Section 4 – Alternative Care

Section 4 – Alternative Care

Chapter 1 – Overview

Chapter 2 – Placements

  • 2.1 – Common Placement Types
    • 2.1.1 – Placement with a Fit Parent
    • 2.1.2 – Placement with Siblings
    • 2.1.3 – Placement with Grandparents
    • 2.1.4 – Placement with Relatives
    • 2.1.5 – Placement with Former Foster Parents
    • 2.1.6 – Placement with Foster Parents
  • 2.2 – Initial Placement Activities
  • 2.3 – Residential Rehabilitative Services
    • 2.3.1 – Residential Treatment Referral Process
    • 2.3.2 – Residential Care Screening Team Coordinator Responsibilities
    • 2.3.3 – Requirements for Licensed Residential Treatment Facilities
    • 2.3.4 – Requirements for Licensed Child Placing Agencies
  • 2.4 – ICPC
    • 2.4.1 – Placement of a Missouri Child into Another State (Regulation 2)
    • 2.4.2 – Placement of a Missouri Child with an Approved Resource
    • 2.4.3 – Compact Termination/Placement Disruption or Closure
    • 2.4.4 – Placement of Another State’s Child into Missouri
    • 2.4.5 – ICPC Regulation 1
    • 2.4.6 – ICPC Regulation 4 Residential Care Placements into another State
    • 2.4.7 – ICPC Regulation 7 or Expedited Placements
    • 2.4.8 – Other Interstate Compacts
  • 2.5 – Mental Health Hospital Placements

Chapter 3 – Court

Chapter 4 – Working with Children

  • 4.1 – Child in Placements
  • 4.2 – Educational Stability
    • 4.2.1 – School Placement
    • 4.2.2 – Transportation
    • 4.2.3 – School Transfer/Immediate Enrollment
    • 4.2.4 – Education Records
    • 4.2.5 – Free Nutritional Food Access
  • 4.3 – Medical and Mental Health Planning
    • 4.3.1 – Legal Basis for the Provision of Medical/Mental Health Services
    • 4.3.2 – Medical and Mental Health Case Management
    • 4.3.3 – Informed Consent
    • 4.3.4 – Medical Service Alternatives/Planning
    • 4.3.5 – Identification of Children in the Custody of the Children’s Division Solely for the Purpose of Accessing Mental Health Services
    • 4.3.6 – Custody Diversion Protocol
    • 4.3.7 – Voluntary Placement Agreement
    • 4.3.8 – Pregnancy of Child in Out-of-Home Care
    • 4.3.9 – Chemical Dependency Treatment
    • 4.3.10 – HIV/AIDS Issues
    • 4.3.11 – Life Support/Sustaining Therapies and Do Not Resuscitate Order (DNR) or Removal of Life Support for the Child in the Legal Custody of the Division
    • 4.3.12 – Death of a Child in Out-of-Home Care
  • 4.4 – Special Populations
    • 4.4.1 – Indian Child Welfare Procedure and Process
    • 4.4.2 – Native American Child Services
    • 4.4.3 – Determining Child’s Indian Status
    • 4.4.4 – Procedures for Refugee and Cuban/Haitian Unaccompanied Minor Placement Program
    • 4.4.5 – U.S. Citizenship and Immigration Issues
  • 4.5 – Children with Elevated needs
    • 4.5.1 – Referral and Placement Process
    • 4.5.2 – Ongoing Procedures to Maintain Placement
    • 4.5.3 – Termination of Elevated Needs Classification
  • 4.6 – Medical Foster Care
  • 4.7 – Therapeutic Foster Care
    • 4.7.1 – Referral Process
  • 4.8 – Children of Youth in Alternative Care (CYAC)
    • 4.8.1 – CYAC Procedures
  • 4.9 – Missing Person Report Procedure
    • 4.9.1 – Runaway Child Protocol
    • 4.9.2 – Missing Children Not in Care
    • 4.9.3 – Child Abduction Protocol
    • 4.9.4 – Child Return or Recovery
    • 4.9.5 – Failure to Locate Protocol
    • 4.9.6 – Protective Service Alerts

Chapter 5 – Older Youth Program (OYP)

  • 5.1 – Mandates and Rationale
  • 5.2 – Definition and Purpose
  • 5.3 – Chafee Foster Care Independence Program
    • 5.3.1 – Program Goals
    • 5.3.2 – Eligibility
      • 5.3.2.1 – Youth from another State
      • 5.3.2.2 – Youth with Special Needs
    • 5.3.3 – Referral Process
    • 5.3.4 – Youth Assessment
  • 5.4 – Transitional Living Program (TLP)
    • 5.4.1 – Transitional Living Advocate
      • 5.4.1.1 – TLP Advocate Training
      • 5.4.1.2 – TLP Advocate Approval
      • 5.4.1.3 – Advocate Maintenance Payment
      • 5.4.1.4 – Characteristics of the Youth
    • 5.4.2 – Transitional Living Program Group Home (TLG)
    • 5.4.3 – Transitional Living Program Single/Scattered Site Apartments (TLS)
  • 5.5 – Independent Living Arrangement (ILA)
    • 5.5.1 – Criteria for Independent Living Arrangement
    • 5.5.2 – Independent Living Arrangement Housing Options
    • 5.5.3 – Independent Living Arrangement Support Services/Systems
    • 5.5.4 – Termination of Independent Living Arrangement
  • 5.6 – Credit Reports
  • 5.7 – Post-Secondary Educational Opportunities
    • 5.7.1 – Resources and Supports
    • 5.7.2 – Post-Secondary Visit
    • 5.7.3 – Education and Training Vouchers
    • 5.7.4 – Missouri Reach Tuition Waiver
    • 5.7.5 – Missouri Reach Credential Completion and Employment
    • 5.7.6 – Educational Opportunity for Children of Families Serving in the Military
  •  5.8 – Youth Leadership and Advocacy
    • 5.8.1 – State Youth Advisory Board
    • 5.8.2 – “What’s It All About? A Guidebook for Youth in Out-of-Home Care”                       
    • 5.8.3 – Foster Care Bill of Rights
  • 5.9 – Exit Plan
    • 5.9.1 -Guardianship and Conservatorship
      • 5.9.1.1 – Effects of Guardianship and Conservatorship
      • 5.9.1.2 – Steps to Be Taken
  • 5.10 – Re-entry
  • 5.11 – Aftercare Program
    • 5.11.1 – Referral and Assessment
    • 5.11.2 – Healthcare for Former Foster Care Youth
    • 5.11.3 – Procedural Guidelines for Service Delivery
    • 5.11.4 – Education Financial Assistance and Support
    • 5.11.5 – Timeframes and Exceptions
  • 5.12 – National Youth in Transition Database (NYTD)

