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ILP Program Manual

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					   Lighthouse Independent Living Program Manual


Table of Contents

   Section A.          Program description

   Section B.          Program operations

   Section C.          Program forms

   Section D.          Additional information




A. Program Description

                                    Mission statement
 Lighthouse Independent Living Program assists youth in the child welfare and juvenile justice
                  systems in becoming more responsible and self-sufficient.


Program Description

The Independent Living program is designed to provide housing, life skills training, case-
management, mental health and other support services to male and female youth of any race,
aged 16 to 19 who are aging out of the child welfare and juvenile justice systems and/or are at
risk of homelessness or are unable to return to biological families. The goal is to provide them
with the knowledge and skills necessary to live self-sufficiently and to provide referrals and case
management support to enable them to complete their educations, gain employment, and move
toward becoming responsible, productive members of the community.

The Lighthouse Independent Living Initiative

The Lighthouse Youth Services Independent Living Program (ILP) began in 1981 in order to
help youth leaving the Child Welfare and Juvenile Justice systems, who were unable to return
home, to make the transition to life on their own. The ILP has served over 1300 youth since then
and has served as a model program for many new programs around the country.

The program provides the following services:

1. Housing – The ILP rents apartments from private landlords in the county in neighborhoods that are
affordable and close to the client’s school, job and social supports. The program also operates 4 shared-
homes, 2 for males and 2 for females, all of which have 3-4 beds and a live-in resident manager. The
program pays the security deposit and furnishes the apartments with necessary supplies and a telephone.
If the client does well and has a job at termination, s/he can keep the apartment and all of the furnishings
and take over the lease.

2. Financial Support- The ILP provides a weekly allowance of $55, $10 of which is saved. The agency
also covers utility, phone and rent payments until the last few months in the program, when bills are taken
over by the client, if possible. The ILP assists clients with work clothing, minor school fees and
miscellaneous expenses. Most clients are expected to work a part-time job and purchase any items
beyond the basic necessities.

3. Life Skills Training- The ILP has created a 12-project life skills curriculum, which the youth completes
at his/her own pace. The agency has developed the curriculum over the last 10 years, gathering useful
materials from around the nation and adding information that program participants appear to need.
Topics include: an assessment of current level of functioning, money management, time
management/planning ahead, use of community resources, apartment management, nutrition/food
preparation use of public transportation, social skills, employment skills/ finding and holding a job,
problem solving and decision making, self-care and building a support network.

4. Emotional Support/Guidance- Each youth is assigned to a social worker with a caseload of 8-12. Other
program staff also assist with client problems as they arise. Clients are usually contacted several times
during each week including regular phone contact. Vulnerable or new clients are asked to call in daily.
The program staff maintain pagers, voicemail and an on-call system. Clients should be able to reach a
staff member within 5 – 15 minutes, 24 hours a day.

5. Case Management- ILP staff members connect clients with relevant educational, vocational,
therapeutic, medical, dental and other needed resources. Everyone works toward the goal of maximum
potential client self-sufficiency given the time available and the developmental capabilities of the youth.

6. Crisis management – The ILP staff provide 24-hour crisis management, which can involve hospital
runs, resolving client/tenant problems, apartment maintenance issues, confronting client friends/family
who are causing problems at the apartment etc. This activity is time consuming but is an expected part of
the process of learning responsible behavior.

7. Outreach – The ILP staff conduct self-sufficiency and independent living trainings throughout the year
for eligible clients and care-providers. The program has created numerous workbooks and training
materials specifically designed for Hamilton Co. youth.

The ILP is community-based (often keeping the youth in her/his original neighborhood), and strength
based, recognizing the resiliency of the youth and his/her previous history of overcoming obstacles. The
program believes that teens, like most humans, learn only when they have to and learn best by doing. The
program also believes that teens coming from extremely dysfunctional families need extra, intensive
attention and support to counteract years of abuse, neglect and distorted thought processes.




                                                    -2-
Youth in the ILP are able to exit the system in a fully furnished apartment or subsidized housing situation.
The outcomes the program strives to achieve are driven by the basic survival needs of the youth. The
ability of the youth to function without ongoing dependence on the adult system is the ultimate measure
of the program’s success. The final analysis of success is determined by the youth and referring agency
and must take into consideration the youth’s developmental potential, the behavior of the youth prior to
placement in the ILP and the time the program has had to work with the client.

Case Example Regina is a 17 –year old youth who ran away from home at age 16 after years of
being sexually abused by her stepfather. The county placed her in a Lighthouse group home for
four months and then referred her to its Independent Living Program. While at the group home,
Regina completed a 13 part self-sufficiency program offered by the county and Lighthouse.
Regina lives in an apartment three blocks from her school and works part-time at a department
store. She meets weekly with her program social worker at her apartment to review her progress.
Regina does her own shopping, cooking and cleaning and transportation. Her social worker is
helping her learn to budget her money so that when she is discharged from the system three
months after she graduates, she will be able to keep her apartment and all her furnishings and take
over all of her own bills.

Lighthouse attempts to get the entire system involved in self-sufficiency preparation, offering training to
youth, foster parents and other care-providers. The program has worked closely with County Juvenile
Court and Children Services personnel to develop policies and procedures that work for the youth,
program, services system and community. The program currently averages a daily population of over 65
youth a day and their children. Many former clients return to train younger teens or speak to care-
providers about what helped them become self-sufficient.

A unique feature of the Lighthouse ILP is its ability to move youth along a continuum of living
arrangement options depending on their behavior and level of functioning. Youth who are evicted from
an apartment might spend a week in the agency’s crisis shelter before receiving a second chance in
another apartment. Youth might live for a while at the Anna Louise Inn Downtown before moving into an
apartment or at one of the programs’ shared homes. The program rarely terminates a client, knowing that
mistakes are powerful learning opportunities. Youth with developmental disabilities might spend several
months in the program’s supervised shared-home before moving into their own apartments. Youth can be
returned to a group home or foster home and contract to work their way back into their own apartment if
their original; behaviors prove that they are not ready for the freedom.

The Lighthouse ILP is now a permanent part of the county’s continuum of care. The county recognizes
that some youth do not have families or relatives willing or able to provide enough long-term stable
emotional or financial support. The program actively seeks feedback from members of our community on
how we can improve services.



Philosophical Principles that Guide Independent Living Program Services

* What we are attempting to do, with a lot of success, is to prepare older, potentially homeless
teens for life on their own, given limited resources and an unrealistically short time frame.




                                                   -3-
* We believe that teens, like most humans, learn only when they have to and learn best by doing.
"Hands on, brains on experience."

* We believe that self-esteem is increased when a person is given the opportunity to take control
of his or her life and does so.

* We want our teens to fully understand that this is their life, not ours; that they must make
decisions for their own benefit, not to please or appease others; that they must take charge and
that they can do it. We will help them as much as possible but the problem is theirs; not ours, not
the "system’s."

* We believe that teens coming from extremely dysfunctional families need extra, intensive
attention and support to counteract years of abuse, neglect and distorted thought processes.

* We want to teach youth that they can function in the community without needing public
support for the rest of their lives.

* We believe that the teens we work with need time to adjust to the "real world", make decisions
on their own, within limits of course, and make mistakes while still under the support of caring
adults. Not giving them at least a chance, by cutting them off at age 18, is irresponsible.

* We want to provide our county with a cost-effective program that utilizes existing resources
(private landlords, donated furnishings etc.) and has a low operating overhead.

* We believe that teens coming from dysfunctional families can learn that they do have the
strength, intelligence and resources necessary to live in the community without lifelong
dependence on government support.

* We believe that mistakes are necessary for learning to take place. We believe that there is no
long-term change unless a significant emotional experience takes place. Risk is part of change.

* We believe that ―unless an inquiry is perceived as relevant by the learner, no significant change
will take place.‖

* We believe that ―fundamental change can be accomplished by the addition of new systems on
top of old ones.‖

* We believe that the entire child welfare system needs to be involved in self-sufficiency
training, not just independent living programs. Many child welfare placements foster
dependence or keep youth from learning skills needed to function independently and responsibly.

* We believe that many of our youth have mental health issues, which must be addressed in
order for them to transition successfully to their next step.




                                               -4-
A Housing-first Approach

The Lighthouse ILP believes that a youth needs a stable place of residence before any other
treatment goals can be accomplished. The program also believes that youth need a variety of
living arrangements to choose from, depending on their level of maturity and comfort. The ILP
believes that youth learn best when living in a situation that resembles where they might live in
the future.

Basic program information

Program started: 1981      Youths served: over 1300

Age range: 16-19     Ave. age at entry: 17.5

Staffing:      Full-time director, full-time assistant director
               4 full-time social workers, 2 full-time case-managers
               2 Specialists
               1 full-time mover
               Student field placement
               Several part-time ―life-coaches‖
               4 resident managers

Referral sources:       County children's services, juvenile
                        Courts, state correctional agency,
                        Private agencies

Average length of stay: 10.5 months Average daily population: 60-80

Current per diem: $62                  Specials needs:$82

Types of clients accepted: Youth in custody who are unable to return home and meet
basic screening criteria

Brief History of Program

The Lighthouse Independent Living Program was established in 1981 as a response to a
community need. Agency staff knew that many of the youth leaving our groups homes, foster
homes and shelters were not able to return to their family's homes for numerous reasons. These
youth frequently called agency staff after a few weeks (or days) after leaving the child welfare
system stating that they had no place to live. The county agreed to a proposal made by Bob
Mecum, the agency Executive Director, to allow us to place youth in apartments around the
community and provide financial assistance, case-management and support services to youth for
several months before they were discharged from the system. Over the years, this private/public
collaboration has proven to be a valuable addition to the continuum of care for high-risk youth in
Hamilton County. As of 2005, the Program has served over 1200 youth, many of whom have




                                                 -5-
gone on to become productive, taxpaying, responsible community members.

Program profile:

Admission Criteria

   Ages 16 to 19
   In the custody of Children’s Services, Juvenile Court, or the Department of Youth Services
   In parental custody but referred through Hamilton Choices
   Unable to return to biological families and able and willing to live independently

Client & Family Characteristics

   ILP serves adolescents and young adults who are unable to return to their biological
    families. Many are at high risk for substance abuse, criminal behavior, victimization and
    mental disorder in addition to risks of homelessness and long-term dependence on public
    assistance. A majority of clients have histories of physical, sexual and emotional abuse and
    neglect. Histories of multiple failed placements and/or incarceration are common. Many
    clients have mental health, chemical dependence and/or criminality issues. Clients often lack
    social skills (e.g., self-management, communication, assertiveness, hygiene) as well as self-
    sufficiency skills (e.g., money and household management, employment skills) necessary for
    successful and responsible participation in society.
   Client gender is approximately 60% female and 40% male. Ethnicity is 60% African
    American, 35% Caucasian and 5% Other but is variable.
   There has been an increase in referrals of teenaged mothers, with and without their
    children.
   Most clients are not currently in school and have histories of academic and behavioral
    problems in school. This includes academic failure and many have dropped out. Significant
    percentages have developmental disabilities including mental retardation and specific
    learning disabilities. Mental health issues include Post-traumatic Stress Disorder (PTSD),
    conduct disorder, depression, attention-deficit/hyperactivity disorder, bipolar disorder,
    reactive attachment disorders and personality disorders. Other disorders are present in rare
    cases.
   Delinquent and criminal histories including theft, assault, drug trafficking, and status
    offenses. Substance abuse and substance dependence problems are common. Some have
    committed sex offenses.
   Parental issues include lack of parenting skills, lack of coping skills, substance abuse,
    mental health problems and lack of basic needs. Parents unable to meet youth’s basic,
    emotional, mental, and behavioral needs without significant levels of support. Despite
    parental problems, clients often demonstrate frantic efforts to reconcile with or show loyalty
    to their families as they struggle with abandonment and loss issues.
   The youth enrolled in this program may be angry over being forced into premature
    adulthood. They may be sexually promiscuous with inappropriate boundaries and a skewed
    sense of self worth. They have a massive need for attention and approval and may be overly
    trusting or completely mistrustful of others.




                                               -6-
Client Expectations

   To be self-sufficient by end of enrollment           Financial support for needs
   To receive money & time management skills            That the staff will be generally available and
   To be able to continue their education                accessible
   To receive work, planning, household,                Confidentiality
    assertiveness and problem solving skills             Respect for the client and for their families of
   A better understanding of the adult world             origin
   To be better able to make good decisions             That the staff will be supportive and competent
   To have a safe living environment                     advocates who will follow through for them.


Customer Requirements and Expectations
Customers are grouped into categories dependent upon Referral Source.


                      Independent Living Program Requirements & Expectations

Common Requirements
 Accurate Assessment and Reports                        Create opportunities for Success
 Responsiveness to client problems                      Clients to be treated like individuals
 We will do what we say                                 Professionalism
 We will be fair and honest                             Availability
 Clients will be provided for and taken care of         Quick response to their concerns
 Cultural Sensitivity                                   To do our best to hang on to difficult clients
 The ability to provide multiple living-                Housing at discharge
  arrangement options for youth



   Authorization # - 6 months (include infant’s #)      Return phone calls promptly
   Weekly progress notes                                Call back with moving date
   Less than 24 hour notification of critical           Expect we will prevent a more expensive level
    Incidents                                             of care need
   Initial and three month treatment plans for re-      Expect flexibility
    authorizations                                       Expect quality care
   Notification of admission and discharge date         Expect the clients would be placed in a safe
   Notification of changes in living arrangements        place
   We will accept everyone they refer                   Take care of any client related emergencies
                                                         Adjust to paperwork requirements




                                               -7-
Department of Human Services (Hamilton, Butler, Clermont and Montgomery County)
 Set the clients up with reasonable furnishings  Fire extinguishers and smoke detectors
   and supplies                                   Pay rents
 Some require decorations for living spaces      Pay utilities and phone bills
 All information concerning where the client     Transportation for counseling
   will be moved                                  Clothing beyond start-up
 Attend court hearings                           Adequate housing upon termination
 Deal with schools                               Staff training and certification (licensing)
 Life skills                                     Teach how to live independently
 Apartment checks                                Upgrade furnishings
 Align with jobs                                 Take responsibility for where client lives
 Weekly allowance for food                       Move clients to a more restrictive setting if one
 Telephone                                        doesn’t work out
 Safe apartment                                  Work closely with case worker
 Teach Independent Living                        Inform of any major problems and changes
 Basic needs are met                             Make good assessments and informed
 Maintain facilities                              recommendations about the client in court
 ISPs:                                           Sometimes attend SAR
  Medical                                        Proper placements and supplies for babies
  Dental, Optical                                Refer to appropriate services
  Recreation, psychiatric                        Expect good reports
  Cultural, Education                            Provide recreational opportunities
  Counseling, Vocational                         Monitor clothing needs
 Fire drills at shared homes                     Increase family/social supports
                                                  Find stable housing at termination

Juvenile Court (Hamilton, Clermont and Montgomery County)
 Follow all DHS requirements                 POs:
 Move quickly on placement                      Letting them know of violations of
 Monthly reports                                   Probation rules
 Pre-authorization on Medicaid                Fix the kids
Magistrates:                                   Reduction of acting out of criminal behavior
  Attendance at hearing                       Good news on clients
  Evidence of compliance at Court Hearings    Expect us to pay for more
  Evidence of compliance with what they want  See documentation when go to court
    done                                       Extremely flexible in admission/re-admissions
                                               Find stable housing at termination
Department of Youth Services




                                            -8-
   Monthly reports                                       If they come from out-of-county we will have a
   Notification of criminal activities or violation       place set up and provide them with clothing
    of parole rules                                       Take in very high risk clients (sex offenders;
   Daily contact                                          violent; never done well any where else;
   Require that kids attend groups                        severely abused)
   Prior authorization for medical attention             For us to know what the client is up to if they
   Regular supervision                                    find out something we don’t know
   Verification of employment and school                 Surveillance for sex offenders if needed

Hamilton Choices
                                                          No eject/reject
Same as DHS plus:
                                                          Monthly reports
 Quick responses and progress notes
                                                          Compliance with plan of care
 Quarterly meetings with care managers
                                                          Pre-authorization for additional or extra
 Flexibility
                                                           services
 Creativity
                                                          Perseverance with difficult clients
 The ability to take on high risk clients
                                                          Keep cost down
                                                          Clothing
ODMH & Hamilton County Community Mental Health Board
   DAF                                                   More paperwork
   Service tickets                                       More releases needed
   Specific categories on ISP and terminations           Requirements for safety
   File content rules (see file audit form)              QA/CQI
   Policy requirements                                   Supervision Meetings
   Documentation that matches diagnosis                  Incident Reporting Requirements
   Unit accountability

GALs/CASAs


   We work closely with them to share client
    needs and case-planning information.
   We involve them in case-planning meetings.
   We keep them informed of client progress and
    problems.




