Form numbers
Programs/Resources
People
Legal Status/Codes
Contacts
100
Clients sign this form to allow DHHS access to confidential information.
What is 1555, Release of Information
100
This financial resource is available to a youth who has a physical or mental condition or conditions that can be medically proven and which result in marked and severe functional limitations.
What is SSI
100
This is the maximum number of workers a dual ward can have (excluding adoption workers)?
What is 3 workers: foster care, JJS, and court probation officer
100
This legal code refers to a temporary court ward.
What is legal code 42?
100
Face to face contact must be had with the youth this frequently, excluding detention/jail
What is monthly?
200
Document outlining child and family medical history. requires doctor, therapist, parent, placement, and case worker signatures.
What is DHS 221, Medical Passport
200
This resource is available to a dual ward to provide resources for transitional independent living preparation, such as drivers training
What is YIT
200
A dual ward has this type of attorney(s)
What is an LGAL AND a defense attorney?
200
This legal code refers to a foster child who has been committed to DHHS after TPR (Permanent Ward)
What is legal code 44?
200
Name at least 3 topics which must be discussed at every visit with a youth
What is health, education, therapy, psychotropic meds, safety, etc...
300
This is given to foster parents or residentials at the time of placement and allows for routine and emergency medical needs to be addressed by that provider
What is DHS 3762, Consent to Treatment card
300
This program is voluntary for any dual ward or abuse/neglect ward and provides financial and case management support
What is YAVFC
300
This person is responsible for the delinquency case for a dually adjudicated youth
Who is the JCO/court officer?
300
This legal code refers to a delinquent court ward
What is legal code 40?
300
A child must be seen weekly if they are placed in this facility in their own county.
What is detention
400
Reviewed and signed by youth at time of initial placement and annually thereafter, this provides an outline what youth can expect from DHHS and what DHHS expects from the youth while in care.
What is DHS 5307, Rights and Responsibilities for Children and Youth in Foster Care
400
Youth may be referred to this housing-related program up to two months before case closure
What is HYR
400
When there are 2 DHHS workers assigned (FC and JJS), this worker is responsible for attending abuse/neglect hearings
Who are both workers?
400
This legal code refers to delinquent youth committed to MDHHS under PA 150
What is legal code 46
400
A worker must meet with this person or people in person at minimum once every 6 months
Who is the treatment team?
500
This is a multi-purpose form used to document placement changes, case worker changes, case closure, child fatality, parent address change, etc.
What is DHS 69: Foster Care/Juvenile Justice Action Summary
500
This program provides up to $5000 to eligible youth attending post-secondary education and vocational programs.
What is ETV
500
This person provides the highest quality of training to be found at MDHHS
Who is Clint Wirtz
500
These 6 MiSACWIS status codes refer specifically to dual wards
What is 52, 90, 91, 92, 93, 94
500
During the first month following this type of placement, there must be two telephone contacts and two face-to-face visits with the youth
What is out of state placement?
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