicated in Section IV.3.b., second line supervisors must sign to indicate approval. 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laf4>?@ABEWe__YYPY 6$Ifgd$If$Ifkdމ$$Ifl4ֈF2 *vvh 4 laf4e__YYPY 6$Ifgd$If$Ifkd$$Ifl4ֈF2 *vvh 4 laf4ŠÊĊNJيVe__YYPY 6$Ifgd$If$Ifkd$$$Ifl4ֈF2 *vvh 4 laf4VWXYZ]oe__YYPY 6$Ifgd$If$IfkdG$$Ifl4ֈF2 *vvh 4 laf4De__YYPY 6$Ifgd$If$Ifkdj$$Ifl4ֈF2 *vvh 4 laf4DEFGHK]e__YYPY 6$Ifgd$If$Ifkd$$Ifl4ֈF2 *vvh 4 laf4@e__YYPY 6$Ifgd$If$Ifkd$$Ifl4ֈF2 *vvh 4 laf4ٌ @AGHVWXύҍӍGH܎ߎ%߼觙葊~hbcfjhbcfU hO?^5CJ hO?^CJUhfnLhO?^5<B* phfhfnLhO?^<B* phfhO?^B* phfhfnLhO?^B* phf he5hO?^B*phjh_BU hO?^5hRlhO?^jhO?^Ujah_BU0@ABCDGYe__YYPY 6$Ifgd$If$Ifkdב$$Ifl4ֈF2 *vvh 4 laf4e____YSS$IfF^FF^Fkd$$Ifl4ֈF2 *vvh 4 laf4ύЍэҍӍԍHwێ~~~kkk= & F! hVV$If^V=$If$Ifnkd$$Ifl4\v*v%4 laf4$If ێ܎ݎގߎ %||$IfF^Fnkd<$$Ifl4\v*v%4 laf4=$If gnature lines for Split Sibling Placement Approval or any other signatures needed. Name and Title:  FORMTEXT       Signature: Date:  FORMTEXT       DHS Local Office Name:  FORMTEXT       Date Sent: FORMTEXT      DHS Local Office Approval: Name and Title:  FORMTEXT       Signature: Date:  FORMTEXT        FORMTEXT       Distribution of Plan:   MACROBUTTON [2] "Click Here and Type"  The local office shall approve, or disapprove, in writing, the Initial Service Plan for a child in purchased foster care or residential care. The Purchase of Service Agency is responsible for all elements of the Service Plans in cases where they have accepted responsibility for providing family services per the DHS-3600 contract. The local office is responsible for reporting requirements only when the Purchase of Service Agency has not accepted total case responsibility. The report from the local office should not duplicate the Purchase of Service agency report, but should address those areas for which the Purchase of Service Agency is not responsible per the DHS-3600 contract. Approval shall be indicated by signing the Initial Service Plan submitted by the purchase agency. The approved Initial Service Plan is to be returned to the purchase agency within seven days of receipt; a copy is retained in the childs case record. The local office is responsible for knowing what services are being purchased from the purchase agency and for monitoring compliance with the DHS-3600. When a noncompliance situation is identified, it is to be brought to the attention of the purchase agency both verbally and in writing. If efforts to resolve the area of conflict locally are not successful, the situation is to be brought to the attention of the appropriate Zone Office. If they are unable to intervene successfully, then Office of Child and Family Services is to be involved. Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area.AUTHORITY: P.A. 280 of 1939. RESPONSE: Voluntary. 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BBV" BBV# BBV$BBV%BBV&BBV' BBV( BBV)BBV*BBV+ " FCUSP Tools FCUSP ToolsS} [ [ [ [0  Change Case Info Case Info CaseInfo.MAIN(p("(TemplateProject.ToolHelp.MAIN Tool Help ToolHelp.MAIN1" Clear Case InfoClear Case InfoClearCaseInfo.MAIN(p(" Remove Table Row Remove RowRemoveRow.MAIN(p("(Remove Family AssessmentRemove Family Assessment-RemoveFamilyAssessment.RemoveFamilyAssessment(p("( Check SpellingNewMacros.CheckSpelling(p` p(  ??  Spell Check Spell CheckQ+SLfQ+SLfQ+SLfQ+SLfQ+0 (  Spell CheckForms Spell Check2Module1.FormsSpellCheck2g)TemplateProject.AddHousehold.AddHouseholdTemplateProject.CaseInfo.MAIN1TemplateProject.AddIdentInfoAuto.AddIdentInfoAuto(TemplateProject.Module1.FormsSpellCheck2'TemplateProject.AddChildRow.AddChildRow7TemplateProject.AddVARecommendation.AddVARecommendationITC Zapf Dingbats (D1)1TemplateProject.AddPermanencyRow.AddPermanencyRow1TemplateProject.AddParentRowAuto.AddParentRowAuto1TemplateProject.AddSignatureAuto.AddSignatureAuto7TemplateProject.AddFIASignatureAuto.AddFIASignatureAuto+TemplateProject.CheckSpelling.CheckSpelling+TemplateProject.AddParentTime.AddParentTime+TemplateProject.AddBarrierRow.AddBarrierRow=TemplateProject.RemoveFamilyAssessment.RemoveFamilyAssessment"TemplateProject.ClearCaseInfo.MAINTemplateProject.RemoveRow.MAINTemplateProject.ToolHelp.MAINTEMPLATEPROJECT.CASEINFO.MAINTEMPLATEPROJECT.TOOLHELP.MAINTEMPLATEPROJECT.REMOVEROW.MAIN"TEMPLATEPROJECT.CLEARCASEINFO.MAIN'TEMPLATEPROJECT.ADDCHILDROW.ADDCHILDROW+(TEMPLATEPROJECT.MODULE1.FORMSSPELLCHECK2 )TEMPLATEPROJECT.ADDHOUSEHOLD.ADDHOUSEHOLD!+TEMPLATEPROJECT.ADDBARRIERROW.ADDBARRIERROW"+TEMPLATEPROJECT.ADDPARENTTIME.ADDPARENTTIME#+TEMPLATEPROJECT.CHECKSPELLING.CHECKSPELLING$1TEMPLATEPROJECT.ADDIDENTINFOAUTO.ADDIDENTINFOAUTO%1TEMPLATEPROJECT.ADDPARENTROWAUTO.ADDPARENTROWAUTO&1TEMPLATEPROJECT.ADDPERMANENCYROW.ADDPERMANENCYROW'1TEMPLATEPROJECT.ADDSIGNATUREAUTO.ADDSIGNATUREAUTO(7TEMPLATEPROJECT.ADDFIASIGNATUREAUTO.ADDFIASIGNATUREAUTO)7TEMPLATEPROJECT.ADDVARECOMMENDATION.ADDVARECOMMENDATION*=TEMPLATEPROJECT.REMOVEFAMILYASSESSMENT.REMOVEFAMILYASSESSMENT@:?:: 89QRhino{|}˅ˆpp p@pppp(@ppD@p.p`@pHp@pbp@pzp@pp@ppp@p`@UnknownGz Times New Roman5Symbol3& z ArialURITC Zapf Dingbats (D1)=& z Arial (W1)?5 : Courier New;Wingdings"h&JFs)czq Dzq Dr c#r4d%1 3QHX?O?^*6DHS-0066-A, Treatment Foster Care Updated Service Plancomp$Department Of Information Technology+                           ! " # $ % & ' ( ) * Oh+'0( Xd    8DHS-0066-A, Treatment Foster Care Updated Service Plancomp 0066-a.dot(Department Of Information Technology41Microsoft Office Word@ @B@|y@ zq՜.+,00 hp  State Of MichiganD' 7DHS-0066-A, Treatment Foster Care Updated Service Plan Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !f#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{v}~Root Entry FO.nData "K1TablerPWordDocumentSummaryInformation(|DocumentSummaryInformation8Macros%$`>.Zu.VBA`>.Zu.ThisDocument RemoveRowAddBarrierRow__SRP_4$T  !"#%')*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefgijklmnopqrtuvwxyz{|}~',,#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}@(%H@0ʆHxAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2,^3xME @h#Remove a single row from any table. TemplateProject.RemoveRow.MAIN`ʆH "   (8Xh B@0/C B@  B@"f;p&l B@$<o Attribute VB_Name = "RemoveRow" Public Sub MAIN() D.tDescri ption a single row from any table.Pro cDataRInvoke_FuncRTemplate"ject.-.M WordBasic.ToolsUnprot-Document !Selu D rt ,B+ noreset:=1, Type:=2 End rU~| krU $`n__SRP_5 &gAddFIASignatureAuto((NewMacroshAddHouseholdUdk , xMEP 550@ʆH5" FP X 8    ( 0  8H h   B( H h x @  &.(X8`6  ? creates message box for number response to add FIA signatures*(,There is already ONE DHS signature section. $0 !How many ADDITIONAL DHS SIGNATURE $0 ) rows are needed for this report? $0 $0 0 Example: {Total Signatures required = 3} $0 < { Minus existing = 1} $0 < { Enter additional = 2} $0 $0 CANCEL or ESC if none DHS SIGNATURES$.',-You MUST Save This Document Before Continuing $0 $0 Select Save In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define prompt , 46 ,0e6d 8B@:cladd87> 8B@< @ , fiasignature 8%B@H HF` BB@D BB@J L(N  B!XVZAddFIASignatures 8!P%RB@T ^F` BB@\ fiasignature 8%B@H @k@|8|0cladd87>& l 8B@~[reprotect document|6|* fsave file cancelled 2 A@ #return to point of error in routine׽d  ! Error ! In Case InfoA@|+Reprotect Document and exit sub after errorkoAttribute VB_Name = "AddFIASignatureAuto" Sub d() ' creates message box for number response t@o add ss On Err0GoTo Handle CrowsInputBox("There is alzdy ONE DHSU section. " + Ch , xME(6 << < (`DD0(x%P@ʆH$*\Rffff*1E4d281fa8D"   ,0 ` Fh   0  HX `p x     @@ ` p   08 @@H  &.86P  AddBarrierRow Macro& Macro recorded 04/10/00 by Sandy Cain? creates message box for number response to add FIA signatures*H"There is already ONE Barrier row. $0 How many ADDITIONAL BARRIER $0 ) rows are needed for this report? $0 $0 . Example: {Total Barriers required = 3} $0 8 { Minus existing = 1} $0 8 { Enter additional = 2} $0 $0 CANCEL or ESC if none BARRIER ROWS$.',-You MUST Save This Document Before Continuing $0 $0 Select Save In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define prompt , 460 ,0e6d 8B@:cladd87> 8B@< @ , HF BB@D BB@J L(N  B!XVZ AddBarrierRow 8!P%RB@T ^F` BB@\ B!bB@d B!bPrimary Barriers9d5f(d9h l9j99n9p9r9t9vq B!bB@x ^F` BB@z @kX|P|Hcladd87>& l 8B@~[reprotect document|6|*x fsave file cancelled 2 A@ #return to point of error in routined ! Error ! In Case InfoA@|+Reprotect Document and exit sub after errorkoAttribute VB_Name = "AddBarrierRow" Sub L() ' T Macro, recorded 04/10/00 by Sandy CainPVcreates message box for numberEsponse to add FIA signatures On Err0@GoTo H^lBe CrowsInputBox("There is alzFONE w . " + Chr(10)"How many ADDITIONAL BARRIER :ba3neehth9report?5 Example: {To(talOsquir= 3}? "{ Minus existing1Entfcition'= 25CANCEL hESC if none", "DQ ROWS0 P@rompt$@&"You MUST!@ve TPDocument BeUe Con1u2TSelectIn Fol2d/ndV 7FiHle inBAs Dialog 'Define pB, Y%CI8umB= cmdCance:l@0e Ex(itH2Else"0"&ActiveJ`.Save U n`t#Passwu:="cl;\87A F7i@2j@m1 Stepp -1#,A.MoAwn Unit:=wdL$SplitTablpcaI.Display AutoC`Ale teTipxTruached,Tef.TeLxt@9s().I`rt _%!W:=Range, RichA :=DKeCharacc,@Sun# Find.CleDar`+matXgcWith  .!acPripmary&5bRe'ced wardFaM! WrapwdqAskHpM@atchCa@= bWholeWKWildcA<2Sound0sLik2All! End A*C*.ExecmAXRightSfX:25NL ic!Ifc }C :rmUr,@eJaQ,` TypeAlo wOnly Fi@elds 'roB d  2HuJC0v4198I 's@F f1ScNledMsgR t], vbCrpccalRes ] }nq~poia^of e}Wr|ou2?!R.DescripD!Ex`L`5If or" &.N1& "`r+InxMExpʆHx%Attribute VB_Name = "NewMacros" dk' ,~ xMEAddParentRowAuto" sRemoveFamilyAssessment. ClearCaseInfoUAddParentTime P 660@ʆH6"   .0 `h p X   0 8H P  Xh   > $@ h x @  &.(X8`6   AddParentRowAuto Macro( Macro recorded 01/11/01 by Program Area*%There is already ONE Parent section. $0 "How many ADDITIONAL PARENT groups $0 ' are needed for this report? $0 $0 3 Example: {Total parents being reported = 3} $0 B { Minus existing = 1} $0 B { Enter additional = 2} $0 $0 CANCEL or ESC if none PARENT ROWS$.', -You MUST Save This Document Before Continuing $0 $0 Select Save In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define prompt , 46 ,0e6dx 8B@:cladd87> 8B@< @ , HF` BB@D BB@J L(N  B!XVZ addPARENTROW 8!P%RB@T ^F` BB@\  PARENTName BB@ @kP|H|@cladd87>& l 8B@~[reprotect document|6|* fsave file cancelled 2 A@ #return to point of error in routined@ ! Error ! In Case InfoA@|+Reprotect Document and exit sub after errorkoAttribute VB_Ndk ,N<xMEP 770@ʆH7"  &( PX ` P   ( 0@ H  P` $ 0  >  2`$   @( 08 @&Hp.86( 0 @ AddHouseholds MacroB@ Macro recorded 01/23/01 by FIA* 3There is already ONE Household Assessment section. $0 How many ADDITIONAL HOUSEHOLDS $0 % are needed for this report? $0 $0 0 Example: {Total households reported = 3} $0 ? { Minus existing = 1} $0 ? { Enter additional = 2} $0 $0 CANCEL or ESC if none HOUSEHOLDS REPORTED$.',-You MUST Save This Document Before Continuing $0 $0 Select Save In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define prompt22 , 46 ,0e 6d 8B@:cladd87> 8B@< @ ,  household2 BB@2K)Selection.MoveDown Unit:=wdLine, Count:=1Selection.SplitTable L(N  B!XVZ AddSectionC 8!P%RB@T,Selection.Delete Unit:=wdCharacter, Count:=1  HouseHold BB@ @ fk||cladd87>& l 8B@~[reprotect document|6|*x fsave file cancelled 2 A@ #return to point of error in routine d ! Error ! In Case InfoA@|+Reprotect Document and exit sub after error koAttribute VB_Name = "AddHousehold" Sub A H() ' Ds Macro, recorded 01/23/01 by FIAB On Error GoTo Handle numrowsInputBox("There is already ONE  Assessment section. " + Ch r(10) "How many ADDITIONAL HOUSEHOLDS  a;needfWthAreport?5Example: {T@otal hs!= 3}>B{Minus exist(ing1&Enter addicP+= 2L9C@ANCEL DESC if no@ne", "U REPORTED0@ Prompt$)"You MUST S ave TUDo$cupBeZe hCon@5u6ZS el{In F30ndV C9FiHle inBAs Dialog @'Define pB, [ CI:FcmdC ancel@0en´ExitH2CElse"0"&A!AtveJ.OC U n.tAGPassw:="clw8784F`8i@2n r1 Stepx -1# ,jbWhat:=wdBookmark,) \2 'Mown Un*i"L@,,+@,> ame = "AddParentRowAuto" Sub X() '0 Mac ro2 recorded 01/11/01 by Progra@m Area* On Error GoTo H andle numrowsInputBox("There is alCdy ONE  section. " + Ch r(10) "How many ADDITIONAL PARENT groups   nee%dfSth=report? 38Example: {Total ps being"= 3} Y@ { Minus exist,= 1:(Enter addiS1.= 2 H;CA NCEL GESC if non e", "XROWS0@ @mpt$t"You MUST S ave TVDocum Be[e Con4u41ZSel}In Fold.ndV C7File inBAs Di`alog @'Define pdro@, ^CI8cmdCancel@0enExitH2!CElse"0."&A!AveJ.OC Un.tAGPassw :="clu87F`7i@2n@q1 Step -N1# ,kMoAwn Unit:=(wdL$, 5un4Split Table#Ap catDisp(layC`,leteTiq= Truk@achedTekateB.Text:ries("NN").InserXt _AW!:='Range, Rich! :=;DLCharacd&%@Wha$Bookmark,N@1aP1N i<End If %IJ:)#k=,rrese, Type7AllowOnly@mFieldHs ' roB d7Dr A £ E2($_!M4198B_ '*sfrcBiled Msgq@p$, vbCr`calResturn to point of e`{ `IoJ `.DescripaRA Ex`dmBTor" &.Numb& "@Case InfAK e" 'Rep ܑt saf">+@,>dk{,YxMEP --0@ʆH-"  $ &8 `h p    8H $h "  (0 P X@` &.8 6X  RemoveFamilyAssessment Macro( M Macro recorded 01/25/01 by FIA*-You MUST Save This Document Before Continuing $0 $0 Select Save In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define prompt( 8B@:3} cladd87> 8B@<  Household BB@g = B!bB@d  B!b Reunification Assessment^p9ddditio5f(d $9h l9j99n9p9r9t9vq0 ^F` BB@\.||cladd87>& l 8B@~[reprotect document|* fsave file cancelled 2 A@ #return to point of error in routine^d ! Error ! In Case InfoA@|+Reprotect Document and exit sub after errork(o Attribute VB_Name = "RemoveFamilyAssessment" Sub p() '< Macro> recorded 01/25/01 by FIA! On Error GoTo HandDle Prompt$You MUST Save This Docu Before Continuing" + C@hr(10) "@Select!In FolderF <EntFile inA?ialog Box'Define pX_b@ActiveU._ UntN Passw:="cladd870%aion.What:=wdBookmark,UHou8sehr Find.Clear@Format@NgWith A .Textunificat@"2 ^pB ReplaceAiF!wardFalseWrapwd*Ask, MatchC\asWBeWVWildc$sSoundsLikAllA)LEnd W2GXDUnirCharac@R,@un1C  |ExitHerK :C#, n@fse True, TypeHowOnlyFiel@ds 'reeSddn  ` f wIf{ )4198@ven ' swficanc elledC Ms g i $~, vbPCritKlR es}Aturn to point of ebsrouXHEID  .DescripaVA Exl_@X, "B" & .Numb& "bJInfoeW/ ']ro- e`5 s?@ABCDEFGHIJKLMNOPQRSTUVWXYZ\]^_`abcdefghijklmnopqrstuvwyz{|}~CheckSpellingToolHelpCaseInfo6__SRP_2xMEP 0@ʆH"   ,0 `h    0(X h CheckSpelling Macro& Macro recorded 10/09/99 by Sandy Caincladd87> 8B@<px F BB@{jf F  BB@5]\  B(en F BB@rat ! 8B@d 8B@k cladd87>& l 8B@~oAttribute VB_Name = "CheckSpelling" Sub L() ' T Macro, recorded 10/09/99 by Sandy Cai"nP ActiveDocument.Unprotect PasswB:="cladd871Selion.HomeKey Unit:=wdStoryV$End#, ExptendLanguageIDwdEngl`ishUSAI f OptSs.Grammar0With-True Then ?Else0nd If .PW[, n`oreseV), Type:= _wdAllowOnlyFormFields \ A$0 $0 Select Save In rU $`n dk ,| xMEave In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define prompt0BOPEN FCUSP TOOLS B@ a FCUSP Tools B@ Borders B@in on Database B@ Drawing B@ttons Forms B@display hidden text11.  L(to pos 959qq 8B@:save document'meDEFINE DIALOG BOXI^CaseInfo B@ 1 WordBasic.TextBox 150, 32, 300, 18, "YourFCWLNo" , YourFCWLNo B@/ WordBasic.TextBox 150, 56, 300, 18, "YourFCWN"8,YourFCWN B@P,YourPOSA B@h,YourPOSW B@,YourCOFR B@,YourCOJ B@,YourCDN B@,YourDC B@k  0Enter the followindk , xMEP GG0@ʆHG"   .0 `h p X   0 8H P  Xh   @ @ P`      (@0p x &.868p x *p AddParentTime Macro( Macro recorded 01/11/01 by Program Area*!There is already ONE Parent row. $0 How many ADDITIONAL PARENT rows $0 * are needed for this report? $0 $0 3 Example: {Total parents being reported = 3} $0 B { Minus existing = 1} $0 B { Enter additional = 2} $0 $0 CANCEL or ESC if none PARENT TIME ROWS$.',-You MUST Save This Document Before Continuing $0 $0 Select Save In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define prompt , 46 ,0e6dx 8B@:cladd87> 8B@< @ , HF` BB@D5KB BB@Jz L(N@G^  B!XVZ AddParentTime 8!P%RB@T ^F` BB@\/20 B!bB@d4 B!bParent / Caretaker9d95f(d9h l9j99n9p9r9t9vq B!bB@x ^F` BB@z`0 @1 k|x|pcladd87>& l 8B@~[reprotect document|(6 |* fsave file cancelled 2 A@K #return to point of error in routined ! Error ! In Case InfoA@|+Reprotect Document and exit sub after errork(o UAttribute VB_Name = "AddParentTime" Sub L() On Error GoTo Handle 8' b Macro ' recorded 01/11/01 by Program 0Area*anu mrowsInputBox("There is alCdy O(NE  ,. " + Chr(10) "How many ADDITIONAL PARENTs neJebfth;report? 8 Example: {Total ps being"= 36}B({Minus exis"t,= 1:(Enter addition.= 2 H;CANCEL GESC if none", "XTIME RhOWS0”mpt$u"You MUST Save TAWDocDum Be@\e Con@5u6\@SelectI@n Fold0ndV 8File inBAs Dialog @'Define pro@, ]CI9ƦcmdCancel@0enAExitH@2CCElse"0"&A!ActiveJ.OC Un.t#Passwq:="clY;87F8i@2%n}1 Stepp -1# , B.MoAwn Unit:=wdL$2, 5unSplitTable%DpcaK.DisplayAutoC`,leteTip~TrukachedTBekate.Text:ries(l).Insert _aWa:=GRange@, RichA :v=DLC`harac`eWFind.Clear+mat YgWith G .acĚ/ C``taker6.Re`'cee&!`ward FaCN WrapwdAskHpMatchCas bWholeW@LWildc;2SoundsLikv All! End *C++.ExecmYRight&Y)o:25enN`L icaIfc ~C :sUs,resei!Q, TypeAm @owOnlyA Fields ' troB d  2}J~4198RJ 'sZfScROledMsgpS!~R$, vbC"r0dcalRes] turn to point` of eB`Xr|ou@2?R.DescripC!ExL5I@g or" &Q.Numb`& "Pa+Info211Z '4T6hqut safqq ?C ("g information about this case. B@d: WordBasic.Text 19, 36, 130, 13, "DHS FC Worker Load No.:"$ DHS FC Worker Load No.: B@d6 WordBasic.Text 19, 59, 130, 13, "DHS FC Worker Name:"; DHS FC Worker Name: B@dS POS Agency Name: B@dk POS Worker Name: B@d County of Referral: B@d Court Jurisdiction: B@d Court Docket No.: B@dT Date Completed: B@d^X B@X B@ B@]F !!.6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXgdlgUserInfo.YourFCCNo = WordBasic.[GetPrivateProfileString$]("UserInfo", "FCCaseNo", "c:\caseinfo.ini")hdlgUserInfo.YourFCCN = WordBasic.[GetPrivateProfileString$]("UserInfo", "FCCaseName", "c:\caseinfo.ini")UserInfoFCWorkerLoadNoc:\caseinfo.ini % (UserInfo FCWorkerNamec:\caseinfo.ini % ( gdlgUserInfo.YourPSCNo = WordBasic.[GetPrivateProfileString$]("UserInfo", "PSCaseNo", "c:\caseinfo.ini")hdlgUserInfo.YourPSCN = WordBasic.[GetPrivateProfileString$]("UserInfo", "PSCaseName", "c:\caseinfo.ini")edlgUserInfo.YourCTNO = WordBasic.[GetPrivateProfileString$]("UserInfo", "COURTNO", "c:\caseinfo.ini")UserInfoPOSAc:\caseinfo.ini % ("UserInfoPOSWc:\caseinfo.ini % ($UserInfoCofRc:\caseinfo.ini % (&UserInfoCOJc:\caseinfo.ini % ((UserInfoCDNc:\caseinfo.ini % (*UserInfo DCompletedc:\caseinfo.ini % (,,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT  !%'  OK BUTTONWRITE NEW USER INFO IN INI FILEbWordBasic.SetPrivateProfileStrinC ,,3xME @x**-View instructions for using FIA-#### buttons.covTemplateProject.ToolHelp.MAIN{jf@ B@` en ʆH+ ""&8 `&xJPP@>JL ZpPL Hp6VHHN    @ `   < 2H` " 4 ] B@H FCUSP Tools B@DEFINE DIALOG BOXF,FCUSP Tool Help B@d  ,**To CHANGE Case Info WITHOUT closing form** B@dnsi; 11. Click Clear Case Info Button on FCUSP Toolbar B@d;" 12. Click Change CaseInfo Button on FCUSP Toolbar B@dR.  to bring up new pop-up screen. B@d;: ,3. Enter new case information and click OK. B@d;H -The new information will fill in on the form. B@d \ <**To Select Appropriate ADD Buttons from the FCUSP Toolbar** B@dP;h 11. Use Mouse to position Cursor over any button B@d;t -2. Read the Help message line at the Bottom B@dR *of the Screen to see an exact description B@dR of the Button function. B@d; 83. When you have located the correct button, Click it. B@d  )** To Remove Entire Row from any table** B@d; 0 Click Remove Table Row Button on FCUSP Toolbar B@d   B@d;  B@d  B@d;  B@d   B@dN B@ B@%&']F !!.76GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXVW,DISPLAY DIALOG BOX AND RESPOND TO USER INPUTqrs  !%'  OK BUTTONGet user info from INI file. Update other Form Fields on Form & Exit MacrokoAttribute VB_Name = "ToolHelp" Public Sub MAI`N() D.rDescriptionView instruc&s for using FI(A-# tons.ePPro cData\Invoke_Funcemplate"ject..LDim iRet WordBasic.'bars Co@lorBut}:=1, Larg"e0, Tips"':=" FCUSPs"@, Show 'DEFINE DIALOG BOX&BeginDialog 582, 30=5& eText 9, 1513, "**To CHANGE Case Info WITHOUT clocm**)5 2@!1. Cŀ~k@earJ. z>@V 34, 2han58'3. @ EntercESiSrmaand@Tick OK7 STheB will finASthhF9}Sel@ Appropri ADD Rprom j1&05@ UJMo6u,p`I Cu$rszov%anyz@115aV@` Reada] messaBli ne atBoMum A@127obfScr@>Bse` n exact dUB 4k[D Sf.95 5JWhen you have loc 5CcorrA8,nit e@1K**`)m`1!Wire Row f?A3table7t18>ReB T" d _Ŕ22J)x&23j&42+w26kO3! OK45"7N30!gEnd (dlg grBAs Ob: Se3PH= '`jValues.! @GET USER INFO FROM ILE AND PIT`TO͡ISPLAY"RES? b8 d `6?h6?6?6?6?H<? " d fPBU>U d@ f `.Up.U.U.U.U0:U` 4  &$&(.8h8mp6  ]@Dim UserFCCNo$ Dim UserFCCN$]X]pDim UserPSCNo$#### Dim UserPSCN$ Dim UserCTNO$@}]] Dim UserHAL$ Dim UserHAF$rd ]]]]*-You MUST Save This Document Before Continuing $0 $0 Select Sg "UserInfo", "FCCaseNo", dlgUserInfo.YourFCCNo, "c:\caseinfo.ini"cWordBasic.SetPrivateProfileString "UserInfo", "FCCaseName", dlgUserInfo.YourFCCN, "c:\caseinfo.ini"UserInfoFCWorkerLoadNo !c:\caseinfo.ini B@.UserInfo FCWorkerName ! c:\caseinfo.ini B@.bWordBasic.SetPrivateProfileString "UserInfo", "PSCaseNo", dlgUserInfo.YourPSCNo, "c:\caseinfo.ini"bWordBasic.SetPrivateProfileString "UserInfo", "PSCaseNo", dlgUserInfo.YourPSCNo, "c:\caseinfo.ini"cWordBasic.SetPrivateProfileString "UserInfo", "PSCaseName", dlgUserInfo.YourPSCN, "c:\caseinfo.ini"`WordBasic.SetPrivateProfileString "UserInfo", "COURTNO", dlgUserInfo.YourCTNO, "c:\caseinfo.ini"UserInfoPOSA !"c:\caseinfo.ini B@.UserInfoPOSW !$c:\caseinfo.ini B@.UserInfoCofR !&c:\caseinfo.ini B@.UserInfoCOJ !(c:\caseinfo.ini B@.UserInfoCDN !*c:\caseinfo.ini B@.UserInfo DCompleted !,c:\caseinfo.ini B@.Get user info from INI file\UserFCCNo$ = WordBasic.[GetPrivateProfileString$]("UserInfo", "FCCaseNo", "c:\caseinfo.ini")]UserFCCN$ = WordBasic.[GetPrivateProfileString$]("UserInfo", "FCCaseName", "c:\caseinfo.ini")UserInfoFCworkerLoadNoc:\caseinfo.ini %' UserInfo FCWorkerNamec:\caseinfo.ini %' \UserPSCNo$ = WordBasic.[GetPrivateProfileString$]("UserInfo", "PSCaseNo", "c:\caseinfo.ini")]UserPSCN$ = WordBasic.[GetPrivateProfileString$]("UserInfo", "PSCaseName", "c:\caseinfo.ini")ZUserCTNO$ = WordBasic.[GetPrivateProfileString$]("UserInfo", "COURTNO", "c:\caseinfo.ini")UserInfoPOSAc:\caseinfo.ini %' UserInfoPOSWc:\caseinfo.ini %' UserInfoCofRc:\caseinfo.ini %' UserInfoCOJc:\caseinfo.ini %' UserInfoCDNc:\caseinfo.ini %' UserInfo DCompletedc:\caseinfo.ini %'  Update Form with user info]If WordBasic.ExistingBookmark("FCCASENO") Then WordBasic.SetFormResult "FCCASENO", UserFCCNo$`If WordBasic.ExistingBookmark("FCCASENAME") Then WordBasic.SetFormResult "FCCASENAME", UserFCCN$FCWORKERLOADNO %0GFCWorkerLOADNo  B@2j FCWORKERNAME %0G FCWORKERNAME  B@2j]If WordBasic.ExistingBookmark("PSCASENO") Then WordBasic.SetFormResult "PSCASENO", UserPSCNo$`If WordBasic.ExistingBookmark("PSCASENAME") Then WordBasic.SetFormResult "PSCASENAME", UserPSCN$ZIf WordBasic.ExistingBookmark("COURTNO") Then WordBasic.SetFormResult "COURTNO", UserCTNO$POSA %0GPOSA  B@2jPOSW %0GPOSW  B@2jCofR %0GCofR  B@2jCOJ %0GCOJ  B@2jCDN %0GCDN  B@2j DCOMPLETED %0G DCOMPLETED  B@2j. Update other Form Fields on Form & Exit Macrod k||* fsave file cancelled 2 A@ #return to point of error in routined ! Error ! In Case InfoA@|+Reprotect Document and exit sub after errorko$Attribute VB_Name = "CaseInfo" Public Sub MAIN() Dim iRet '(UserFCC8No$ >WL@ N ^PS @a CTNO?PhOSA WH4AL F;CofR OJDK DC On Error GoTo Hand lerompt$You MUST Save This Document Before Continuing" + Chr(10)"Select!In Folder :EntFileR inA?ialog Box'Define pYOPEN FCUSP TOOLS WordBasic.ViewToolbars-lorButtons:=1, Larg"e0, TipAV:="s", Show@ B'er Hide Datab( raw Ai, Form&@Xdisplay hidden texApp@ation.DStatusBarTrue  With ActiveWipndowHoriz@alScroll t/ TJEnd aY %\.^'*sA_d^'d'DEFINE DIALOG BOX 193@*13K DHS!Qk@Load No.:6Y1r5u!B\8 W@$ AgencyBe/+C67oqe3dCounty of ReferravlO5rt JurisdiRon7cpLket_ 2R0034V!aCletedAO HOKrM2628821UJCancel4AN#Res NReiUZCUdlgqa `Obj X: S=VCurValues.mGET USER INF@O FROMI FILE AND PUT I NTO:_'.Z@0g[GetPriv`ProfSng$](" P|ЃANoc:\q.ini"C? hCP3E WN!: oRV_ o!Se!er0ůCOURP!ourPQAoo ??3W???OSW??0??>??1OJ///ЈA m30ϰ1GDC=DdXDI`SPLAYUrWRESPOW`WYXx i\R]Dialog(dlgUserInfo) If iRet = -1 Then 'OK BUTTON 'WRITE NEW USER INFOI FILEBordBasic.SetPrivateProfileString "", "FCCaseNo .Your No"c:\c#i.ini"6damef2WdkerLoadYgWLh45NhWN›PSg?gA}"?KK@"COURTNO C? "POSA W W }CofR G COJ OFJ CDN D3GzDComp letedp DCG@u a from"ab$[h$](5"M@' r !c  worɱ N_ S *@ İ $o_ Q @ ?OrvEK/$ngMP K2W1PJϏ i"pKcO D-spOocD~C NB UpdP Form with FN`M0LExist BookmarDk(ASE@x)Result, R CaAME"ietN7$ Q  WORKERLOAD r[N SB  WN 'OJ`L/+NoNdOc7/.L  7OqS_\LQ OqKOSW?*\0W@ITW_/RL LQ_^OL2OJ/.K/?,2N"`R|DCOMPLETED?|c&SMother#NFiel ds on& PMt Macro@ ElsePn0d IfHere: Sub HandleErrorP" 4198Dsave file cancelled MsgBox Prompt$, vbCr@itical|Resume 'return to point of error in routine`ElsErr.DescriptionbExclama" or" & )Number "In Case@ Info"[ ExitHerReprotect Doc and e sub aftMIf ESub      QRC !"#$%&()*+,-./023456789;<=>?@ABDENGHIJKLMOPZSTUXWY[d]^_`abcVeghijklmnoqrstuvwxyz{|}~__SRP_3 gAddSignatureAuto"AddPermanencyRow"AddVARecommendation('P 4660@ʆH6" DP X 8    rU~| R) y  ) i Y)Yi IqQI a!y9i  Y1Y 9Y 1Y Y9q4K:, < <   :    :|`1x6< |6(,%(%(T%t$ @t  t.:, %(%t$ @t t.:,%(%t$ @t t.:,%(%t$ @t t.:,%(%t$ @t t.:,%(%t$ @t tt$ t tt$ 8Qt@ @ t@ Qt< < c<c@t$ 4t t.(,I%(^%:T%t$ @tt:(,%( %(T,%(,%: %t$ @tt:(,%(8%(T,%(,%: %t$ @tt:(,%(P%(T,%(,%: %t$ @tt:(,%(h%(T,%(,%: %t$ @tt:(,%(%(T,%(,%: %t$ @tt:(,%(%(T,%(,%: %t$ @tt:(,%(%(T,%(,%: %t$ @tt:(,%(%(T,%(,%: !%t$ @tt:(,k%( %(T%(, %: "%t$ @t#t:(,%($%(T%(, %: $%t$ @t#t:(,%(;%(T%(, %: %%t$ @t#t:(,%(S%(T%(, %: &%t$ @t#t:(,%(k%(T%(, %: '%t$ @t#t:(,%(%(T%(, %: (%t$ @t#t:(,%(%(T%(, %: )%t$ @t#t:(,%(%(T%(, %: *%t$ @t#t:(,%(%(TT%(, %: +%t$ @t#t4(,^%(%(TX%(,%t$ @t,t4(,%(%(TX%(,%t$ @t-tKt$ @t.t.t$ @tW%:T4%t$ @t<%?t5<C:,1%:,2%:@%:T4%t$ @t<%At5<C:,1%:,2%:B%:T4%t$ @t<%Ct5<1 @t$ @tW%W%:T4%t$ @t<`1Tt5<?:,1%:,2%:@%:T4%t$ @t<`1Pt5<?:,1%:,2%:B%:T4%t$ @t<`1Lt5<,:,G%t$ @t%t$ @t%T@t$ @tJt,:,@%t$ @tF< O2)t6<  rX@ @<L`\dhPlTXxHt< |k( 0  8H h  @ @ ` px @  &. P8X6  = creates message box for number response to Agency signatures *((There is already ONE signature section. $0 How many ADDITIONAL SIGNATURE $0 ) rows are needed for this report? $0 $0 0 Example: {Total Signatures required = 3} $0 < { Minus existing = 1} $0 < { Enter additional = 2} $0 $0 CANCEL or ESC if none AGENCY SIGNATURES$.',^F-You MUST Save This Document Before Continuing $0 $0 Select Save In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define prompt , 46 ,0e6d 8B@:i) cladd87> 8B@< @ , signature 8%B@H HF` BB@D & BB@J/20 L(N:28  B!XVZ AddSignatures 8!P%RB@T ^F` BB@\ signature 8%B@H @kH|@|8cladd87>& l 8B@~[reprotect document|6|* fsave file cancelled 2 A@ #return to point of error in routined( ! Error ! In Case InfoA@|+Reprotect Document and exit sub after error^koAttribute VB_Name = "AddSignatureAuto" Sub X() ' creates message box for number response to Ag@ency ss On Err.GoTo Handle B BrowsInputBox("There is alxdy ONEQ section. " + Chr(10) "How many ADDITIONAL SIGNATURE- >a7neededkth=report?6 Example: {Total squir*= 3}@# { Minus existing14%EntajaddiAO@*= 27CANCEL @mESC if none",GENCYV S0@ Pr ompt$("You MUST @Save TSDocument Bee Con4u4XSelzIn FoldA0ndV 8Fil$e inBAs Dialog @'Define pB, ]CI:umDcmd@Cancel@0en°ExitH 2CElseq"0"&A!A逶veJ.OC Un.tAGPassword:="dcl@w8784F@pi@2l p1 S@tep -12 Bookmarks("x").c1#cApMown Unit:=wdJL*,`;un3SplitTaHble#ApcayDispla yaCHleteTipTru#achedTe p.Texbt@rie əsY _#I rHt W:=gRange, Ridcha :=D@SCharackf+%+N iEnd IfcOC Q:LErE,ze`5, Type8AllowOnlyGmFie lds ' roB ddy  ǣ2($f!T4198bf '*s!f!ycbpled Msgx @, vbCr@calResE`napoiof eЀrouJwJ `.De`scripASA E:xkm"U`orH" &.N&$ "`CaInvfL a ! x'Re%w& t s af"??+Ab-!a\,xMEAddChildRow1#AddIdentInfoAuto":CModule1 "[_VBA_PROJECTF( ( 8B@<kPerform Spelling/Grammar check.e (iat J 8!R8 J!X(TV J!XB@on J ReProtect the document. 8!N Pcladd87>& l 8B@~koAttribute VB_Name = "Module1" Sub FormsSpellCheck2() Dim x As wdNo Then  9ZPassword:="c@ladd87E nd If'P(erf ing/Gramma8r clK.Op2tBs.vWi thFalse EachIn JsZx.Range.iof>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, n orese&, o:=wdAllowOnlyAbAAeting = 1} $0 B { h8xz>oFM&N}kL BHSgMZbHG,HWFRE:\DGTLNe,I?Jѡ+c*5=lMث)H;9ĉF KrOIT/#9+GעL(doI;F'j%^n`JVb~y9> IImlN Bs*$6qrg?AOߣ<ज़RMZΌM}M.bDLk-M"BNHqY K%Y+ik>WordkVBAWin16~Win32MacVBA6#TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _Evaluate RemoveRow0^MAIN, WordBasicToolsUnprotectDocument(TableSelectRowTableDeleteRowAToolsProtectDocument-0noresetg AddBarrierRowo HandleError;numrowsInputBox ChrK~Promptm cmdCancel ExitHere2ActiveDocument\Save Unprotect?Passwordi` SelectionZMoveDown̝UnitwdLine SplitTable7 Application*DisplayAutoCompleteTips$+AttachedTemplateAutoTextEntriesInsertrWhere֍Range RichTextNDeletex wdCharacterCount0vFindnClearFormatting) ReplacementForwardWrapWy wdFindAsktdk ,xMEP 6NN0@ʆHN"   F0 x  h   0@ HX `  hx  < 0 @ 4P > : 8 HX p .     (@0p x &.868p x  AddParentRowAuto Macro? Macro recorded 01/11/01 by Program Area modified 8/23/06 Diane*x There is already ONE Child row. $0 How many ADDITIONAL CHILD rows $0 ' are needed for this report? $0 $0 4 Example: {Total children being reported = 3} $0 B { Minus existing = 1} $0 B { Enter additional = 2} $0 $0 CANCEL or ESC if none PARENT ROWS$.',-You MUST Save This Document Before Continuing $0 $0 Select Save In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define promptB@: , 4 doc6x ,0eIA6`dX 8B@:fo cladd87> 8B@<extBox @ , HF` BB@D Your5Selection.GoTo What:=wdGoToBookmark, Name:="PermPlan"Your)Selection.MoveDown Unit:=wdLine, Count:=1 BB@J,.Selection.MoveLeft Unit:=wdCharacter, Count:=1  L(N  B!XVZ AddPermChild 8!P%RB@T ^F` BB@\Your3Selection.GoTo What:=wdGoToBookmark, Name:="PChild"k B!bB@dte B!bing Child(ren)9dthis c5f(d9h l9j99n9p9r9t9vq B!bB@x'Selection.MoveUp Unit:=wdLine, Count:=1 @@G^k`|X|Pcladd87>& l 8B@~[reprotect document|6|* fsave file cancelled 2 A@ #return to point of error in routined ! Error ! In Case InfoA@|+Reprotect Document and exit sub after error0koAttribute VB_Name = "AddPermanencyRow" Sub X() '0arentVAuto M0acro2 recorded 01/11/01 by Program Area modifi!8/23/06 Di}A On Error GoTo Handle n@umrowsInputBox("There is alZdy ONE Child +. " +Ar(10) "How uy ADDITIONAL CHILDs y neJelfOth9r@eport?1Ch6Example: {Tot0al cO bpeing#= 3} X@ { Minus exist,= 1:(Enter ad@dition@.= 2 ;CANCEL @GESC if none", "PAREN@T ROWS0 @ @mpt$s"You MUST Save TAVDocum Be@[e Con4u4[SelectIn Fold.ndV C7 File in BAslog @@'Defin e pro@, ^CI8Ƥcmd@Cancel@0enBExitH @2CElseq"0"&A!ActiveJ.OSC Un.tAGPassws:="dcl:87F`7i@2%m`p1 Step -1# ,A.MoAwn Unit:=wdJL$, 5un3'b!WhabBookmark,/ PlarnD    SplitTablem Left&Charac'@] Apca_.Displa yaC AleteTipTru  /achedTBeate.Text@Ories("").Insert _ 3W:='Range, Rich! :=DaE333c%gFind.CleDarHmatvgWithh3 . (&)@Re.ce&` wardFa`j Wrapwd AskHpMatch8Cas! bWholeW hW@cB2Soun dsLikv All! End )CL/Exec`scLgUptt.3N) iEqIf 2;KL:.0]_FSF,`rese?*, TypeQCowOnlyFields 'urod` Љ 20W4198W 'sagfa`c\ledqMsg `_$@, vbCrpcalResPj turn point of eRerou0AQ_.Descrip1F!ExY30Vsor" &Aa.Numb0m& "nR*Info05 '3Tt#сt s af} C e&rA5dkO ,xMEP 8NN0@ʆHN"  &( PX ` H     (8 @  HX x.   (08 @ PF`*  (08@HPX`h p  @  & .0`8h6   AddVARecommendation Macro Macro recorded 01/18/01 by FIA\* -There is already ONE recommendation section. $0 #How many ADDITIONAL RECOMMENDATION $0 + SECTIONS are needed for this report? $0 $0 . Example: {Total Children required = 3} $0 8 { Minus existing = 1} $0 8 { Enter additional = 2} $0 $0 CANCEL or ESC if none V. COURT RECOMMENDATIONS$.',-You MUST Save This Document Before Continuing $0 $0 Select Save In Folder and $0 $0 $Enter File Name in SaveAs Dialog Box ' 2 Define promptAM , 436 ,0e 6d 8B@:r"cladd87> 8B@< @ , EndVARECOMMENDATION BB@ B!bB@d B!b9d5f(dmp9h l9j99n9p9r9t9vq BB@J AM L(N   B!XVZAddVARecommendation 8!P%RB@T ^F BB@\ VARecommendation BB@  B!bB@dt B!b 9d5f(d9h :9j99n9p9r9t9vq0 @@G^k||cladd87>& l 8B@~[reprotect document|6|* fsave file cancelled 2 A@ #return to point of error in routined8 ! Error ! In Case InfoA@|+Reprotect Document and exit sub after error koAttribute VB_Name = "AddVARecommendation" Sub d () '0 M0acro8 rrded 01/18/01 b y FIA! On Error GoTo Handle numrowsInputBox("There is already ONEb! sec. " + Chr(10) "How many ADDITIONAL RECOMMEXNDA SDECS a=neeffZthDreport?5:! Example: {TotalLildreBn^quir= 3} Y{Minus ex@isting10#Enter addiN'= 25CANCEL @ESC if none", "V. 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FORMDROPDOWN If Yes, Tribal Affiliation FORMTEXT       NameRelationshipChildrenParticipating FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN Parent s Current Address: FORMTEXT      Date of Birth FORMTEXT      Telephone: FORMTEXT        FORMTEXT       FORMDROPDOWN  Child(ren)Policy Placement RecommendationPolicy Plan RecommendationOverride Recommendation FORMTEXT       FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN Override PlacementOverride Permanency Plan FORMDROPDOWN  FORMDROPDOWN   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 the progress made by each household on other (secondary) goals established in the most recent service plan. 5) Describe interventions utilized with the family to assist in preparation for reunification. Describe the current family situation, including any significant changes during the report period.  MACROBUTTON [2] "Click Here and Type"  9.Parenting Time Assessment: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. Note all visits between child and family. Describe coaching strategies utilized w/ parent and familys response to interventions. Describe services offered to the birth family to prepare for long term placement after discharge.   MACROBUTTON [2] "Click Here and Type"  10.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 Refused11.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"  12.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  Name and Title:  FORMTEXT       Signature: Date:  FORMTEXT       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. 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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.  MACROBUTTON [2] "Click Here and Type"  NameDate of BirthLog NumberCase NumberChild GenderHeightWeightHair Color FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Eye ColorReligionDated Entered CareDate of Current PlacementCurrent Placement TypeAnticipated Net Placement FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMTEXT      Date of Anticipated Next PlacementCurrent Legal StatusFederal Permanency Pla      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstwxyz{|}~n GoalMichigan Specific Goal Description FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMDROPDOWN Child s Address (if not FH) FORMTEXT      Native American? 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