Program Services and Activities

   Intake/orientation                                    Weekly, monthly, and quarterly progress
   School/GED prep enrollment, monitoring,                reports
    support and liaison                                   Court advocacy and support



                                                 -9-
   Employment training, referral, support and               Liaison with case workers and other involved
    liaison                                                   service providers
   Crisis intervention                                      Drug screens
   Individual counseling                                    Referrals for needed additional services
   Diagnostic Assessment                                    Apartment locating, set-up, furnishing
   Life Skills training (individual and group):             At least weekly visits/inspections of
    personal safety, apartment management, sexual             apartments
    responsibility, sexually transmitted diseases,           Training foster parents and other providers
    health and nutrition; money management,                  Pre-independent living preparation
    employment skills, community resources,                  Self-sufficiency skills training for foster youth
    parenting, legal and civic issues, problem               Resource room
    solving skills, communication and                        Recreational activities
    assertiveness skills, consumer skills, self-             Used/donated computers, when available, for
    esteem, social skills, healthy relationship skills,       clients in college
    basic survival skills.
                                                             Aftercare services
   Case-management and discharge planning
   Assignment of individual life coaches to high
    needs youth



Program Goals

That once the young adults leave ILP they are, have or are able to:

   Employed or more employable – through a Job              Keep appointments/make own appointments
    or Vocational Training -                                 See possibility for their future - Increased
   Complete High School or GED or go on to                   options and control
    advance training                                         Seeking healthier and safe relationships - It’s
   Increase self awareness of their own abilities            OK to have a relationship - and it’s OK not to
    and challenges                                            have a relationship
   Know how to live on a monthly budget/How to              Better conflict management skills/Problem
    pay bills                                                 solving/decision making
   More responsible                                         Increase parenting skills
   Better self-care - (hygiene, nutrition, living           Every client will connect with one person on
    space)                                                    staff
   Decrease reliance on Social Worker and                   Knowledge of system
    Independent Living Specialist                            Increased understanding of family limitations
   Access resources on their own                             and support
   Better conflict management skills                        Realize they need help and accept help
   Affordable Housing                                       Better social skills




                                                 - 10 -
Program Outcomes

     1.   Self-sufficiency Scale: This is a test of client knowledge in areas including money
          management, housing, self-care, use of community resources and interpersonal
          relationship issues. The scale was developed by the ILP program staff and modified
          during the CQI Process. This self-test is completed by clients at admission and
          discharge.

     2.   Self-sufficiency Skills Assessment: This is an assessment on client’s actual
          performance in employment, household management, self-care skills, organization
          and time-management. This scale is completed by Social Workers once clients have
          been in the program 30 days and again at discharge.

     3.   GAF: The Global Assessment of Functioning is a global score on a scale of 1—100
          and is the Social Worker’s judgment of the client’s overall level of functioning. The
          GAF considers psychological, social and occupational functioning but does not take
          into account medical and environmental factors.

     4.   Employment: This index is an assessment of the client’s actual progress in becoming
          employed or more employable. The program will report the percentage of clients
          who are employed at discharge. In addition, the following scale will be used to assess
          all clients at discharge, regardless of employment status:
                       -2:     No progress/requires significant intervention/refuses
                       -1:     Requires moderate intervention/some difficulty
                        0:     Not applicable
                       +1:     Made progress/requires minimal intervention
                       +2:     Have a job or completed job training

     7.   School: This outcome assesses client’s progress in school by discharge using the
          following scale:
                     -2:   No progress/requires significant intervention/refuses
                     -1:   Requires moderate intervention/some difficulty
                      0:   Not applicable
                     +1:   Made progress/requires minimal intervention
                     +2:   Has completed HS, GED or other educational program

     8.   Money Management: This outcome assesses client progress in managing money
          and becoming financially self-sufficient:
                    -2:    Requires continuous support/frequent difficulties
                    -1:    Requires moderate support/some difficulties
                    +1:    Independently manages money/minimal support
                    +2:    Independently earns and manages money




                                            - 11 -
Other Desired Outcomes:

    Experience in living independently
    A chance to learn from mistakes
    A chance to understand the future
    A chance to live close to known supports
    Geographical flexibility
    No need to move again at discharge
    A chance to keep all furnishings
    A chance to develop coping skills
    A chance to increase self-awareness
    A chance to adjust to neighborhood



Facts about the Lighthouse Youth Services Independent Living Program

* We accept youth 16-19, male and female, as well as pregnant or parenting teens, in county or state
custody, who cannot return to their families and are willing to work hard at becoming self-
sufficient.

* We place young adults on their own in apartments intentionally because we believe this is the
best way to help them develop survival skills in a short period of time. We accept that this will
be an experience full of risk and mistakes. We cover the security deposit, rent, utilities, phone
bills & furnishings. Most clients take over some of their bills toward the end of their stay.
Clients receive $55 weekly, $10 of which is placed in savings. The remaining $45 covers food,
transportation and personal items. A client must work in order to have spending money.

* We utilize apartments rented from private landlords. Clients can be placed anywhere in the
county if near a bus line. We look for places a youth can afford when out of the system. We try to
place youth in areas with which they are familiar. Clients can keep their apartments, furniture,
supplies and security deposits if they are employed at termination and have proven to the landlord
that they are responsible.

* Since we are not limited by a fixed amount of "bed spaces" we always have openings. We usually
can find a new apartment in 7-10 days. We have several other living arrangement options such as
the Anna Louise Inn, a boarding home for women, two small semi-supervised shared-homes and
temporary shelters operated by Lighthouse. These options can serve as back-up or alternative living
arrangements for those who cannot handle living independently.




                                                - 12 -
* We have an experienced staff with many years working with youth in community-based settings.
The Lighthouse Independent Living Staff also conducts self-sufficiency training for any youth in
county custody.

* We have regular weekly contact with our clients and are on-call 24/7/365 for emergencies or crisis
counseling. High-risk youth are contacted and seen several times a week.

* A youth needs a lot of time to adjust to living independently. We feel at least six months
experience is necessary. There are few "normal" youth who are able to do this in the U.S. today.
There are more 18-24 years olds living at home than at any time since the Great Depression. Most
American "youth" stay at home until their mid 20s or they return home from time-to-time when
things get rough. We are expecting a lot out of teens in our county's care!

* Our per diem is comparable to foster care and much less than residential placements. The
majority of this goes to landlords and the clients. We feel this is a cost-effective service to the
community.

* We have many rules and policies to guide our clients. Clients need permission to have overnight
visitors and are allowed no more than two visitors at a time. We do our best to give our clients
chances to learn from mistakes but will terminate them for involvement in illegal activities or
continuous rules infractions.

* Clients who do not have a stable source of income at termination are assisted in finding other
living arrangements.

* Many of our youth have serious mental health issues and we are prepared to help them with
theses issues either through direct services or referrals to specialists.

Lighthouse Independent Living Program: Outline of Program Services


                        1. Housing
                              -apartment acquired
                              -security deposit paid
                              -lease signed (by agency)
                              -monthly rent paid
                              -apartment furnished
                              -basic supplies purchased

                        2. Financial Support
                              -weekly allowance
                              -rent paid
                              -utilities paid
                              -phone bill paid




                                                 - 13 -
                      3. Life Skills Training
                              -assessment of living skills
                              -chance to earn "nest egg"
                              -completed one-on-one

                      4. Emotional Support/Guidance
                             -on-call 24 hours a day
                             -ongoing informal counseling
                             -bi-weekly meetings with social worker
                             -crisis counseling
                             -weekly support groups

                      5. Case Management/Planning
                             -frequent meetings with referring agency caseworkers
                             -referrals to community services
                             -employment assistance
                             -planning for termination

                      6. Outreachd wor
                             -year-round self-sufficiency workshops
                             -foster parent training
                             -training and consultation
                             -training materials development

Focus on Strengths and Needs

The program understands that youth need to be able to learn from mistakes and be able to ―fail‖
in a safe environment. The program believes that each youth has experience and person al
strengths with which to adjust to the responsibilities of adult life in the community.

The Lighthouse ILP is based on the assumption that all humans have a desire to survive, improve
their lives and move toward independence. The program believes in the resilience of youth, the
ability to create a better future for oneself, and the ability to learn from previous experience.

The referral process involves meeting with the youth and the referring agency caseworker to
assess whether the youth has the emotional, judgmental and cognitive capacity to be able to live
independently. The youth must build her/his own case for being accepted into the ILP, with the
case-worker presenting evidence to support entry into the program. This process not only
highlights the strengths the youth has demonstrated but also points to area which will need
attention.

The very act of placing a youth in his/her own apartment is a statement that the program believes
in the youth’s ability to function responsibly in the community.

Both strengths and needs are recognized in the youth’s Individualized Service Plan related to
each life domain. Staff are continuously encouraged in supervisory sessions to give the youth




                                              - 14 -
feedback about positive behaviors.

At the same time ILP staff attempt to help the youth see their limitations, and recognize in
advance situations in which they tend to get into trouble and need help.

The program involves former Lighthouse ILP clients in training current clients. The assumption
is that youth might learn better from other youth who have been through similar circumstances.

Accessibility of services

The ILP does not specifically provide emergency placement services but can in some
circumstances; take in a youth who needs immediate placement. If the ILP has an open
apartment or an open bed at one of our shared-homes, a youth can be placed immediately
following the request of the referring agency. The referring agency must understand that a
formal orientation to the ILP might not take place until a later date.

Typically, a date of entry into the ILP is established once an apartment has been located and set
up and court approval has been given. Many factors determine the placement date, such as
choice of apartment location (out-of-county apartments usually take longer), a delay requested
by the referring agency, apartment readiness issues, mover issues, staffing shortages, etc.


*See Lighthouse Agency Manual in Lightworks                  under   ―Accessibility,   availability,
appropriateness and acceptability of services‖


Assurance of adequate resources to delivery identified services

It is the responsibility of the Lighthouse Executive Director, Chief Operations Officer and
Program director to assure that the program has the resources needed to run the program and
meet all community and statutory standards, codes and requirements. This is accomplished
though yearly contract negotiations with referring agencies, the acquiring of additional
supportive grants and private donations. Quarterly and annual budget meetings are held with all
relevant parties to assure that the program is operating within its current level of funding and if
not, to plan of changes needed to increase funding or decrease spending.

Oversight of caseloads is continuous, with attention given to complexity of cases, special client
needs, geographical considerations and other issues. The program director adjusts caseloads and
support staff based on the daily census of the program, assuring that all program participants are
given sufficient attention and support.


The Basics of a Comprehensive Independent Living Program

* Awareness of Need -Care-providers and administrators know the importance of preparing
youth in out-of-home care to learn how to take responsibility for their survival after care.




                                              - 15 -
* All Systems Participating -State officials. Licensing staff, judges, referees, guardians ad
litem, social workers, foster parents, group home staff, Residential Treatment Center staff etc. all
take action to help teens learn self sufficiency skills.

* Ongoing Life Skills Training -A variety of opportunities exist to help youth learn life skills
(early & often!); weekly classes, weekend retreats, Saturday all-day workshops, self-guided
workbooks, computer software, mentors, volunteers, students etc.

* Committed People -A handful (sometimes 1) of people who have the ummff, people skills,
stamina, persistence to stick around long enough to make something happen.

* Positive Connections -To landlords, employers, counselors, schools, medical people, court
personnel, local administrators, funders etc.

* Real Life Experience -A chance for youth to put skills to practice, make and learn from
mistakes and adjust to the idea of taking full responsibility for ones life.

* Stable Sources of Funding -Long term contracts, grants, donations, gifts, bequests etc.

* Housing at Termination -A potential long-term, affordable place for a youth leaving care to
stay, hopefully furnished with the basics.

* Aftercare -Opportunities to assist youth after they are discharged from care.



Definitions of Common Independent Living Arrangement Options*

Institutions- a large structured facility or group of facility housing anywhere from 40 to several hundred
youth with most services provided on-grounds.

Residential treatment centers- a facility or group of facilities usually serving between 15-40 youth and
utilizing a combination of on-grounds and community based services.

Community-based group home- a house in the community of 6-12 youth which uses existing
community services but providing some treatment by around-the-clock trained staff.

Supervised Apartments- a cluster or complex of apartments occupied by a group of youth preparing for
Independent Living usually with a staff person living in one of the units or using a unit as an office. 24-
hour coverage is often provided.

Specialized Family foster homes- a situation in which a youth is placed with a community family
specially licensed to provide care and sometimes specifically trained to provide independent living
services.

Shelters- a facility whose purpose is to provide short-term emergency housing to teens in crisis.




                                                   - 16 -
Live-in Roommates- a situation in which a youth shares an apartment with an adult or student who
serves as a mentor or role model. The apartment can be rented or owned by either the adult or the agency.

Host homes- a situation in which a youth rents a room in a family or single adult's home, sharing basic
facilities and agreeing to basic rules while being largely responsible for his/her own life.

Boarding Homes- a facility that provides individual rooms for youth or young adults, often with shared
facilities and minimal supervisory expectations.

Shared Houses- a minimally supervised house shared by several young adults who take full
responsibility for the house and personal affairs.

Semi-Supervised Apartments (scattered site apartments)- a privately owned apartment rented by an
agency or youth in which a youth functions independently with financial support, training and some
monitoring.

Single-Room Occupancy -A room for rent, often near a city center

Specialized Group Homes -Sometimes also referred to as semi-independent living programs, these
homes are usually staffed as a group home but house older teens and focus on developing self-sufficiency
skills.

Subsidized Housing- government supported low-income housing.

                          *TLP definitions vary from region to region.




Basic Assumptions Underlying a Scattered-site Apartment Program Model

1. Youth (people) learn best by doing, feeling directly the consequences of their actions, within
reason, of course.

2. Youth learn best when they have to. All of the classes and training in the world do not have
the impact of a month living alone in an apartment, feeling the responsibility for time-
management, apartment management, shopping, food preparation, etc.

3. An organization does not have to purchase and maintain a piece of property. Clients can
be accepted immediately if apartments can be located with landlords willing to rent to teens.

4. The clients can choose a location that is convenient for them, close to work, school and social
support network.

5. The clients can keep the apartment the furnishings and the security deposit and leave the
system with a fully furnished living arrangement with long-term possibilities.

6. The size of the program is not limited to the amount of agency-owned apartment units.




                                                  - 17 -
7. Group and crowd control problems are not the primary issue. Most problems reported by
supervised apartment programs are due to interactive problems between residents. In a sense
they are like group homes with less supervision.

8. In an independent apartment, a youth is challenged to develop an internal locus of control-
to realize that his/her actions must be self-generated and not due to the presence of a care-giver
or enforcer.

9. The transition to self-reliant living will be smoother if the living arrangement resembles the
future situation of the youth. The jump from a program with an abundance of resources, staff,
other people to life alone can be unsettling and confusing.

10.The youth must develop coping skills to deal with loneliness and control of visitors and
assertive skills to deal with fellow tenants, landlords etc. from which s/he is protected in a
supervised setting.

11.The scattered-site model is an ideal public/private partnership with community landlords
receiving a large portion of the program's budget and available housing being utilized fully.It
makes the best use of what's already there.

12.For many of the young adults that enter the system or are otherwise without a true home, their
central issue is having some type of control over their lives. Giving them personal space is
perhaps the most significant form of empowerment.



The Scattered-Site Apartment Model

The Lighthouse Youth Services Independent Living Program utilizes a variety of living
arrangement options, including scattered-site apartments, roommate apartments, the Anna Louse
Inn (a single room occupancy boarding home for women, shared-homes (with live-in staff and
host homes (a single client lives in home with an adults). The majority of our clients live alone
in an apartment rented from a landlord. The program utilizes this model intentionally for a
number of reasons.

The nationwide focus on independent living services has caused the child welfare system to look
more practically at the real long-term needs of older youth unable to return home. Instead of
fitting the youth to existing placement options, new living arrangements are being developed that
can provide a more realistic introduction to self-sufficient living and possibly a more permanent
place of residence for the youth in out-of-home care. Lighthouse Youth Services in Cincinnati,
Ohio began placing youth in privately owned apartments in 1981 and has found this to be a
highly effective approach towards preparing older teens for the realities of functioning
independently in the community.

Concerns about licensing, supervision, liability, screening and funding are being addressed
across the country as we dramatically improve the "less restrictive" part of the service




                                               - 18 -
continuum. The federal independent living initiative brought about by an intensive effort of
private and public agencies and fueled by concerns of care providers on the "front lines"
has resulted in a burst of interstate networking. This networking will allow care providers to
learn from the innovations, trials and errors of other programs and will hopefully result in more
creative and effective approaches to the issues of homeless youth.

The national tragedy of homelessness will benefit greatly from the knowledge and experience
gained from efforts in the field of adolescent independent living.




B. Program Operations
Placement/referral Procedures:

Referrals for placement should be sent to Shahzaade Ali,BA, LSW Independent Living Assistant
Program Director, 1501 Madison Rd., Cincinnati, Ohio, 45206.