Chapter 6 – Working with Parents

  • 6.1 – Initial Work with Parents
  • 6.2 – Parent Assessment
  • 6.3 – Ongoing Work with Parents
  • 6.4 – preparing the parent for the child’s return
  • 6.5 – termination of parental rights
    • 6.5.1 – Guidelines for Determining Grounds or Triggering Events for Termination of Parental Rights
    • 6.5.2 – Procedures for Pursuing Voluntary Termination of Parental Rights (TPR)
    • 6.5.3 – Procedures for Involuntary Termination of Parental Rights (TPR)
    • 6.5.4 – Outcomes of TPR

Chapter 7 – Family Support Teams

  • 7.1 – Types of Family Support Team Meetings
  • 7.2 – Composition of Family Support Teams
  • 7.3 – Family Support Team Meeting Agendas
  • 7.4 – Lack of Consensus at Family Support Team (FST)/Permanency Planning Review Team (PPRT) Meetings

Chapter 8 – Permanent Outcomes

  • 8.1 – Reunification
    • 8.1.1 – Process of Returning a Child Home
  • 8.2 – Adoption
  • 8.3 – Guardianship
  • 8.4 – Placement with a Fit and Willing Relative
  • 8.5 – Another Planning Permanent Living Arrangement

Chapter 9 – Adoption and Guardianship Process (Including Subsidy)

  • 9.1 – Adoption Planning Process
    • 9.1.1 – Children Eligible for Adoption
    • 9.1.2 – Foster Parent Preference and First Consideration for Placement
      • 9.1.2.1 – Preparing the Child/Family for Adoption by Foster Parents
    • 9.1.3 – Considerations in the Selection of an Adoptive Family
      • 9.1.3.1 – Sibling Preference/Consideration
      • 9.1.3.2 – Special Needs Children
      • 9.1.3.3 – Legal Risk Placements
      • 9.1.3.4 – Cross Cultural/Cross Racial Adoptive Placements
    • 9.1.4 – Assessment and Evaluation of the Child
  • 9.2 – Adoptive Family Recruitment Process
    • 9.2.1 – Child’s Profile
    • 9.2.2 – Finding Adoptive Families for Children
    • 9.2.3 – Photo Listing
  • 9.3 – Selecting Adoptive Families
  • 9.4 – Adoptive Placement and Support
  • 9.5 – Guardianship Planning Process

Chapter 10 – Case Management Activities

  • 10.1 – Permanency and Case Planning
  • 10.2 – Diligent Searches
  • 10.3 – Visitation between Parents, Children and Siblings
    • 10.3.1 – Parent Criminal History
  • 10.4 – Supervisor Consultation
  • 10.5 – Case Closure

Chapter 11 – Administrative Activities

  • 11.1 – Family or Child moves from County
  • 11.2 – Changes in Case Manager
  • 11.3 – Other Administrative Activities
  • 11.4 – Paternity Testing
  • 11.5 – Critical Event Response

Chapter 12 – Financial Considerations

  • 12.1 – Referral Process
    • 12.1.1 – Homeless, Dependent, and Neglected or Status Offender
    • 12.1.2 – Service Needs
    • 12.1.3 – Funding Source
    • 12.1.4 – Title IV-E Referral
  • 12.2 – Financial Contributions by Parents
    • 12.2.1 – Continuation of Child Support
    • 12.2.2 – Third Party Insurance
    • 12.2.3 – Parent’s Estates
  • 12.3 – Temporary Assistance
  • 12.4 – Alternative Care IV-E
  • 12.5 – Homeless, Dependent, and Neglected (HDN Fund)
  • 12.6 – Supplemental Security Income (SSI)
    • 12.6.1 – Qualifications for SSI
  • 12.7 – Children’s Treatment Services (CTS)
    • 12.7.1 – Other State and Community Resources
  • 12.8 – Payments for Children
    • 12.8.1 – Standard Payment Rates for Foster Family Care
    • 12.8.2 – Emergency Placement Payment
    • 12.8.3 – Special Expenses Payment
    • 12.8.4 – Children’s Income Reimbursement System (KIDS)
    • 12.8.5 – Transitional Services Payments for Youth with Elevated Needs-Level B Resource Providers
    • 12.8.6 – Insurance Claims for Children in Children’s Division Custody
  • 12.9 – Terminating Cost of Care