DFCS Online Policies & Procedures

  DFCS Online Policies & Procedures

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Handbook 6: Out of Home Placement and Services
6-15  90-Day Transition Plans
Out of Home Placement and Services
6-15:  90-Day Transition Plans
Reference Points
Overview
DFCS Policy
Purpose of the Plan
Advanced Health Care Directive
CWS/CMS Documentation in the Case Plan
Example of a 90-Day Transition Plan
Steps in Developing the 90-Day Transition Plan
Other References


Reference Points
Effective Date: 8/1/10
Last Updated: 1/14/11
 Legal Basis:
Popup Window All County Letter (ACL) 09-87: New Federal Requirement 90-Day Transition Plan for Foster Youth Prior to Aging Out of Foster Care
Popup Window ACL 10-45: New Federal Requirement Added to the 90-Day Transition Plan
Popup Window Fostering Connections to Success and Increasing Adoptions Act (PL 110-351)
Popup Window Welfare and Institutions Code (WIC) § 16501.1 (f)(16)
Popup Window WIC § 391
 Non CWS/CMS Forms:
MS Word 90-day Transition Plan (FC 1637)
MS Word Advance Health Care Directive Form Instructions (SCZ 40A)
 CWS/CMS Forms:
bullet Case Management Section:  Case Plan Notebook
bullet Services Management Section: Contact Notebook


Overview  

As of January 1, 2010, federal mandates require that a Transition Plan be completed within 90 days prior to a youth's emancipating from (or “aging out” of) foster care.  The Fostering Connections to Success and Increasing Adoptions Act requires that a foster youth have a transition plan that specifically covers the following domains: housing, education, health insurance, mentors/continuing support services and workforce support/employment services. 

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DFCS Policy  

It is Department policy that social workers complete the 90-Day Transition Plan within 90 days prior to a youth's emancipating from foster care.  The Plan is developed in conjunction with the youth and is as specific as possible.  The youth should be encouraged to include his or her caregiver, a family member, a mentor, or other adults important to the youth in this process.

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Purpose of the Plan  

The purpose of the 90-Day Transition Plan is to provide youth and those supporting him or her with a realistic, tangible, individualized plan to follow that assists the youth in preparing for a successful transition to independence.  The plan will become the basis for case planning by the Independent Living Program staff after emancipation.  The Plan should be completed for youth in both the Child Welfare and Juvenile Justice systems. 

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Advanced Health Care Directive  

During the process of developing 90-Day Transition Plans with foster youth, Social Workers are required to provide information to the foster youth that explains why and how to designate a “power of attorney for health care”, also referred to as a “health care agent,” who will be designated to make medical decisions on behalf of the youth when the youth turns 18, if he/she is incapable of making decisions.  Social Workers may provide youth with a sample of the Advanced Health Care Directive form (SCZ 40A) during the 90-Day transition planning, which may help to explain the process. 

Social Workers are not expected to provide legal or health care advice to foster youth nor to offer to assist the youth in completing the form.  The foster youth is referred to his or her attorney for advice and assistance in completing the form.

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CWS/CMS Documentation in the Case Plan  

The 90-Day Transition Plan may be documented as a Service Objective and as a Case Management Service In the CWS/CMS Case Plan that is developed just prior to the youth's 16th birthday.  To document the meeting as an objective and a service, the social worker:

  • Chooses Prepare for Independent Living as a Service Objective on the Service Objectives page.
  • Writes "Attend 90-day Transition Plan Meeting" in the Additional Description for Participant narrative box on the Services Objective page.
  • Chooses Case Management Services as one of the Categories on the Case Management Services page.
  • Chooses Case Plan Development as the Type of service.
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Example of a 90-Day Transition Plan   Example Plan: 90-Day Transition Plan
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Steps in Developing the 90-Day Transition Plan  

The 90-Day Transition Plan is preferably developed during a MY TIME meeting, where the youth has the support of significant individuals in his or her life.  It is Department policy that the 90-day Transition Plan be completed at any MY TIME meeting that occurs after the youth reaches the age of 17 years and 9 months in lieu of the MY TIME plan, recognizing that it is legally within the youth's right to emancipate once they reach the age of 18.

 

Step
Task
Who
1.
  • Discusses with the youth the purpose of the 90-Day Transition Plan and MY TIME meeting process.
  • Encourages meaningful participation in the meetings by the youth.
Social Worker
2.

Refers the youth for an initial or follow-up MY TIME meeting, which is to occur within 90 days prior to  youth turning 18 and/or emancipation.