In order to determine the appropriateness of placement, specific information is needed prior to
the Intake Interview with the child. This information includes but is not limited to the following:
HCJFS Blue placement packet

1. Social History of the child
2. Family information
3. Placement History
4. Medical and Dental History (Include dates of last visits)
5. School Progress, problems, transcripts, etc.
6. Immunization Record
7. Court record
8. Psychological History
9. Current whereabouts of referral
10.Copy of birth certificate and Social Security Card
11.Readiness for semi-supervised living, including references from any involved adult.
12.Case Plan
13.Diagnosis

If, after receiving and reviewing the materials, the youth is deemed appropriate for the program,
the caseworker will be contacted by the program staff and an Intake Interview will be arranged.
If the referral is deemed inappropriate for the program, the caseworker will be notified. In
either case, this will take place within a two-week period upon receiving the referral packet.




                                               - 19 -
Placement

If the youth is accepted into the program, a tentative placement/moving date will be set up by
Independent Living Program Staff. We can not always guarantee that the exact date will be held
to due to factors such as apartment readiness and weather. The program will, if at all possible,
involve the youth in the search for a suitable apartment but the program director will have the
final say in the apartment choice. Most clients are placed in apartments within 2-3 weeks of
acceptance into the program.

Before the youth will be placed, the following information must be provided:

1. Copy of Commitment Papers
2. Signed Authorization to Place and Provide Treatment
3. Signed Authorization to Provide Medical Treatment
4. Signed Release of Information Form
5. Documentation of most recent medical visit
6. Certified or original Copy of Birth Certificate
7. Fully completed Intake Information Packet
8. Health Cards (or written arrangements for medical treatment)
9. Original Copy of Social Security Card (necessary for the procurement of a State Identification
Card and employment)
10.Any other information required by the program
11.State ID.
12.Medical card.
13.Medical work-up complete.


If the youth has a child or children, it is the responsibility of the referring agency caseworker to
start the ADC, WIC and Food Stamp process.

During Placement

Responsibilities of the Referring Agency Caseworker include:

   1.   Acquisition of medical card, original birth certificate, TANF enrollment, Food stamp
        enrollment and WIC sign-up, if necessary.

2. Weekly phone contact with the program staff to monitor the      progress of the client.

3. At least monthly face-to-face contact with the client and feed-back to program staff about
concerns and observations.

4. Assistance to the program staff to arrange for referrals if outside services are deemed
necessary.

5. Assistance in obtaining clothing vouchers if necessary.




                                                - 20 -
6. Immediate communication of any emergency or perceived problem
concerning the client to program staff.

Termination

The Independent Living Program will do everything possible to assist clients in the preparation
for self-sufficiency and responsible adult living in the community. The program will also do
everything to avoid terminating a client before the agreed upon time. If, however, the client is
at-risk to him/herself, at-risk to others in the community, involved in illegal or high-risk activities
or a liability to the program's reputation in the community, termination plans will need to be
made.

Hopefully, the referring agency and client will receive a 30 day notice before the client must
leave the apartment. If this is not possible, it is the responsibility of the referring agency to find
an alternative placement. We will assist the caseworker in every possible way.

Alternative placement plans should be in place at the time of placement. These could include,
but are not limited to, the following options:

1.     Removal from the current apartment to another apartment provided by the program.

2.     If the client is under 18, temporary placement at the Lighthouse Youth Development
       Center or Lighthouse Youth Crisis Center may be a possibility.

3.     If the client is over 18, temporary placement at Lighthouse Youth Development Center
       may be a possibility.

4.      Temporary placement in a Lighthouse Foster Home.

5.      Return to previous placement.

6.      Anna Louise Inn (for female clients).

We will do everything possible to maintain the client in our program or other agency program.

We ask that the referring agency understand the risks, liabilities and logistical issues of the
Independent Living Program at all times. Any desired changes in the clients situation must be
communicated with appropriate notice.



Intake Information

Client name______________________________________________________




                                                - 21 -
School:

Classes and last quarter grades:

____________________ __________________ ______________________

____________________ __________________ ______________________

____________________ __________________ ______________________

Problem areas at school:     _________________________________________

_________________________________________________________________

_________________________________________________________________

Does client have a realistic chance of graduating while in this program?

_________________________________________________________________

_________________________________________________________________

Family:

Mother’s name and address: ____________________________________

_______________________________________________________________

Father’s name and address: ____________________________________

_______________________________________________________________

What is the current family

Involvement?____________________________________________________

What are the client's expectations of the family? _______________

________________________________________________________________

_________________________________________________________________

_________________________________________________________________


With whom can the client most likely spend weekend & holidays?




                                             - 22 -
_________________________________________________________________

_________________________________________________________________

Is reunification a possibility?__________________________________

Anyone the client should not be in contact with?
_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Health:

Client’s doctor___________________________________phone_________________

Date of last physical____________________________________________

Client’s dentist _____________________________phone______________

Date of last check-up____________________________________________

Does client have a medical card?_________ no._____________________

Is client sexually active?______________ does the client take a proactive approach to
protecting self? __________

Any previous pregnancies?______________________________________

Does the client exhibit any of the following behaviors or problems:

_____sleep problems                  _____eating disorders               ____stealing
_____phobias of fears                _____frequent lying                 ____running away
_____compulsive stealing             _____sexual aggressiveness          ____cutting
_____bed wetting                     _____damaging of property
____ Other

What concerns do you have about this client while they are in this program?
_________________________________________________________________

_________________________________________________________________

What are the client's interests, ambitions and free-time activities?
_________________________________________________________________




                                              - 23 -
_________________________________________________________________

If client does not succeed in this program, what are the back-up plans?

________________________________________________________________


Any other information that would help us understand this client:

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

___________________________________ ___________
Signature of caseworker             date




Client Screening/Interview Form

Client Name:                                            Date of Interview:
Date of Birth:                         Age              Race/Ethnicity:
                                                        Social Security
Gender:          Female         Male                    Number:
Referral Source:                                        Court Date:
Caseworker/Guardian:                                    CW Phone:
Medicaid Eligible:        Yes           No              Medical Card:     Yes   No
                                                        Estimated Length of
Last Clothing Voucher:                                  Stay:
Current Living
Arrangement:
Contact at current
placement:                                                    Phone:
Supplies/Furniture
Needs:

Emergency Contacts (include client-identified):




                                             - 24 -
Name                                  Relationship           Phone             Address




School and Work History:

   Not currently enrolled in school
       Last School Attended:
       Last Grade Completed:

           Currently enrolled in school or GED
       Current Grade:                Special Ed?
       School:
   Performing at appropriate level in school or not in school         Mild to moderate problems at school including
                                                                         underachievement, discipline problems, or in special
                                                                         education program

   Serious school difficulties including suspensions, frequent        Very severe school problems including persistent failure to
      truancy, significant discipline problems, not doing well in        attend, dangerous discipline problems or currently expelled
      special education setting, or failing grade                        from school

Educational goals:


Currently employed:                Yes           No     If yes:       Full-Time            Date last
     Part-Time                                                                               Worked:
  Has held a job for at least 6 months with few                       Has held a job for at least one month or has
    to no problems or no opportunity to work                            mild attendance or disciplinary problems
  Serious difficulties finding or maintaining                         Very significant difficulties such as frequent
    employment                                                          dismissal or persistent disciplinary problems
Where
 employed


SPECIAL NEEDS                       YES                NO

Specify
Care Manager’s                                                           Date
Name:                                                                    Called:
CALL MAGELLAN FOR PRE-AUTHORIZATION



Social, Household and Community Functioning:

                                                                 Typical Performance




                                                        - 25 -
               Skill                     Always or      Sometimes     Never or       No
                                          Usually           or         Rarely    Opportunity
                                                        Frequently                or Don’t
                                                                                   Know
Uses public transportation safely
and appropriately
Manages free time constructively
Shops for food, clothing and
personal items
Prepares meals without assistance
Uses the phone book and phone
without assistance
Does laundry and housekeeping
without assistance
Manages money without
assistance
Participates in social activities with
friends without supervision
Follows through on commitments


Judgment and Insight:

                                         Always or      Sometimes     Never or       No
Skill                                     Usually           or         Rarely    Opportunity
                                                        Frequently                or Don’t
                                                                                   Know
Weighs consequences of
actions before making
decisions
Aware of problems and
challenges including
causes and own
contributions to problems
Has realistic future plans
Has good social judgment

List any risk-taking behaviors:                            ________________________________

_____________________________________________________________________

_____________________________________________________________________


Mental Health and Substance Abuse:

List current Diagnoses:

Current Counseling/Therapy:                 Yes       No

Current and Past Mental Health/Psychiatric/Substance Abuse Treatment History:



                                                     - 26 -
(Include all outpatient treatment and any psychiatric hospitalization or residential treatment)


Treatment                        Dates of Service                         Reason for Treatment                  Type of                 Respons
Provider                                                                                                        Treatment               e
                                 From                To

                                 From                To


Describe any difficulties with adjustment, cooperation or relationships with
previous programs/providers:



Current Medication Usage: (List all current medications and reasons for use.                 Include name of prescribing physician or
clinic.)



                       Medication                       Dosage                            Purpose                      Prescribed By




Efficacy of current or previous medications:___________________________________

______________________________________________________________________

______________________________________________________________________

Suicidal Behavior and Suicide Risk                                              Violent Behavior and Risk of Danger to Others
           No known history of suicide attempts or ideation                            No current physical aggressiveness and no known history of
                                                                                         aggression to persons or property
           No current suicidal ideation and no recent attempts but                     No current physical aggressiveness but recent verbal
             previous suicidal attempts or ideation                                      aggressiveness or a known history of aggression to
                                                                                         persons or property
           Current Suicidal Ideation or preoccupation, but no recent                   Currently physically aggressive toward persons or property
             attempt (last 30 days)                                                      but not at a level that risks significant injury or death
           Recent suicide attempt (last 30 days) and current active                    Currently physically aggressive to the extent that there is a
             suicidal ideation. Date of last attempt:                                    risk of causing significant injury or death or expressing
                                                                                         homicidal threats or ideation.

If Current Suicidal Ideation, describe plan, intent and lethality:



Describe past suicide attempts:




                                                                 - 27 -
Describe history of criminal behaviors if applicable, including any convictions
and incarceration:



Substance Abuse:

    No notable substance use difficulties currently or in         Mild to Moderate substance use problems that occasionally
      recovery for at least 1 year                                   present problems of living or in recovery for less than 1
                                                                     year.
    Moderate to serious substance abuse problem that              Extreme substance abuse and/or dependence that presents
      requires treatment and exacerbates current                     a significant problem (e.g., requires detoxification or
      problems and conditions.                                       residential treatment.

Describe current substance abuse treatment:



Medical, Health and Parenting:

                                                                                      Does/will this condition
Health Conditions and                          Treatment Provider Name                interfere with work,
                                                                                      school or independent
Concerns (including                            and Address                            living?
pregnancy)
                                                                                          YES             NO
                                                                                          YES             NO

Does the client have any children?                     Yes      No           Does the client have
Custody?      Yes     No


Child                                      Age                  DOB                   SSN
Name

Describe any other health concerns or current health-related needs, including any
health concerns of children:



Social and Emotional Support:


Supportive Relatives and Adults
Name                                 Relationship                         Phone/Comment




                                                       - 28 -
Restrictions on family visits or contacts

     Has relationship with consistently supporting adults        Some supportive adults and peers but not consistently
       and peers including non-system adults                            available or appropriate

     Few consistently supportive adults outside of system.       No social support network. Few or no appropriate peers.
       Few supporting appropriate peers

Cooperation/Compliance at current placement:

     Generally compliant and cooperative                         Occasionally noncompliant to some rules or adult
                                                                 instructions.
     Frequently noncompliant to rules and adult                  Virtually always noncompliant to rules or instructions.
        instructions.

Is youth a sex           Yes       No
offender?
If yes, request a Relapse Prevention Plan before placement.

Attitude toward Entering ILP:

     Good interview/strong desire to join program                Fair interview/strong desire to join program
     Poor interview/ambivalent about program                     Does not want to participate in the program


Where would client like
to live?


Current
address:
Current phone:
Caseworker
present:
Caseworker
phone:


Overall assessment of suitability for ILP

   Appropriate for Services                         Requires additional services or support
   Not appropriate




                                                       - 29 -
Explain additional services required or why not appropriate (attach level checklist
if applicable):


_____________________________________________
Case Worker’s Signature                Date


ILP Staff Signature                                   Date



Utilization Management Process (UMUR)

Referrals from the Hamilton County Children’s Services Department come from the UMUR
unit. Each youth is assigned to a UMUR worker who sends the referral and oversees the referral
process. This person must be notified concerning interview dates, move-in dates and any
requested additional services such as life coach.




Case/Management and Coordination

The Independent Living Program is a collaboration of efforts between clients, the local child
welfare service system, local community resources and a professional staff trained specifically to
provide services to assist youth in making the transition from out-of-home care to responsible
adult living.

The Independent Living Program Social Worker assumes primary responsibility for case-
management activities once a youth enters the ILP. The Social Worker collaborates with the
county children’s services case worker, the ILP Independent Living Specialist, the Guardian ad
Litem, any willing family members and other care-providers in developing treatment plans.

Other Lighthouse part-time employees may become involved depending on the needs of the
client. The ILP Social Worker has regular contact with the co8unty case worker and has a
formal monthly case review meeting to go over all county IL placements. The Lighthouse
Psychologist meets bi-monthly with the social workers to review clinical

        Describe how the primary case manager is identified.
        A primary case-manager is assigned based on many variables, including gender, cultural appropriateness,
        personality fit, clinical expertise etc. The current caseload make-up of the assigned social worker is also
        considered, as are the recommendations and requests of the referring agency caseworker.

Confidentiality




                                                        - 30 -
The assigned ILP worker is required during the orientation process, to explain the agencies
policy on confidentiality.

* See Lighthouse policy on confidentiality on Lightworks under ―Quality of Life for Clients‖

Client orientation

The orientation process begins at the intake interview, where the youth learns the general details
of the program and general expectations. On the day of placement, the youth receives a more
detailed orientation, which follows the ―Intake and orientation Checklist‖ (see below) and goes
over specific policies and procedures.
Each youth is introduced to his/her assigned caseworker and other ILP staff members and learns
how to reach their social worker, the program director, assistant director, office manager and
after hours cell phone.

Each youth receives a copy of the Lighthouse Client Rights and Grievance procedures handbook
(on Lighthworks) and goes over program goals, rules, policies and expectations. Youth are
informed of a date on which they will meet with their treatment team and develop and
Individualized Service Plan (ISP).

Participants receive an explanation of the financial support they will receive from the program:
rent, utilities, weekly allowance transportation, phone and other expenses. Youth learn that they
will have to pay for any damages at their living arrangement and might have to pay part of
elevated phone or utility bills.

All participants complete a self-sufficiency behavioral assessment and an assessment of general
independent living information. (See forms pages & ). These two assessments aid in the
development of the ISP. Youth are encouraged to attend all treatment team meetings, to take an
active part in the development of their Individualized Service Plan and to call the ILP director or
assistant director if they feel their needs are not being met. Regular meetings with their ILP and
county workers take place and youth are encouraged to advocate for their needs. If needed, goals
and objectives are changed to reflect new realities.

Youth are given the date of their next formal review hearing with juvenile court and learn the
importance of the court date in terms of being able to stay in the ILP. Participants learn that the
courts will want a full-report from the youth on IL skills development, school and work progress,
overall progress in the ILP and plans for the future.

At discharge youth and their referring agency caseworkers are given satisfaction surveys, which
can be returned anonymously to the Lighthouse clinical director. This feedback is eventually
shared with ILP staff formally through the CQI process.


* Requirements for follow-up for the mandated person served, regardless of his or her discharge
outcome. (See section on Aftercare)



                                              - 31 -
Youth are asked not to smoke inside of their current living arrangement. This policy is enforced
more seriously in the shared-home or boarding home settings. Youth who continuously violate
the smoking policies will be placed in a more supervised setting, sometimes outside of the ILP.

Youth are informed that use of or possession of any illegal drug or alcohol is forbidden in any
ILP setting. Youth who violate this policy risk discharge from the program or placement in a
more-restrictive setting. Police may be contact in the event of any serious breech of community
laws such as selling or holding large quantities of an illegal drug.

Participants are told that negative behaviors can result in early discharge, temporary or long-term
placement in a more restrictive setting, visitor restrictions, deductions from allowances or
savings and/or other sanctions. Youth are told that the program will work with police to enforce
any community laws should they break them.

** The program’s policies regarding the use of seclusion and restraint. This does not apply to
ILP youth. Youth that may require an intensive level of supervision, hospitalization or arrest, will
usually be discharged from the ILP and referred to another more restrictive living arrangement.

** Means by which the person served may regain rights or privileges that have been
restricted. (See section on Aftercare)

Youth in the ILP are given many chances to learn from mistakes made. Youth are often asked to
leave a current living arrangement due to their or their friends’ behaviors and the ILP almost
always gives them another chance in another location. Privileges such as having visitors can be
suspended if things get out of hand and then reinstated if certain behavioral expectations are met.
The County’s Aftercare services allow youth who have left the program to return for assistance up
to age 21 if necessary. The Lighthouse Emancipated Youth Program is a formalize aftercare
service funded by a county grant which focuses specifically on youth who have left care and
return needed short or long term help.

** Transition criteria and procedures (see section on Transition services on page        ).

Code of Ethics

New ILP clients receive a one page ―Code of Ethics‖ form that summarizes proper staff/client
relationships. See below:




                                                - 32 -
        The Lighthouse Independent Living Program Code of Ethics


To maintain a professional relationship at all times, ILP staff will:

   1.  Strive to keep all personal information about your situation in strict confidentially.
   2.  Not give or receive gifts from you, other than through the program.
   3.  Not form friendships, which continue after you are discharged from the program.
   4.  Include you in all decisions about your stay in the program, as much as is possible.
   5.  Not share information about your address and phone number with anyone without your
       permission.
   6. Not act in a manner disrespectful, exploitative, intimidating or threatening to you.
   7. Protect your civil and legal rights.
   8. Respect your religious beliefs and cultural differences.
   9. Act to involve your family in your current and future plans, as much as is appropriate.
   10. Make every effort to keep you safe while in the program.
   11. Make every effort to help you reach your stated goals while in the program.
   12. Respect your privacy and personal space but also your safety and well-being.
   13. Follow through on any commitments made to you as much as is possible



________________________________________
ILP Participant               date



________________________________________
ILP staff representative      date




             Independent Living Program           Intake And Orientation Checklist

Client____________________________ ILP staff_____________________________

date

         All Interview Forms complete and signed

         Client introduced to assigned social worker and other ILP staff



                                                - 33 -
ILP Authorization Packet complete and signed

New Client Packet complete and signed

Confidentiality, Rights and grievance policies reviewed

Program goals, expectations and grounds for early discharge reviewed

Review of program rules and policies completed

Smoking, weapons and duty to warn policies explained

Copy of ID, BC, and SS card acquired and put in IL file

Allowance and savings policies explained

Original Birth Certificate and Social Security card located

Review lease and apartment operations with client

Directions to office, school, etc…by bus understood

Post list of important phone numbers

Office hours and On-Call system explained

Apartment operations (stove, AC, washer, dryer, etc…) understood

Copies of apartment keys made

Rental agreement submitted to office manager on move-in date

Placing agency notified of move-in date; authorizations requested

FAP contacted if appropriate

Client picture in file and computer

Schedule physical exam

Schedule eye exam

Schedule dental exam

Enroll in school or GED

Staff/client boundaries reviewed




                                      - 34 -
         Self-sufficiency skills and information assessments completed

         Diagnostic assessment set up/assessment process explained

         Paperwork request complete and sent to referring agency worker

         Client information entered into LIDTS

         Family involvement assessment completed

         Family invited in writing to ISP meeting

         Health history assessment completed

         ISP scheduled/description of plan development and sue explained

         Medicaid enrollment initiated, if applicable

         Life coach activities explained




________________________________                        ___________________________
ILP staff                                               client


_______________________________
Wraparound staff (if appropriate)




Diagnostic Assessment

A diagnostic assessment (DAF) is requested from the referring agency at the initial interview. /If
one has not been completed within the last 6 months, an appointment is made to conduct this
assessment. The purpose of the assessment is explained to the youth. After the assessment has
been received or completed, it is reviewed with the youth and incorporated into the initial ISP.



                                              - 35 -
DAF updates are completed if new information or observations have been made that lead to a
change in diagnosis or if an update is requested by a new referral source.




Assessment of skills, strengths and needs

Each ILP participant will take part in both formal and informal assessments throughout his/her
stay in the program. Within 30 days of intake, a youth will be assessed in terms of level of
functioning, knowledge of independent living skills and information, and psychosocial
functioning. The assessment process will include written self-assessments, a formal diagnostic
assessment and informal assessments based on observations of ILP staff and referring agency
caseworkers and other members of the youth’s support network and/or treatment team. The
purpose of the assessments is to determine the most appropriate present and future living
arrangements, develop goals and objectives, determine the need for extra services and to plan for
discharge and emancipation.

After formal and informal assessments have been made a date will be set by the assigned ILP
social worker to develop the youth’s individualized service plan (ISP). Members of the youth’s
treatment team, family and support network with be invited and encouraged to attend the initial
treatment team meeting and subsequent quarterly ISP update meetings.

* The ILP does not always receive social histories, diagnostic assessments, medical
information, vaccination records and other requested information due to caseworker
turnover or failure of referring agency staff to maintains records. ILP staff does its best to
gather this information from the youth and significant others.

       —       Age.
               Since all of the participants in the IL program are 16-18, all assessment questions are geared
               toward that age group.
       —       Development.
               Since all of the participants in the IL program are 16-18, all assessment questions are geared
               toward that age group. The developmental status of the youth in terms of previous assessments, staff
               observations and referring agency feedback are assessed and taken into consideration when doing
               current assessments and treatment planning.
       —       Culture.
               Cultural issues are assessed throughout the youth’s stay in the ILP. Observation of the youth’s
               natural cultural connections are made and input from all significant others helps the ILP and youth
               determine treatment issues, goals and supports system.
       —       Education.




                                                     - 36 -
               The youth’s educational status and intellectual functioning play a factor in assessment and treatment
               planning. Youth sometimes defer to their previous care-providers and/or caseworker to provide input
               about educational; status and goals. At times the youth’s educational goals change due to time
               realities and/or school program changes.



SW Assessment of ILP skills


This assessment is completed within 30 days of entry and again at discharge to determine
progress made on basic self-sufficiency skills. This assessment is listed under the ―Forms‖
section of this manual.

The Individualized Service Plan


The Individualized Service Plan (ISP) helps both client and care-providers focus on specific
goals and activities and services that will help a client reach his/her goals. The ISP needs to be
completed within 30 days of the date of entrance into the program with input from the client, the
referring agency caseworker, the ILP staff and any other significant person. The ISP needs to be
reviewed and signed by the Program's Clinical Supervisor. The ISP must be signed and dated
(with degree and credentials listed) by the client, caseworker, ILP social worker, program
director and clinical supervisor. The ISP must be updated every 90 days with all required
signatures obtained.

Below is the current version of the ISP for the Independent Living Program:

Issues Addressed in the Treatment Plan and Counseling Process

The “Individualized Service Plan” (ISP) addresses the major life domains of each client. These
include:

-Living arrangements
-Health/medical
-Educational/vocational
-Employment
-Social
-Other individualized goals (ex. Need for pre-natal services, parenting classes, AA groups etc.)

The ISP attempts to outline generic services all youth need with additional goals specific to a
particular client.

The actual form has changed numerous times over the last few years as we adjust to the demands
of our managed care partner and other referring agencies.




                                                     - 37 -
The ISP attempts to assign responsibilities as well as time frames. The ILP social worker,
independent living specialist, referring agency caseworker, guardian ad litem and other care
providers all assist in developing and monitoring the ISP. The ISP is updated every 90 days by
the ILP social worker assigned to the case.


Monitoring of the Plan

The ILP social worker is responsible for monitoring progress toward goals stated in the ISP.
Notes entered into the client’s case record reflect the clients activities associated with each goal.
ILP social workers attempt to meet at least monthly with the referring agency case-workers to go
over their client’s progress in the ILP.

The ILP director or assistant director try to meet weekly with every social worker to review his
or her caseload and discuss strategies for either supporting productive clients or engaging clients
who are having a difficult time adjusting to the program.

Finally, six month reviews are held by Juvenile Court magistrates with the youth, caseworker,
ILP social worker, guardian ad litem and other concerned parties


General Safety Orientation

Youth receive safety guidance throughout their stay in the ILP. At orientation, a general
discussion about safety issues relevant to the neighborhood in which the youth lives, takes place
and youth review the safety and fire safety information below.

Youth receive safety training prior to coming into the ILP through the county’s life skills training
program and go over safety issues again in the ILP’s life skills projects.

Youth receive a Self-sufficiency workbook entitled ―Just Do This: 25 Steps to Self-sufficiency‖,
at the county’s life skills training seminars. It contains a list of commonly used resources. They
also do several community resource exercises at these trainings.

Youth are informed on how to reach staff after hours, when to call 911 and when to call 241-
KIDS, the county’s child abuse hotline. The ILP has a contract with a cab company to pick youth
up from any location in the county 24 hours a day if needed. Youth who are locked out can go to
the LYS Youth Crisis Center until ILP staff can pick them up.

Youth review fire safety plans with their assigned SW, including how to use a fire extinguisher
and how to get out of their particular building.


** Specific healthcare procedures and techniques (see agency manual)




                                               - 38 -
Personal Safety Guidelines

       In the interest of your personal safety and wellbeing, we ask you to review and follow the
guidelines written below:

1. Never allow a stranger into your apartment. Never let a stranger know where you live.
2. Make sure you know and trust someone well enough before you give them your phone
number.
3. Hitchhiking is not allowed while in the program.
4. Report to your Independent Living Program Social Worker and/or Landlord whenever you
have any problems with gas, electricity or plumbing in your apartment.
5. Let your program Social Worker and landlord know of any malfunctioning locks, windows,
window locks. Outside lighting problems or hallway lighting problems.
6. Make sure you have a smoke detector and good batteries in it. Check it on a weekly basis.
7. Before leaving your apartment, make sure:
               A. Your stove is turned off.
               B. All water faucets are turned off.
               C. All appliances are turned off (irons, radios, TVs, etc.)
               D. All windows and doors are locked.
8. Make sure you know and trust someone well enough before you get into a car with them.
Never get into a car with someone who is under the influence of drugs or alcohol.
9. Follow your curfew. Use good judgment when you are out late at night. Make sure you have
a ride home from any late night activity. If possible do not walk alone on the street after dark.
10. Weapons are a potential danger to you and are not allowed in the program. No guns, knives,
brass-knuckles etc., will be tolerated.
11. Be knowledgeable about fire prevention. Know in advance what you would do in case of a
fire. Make sure you have been provided with a fire extinguisher and know how and when to use
it.
12. Post on or by you telephone the numbers of any emergency services.
13. If you do not know how to operate your stove, oven or other appliances, be sure that you ask
for help in learning how to do so.




                                               - 39 -
                              HOUSE SAFETY ORIENTATION

            PLEASE MAKE SURE THAT YOU KNOW THE FOLLOWING:


_____ How to contact the maintenance man, resident manager, or landlord in an emergency
such as a plumbing leak or electrical problem.

_____    The location of your emergency phone list.

_____    How to check the smoke alarm and replace the batteries.

_____    The proper operations of all house appliances, especially the oven.

_____    The operation of all window locks.

_____    The location and operation of the fuse or circuit breaker box.
         (not to be touched unless during an emergency)

_____    The location and operation of the main water shut-off.
         (not to be touched unless during an emergency)

_____    The location of the main gas shut-off.
         (not to be touched unless during an emergency)

_____   The need to report any electrical outlet problems to the resident manager or landlord.

_____    The location of your first aid kit.

_____ The importance of not giving out your phone number and address to strangers or
problematic friends.

_____ the need to report anything to the landlord that could cause damage to the property or
other tenants.

_____    How to operate an air conditioner or space heater.

_____    The need to turn off all appliances when leaving your apartment.

_____    The need to keep the outside well lit at night.




                                 EMERGENCY PHONE LIST




                                               - 40 -
                    (Keep this list with you in case of emergency)


   POLICE – FIRE- AMBULANCE……………………911

   DRUG AND POISON INFORMATION…………… 911


   METRO BUS SERVICE………………………………621-4455

   MY DOCTOR________________________________________


   MY CHILD’S DOCTOR________________________________

   MY LIGHTHOUSE ILP WORKER_______________________


   LIGHTHOUSE ON-CALL PAGER_______________________

   LANDLORD_________________________________________


   RESIDENT MANAGER/MAINTENANCE ________________

   MY SCHOOL________________________________________


   MY JOB_____________________________________________

   FRIEND_____________________________________________


   ____________________________________________________


             (Keep this list with you when you are out incase you need away from home.)




                                              - 41 -
Fire Safety

It is important that you think about safety issues at all times while in your apartments.
Fires can be started in many ways but they usually happen when someone is careless.
Take the following steps to assure your safety and the safe condition of your apartment:

1) I will turn off all appliances when I leave my apartment, including air-conditioners, irons,
   hair curlers, stoves, ovens, etc.

2) I will never leave an iron on unless I am using it. Never set an iron face down.

3) It is my responsibility to keep working batteries in my smoke detector.

4) I will never make threats to anyone about starting a fire—you could be charged if anything
   did happen.

5) I will let ILP staff know immediately if anything is not safe in my apartment.

6) I have reviewed the fire evacuation plan of the building where I live. I know how to exit the
building properly, how to alert my neighbors of any danger, and when to exit.

7) I understand the proper use of the Fire Extinguisher and when to use it. I have received
information to call 911 regarding any emergency situation. I will make sure I have a working
fire extinguisher at all times and know how to use it. Let ILP staff know if you need a new
extinguisher, smoke detector or batteries.

8) I will not remove the battery from the smoke detector anytime. I will speak with the resident
manager about any concerns or problems with my smoke detector.

9) I understand that I will have to pay for any damages caused by my irresponsibility.

Please sign that you have read and understand this policy.

______________________________                         ___________________________________
Client Signature        Date                           Staff Signature/Credentials   Date




                                              - 42 -
Educational Services

Before entering the ILP, the referring agency caseworker must forward all school records to the
assigned ILP social worker. After reviewing these materials and assessing the client's overall
academic potential and motivation, a decision is made, with client input, concerning educational
goals. In addition, a basic Life Skills Assessment is completed by the client and reviewed by the
assigned social worker for insight into the client's overall level of functioning and potential.

All clients of the ILP are assisted in finding the best, most appropriate educational or vocational
program. Taken into consideration are such factors as location of the school, convenience of
transportation for client, time remaining in the program and previous educational effort. Clients
who are not motivated academically are guided toward vocational training programs or work
opportunities. Clients with no chance of obtaining a high school diploma are directed toward a
quality GED program near to their place of residence.

The ILP social worker has the responsibility to connect the client with an educational or
vocational program as soon as possible following entry into the program.

Educational assessments and other academic assessments are conducted by the school the client
attends. The ILP tries to utilize existing educational services rather providing them in-house.

       Anything from a suspension or expulsion, school closing, change of living arrangement or personal event can
       cause the youth’s educational status to be disrupted. The ILP social worker and referring agency caseworker
       will then meet with the youth to discuss other options. Youth in between an formalized education situation can
       temporarily be connected to tutors, GED preparation programs, in-office self-guided work or referral to the
       Lighthouse Community School.

An educational specialist




Life Skills Training

In addition to being connected to formal educational programs, all ILP clients take part in a 12
project life skills training program conducted one-on-one while they are in the ILP. Youth are
given each project’s information packet and complete the readings, assessments and other
assignments for each packet.

(See the ILP Life Skills Curriculum available on the ILP share drive)

Part of the life skills training program is focused on employment skills, personal characteristics,
job finding and keeping skills and other issues related to employability.




                                                      - 43 -
Vocational and Employment Services

All clients are assisted in finding employment unless deemed not a high priority at the time.
Clients are involved in all phases of this process. Clients receive assistance in finding
employment through job leads, transportation to job locations, application assistance, resume
development, contact with employers and employment agencies or program.

Clients are given job leads, assisted with resumes and work clothing and connected to work
readiness programs if necessary.

Clients who have previously attended vocational programs outside of the city are assisted in
finding apartments in their assigned school areas.

Clients with special needs are connected to specialized employment training and placement
services programs. Efforts are made to continuously find the best job fit for each client.

If necessary, ILP staff will transport youth to and from work sites.

Health Services

The referring agency caseworker is responsible for forwarding any health materials available on
the youth involved. If a physical has not been completed in the recent year, ILP staff will
arrange for one to take place. Records are kept in the youth's case record. Youth are able to take
copies of these records with them upon termination.

The ILP staff and referring agency caseworker assist the youth in obtaining a medical card or
access health services when a card is not available.
The ILP Social Worker, with assistance from an IL Specialist, over see the over health of
assigned clients and make whatever necessary arrangements need to be made to assure that a
youth has health needs met.

The ILP Life Skills Training Program includes training on pregnancy prevention, AIDS, sexually
transmitted diseases and related topics.

The county’s self-sufficiency training also covers health matters in its classes.


Pharmacotherapy

Some ILP participants have been prescribed medications for physical or mental health issues.
The assigned social worker gathers all pertinent information about the youth’s medical and
medicinal history during the intake and orientation process. The youth and social worker work
together to assess the impact of the medications, the need for ongoing medications and any side
effects with the help of the prescribing doctor or psychiatrist. Regular medical/somatic visits are
set to monitor the youth’s response to any medications. The youth and assigned SW attend these
meetings together.




                                               - 44 -
*See Agency Pharmacotherapy Section in Lightworks


Medication dispensation/administration

ILP participants who are taking medications are assessed for their ability to do so on their own.
The general expectation is that youth who are referred to the program are able to live alone and
take care of their basic needs with ongoing support. It is assumed that some youth will need extra
help in assuring that medications are consistently available and taken as prescribed. Youth
usually keep medications at their place of residence. However, for youth who have ongoing
difficulties keeping track of things, medications can be kept locked up at the ILP office and
given out weekly in appropriate pill containers. The assigned social worker is responsible for
assuring that a youth is taking his/her medications and that refills are obtained as needed.

All youth using medications meet regularly with a physician or psychiatrist depdening on their
individual needs.

Housing Services

The Lighthouse ILP is a ―housing-based‖ model in which the placing of a youth in community
based housing is the primary intervention of choice. All ILP clients are placed in safe,
affordable, secure and licensed living arrangements. All sites must follow Ohio Revised Code
Independent Living Standards for safety. The ILP utilizes a variety of living arrangement
options to accommodate the varied needs and levels of maturity presented by clients.

Clients are assisted in finding and selecting a living arrangement, moving and furnishing their
place, learning how to operate necessary appliances, accessing the public transportation system,
communicating with resident managers and landlords and other aspect of apartment
management.

Throughout their participation in the LIFE SKILLS TRAINING program and weekly contact
with ILP staff, clients learn about cleaning expectations, tenant rights, landlord expectations,
leases, budgeting and other issues related to successfully taking over full responsibility for their
living arrangement.

Clients have the option of taking over their apartments if they are employed and the landlord is
in agreement. Those youth who cannot afford their current place of residence or need assistance
are assisted by ILP staff in finding low-income or subsidized housing prior to termination.

Explanation of Possible Living Arrangement Options

Youth learn about possible living arrangement available through the ILP at the initial interview
with the program. In some cases, a court order indicates a specific option, such as a shared home
or boarding home for youth in need of ongoing supervision. Many of the referred youth become
aware of possible options in the countywide self-sufficiency classes held throughout the year.




                                                - 45 -
The referring agency caseworker also has a say in the living arrangement option chosen and
often is the person who describes the options.

A referred client learns about the location, cost limitations, availability, safety and condition of
possible apartments from their assigned ILP social worker. Often, a youth has the opportunity to
search for an apartment him/herself, after discussing parameters with the ILP social worker.

Housing Options: Client Matching

Throughout their stay in the ILP, clients are able to assess their ability to maintain independently
their current living arrangement. Usually before their next to last month in the program, ILP
social workers discuss the feasibility of remaining in the current situation or the other options
available to the client. If necessary, the program assists the client in moving into another more
affordable or more convenient location.

If a client is not capable of living on his/her own, the ILP staff does everything possible to assure
that the client ends up in a workable, affordable situation. The agency is continuously developing
living arrangement options for the clients of this community.

Options such as shared homes; boarding homes, host homes, relative homes, scattered-site
apartments and semi-supervised apartments have already been developed by the agency and
are utilized as a continuum by the ILP.

The Independent Living Program assesses the referred youth through the intake process, which
includes review of social and psychological histories, conversations with caseworkers, a written
life skills assessment and a face-to-face interview with the youth and caseworker. From this
process the ILP determines a living arrangement appropriate to the youth's level of functioning
and the level of staff involvement needed. The time factor is considered, i.e., the length of time
the youth has to remain in the ILP determines much about the location of placement and the
individualized plan for independent living.

In shared-living situations, youth do have some say about choice of roommates, as much as is
possible. In some cases, a youth might be allowed to add a roommate if this is approved in
advanced by the landlord, and referring agency.

Access to Public Legal Services

Many clients have a court assigned Guardian Ad Litem with whom the program staff keep in
contact. Those who do not are informed of local legal services if they are ever in need. ILP staff
throughout the legal process assists clients with legal difficulties, including, if necessary,
obtaining the services of a public defender through the county court system.

Clients receive a booklet that describes in details the rights, responsibilities and privileges one
receives upon turning 18.

The ILP has an ongoing relationship with Legal Aid, an agency that has been actively involved




                                                - 46 -
in advocacy efforts for youth in this area.

Legal Rights

All clients receive a ―Welcome To Lighthouse Youth Services‖
pamphlet that explains their rights while involved with agency programs.

(See “Welcome to Lighthouse” pamphlet in Lighthworks)


Assistance with Job Information and Community Resources

At the initial interview, plans are made for employment goals. Often a youth already has a job.
At times, it is decided that it would be better for a youth not to work due to parenting or other
responsibilities such as a specialized educational program. Clients without jobs are given job
leads, go over the job section of the daily paper with their social worker or are enrolled in
specialized work preparation programs such as the Bureau of Vocational Rehabilitation.

Clients are assisted with transportation money, work clothes, shoes or supply fees when
necessary.

Youth are given a copy of ―Just Do This,‖ a self-sufficiency workbook with a comprehensive
listing of local community resources. Youth are encouraged to contact and connect with needed
community services on their own, but at times it is necessary for ILP to get involved in accessing
a service and following through with the services efforts.

The agency maintains a list of community resources in its computer share drive. Clients can have
access to this list if necessary.




Involvement of Family members and Other Care-Providers in Planning Process

Every attempt to involve family members throughout the course of stay in the ILP is made. A
letter is sent to any available parent inviting them to participate in the development of a treatment
plan. If a family member who is not expected to be involved, appears available and willing, ILP
staff consider them part of the team involved in the youth’s life.

Referring Agency case-workers, probation officers, guardians ad litems, mentors and any other
involved party are invited become involved in the planning process and encouraged to have
regular contact with the youth and ILP staff.

At times there is a court order for the youth to have no contact with specific family members.

Use of Team Approach for Coordination of Service Plan




                                               - 47 -
The ILP Social worker coordinates client services along with the ILP Specialist, the county
caseworker, the youth and any other family member or guardian involved. Decisions are made
with input from all of these parties and often the ILP director or assistant director become
involved. The Social worker has ongoing, even daily, communication with the referring agency
caseworker and other members of the youth’s treatment team. All members of the treatment team
have multiple communication means: e-mail, cell phones and landlines and also have
information on how to reach all relevant supervisors.

Members of this ―team‖ are contacted by phone if they can’t be present at staffing meeting.
Juvenile court magistrates often have the final say about decisions but rarely go against the
advice of a majority of team members. A youth who consistently violates program or court rules
lessens his/her voice in the decision process.

       Describe the process to coordinate continuity of care and reduction of duplicity of services.
       The youth’s treatment team comes together every 90 days, with the youth, to review progress made toward
       goals and areas of needed improvement. The assigned ILP social worker is primarily responsible to assure the
       continuity of care and assures that there is not duplicity of services. 6 month case reviews, which take place at
       the offices of the Juvenile Court Magistrates, also serve as a means of assuring appropriate services are
       provided.

Participation of Client in Treatment Planning

Lighthouse has developed a continuum of living arrangement options to assure individualization
of services. The program’s scattered-site model allows for geographical flexibility and
placement near social supports, schools and jobs. The youth usually participates in the choice of
location of his/her living arrangement.

The youth also is involved in developing a plan for transition and any subsequent changes in the
original plan. A court order can over ride both the youth’s wishes and/or the program’s original
plans. Treatment plans are updated every 90 days. All plans, updates and weekly progress notes
are kept in the client’s file.

Service Linkages
Each youth participates in development of an individual service plan completed within the first
30 days of entrance into the Independent Living Program. The youth create the plan with the
participation of the referring agency caseworker, invited family members, the ILP social worker
and significant others. These relevant parties make up the youth’s treatment team. The service
plan identifies persons and community resources, which will assist the youth in reaching his/her
stated goals. The plan is update every 90 days with the input of all identified care-providers
making up the treatment team.
Linkages are established as the need arises or at the request of the youth or caseworker. The
assigned ILP Social Worker is responsible for assisting the youth in accessing services, usually
encouraging the youth to make initial contacts and communications with any service.




                                                       - 48 -
Describe how the organization provides case management activities in locations that meet the
needs of the persons served.
Youth accepted into then ILP are placed in neighborhoods, often of their own choosing. The
choice of location is made based on the expressed needs of the youth, the youth’s current school
district or place of employment and the youth’s current support system. Case-management
activities are often determined by the location of the youth’s place of residence with the intention
being that resources are identified which can continue to be utilized by the youth, post discharge.

Development of a Support System

Are the persons served linked to services and resources to achieve objectives as identified in
their individual plans?
Each youth participates in development of an individual service plan completed within the first
30 days of entrance into the Independent Living Program. The youth create the plan with the
participation of the referring agency caseworker, invited family members, the ILP social worker
and significant others. These relevant parties make up the youth’s treatment team. The service
plan identifies persons and community resources, which will assist the youth in reaching his/her
stated goals. The plan is update every 90 days with the input of all identified care-providers
making up the treatment team.


Crisis Intervention Services

ILP staff take a team approach to crisis management. Any crisis is immediately reported to the
program director or assistant director who oversees the management of the crisis. After-hours
crises are managed by the on-call person with support from the program director of assistant
director. During a crisis, the person in charge enlists the support of relevant significant others
including referring agency caseworkers, family members, relatives, therapists, life coaches
and others. If necessary psychiatric emergency services and/or the police are involved. It is the
responsibility of the PD or assistant pd to assure that the ILP person working with the youth in
crisis has the support and resources needed to manage the crisis.

Crisis interventions can include after hours visits to a youth’s apartment, referral to psychiatric
emergency services or therapy, treatment team meetings, temporary placement at the Lighthouse
Youth Crisis Center, movement to a shared-home or new apartment, meetings with landlords etc.


Incident Reporting

See ―Incident Reporting Procedures‖ in Lighthworks, under ―Clinical Forms‖


Waiting List Procedures




                                               - 49 -
Youth who are accepted into the ILP are usually placed within a 2-3 week period of time. The
use of privately owned scattered-site apartments enables the program to expand as needed. Youth
might have to wait for a chosen apartment to be made ready and are given a move-in date by ILP
as accurate as is possible. Youth who request to live out-of-county or in certain neighborhoods
might have a longer wait, as the apartment search process is more complicated. Youth who are
referred to shared-homes might have to wait for an opening to occur. The program does not
specifically provide emergency placements but has agreements in place with the Lighthouse
Youth Crisis Center to place youth, short term until an ILP opening occurs. Weekly contact is
made with the referring agency regarding a target move-in date.

At times, the ILP shared-homes and supervised apartment buildings are full when a specific
request is made for this type of placement. The referring agency and youth are given an
estimated day in which and opening will become available. Usually the youth is able to stay in
his/her foster or group home until an opening becomes available. ILP staff will assist referring
agencies with emergency placements at times by utilizing other Lighthouse programs or creating
something temporary.

Transportation safety, including emergency procedures

At orientation, youth receive a general review of safety issues, including those related to riding
the bus or with friends. Participants are informed of curfew expectations and the need to pay
attention to bus schedules and hours when the buses do not run. Youth are given copies of bus
schedules as needed.

ILP participants are instructed in how to reach ILP staff. They are given a business card with
their assigned social worker’s number and the ILP on-call/after hours number. The ILP has a
contract with Towne Taxi, which can send a cab to pick up an ILP youth 24 hours a day, without
the need for the youth pay the fare.

Clients are instructed not to drive with a license and written permission from their county case-
worker and not to drive with any acquaintances or relatives without licenses. Youth are also
instructed not to get into a car with any stranger or person under the influence of drigs and/or
alcohol.

ILP youth are informed of the on-call system and the ability to call 241-KIDS if they do not hear
back from the person on-call. 241-KIDS, the county’s child abuse hotline has the names and
home phone numbers of key ILP staff.

Youth who are in need of emergency medical assistance are told to call 911 first and then either
call or have someone call, the ILP on-call cell to discuss the situation.


Communications




                                               - 50 -
Staff communicate with each other and other professionals via e-mail, office phones, cell phones,
voice mail and an in-office mailbox. Staff communicate with clients via face-to-face contacts at
the office and the youth’s apart or via apartment or cell phones. Clients are introduced to all ILP
staff and are told that all are available to help them if needed. A weekly staff meeting help at
noon on Tuesdays has a formal structure to capture needed information and deal with specific
problems.


On Call System

All program Social Workers and the Program Director carry cell phones to be able to respond to
emergencies or pressing client needs. Clients are encouraged to call during business hours.
However, there are situations in which a client or staff member will need to communicate with a
staff person after hours. Each youth is given the number to the on-call cell phone. ILP staff are
on a weekly rotation schedule for on-call. The ILP program director and Assistant Director are
contacted by the on-call staff person if the emergency is serious in nature or if the on call person
is not sure what to do.

All full-time staff take part in a rotating weekly on-call schedule for evenings, nights and
weekends. Staff who are on-call must assure that they carry the cell phone and keep it charged
during the entire on call period which begins on Tuesdays at 12noon and continues to the
following Tuesday at noon.


When to call the Program Director or Assistant Director:

   1.   Whenever the police are involved
   2.   Whenever a client is seriously hurt and needs to be hospitalized.
   3.   Whenever there is risk of potential harm to an ILP client or property.
   4.   Whenever there is risk of negative publicity for the ILP or Lighthouse.
   5.   Whenever the on-call person is not sure how to handle a situation that needs attention.

   When in doubt, make the call….


Common On-Call Staff Mistakes

> Failing to get copies of keys and getting paged to let someone in, in the middle of the night
> Forgetting to recharge the phone
> Leaving the on-call cell phone at home when leaving.
> Putting the phone in a place where it can't be heard
> Forgetting to get the phone from previous on-call person
> Failing to talk to other staff about what to do with specific "red flag‖ situations

All program Social Workers and the Program Director carry cell-phones to be able to respond to
emergencies or pressing client needs. Clients are encouraged to call during business hours.




                                               - 51 -
However, there are situations in which a client or staff member will need to communicate with a
staff person. We try to keep pages for emergencies only. However, a staff may page another
staff and put your extension on the pager to request that the paged staff call the ILP office
whenever it is convenient. A full number plus extension indicate s an emergency that needs
immediate attention.

Staff out in the field should call the office every two hours to check messages. This will help cut
down on the need for calls.

Supervising Youth in Less-restrictive Transitional Living Arrangements

Sooner or later, all youth leave the child welfare system, ready or not. Many communities are
developing program strategies in which youth can get some experience living independently,
while still in custody. Since I took over our agency’s ILP, people have asked me if we were
properly diagnosed before we started placing youth in their own apartments. 20 years later, the
question still comes up now and then and only my wife and staff know the answer.

The truth is, when a youth leaves his place of residence and is out in the community, it doesn’t
matter whether he lives in a foster or group home, residential treatment center or scattered-site
apartment. If he is looking for trouble, he will find it. From our experience, most of our agency
youths’ assault, runaway, destruction of property and theft charges happen while they are at
home or living in supervised settings. In other words, even with 60-80 youth living on their own,
we don’t experience any more or less problems than occur in any placement setting.

Be that as it may, this doesn’t mean that youth in individual scattered-site apartment or semi-
supervised group living situation need no attention. Here is a summary of what I learned about
supervising youth in ILP’s:

Live-in staff- Some programs have apartments with live-in adult roommates or small shared-
homes with a live-in resident manager who is in and out of the residence at various times. There
will be time where there is no supervision but the adult is present at night and various times
during the week and weekend. Add random visits by day staff and this situation can work for
semi-responsible youth.

Daily visits by staff- This is hard to provide due to caseload size and budget limitations, but some
programs have found that high risk youth can do well with this level of supervision.

Unannounced visits- This strategy is sometimes effective when youth are breaking program rules
or there are reports of illegal or unusual activities going on. Youth need to be informed that this
is a possibility at all times but is usually only used when there are problems being reported.

Weekly visits- This is the typical scattered-site method of keeping an eye on a youth living alone.
Along with regular phone contact, phone texting and even e-mails, youth and adults can feel at
ease.




                                               - 52 -
Youth come to the ILP office- This can be a daily expectation for new or unproductive youth or
happen several times a week. We all know youth who show up daily even when not required.

Former foster parents are contracted to monitor a youth- our program has done this with youth
who are leaving a foster home in a rural area. This builds on an existing positive relationship
and cuts down on ILP staff travel time and expenses.

An ILP contract with an in-town person (with social services experience) for monitoring- We’ve
done this for youth who leave a placement situation in a distant community but are connected to
school and work and want to remain in that area.

Regular phone contacts- If a youth is struggling with behavioral or medical problems, this is a
good way to keep on top of the situation. Asking the youth to call the office daily to report
activities is sometimes an expectation for new clients.

Weekly visits by volunteers, mentors, student interns-Often, programs have support staff who do
home visits, one-on-one life skills training or in-home counseling. These visits can take the place
or enhance paid staff visits.

Electronic monitoring bracelets with an early curfew- Our program requires this for high-risk
youth who enter the program with felony offenses. Youth can have them removed after meeting
the terms of a behavioral contract usually after 4-6 weeks.

Independent Living Staff/client day-to-day Tasks

calling schools                   problem solving @ clients
school enrollment                 trouble shooting
telephone set-up                  talking to landlords
apartment visits                  lunch if possible
addressing school problems        explaining program
apartment set-up                  public relations
emergencies-hospital runs         networking other agencies
getting id's-birth certificates   petty cash
getting social security cards     looking for supplies
medical cards                     writing out checks
medical appointments              accounting
apartment maintenance             answering the phone
counselor contact                 talking to family members
intake                            trying to understand teens
orientation                       putting out "fires"
life sklills                      worrying about clients
shopping for food                 pregnancy tests
shopping for supplies             parenting classes
shopping for furniture            buying baby supplies
copies of keys                    checking smoke detectors
reports-weekly                    transfering bills




                                                  - 53 -
reports monthly               requests for program info
files-maintaining             reports, reports, reports
court contacts                pre-independent living prep
caseworker contacts           field conferences
CASA/GAL contacts             truck maintenance
landlord contact              dealing with relatives
in-service training           setting up files
making up life skills books   talking to ex-clients
training of foster parents    writing grants
weekly groups                 looking for funding
counseling                    shaking your head
employment search             looking for good materials
employer contacts             cleaning storage area
staff meetings                field reading
program planning              case discussions
office maintenance            general running around
training-out-of-office        intake interviews
clothing shopping             case close-outs
apartment clean ups


Record keeping


See ILP file audit form‖ in Lightworks for a listing of required records and documents

Risk-management

Liability issues always pop-up when agencies start considering using semi-supervised living
arrangements such as scattered-site apartments for independent living preparation.
The First Law of Youth Work often applies: ―Every helpful action is met with an immediate
inappropriate reaction.‖ I think most agency executives who have been involved in using
individual apartments would say that they have found this model to be no more or less risky than
any other child welfare living arrangements. From my experience, group homes and residential
treatment centers are where most of the property damage, assaults, thefts, and AWOLs occur. Be
that as it may, programs need to do whatever possible to keep from incurring liability and the
wrath of an angry landlord. Here are some basic things that need to be in place:

1. Effective Screening-Make sure you know as much as possible about a youth before placing
him or her in an apartment. At times, referring agencies will leave out (accidentally or not) key
details such sex offenses, previous property damages, fire setting behavior, boyfriends from
Hades etc. Some high-risk youth might either need increased supervision or need to prove
themselves in a more supervised setting before moving into their own place.

2. Documentation-Keeping track of all face-to-face, unannounced visits and phone contacts can
eliminate and charges of neglect.




                                               - 54 -
3. Clear Policies-Make sure you have in writing a detailed policy and rules manual, which
clearly lays out expectations. Also, make sure the youth signs a form stating that s/he has read
the policies, understands them and agrees to follow them. Discovering that a new female client
has set up a day care center for all of her new relatives in her new apartment might seem
outrageous to us. But this might be an expectation coming from her family.

4. Signed Agreements-court supported-This acknowledges that a living arrangement has been
approved by the court system.

5. Clear emergency procedures and 24/7/365 on call-ILPs using individual apartments need to
have people assigned (usually on a rotating basis) to be on-call for after hours emergencies. From
my experience, many of the calls received after hours can be dealt with over the phone. Many
youth will create a pseudo crisis during their first month in an apartment just to see if there really
is anyone out there.

6. Liability Insurance-Each agency has to decide the level of comfort with the level of risk they
are taking. Some programs insure each apartment. Others have been able to include any
apartment in their overall umbrella policy.

7. Back-up living arrangements-Having an out of control youth living in an apartment rented
from a landlord whom calls daily asking for the youth to be removed is one of the biggest
headaches of an ILP staffer. Having a shelter, respite foster home, spot in a group home, trailer
parked in your parking lot (I really want to do this!) or some other temporary placement can
immediately cool down a hot apartment and hopefully help the youth understand the limits of
what people will tolerate.

8. Quick confrontation of problems-If you think someone has moved in, hear about drug deals
going on or get calls about the ―pit bulls for sale‖ sign in your client’s window, deal with it
immediately. Waiting for problems like this to go away can lead to much bigger problems.

10. Mandatory counseling/AA if necessary-Youth with a previous history of suicide attempts.
Serious metal illness, chemical dependency etc. should contract to continue with therapy or
support groups as a condition of remaining in a less-supervised setting.

11. Contracts-Short term behavioral contracts can help a youth understand the consequences of
his/her current behavior, including discharge from the program or return to a more-supervised
setting.

12. Daily contact with high-risk youth-Programs should plan on some youth running into periods
of time when they need more attention. Youth who get depressed, sick, traumatized, injured or
lose someone important should have daily face-to-face or phone contacts, not necessarily with
the same ILP staff.

Hopefully, the Second Law of Youth Work will prevail: ―Most inappropriate reactions lead to
new wisdom and better behavior.‖




                                                - 55 -
Transition Planning Procedures and Practices

Clients usually stay in the ILP for a minimum of 6 months. Clients are informed that this
program represents the endpoint of services available to them as a youth in the child welfare
system. Throughout their stay in the program, clients are counseled on exactly what this means
in terms of financial support and plans are made for them to gradually take over their financial
responsibilities.

Regular meetings with ILP staff, county case-workers and six month reviews before a Juvenile
Court magistrate also focus on what needs to be done before the established termination date.
(See ―Transition Protocol‖ below)

Youth are encouraged to express their desired plans for termination, including where they would
like to live. If a youth does not make a decision, ILP staff will assure that he/she has some type
of affordable housing, including possibly subsidized living arrangements.

The program has built into it a savings program through which clients receive money at monthly
increments after they leave the system. Upon termination from the program, a client receives, if
available, any vital documents kept on file such as original copy of birth certificate, original
social security card, medical records, school records and other personal information.

While in the program clients are assisted in obtaining a State identification card, a medical card
and if appropriate, a driver's license. Each client receives a community resource booklet which
lists available services for health care, employment, education, recreation, counseling and
emergency services. Resumes and letters of reference and aftercare services are available on
request.

The program keeps in contact with ex-clients for 3-5 months after they leave the program.
Clients are able to come to the office unannounced during business hours for an indefinite period
after they leave the program. The program staff is willing to make referral for any services for
ex-clients if needed.

About a month prior to leaving the program, the client meets with the referring agency
caseworker and the ILP social worker to discuss specific details related to termination such as;
exact termination date, money saved, budget issues, choice of staying in current living
arrangement and other unfinished business. An official court hearing is held to determine a
termination date and to close the case. Clients can be given extensions if they do exceptional
well in the ILP or have special needs that requires additional support.

The County Transition Protocol

The plan below was created by a transition committee made up of county, private and ProKids
staff to give everyone involved with aging out youth a idea of what needed to be done to help
make the transition process work for youth.




                                               - 56 -
      The Hamilton County Children Services Transition Protocol

                  (For any Hamilton County Youth in custody 16 and over)

The youth’s treatment team will decide who will take responsibility for completing each of the
items below:


_____1. Youth has completed the independent living assessment with County Independent
        Living Coordinator.

_____ Results of assessment have been forwarded to the caseworker and current and future
      care-providers (e.g., ILP staff)

_____2. Youth receives the workbook ―Just Do This‖ at age 16 from JFS IL Coor.

_____ Youth has completed entire workbook and reviewed it with his care-providers

_____3. Youth is signed up for self-sufficiency training classes by caseworker.

_____ Youth completes all 13 classes

_____4. Youth’s care-providers have completed the “Moving Youth Toward Self-
        sufficiency” training.

_____5. Care-providers have received “50 Things you can do to help someone get
        ready for life on their own.”

_____6. Youth has spoken to caseworker, GAL, CASA and care-providers about
        transition options, including mental health services, if needed.

_____7. Youth’s transition/discharge plans, including living arrangement options at
       discharge, are discussed at every case-review meeting and court hearing, starting
       at age 16. TYP, EYP and MRDD involvement are considered.

_____8. A mental health diagnostic assessment is competed or updated every 12 months
        if appropriate.

_____9. Appropriate youth are informed of and referred to an independent living
        program after caseworker and UMUR staff approve.

_____10. Appropriate youth are informed of Educational Training Vouchers by
        caseworker and/or care-providers




                                             - 57 -
_____11. Youth has been informed of Aftercare program by caseworker and given
         information on how to access Aftercare services.

_____12. Appropriate youth are signed up for low-income housing by current care-
         provider.

_____13. Treatment team has completed ―Checklist for Emancipated Youth.‖




_________________________                      __________________________
Youth                                          Case-worker


_________________________                      __________________________
Care-provider                                  GAL/CASA




Discharge Process

The Independent Living Program will do everything possible to assist clients in the preparation
for self-sufficiency and responsible adult living in the community. The program will also do
everything to avoid terminating a client before the agreed upon time. If, however, the client is
at-risk to him/herself, at-risk to others in the community, involved in illegal or high-risk
activities or a liability to the program's reputation in the community, termination plans will need
to be made.

Hopefully, the referring agency and client will receive a 30-day notice before the client must
leave the apartment. If this is not possible, it is the responsibility of the referring agency to find
an alternative placement. We will assist the caseworker in every possible.

Alternative placement plans should be in place at the time of placement. These could include,
but are not limited to, the following options:

1.     Removal from the current apartment to another apartment provided by the program.

2.     If the client is under 18, temporary placement at the Lighthouse Youth Development
       Center or Lighthouse Youth Crisis Center may be a possibility.

3.     If the client is over 18, temporary placement at Lighthouse Youth Development Center
       may be a possibility.



                                                 - 58 -
4.     Temporary placement in a Lighthouse Foster Home.

5.     Return to previous placement.

6.     Anna Louise Inn (for female clients).

We will do everything possible to maintain the client in our program or other agency program.

We ask that the referring agency understand the risks, liabilities and logistical issues of the
Independent Living Program at all times. Any desired changes in the clients situation must be
communicated with appropriate notice.

Grounds for Early Termination

A Client may be terminated for the following reasons:

1.    Repeated failure to follow the program rules;
2.    Refusal to cooperate with program staff;
3.    Failure to progress or meet goals over a long period of time (e.g. lack of employment or
      an educational program for four weeks);
4.    Involvement in illegal activities (e.g. drugs, theft, assault, sexual imposition, alcohol,
      etc...);
5.    Destruction of property;
6.    Repeated failure to act maturely and responsibly and/or repeated use of poor judgement;
7.    Proving to be a risk to yourself, others, or to the Independent Living Program;
8.    Misuse of allowance or personal money;
9.    Refusing to take responsibility for your apartment and furnishings;
10.   Allowing runaway or other unauthorized people into your apartment;
11.   Unauthorized overnight visits;
12.   Allowing people in your apartment when you’re no there.
13.   Letting someone move in with you.
14.   Making threats of any nature to staff or clients.
15.   Eviction from your apartment by the landlord.


Notice of Cessation of Services

The youth referred to the Lighthouse ILP are usually given an approximate time frame in which
they will be in the program. This date of termination depends a lot on their progress in the
program and their level of need. Staff are trained to draw a client’s attention to the date of
termination and use that as a motivational factor. Services are often extended for youth who
have developmental disabilities or youth who are over 18 and getting close to reaching an
educational goal.

The final decision to terminate is reached with input from the youth, the county case worker, the




                                               - 59 -
ILP staff and the Juvenile court magistrate. Clients usually have a minimum of six months in the
program. If a client is to be discharged prior to the original plan, he/she is given a 30 day notice
and assistance finding place to stay. Youth who cannot come up with plans on their own for a
living arrangement are assisted with finding and moving in to low income housing.

Responsibility for Transition Process

The responsibility for the transition process is shared by the youth, the referring agency case-
worker and the assigned ILP social worker.

This process is set in motion by a request to place a youth in the ILP. After acceptance into the
ILP, the Individualized Service Plan is the tool which focuses all concerned parties’ efforts on
the transition process. The ILP social worker has weekly contact with each client and reports to
the program director on a regular basis on each client’s progress.

If the transition process is disrupted in any way, the ILP social worker initiates a meeting with
the youth, case-worker and other relevant parties to come up with a new plan of action. At this
time, a short-term contract is created in which the youth agrees to certain provisions in order to
remain in the ILP. After this point in time, it is the responsibility of the youth to follow the
contract and the ILP Social Worker to monitor the terms.

Once a youth turns 18, he or she can self-terminate from the program and the child welfare
system unless on probation or parole. Even if this happens, the ILP social worker will be open to
assisting the youth should problems arise.

The Hamilton County Children’s Services Department recently created a formal AfterCare
coordinator position. This person works closely with ILP staff to help former clients who return
in need of help.

Transfer of Client Documentation

Upon discharge, an ILP client can request personal documentation and needed records from their
file. All clients should leave with at least an original or certified copy of their birth certificates,
their social security cards, medical and school records. Other records such as a social history are
available upon request.



Aftercare Services

All ILP clients are encouraged to keep in contact with ILP staff after they are discharged from
care. Former clients might need assistance with obtaining documentation, communicating with
community resources, understanding a problem, legal advice, personal advice etc. Usually the
former client will want to speak to that ILP staff person with whom he or she felt most connected
to. ILP staff have an ―open door‖ policy toward former clients and will do what is possible to
help clients solve the problems they present.




                                                - 60 -
The Hamilton County Children’s Services Department recently created a formal Aftercare
coordinator position. This person works closely with ILP staff to help former clients who return
in need of help.

Readmission of Discharged Youth

Youth who have left the program due to running away, placement back to a more restricted
living arrangement or violation of program rules or community laws, may be readmitted
to the ILP. A new referral will need to be made by the youth’s caseworker and the youth will
have to be interviewed again by ILP staff. At the interview the youth will need to prove that
his/her behavior has changed and details signs of improved responsibility. A youth given a
second chance might be placed in a shared-home or other setting with increased supervision until
staff notice positive behavioral changes.


Advocacy Services

The Lighthouse ILP is involved in multi-level advocacy efforts. At the client level, ILP staff
assume a parental role in dealing with schools and other community resources. ILP staff
advocate for clients at court hearings, when looking for housing, when seeking medical and
dental services, getting into college, dealing with landlord/tenant problems, etc.

At the systems level, ILP staff have taken the leadership locally in constantly educating the
system about the needs for IL services. This is done in the following ways:

-An annual conference on independent living and self-sufficiency for over 125 youth and care-
providers.

-A year round self-sufficiency training program for all youth in out-of-home care in county
custody which trains between 50-75 youth annually.

-Meetings with county case-workers, placement supervisors and juvenile court personnel.
-the distribution of workbooks to youth and care providers.

-Regular involvement with Guardians ad litem

-Representation in court hearings

ILP staff advocate statewide and nationally through:

-Membership and involvement in the National Independent living Association

-Membership and involvement in the Ohio Independent Living Association.

-Presentations at state and national IL conferences




                                               - 61 -
-Articles published about the program

-Articles written by the program and published nationally

-Letters to local leaders, congressmen and senators

-Regular tours and visits by professionals from around the country


Supervisory Workload

The ILP maintains a maximum ratio of one supervisor to five professionally trained workers and
2-4 support staff.

Caseload Size

The ILP sets a limit of no more than 12 cases for each Social Worker with additional support
staff assisting the social workers in daily activities. Caseload size depends on case complexity,
location of client and other issues.


Description of required staff and staff competencies (See ILP Job Descriptions Section)

General Staff Roles:

-Program Director: oversees all program activities, budget and records, supervises all staff,
interfaces with management and administration as well as public.

-Assistant Program Director: oversees activities of social workers and specialists, assists program
director with new client interviews, record keeping, public relations, trouble shooting and other
program functions.

-Social Workers: oversee client well-being and clients records, responsible for all client-related
documentation and case-planning and management--interface with referring agency caseworkers
and court system.

-Independent Living Specialist: assists with case-management, client moving activities, client
monitoring and documentation

-Resident Managers: responsible for well-being of buildings, share client monitoring
responsibilities with social workers

-Office manager: Assists program director with record keeping, assist social workers with file
and documentation management, coordinate communication between all clients and care-
providers.




                                               - 62 -
-Mover: Oversees the moving of all supplies and furnishings, oversees apartment cleanings and
set-ups.

-Life Coaches: Provide individualized services to special needs clients


Staff Job Descriptions: available in Lighthworks
Program Director
Social Worker
Clinical Supervisor
Independent Living Specialist
Resident Manager
Office manager
Life Coaches

Credentials of Current Staff (see program director)



ILP Organizational Chart


                                 Current ILP Staff Chart

                              Program Director
                                       ^
                Asst. Program Director + Clinical Supervisor
                                       ^
                      Office Manager/Admin. Assistant
                                       ^
                         SW1 SW2 SW3 SW4 CM1
                                       ^
                Client Support Coordinator IL Specialists
                                       ^
                               Full-time mover
                                       ^
                     Student1            Student 2
                                       ^
                   Resident Manager Boys Shared Homes



                                              - 63 -
                                    ^
                    Resident Manager Girls Shared Home
                                    ^
                   Resident Manager Eastlawn Apartments
                                    ^
                 Life Coach 1  Life Coach 2     Life Coach 3


                 With support from Admin., Acct., HR, IT, CQI



Staff Orientation: See the staff orientation form on Lighthworks.


Staff Training Requirements & Meetings

Staff are required to obtain 25 hours of certified training every calendar year. The Program
Director will post training opportunities on the staff board as they are announced. We try to take
advantage of free or low cost trainings as much as possible. Staff are responsible for completing
training requirements and should try to spread training days throughout the year in order to avoid
last minute needs to obtain hours.

Clear any training with the Program Director with at least a weeks notice. The program director
will try to make sure that your clients are covered when you are at a training.
Please bring any handouts to the Program Director after any training. We have a resource file
that contains copies of relevant trainings and can be useful to all staff.

Staff Meetings

The ILP attempts to have a staff meeting on Tuesday's at 12:00 noon. All staff are required to
attend unless excused in advance.

ILP Staff meeting agenda outline

Staff present:
Agency/program information:
On call:
Positives/Red Flag clients:
EYP/TYP issues:
Incident reports due:
Open apartments:
Discharges:




                                              - 64 -
New Clients:
Moves this week:
Upcoming trainings:
CQI issues:
DAFS outstanding:
Medicaid Billing issues:
Vacations:
Significant events of the upcoming week:
Shared home issues:
Loose ends:



Staff Expectations and Ethical Considerations

See LYS Program Manual in Lightworks


Teamwork: How We Can Help Each Other

1. Take full responsibility for your assigned tasks.
2. Let program director know when you need assistance.
3. Make sure you know the details about your client's progress.
4. If you get caught up, offer to help the program director or other staff, you'll get the same back
at some point.
5. Write down any information that you need to share with another staff member--don't rely on
your memory.
6. Continuously think of ways to improve the program, control costs, save money, help clients,
organize the office, find new training materials, get more referrals, get more donations, celebrate
our successes etc.


Working with Youth with Special Needs in Independent Living Programs

No program model works for everyone. One of the trends in IL is to design programs around the
needs of individual youth, not creating a "one size fits all" program. In the child welfare the
exception is often the rule and programs must be flexible enough to work with a wide range of
clients with complex and sometimes multiple problems. The following section is a brief outline
of special client populations that require extra attention and services. If you ask around, you will
find at least one program that has experience with all of these special needs youth.

Teen moms: Teen moms can do well in less-restrictive living arrangements. Often, the birth of
a child helps the mom focus more on adult priorities and less on adolescent experimentation.
Usually, the mother will have to show evidence of being able to provide for her child without
constant supervision. Teen moms should be required to attend parenting classes, sometimes in-
home, and should be held to high cleanliness standards. Some programs receive a higher per
diem and increase face-to-face contact with the mom.



                                               - 65 -
Chemically Dependent Youth: Sometimes an ILP is the first care-provider to correctly
diagnose a youth as being chemically dependent. Most established ILPs consider CD youth a
high-risk to fail a program. Most, if not all, CD youth relapse during the year following
treatment. The opportunity for obtaining drugs and alcohol is high in even the best homes,
schools and neighborhoods. Youth in scattered-site apartments will have daily opportunities to
use drugs/alcohol without adults around. Some programs have youth sign contracts that spell out
behavioral expectations (e.g., daily AA meetings, regular drugs screens) and consequences of not
following the contract (e.g., move to a more restrictive setting, tightened curfew). It is wise to
have back up plans for these youth in place from the start as the odds are high that problems will
arise.

Youth with Developmental Disabilities: There is a significant portion of youth in ILPs with
undiagnosed developmental disabilities. These youth can be served in all of the models
described above but will need extra attention and services from staff. The first step is to utilize a
screening tool to flag any possible disabilities and then to have a thorough assessment
completed. Once the problem(s) is clarified, specialized services can help the youth

Youth with Long-term Medical Problems: Youth with a wide range of medical problems can
do well in any IL living arrangement. Youth with diabetes, cycle cell anemia, seizure disorders,
AIDS, severe asthma and other long-term problems will be referred to ILPs. The choice of
living arrangement option depends on their ability to self-manage the problem. Some programs
start these clients in supervised settings until they can prove to be capable in monitoring
medication supply and usage and keeping doctors appointments.

Youth with Mental Health Issues: Studies have found a high percentage of foster youth to have
a diagnosable mental health disorder. Many of these youth can be served in any of the models
described earlier. An ILP needs to assess the severity of the problem, the frequency and nature
of symptoms and level of support needed by the youth before any placement choice is made.
Youth on medication are almost always placed in supervised settings but can live alone if
responsible. Consultation with mental health professionals and/or psychiatrists is essential.

* Helpful book: I Hate You, Don’t Leave Me: Understanding the Borderline Personality
Jerold J. Kreisman & Hal Straus


Youth with Physical Disabilities: There are often specialized programs for youth with physical
disabilities outside of the child welfare system with different sources of funding and living
arrangements. ILPs who are able to assist youth with less-severe disabilities must utilize living
arrangements that take into consideration safety, ease of access and level of needed supervision
issues.

Sex Offenders: Juvenile sex offenders eventually move back to their communities, with or
without supervision. Many of these youth are repeating abusive behaviors perpetrated upon
them, and with treatment, no longer offend. Often the offending happened only within the
family and never involved anyone outside of the family. ILPs may be asked to consider




                                               - 66 -
accepting a sex offender who cannot return home due to the victim's presence. Programs who
accept these clients utilize electronic monitoring, enforced curfews, daily visits, mandatory sex-
offender individual/group therapy and weekly meetings with probation or parole officers.
Clients who show signs of re-offending or contract non-compliance are quickly moved to more
restrictive settings or re-incarcerated.

Youth with Criminal Histories: These youth are often among the most difficult clients. Youth
with deep-rooted character disorders make it difficult to establish the trust needed for an ILP to
place them in a less-restrictive setting. At the same time, keeping these clients in supervised
groups settings can create problems for other clients and general order keeping. A referring
agency might downplay such a youth's negative behaviors to get him/her out of an institution. A
youth's exemplary institutional behavior might not last a day when out on his own.

ILP staff must learn to recognize signs that a client might be up to criminal activities such as
drug dealing or harboring stolen goods. A combination of electronic monitoring, frequent
random visits, regular meetings with POs, drug screens and strict expectations needs to be in
place in order for this group to be in an unsupervised setting. Often the alternative is for the
youth to be released without any supervision or monitoring at all.

Hygienically Impaired Clients: Not to be facetious, there are certain clients whose main issue
in an ILP is poor hygiene. Youth growing up with neglectful parent or in extreme poverty might
have low expectations for personal hygiene and apartment cleanliness. ILPs renting from private
landlords will have to address this situation or risk losing a landlord willing to rent to future
teens. These youth might need to be shown in detail, how to thoroughly clean an apartment with
frequent visits made to confront any letdown. Some programs give a youth a deadline in which
to have cleaned his/her site after which part of their allowance or savings is given to someone
else to clean it for the client. Most messy clients hate the idea of a stranger sifting through their
stuff.

Youth Involved in Gangs: Youth without stable families are vulnerable to becoming involved
in a gang. Gang leaders target such youth, as they are in need of a sense of belonging and
perceived protection. Some youth come to ILPs wanting to get away from a gang or want to
move to another area where gangs are not an issue. Some youth fit the "wannabe" profile and, in
spite of what they say or show you, are not really involved in gangs. Others are certified
members and will need to be told of the programs position on gang involvement. Some
programs have visitor limitations that set curfews on visitors and limit the number allowed to
visit.


Developmentally-Based Service Provision

ILP staff develop an individualized service plan which takes into account the youth’s
developmental readiness. Supervisory visits are often increased if a youth is developmentally
delayed and in need of more contact and daily processing of life events. Youth with significant
developmental delays are often assigned ―Life Coaches,‖ i.e., a person who meets daily with
them to do life skills training and process the day’s events.




                                               - 67 -
ILP advocate for extended stays for all youth with developmental disabilities.
This is done by setting up meetings with all concerned parties and building a case to present to
the juvenile court asking for more time and services.

Specific ILP staff are assigned to work with special needs youth. At times, special testing takes
place to determine the presence of developmental disabilities or learning disabilities. ILP staff
act in a parental role in the school system ,attending IEP meetings and maintaining regular
contact with teachers and counselors.

The program has a part-time tutor who works one-on-one with youth who need individual
attention in academic areas.

Throughout the client's stay in the ILP, all attempts are made to increase responsible behavior
through processing real-life experiences as well as ongoing counseling and training. Staff
members are trained to help clients assume responsibilities for their actions and see the
connection between their actions and the resulting outcomes.

The LIFE SKILLS TRAINING PROGRAM covers general life issues such
as birth control, chemical dependency, stress management, problem solving, mental health and
so on. But the real learning takes place in an ongoing processing of life events as they are
actually happening.

Ongoing, informal counseling focuses on issues related to adolescence as well as independent
living. This counseling deals with issues raised by the client or obvious areas of client weakness.
Topics include:-healthy self-esteem, healthy relationships, sexual responsibility, emotional
awareness and control, decision making, cultural awareness, managing anger and other emotions,
stress management, communication skills and focusing on the future.

Social, Religious and Cultural Impact of needs of Special Populations in Program Design

Clients referred to the Lighthouse ILP usually have a choice in the location and neighborhood of
their living arrangement. The program is flexible in all aspects of its services and can adjust
interventions and activities to fit the developmental, cultural, cognitive and religious needs of its
clients.
If necessary, the program will connect special clients with individual ―life coaches‖ who will
attempt to connect assigned clients to specific cultural or religious supports.

ILP staff work with caseworkers, teachers, relatives and other people involved with a youth to
connect the youth with recreational and social opportunities near the youth's residence. Youth are
given information about activities that are relevant to their cultural background as they occur
around the city. Youth are invited to program and agency functions like picnics, Christmas
parties, Kwanza, graduation parties etc. The program will cover expenses to such activities as
proms, school trips or other social events to which a youth is invited.




                                                - 68 -
Sources of funding

The ILP is funded by purchase of service contract with referring agencies. Private donations,
training grants and other sources of income help support the program.

=========================================================

TYP

The Transitional Youth Program (TYP) is a collaborative program of the Hamilton County
Mental Health Board, Greater Cincinnati Behavioral Health Services (GCBH) and Lighthouse
that provides services for youth ages 16-21 with serious mental health issues. The program is
designed to build a bridge between the adolescent and adult mental health system by creating a
treatment team made up of members of both systems. Youth can be accepted into the program
prior to their 18th birthdays and are given an adult Mental Health system case-manager from
(GCBH) who will stay with them after they either leave home or are discharged from the child
welfare system. The program works with an average daily population of 40-50 youth, with 20-30
of them receiving housing through Lighthouse. Youth can be living at home or in placement
when referred to the program. The adult MH caseworker stays with the youth regardless of
placement.


EYP

The Emancipated Youth Program (EYP) A collaborative program of Hamilton County
Children’s Services and Lighthouse that provides services for youth 18 and over who need
assistance after being discharged from county custody. It is the first time in county history where
formal aftercare services have been created. Youth who have left custody and run into problems
with housing, jobs or other issues can receive assistance for up to 6 months. The program is
designed to replicate what normal families do for their youth who often return at some point
needing financial or emotional support. Youth can receive rental assistance, case-management
and other services as needed. Youth must agree to follow a specific plan in order to remain in
this voluntary service.


TLP

Shelter-Plus care



ILP Field Acronyms
IL Field Acronyms

BCJFS          Butler County Jobs and Family Services



                                               - 69 -
CASA       Court Appointed Special Advocate

CCFS       Career Connections for Students

CCJFS      Clermont County Jobs and Family Services

CCJC       Clermont County Juvenile Court

CWLA       Child Welfare League of America

DAF        Diagnostic Assessment Form

DYS        Department of Youth Services

ES         Early Start

HCJC       Hamilton County Juvenile Court

HCJFS      Hamilton County Jobs and Family Services

GAF        Global Assessment of Functioning

GAL        Guardian Ad Litem

IEP        Individualized Education Plan

ILP        Independent Living Program

ISP        Individualized Service Plan

LRC        Lighthouse Residential Center

LCS        Lighthouse Community School

NB         New Beginnings

NILA       National Independent Living Association

OHILA      Ohio Independent Living Association

OHIOPIRC   Ohio Parent Information and Referral Center

PCYC       Paint Creek Youth Center

S+C        Shelter Plus Care




                                           - 70 -
TFC            Therapeutic Foster Care

TLP            Transitional Living Program

TLP-SS         Transitional Living-Scattered Sites

YCC            Youth Crisis Center

YDC            Youth Development Center

============================================




                                  CLIENT POLICY MANUAL


CLIENT_________________________________________

DATE OF ARRIVAL________________________________

AGENCY_________________________________________

CASEWORKER_____________________________________

AGENCY_________________________________________

ILP Social /worker__________________________________________

                                                                                        Revised 9/2003
                                          WELCOME....


To the Independent Living Program of Lighthouse Youth Services!!

As a client in the program, you will have the opportunity to learn how to live on your own while
receiving financial assistance and support from trained and caring professionals.

Your stay in the program will be both exciting and difficult as you meet the many challenges before
you.

Hopefully you will enter the program with a full understanding of what we can offer you and take
full advantage of the program's opportunities. Also, we hope you fully understand what is expected
of you in terms of daily responsibilities. Living independently is not easy for anyone, least of all a



                                                - 71 -
young person doing it for the first time. We do not expect you to know everything but we do expect
you to ask us for help when you are unable to solve a particular problem.

Our staff will treat you with respect, challenge you to do your best in all areas of you life, and be
available to help you when you need them. In return, we expect full cooperation and respect from
you at all times.

Enjoy your stay in the program but always see it as a time to prepare for the near future when you
are truly out on your own.



                           GENERAL EXPECTATIONS OF CLIENTS
       In order to make things work best for both you and our staff, we ask that each client
       follow the guidelines below:
1.     Inform your caseworker or the director immediately of any
       emergencies including medical problems, legal problems, damage to your apartment, school
       suspensions, trouble at work, and trouble in the neighborhood. If you are in any type of
       trouble do not hesitate to call. Do not attempt to cover up any wrongdoing. We are here to
       help you.

2.     Learn the program rules and policies and follow them. You should not need "warnings" at
       this stage. One in particular is that absolutely, no pets are allowed.

3.     Never leave your phone off the hook. We will be making routine calls to make sure you are
       doing well. When you leave your apartment, make sure your answering machine is turned
       on. Remember to delete messages periodically so new ones can be recorded.

4.     Call us whenever you are:
       a.      Not going to school or work; (By 9:00 am)
       b.      Not able to make it to group; (By noon)
       c.      Not able to keep an appointment; (as early as possible)
       d.      Going to be late for an appointment with Independent Living Program staff; (as
               early as possible)
       e.      Not going to be at your apartment by curfew. (leave a message with the on-call
               person)

5.     Always think of your personal safety. Never put yourself in a position that could be
       dangerous. Learn and follow the program guidelines for personal safety.

6.     Remember that you are a representative of our program. Whatever you do will be a
       reflection of the entire Independent Living Program. Our staff is proud of the program and
       wants you to be also.

7.     We want to hear from you daily during the first two weeks. Call during your lunch
       break from school to let us know how things are going.




                                               - 72 -
8.     Please be aware that our staff have many responsibilities and their time is valuable and often
       pre-scheduled. If you arrange a meeting time with your social worker or director, be sure
       that you are on time. If you're going to be late, call. Don't expect your social worker to
       always be available the moment that you call them. They will be acting according to the
       order of importance of each task.

9.     Always show respect for the landlord, resident manager in your apartment and the
       other tenants. Learn to become more aware of how your actions affect others.

                                 PRODUCTIVE OCCUPATION

         As a member of the Independent Living Program, you must be involved in productive
activities such as a school program, gainful employment, or a volunteer job. Unless you are already
employed on a full time basis, you are required to search daily for employment. The intensity of the
search depends upon your other commitments. If you have no other commitments, you are required
to contact four prospective employers each weekday. If applicable, you may also be required to
make applications to Citizens Committee on Youth (CCY); Voluntary Action Center;
Unemployment Office; B.V.R.; and other related services. A list of employer contacts must be
submitted to your Independent Living social worker each week.

       When you secure a volunteer position or employment, your success is measured by the
following:

       1.      Attendance record
       2.      Arriving on time daily
       3.      Proper dress
       4.      Fulfillment of duties
       5.      Employer-Employee relations


                                  EDUCATIONAL PROGRAM


        You are required to become involved in an educational program, according to your needs
unless you have already completed your GED or high school diploma.

       Your long range goals should be explored as well as short term needs. Clients who qualify
may enroll in regular classes. More appropriate alternative classes might also be considered such as
Adult Basic Education, CCY, evening classes or job training programs. Occasionally a client's
needs are best met by focusing on a reading program or special tutoring.

       You and your worker together should select the most appropriate education plan. Once a
program is selected, you are required to meet the program's requirements. Success should be
measured by:




                                               - 73 -
       1.      Attendance record
       2.      Tardiness record
       3.      Attitude and conduct
       4.      Progress towards goals

       The program social worker will monitor your success in this area.

                        GROCERY SHOPPING/MEAL PREPARATION

        Hopefully you already have a good idea of what foods to eat to stay healthy, but if not, the
program staff will help you learn. Judging from what we see you buy, what foods you keep on hand
at your apartment, and how you look physically, we will determine how much help you need or
don't need in this matter. We may require you to fill out menu plans from time to time to give us an
idea about what you need to learn concerning nutrition and eating habits.

                               PERSONAL HYGIENE/LAUNDRY

        You are expected to take full responsibility for your personal hygiene and laundry. If you
do not know how to use the nearest laundry facilities, don't hesitate to ask us for help.

       Upon entry into the program, you will receive a basic orientation from your social worker
concerning standards of personal hygiene and care of clothing. We expect you to clean things up if
we ask!

        Continuous failure to follow program expectations in this area could result in disciplinary
action or termination from the program.
                                         ALLOWANCE

        You will be given a $45.00 per week allowance. A deduction from your weekly allowance
can be made as a disciplinary measure if you fail to act responsibly or fail to follow the program
rules and policies.

         The deductions will be made in increments of $5.00 and will not exceed $10.00. Food
certificates may also replace your $45.00 check as a means of disciplinary measure. If you fail to
respond to these types of disciplinary measures, you will risk termination from the program.


                                     MEDICAL PROBLEMS

        Upon entry into the program, you should establish with your social worker the resources you
will use for any type of medical problem, emergencies as well as routine medical check ups.

       You should have a complete physical within 30 days of entering the program if you have not
had one in the last six months.




                                               - 74 -
        If you are unsure of what resources to use, your social worker will help you make a
decision.

        If you are able to schedule your own medical appointments, you should do so. If you need
assistance, your social worker should be contacted. Staff should also be notified of any medical
appointments.

        In case of an emergency, you should notify the Independent Living Program staff as soon as
possible. You will be given specific instructions on how to deal with medical emergencies during
your orientation.
                                        EMERGENCIES

        An emergency is anything that you feel needs immediate attention or assistance from
outside sources such as the police, life squad, or Independent Living Program staff.

       You will receive the phone numbers of the Police Department Emergency Line (911), the
Fire Department (911), the Life Squad (911), and the Independent Living Program office (221-
3350)or voicemail (475-5680 and extension) to post near your phone.

       In the case of a medical emergency, you should contact the proper medical help first and
then contact staff as soon as possible afterwards. The same applies in the case of a fire or police
emergency.

         In case of other emergencies (i.e. plumbing, heating, etc...) involving the apartment building
itself, you would need to contact the landlord immediately and then notify a staff member.

        There is a Staff member on-call via pager after hours. In case of an emergency, you can
reach staff simply by calling the office at 475-5680 until the system answers. Listen to the options
and press the correct number for the Independent Living Program. Leave your name and telephone
number and speak clearly and slowly. After calling the service, leave your phone line open so we
can respond.


                                              VISITORS
       All clients are required to follow the rules on visitors written below:

1.     You may not have overnight visitors without special permission from your social worker or
       the director.

2.     You may have up to two visitors in your apartment at a time unless special permission has
       been given by the director or your social worker. This privilege will be taken away if
       visitors become a problem.

3.     You are responsible for the behavior of your visitors. If they fail to behave properly, tell
       them to leave. You will be held responsible for any problems they create or any damage to
       the building they cause.




                                                - 75 -
4.     Visitors possessing drugs or alcohol are not allowed in your apartment. Visitors under the
       influence of drugs or alcohol are not allowed in your apartment. It is your responsibility to
       ask them to leave.

5.     Visitors possessing weapons of any sort are not allowed in your apartment.

6.     Any problems concerning a visitor in your apartment should be reported immediately to
       your social worker.

7.     All visitors must be out of your apartment by curfew (11:00 pm weekdays; 1:00 am on
       weekends).

8.     Allowing runaways from other programs in your apartment at any time can result in
       immediate termination from the program.

9.     No one under 18 is allowed in your apartment without staff knowledge and permission from
       their parent or guardian.

10. No on should be in your apartment when you are not there.

                                          TERMINATION

        You can be terminated from the program at any time for failure to meet program
requirements. Normally the termination date is established at the time of intake or soon after. You
can then work towards your termination date and gradually assume all of the responsibility for
yourself before your termination. You, the referring agency, and the Independent Living Program
staff may agree to change the termination date at any time. This action can be initiated by any of
the three parties but the process should include input from all involved.

                            GROUNDS FOR EARLY TERMINATION

       You may be terminated for the following reasons:

1.     Repeated failure to follow the program rules;
2.     Refusal to cooperate with program staff;
3.     Failure to progress or meet goals over a long period of time (e.g. lack of employment or an
       educational program for four weeks);
4.     Involvement in illegal activities (e.g. drugs, theft, assault, sexual imposition, alcohol, etc...);
5.     Destruction of property;
6.     Repeated failure to act maturely and responsibly and/or repeated use of poor judgement;
7.     Proving to be a risk to yourself, others, or to the Independent Living Program;
8.     Misuse of allowance or personal money;
9.     Refusing to take responsibility for your apartment and furnishings;
10.    Allowing runaway or other unauthorized people into your apartment;
11.    Unauthorized overnight visits;




                                                 - 76 -
12.    Allowing people in your apartment when your are not there.
13. Letting someone move in with you.
14. Making threats of any nature to staff or clients.
15. Eviction from your apartment.

                                DECORATING APARTMENTS


       Upon entry into the program, we will provide you with all necessary furnishings to live
comfortably. We encourage you to design your living space to your liking. However, in
consideration of the landlord and the property, we ask you to follow these guidelines:

1.     Let your social worker know of any major redecorating or major purchases (e.g. furniture,
       stereos, etc...) before you buy them.

2.     Respect the landlord's property by:

       a.      Not scratching the wood floors and linoleum, and not tearing the carpet;
       b.      Not putting unnecessary holes in the walls or ceilings;
       c.      Not being rough on cabinets, fixtures, appliances, windows, etc...

3.     Never paint anything without first contacting your social worker and landlord.

4.     Ask for help when installing curtains or moving large pieces of furniture.


                   HAVING OR USING CARS WHILE IN THE PROGRAM


        Clients in the Independent Living Program may have their own cars only if they have a valid
driver's license, sufficient insurance, and a viable means of support for payments and maintenance.
The Independent Living Program office needs to have a copy of the client's driver's license and
insurance policy number before permission for a client to drive his/her own car or someone else's
car will be given.

       Driving any car while uninsured or unlicensed can lead to immediate termination from the
program.

        You must be 18 and have the written permission of your referring agency before buying or
driving a car.

                                      USE OF UTILITIES




                                               - 77 -
         All Independent Living Program apartments will have well functioning water, electrical, and
heating systems. The use of these utilities can be expensive under normal conditions. Misuse can
result in an unnecessary large expense for you and the program.

       We ask you to follow these guidelines:

1.     Always make sure that all water faucets, appliances, and the stove are turned off when you
       leave the apartment.

2.     Report problems with heating, air conditioning, plumbing, electricity, etc... to your social
       worker and landlord immediately.

3.     Learn how to prevent clogged drains and toilets and what to do to unclog them.

4.     If you smell gas, call your landlord or Cincinnati Gas and Electric (421-9500) immediately.

5.     Keep your thermostat at around 68-72. Do not move it more than four degrees at a time in
       either direction. Any additional amount over the allotted $40 a month will be deducted from
       your savings.

6.     Learn how to use your stove. Your social worker will teach you how to light the oven, etc...
       at orientation.

7.     If heat is insufficient, contact your landlord and social worker; NEVER USE YOUR OVEN
       FOR HEATING PURPOSES.


                                         USE OF PHONE

         The Independent Living Program will provide you with a phone upon entering the program.
It is your responsibility to use it correctly.

1.     Never unplug or leave your phone off the hook. We will be making regular phone contact.
       Answering machines should be left on at all times.

2.     Remember that the phone can be broken by misuse. Ask your social worker how much you
       will have to pay to replace it.

3.     You will not be able to make long distance or operated assisted calls on your phone.

4.     You will pay for any extra or unusual charges.

5.     Please turn in your phone bills immediately to your social worker if they come to your
       address.

6.     Do not accept collect calls. Arrange to call back with the operator.




                                                - 78 -
7. At some point in your stay in the program you will be expected to begin taking over payments
for your telephone.
                                           BUDGET

        You must submit a budget every month to the Independent Living Program social worker
until a responsible use of money has been demonstrated. The budget should list expenditures for
food, transportation, and any other foreseeable expenses. If you are employed, you must include
money earned in the weekly budget. A large portion of earned income should be placed in a
savings account.

                                    USE OF FURNISHINGS

 Giving away or selling furnishings or supplies is strictly forbidden. You are expected to maintain
your furniture in good condition. Any unusual damage to program supplied furnishings can result
in a financial deduction from your savings.

                                 APARTMENT CLEANLINESS

       You are responsible for the order and cleanliness of your apartment. Upon entry into the
program, you will receive an orientation from your social worker concerning standards and
expectations for apartment cleanliness. A detailed "apartment cleanliness checklist" will be given to
you.

        You are obligated to follow the feedback and suggestions of the visiting social worker or
director regarding the conditions of your living environment.

        Continuous failure to maintain a reasonably clean and orderly apartment may lead to
disciplinary action and/or termination from the program. Additionally, we will send someone to
clean the apartment and pay them from your savings.


                      APARTMENT UPKEEP AND RESPONSIBILITIES

        You are responsible for the condition of your apartment and good relations with your
landlord and neighbors. The apartment should be kept in a clean and orderly condition at all times.
Food should be stored in proper containers and garbage removed regularly. Any problems in the
apartment such as plumbing problems, leaks, damages, pest problems, etc... must be reported
immediately to the apartment manager and the Independent Living Program worker. The apartment
will be inspected by the Independent Living Program staff at least once each week. The staff will
have a copy of all keys to each apartment and will make occasional un-announced visits.

       You must conform to the rules of the rental agreement. Any problems with neighbors or the
apartment manager should be reported immediately to the Independent Living Program worker.




                                               - 79 -
        You may keep your apartment when terminated from the program in a positive manner and
the landlord agrees to let you stay. Any remaining lease or agreements concerning the apartment
must be transferred to your name. You must be able to afford the apartment and the deposit will be
turned over to you.

                                DESTRUCTION OF PROPERTY

        You will be held accountable for your apartment and furnishings. Any damage done to your
apartment, appliances, or furnishings will result in either payment for the damages, charges signed
and/or termination from the program.

                                  DISCIPLINARY MEASURES

       Failure to meet your goals or to follow the program rules will result in disciplinary action.
The usual action taken for minor infractions is the loss of the allowance bonus. For more serious or
chronic problems, an additional fine against your allowance will occur. Other actions may include
imposing curfews, visitor restrictions, daily office visits, more frequent meetings with the
Independent Living Program staff, or work details. The ultimate action is termination from the
program. In cases of unsuccessful termination, the referring agency must be notified or conferred
with before action is taken.

      In cases where you are not acting responsibly, removal from your apartment to a temporary
placement such as a foster home or emergency shelter may also be considered.

                                        APPOINTMENTS

        Living independently means that you will need to make and keep numerous medical, dental,
job related, counseling, and other appointments on your own. Occasionally you may need the
assistance of your social worker to set up an appointment or provide transportation.

        It is extremely important to remember appointments and be at them on time. To miss an
appointment or arrive late shows a lack of respect for the other person. Find one special place to
write down any and all appointments.

       If you are going to be late for an appointment, call whomever is expecting you and inform
him/her. If you are going to miss an appointment, give as much notice as possible.

       Think ahead about how long it will take you to arrive at the place and make the necessary
arrangements.

                             LENDING OR BORROWING MONEY

        It is against Independent Living Program rules to lend money, borrow money, take out
loans, put something on layaway, or buy something on time without permission from the Program
Director. THIS INCLUDES NO ―RENT TO OWN‖.




                                               - 80 -
Cooperation with independent living specialist

        You are expected to cooperate fully with your assigned social worker and/or ILP
SPECIALIST at all times. You are expected to keep all appointments unless an emergency arises;
you are expected to notify the advocate or social worker if you will be late for an appointment. You
can receive disciplinary action for failing to cooperate with your advocate.

                                 NEW MEDICAL COVERAGE

        You are required to report immediately to your social worker any change in your medical or
health status such as becoming pregnant or contracting a communicable disease. If you stop
receiving your medical card, let us know immediately.

                                          CHILD CARE

Under no circumstances may a client in the Independent Living Program provide child care for a
child or children in the agency provided apartment. If you are offered child care jobs at other
people's places of residence, you must first clear this with your program social worker.

                           DAILY PHONE CONTACT WITH STAFF

Upon entering the Independent Living Program it will be your responsibility to contact the program
staff every day during the week. There is usually someone in the office from 9am-5pm. If not,
leave a message on their voice mail or contact office manager. We want to make sure that you get
off to a good start in the program and understand what you should be doing to set up and maintain
productive activities.

This requirement will be discontinued after you have proven your ability to handle the
responsibilities of the program.

                                UNAUTHORIZED PURCHASES

As a client in the Lighthouse Youth Services Independent Living Program, one of your goals is to
save money for living expenses not only for now but for the future. Those who are able to think
ahead know that you can never have enough money saved. There are emergencies, big and small
expenses and monthly bills that you will have to take over when you leave the program.

We ask you to follow the rules below concerning spending money:
1. Approve any purchase over $25.00 with the Program Director.
2. No one is allowed to have cable TV, credit cards, loans, layaway items, etc. without permission
from the director.
3. You cannot use your I.L. savings money to pay back money borrowed from a friend.

                                LOSS OF ALLOWANCE CHECK




                                               - 81 -
If, by chance, you lose, misplace or have stolen, money received for your weekly allowance, you
will not receive another check or allowance payment. We will provide food at the office for you
until you earn your own money or are eligible for another allowance check.


                               SELF OR EARLY TERMINATION

If you leave the program unplanned or are terminated before the planned date, you forfeit the right
to keep your apartment, your furnishings and any supplies given to you by the program.

You must give the program a 30 day notice if you plan on leaving ahead of schedule or you will be
responsible to cover the rent for the days remaining in the month.

                           MOVING INTO ANOTHER APARTMENT

If you decide to move into another apartment upon leaving the program, the program might be able
to help you do so. But it will be your responsibility to pay for the expenses of the move, such as gas
for the truck and any additional hired help.

                                  CLIENTS WITH CHILDREN

If you have a child in your custody you will have certain specific additional requirements to follow
that will be reviewed with you by your program Social Worker.

                                    LIFE SKILLS TRAINING

Upon entering the program, you will be expected to complete a Life Skills Training Program of 24
projects or ten Life Skills Training classes. The 24 projects can be done at your living arrangement.
The 10 classes will be held at the ILP office on Wednesdays from 3:00 pm until 5:00 pm. After
completing the classes or projects, you will have the opportunity to receive your choice of either a
VCR, microwave, small TV, vacuum cleaner or $100 check.

                                        USE OF STEREOS

You are allowed to have stereo equipment, televisions or cassette players in your apartments.
However, they must not be on after 10pm or before 7am. If we receive complaints from the
landlord about noise from your apartment, you will expected to respond or you may lose the
privilege of keeping your equipment in the program rented apartment.


I HAVE READ THE ABOVE POLICIES OF THE LIGHTHOUSE YOUTH SERVICES
INDEPENDENT LIVING PROGRAM AND AGREE TO FOLLOW THEM AT ALL
TIMES.

________________________________________________
CLIENT                         DATE




                                                - 82 -
________________________________________________
SOCIAL WORKER                  DATE



=======================================



How to acquire an apartment

An apartment is acquired within two weeks of an accepted client's interview with the program
director. We rent apartments from private landlords in communities that are convenient for the
client, affordable, close to transportation and shopping, safe and secure and close top school
and/or work. A client can be involved in the search and can make calls explaining the program,
the rules and the financial arrangements to the landlord.

We look in the classified section of the Enquire for apartment adds. We also have several rental
agencies from whom we rent apartments at different locations. The program social workers keep
track of good apartment locations and resident manager/landlords with whom we have had good
relations in the past. Once an apartment has been located, ILP staff sign the lease and take the
deposit and first month's rent to the landlord. The client is informed that the apartment is in the
Lighthouse name and thus the client could be removed if things do not work out.

How to Move a New Client into an Apartment

1. Talk to Program director about possible apartment locations.
2. Get client involved in looking for an apartment.
3. Look for apartments that are affordable, accessible to bus lines, safe, in decent neighborhoods,
with landlords who are willing to allow a youth to rent from them.
4. Acquire deposit and first month's rent from admin.
5. Pay rent and sign lease.
6. Clear moving date with program director and referring agency caseworker.
7. Line up truck movers and furnishings in advance of moving date.
8. Ask caseworker to provide all necessary documentation and intake materials in advance of the
moving date.
9. Ask ILP office staff to assist with utility and phone turn-on process.
10. Try to move during first three days of the week. ILP has the truck only on Monday, Tues &
Wednesday.


How to Acquire Apartment Furnishings

1. