Process
This is the maximum number of days a youth can remain in the Respite Caregiver's home?
What is 30 days
If a youth goes missing for 24 hours, they are considered this.
What is AWOC (Absent Without Consent)?
This form must be signed by the caregiver before a youth enters respite to allow medical treatment in emergencies.
What is the Medical Waiver (RC04)?
Initial contact with the family must occur within this timeframe after referral.
What is 24 hours?
This role builds trust and rapport with youth and supports school engagement
Who is the Youth Advocate?
Within how many hours must the program respond to a referral from FAP?
What is 24 hours?
This form must be completed upon opening a respite case
What is Notice of Admission to Respite (CS 874)?
This ACS form is required for enrolling a youth in preventive services.
What is the LDSS-2921?
A home visit must be scheduled within this number of calendar days after referral
What is 5 days?
This staff member delivers short-term therapy and crisis stabilization.
Who is the Family Therapist?
This conference is required when reunification seems doubtful after 15 days in placement.
What is an Elevated Risk Conference (ERC)?
Name two immediate actions a caregiver must take during an emergency.
What are call 911 and notify the provider agency?
This form is used to release a youth from respite care.
What is Notice of Release from Respite Care Facility (874A)?
Aftercare begins immediately after discharge and lasts this long
What is 30 days?
This role leads strategic planning, oversees program development, ensures compliance, and represents the Family Respite Program externally.
Who is the Program Director?
Name the three phases of the Family Respite Program
What are Respite, Reconnection, and Aftercare?
This screening must be completed within 30 days if a youth returns from AWOC
What is the CSEC Rapid Indicator Tool?
This ACS form must be emailed to notify ACS when a youth is discharged from respite care.
What is the Notice of Release from Respite Care Facility (874A)?
Staff onboarding modules must be completed within this timeframe
What is 30 days
This role conducts trauma-informed assessments and service planning.
Who is the Social Worker
This ACS system is used for preventive case documentation and monthly reporting.
What is PROMIS?
This protocol requires staff to complete a PROMIS entry within 24 hours after any emergency involving a youth in respite care.
What is the Critical Incident Reporting Protocol?
These two documents outline expectations for caregivers and youth during the respite placement, including behavior guidelines and engagement commitments.
What are the Parents' Roles and Responsibilities and Youth Contract?
Aftercare can be extended by this many days if criteria are met
What is 15 days
This role ensures program fidelity by certifying respite homes, managing caregiver stipends, facilitating GenPMTO training, and coordinating youth placements and transitions.
Who is the Respite Family Coordinator?