Note: Social workers are encouraged to use their best judgment in scheduling 90-Day Transition Plan meetings. If a youth will not emancipate until age 19, it is not required to have a meeting prior to their 18th birthday.  However, if the youth’s plans subsequently change and he or she emancipates earlier than planned, the social worker will need to work with the JDM Unit and the ILP Social Worker to schedule a 90-Day Transition Plan meeting prior to the court calendared emancipation date.

3. Prior to the meeting, provides the youth with the following:
  • Advance Health Care Directive Form Instructions and Advance Health Care Directive form (SCZ 40A).
  • Discusses basic information about why and how to designate a power of attorney for health care.
4.
  • Verifies the emancipation date.
 
  • Schedules a MY TIME meeting, which is to occur within 90 days prior to the youth turning 18 and/or emancipation.
    • Invite the Independent Living Program (ILP) social worker to the meeting to ensure that the youth is connected to food stamps, social security benefits, ILP, etc.
JDM Staff
5.
  • Completes the 90-Day Transition Plan with youth, social worker, and other participants of the MY TIME meeting, ensuring that all domains have been covered comprehensively and that plans are individual and practical for use by the youth and his or her service providers after emancipation.
  • Verifies with the youth that he or she has received information about why and how to designate a power of attorney for health care , and a copy of the SCZ 40A.
MY TIME Facilitator
6.

Initials the 90-day Transition Plan to acknowledge that he or she:

  • Has been told that when he or she is 18, he or she may choose a “power of attorney for health care” who can make medical choices for the youth, if the youth is not able.
  • When turning 18, will receive directions and a form that he or she can fill out if he or she wants to choose a power of attorney for health care.
Youth
7. Provide copies of the 90-Day Transition Plan to the youth, social worker, and other individuals involved in the development of the plan.
MY TIME Facilitator
8.

Per the request of the youth and as necessary, facilitates the youth’s making contact with his or her Juvenile Dependency Court appointed attorney to discuss the Advance Health Care Directive and execute, if appropriate.

Note: The Youth should be advised to keep the completed form in a safe place and provide a copy of the form to the designated health care agent.

Social Worker
9. File a copy of the Plan in the child welfare services case file
10. If the youth... then the social worker...
Is unable to have meaningful participation (e.g.,  SARC client, mental health needs) in the MY TIME meeting Assesses the youth's ability to participate and develops the plan in collaboration with the youth, if appropriate, agencies, service providers and/or significant individuals in the youth’s life. 
Social Worker
Refuses to participate in a MY TIME meeting Completes the 90-Day Transition Plan with the youth and other adults in a different forum (e.g., home visit,  Wraparound meeting, other meeting)
is on runaway status

Develops the 90-Day Transition Plan in conjunction with agencies, service providers and/or significant individuals in the youth’s life.

  • The plan includes:
    • Notifying significant adults in the youth’s life with the contact information for ILP, if, in the future, they come in contact with the youth.
    • Sending the important documents (i.e., birth certificate, social security card, Medi-Cal card, proof of dependency, etc.) to the county ILP coordinator.
11. If the youth... then the social worker...
Does not emancipate within the 90-day period for any reason
  • Reviews the original plan with the youth and significant adults.
  • Creates a new plan as necessary. 

If there are no updates, the parties will provide updated signatures with a new date.

Social Worker
Emancipates through a Status Review or Ex-Parte Application and Order Hearing

Attaches to the Dismissal Report or

Ex-Parte Application and Order the:

  • 90-Day Transition Plan
  • JV365
  • Emancipation Letter
  Emancipates earlier than anticipated, but after the completion of at least one 90-Day Transition Plan meeting

Makes sure the youth schedules an appointment with the ILP Social Worker to complete a Food Stamp application and other important emancipation related documents.

Reviews the plan with the youth to ensure it is still accurate and attaches to the Dismissal Report or

Ex-Parte Application and Order the:

  • 90-Day Transition Plan
  • JV365
  • Emancipation Letter
  Emancipates earlier than anticipated on short notice, prior to the completion of a 90-Day Transition Plan  

Checks with the JDM Unit to schedule a MY TIME Meeting to create the 90-Day Transition Plan.  If this is not possible, the social worker calls together a meeting with the youth, any significant members of the youth’s life and the ILP Social Worker to create a 90-Day Transition Plan.   The social worker then attaches to the Dismissal Report or Ex-Parte Application and Order the:

  • 90-Day Transition Plan
  • JV365
  • Emancipation Letter
 
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Other References  
bullet2 OPP Chapter 4-12: MY TIME Meetings
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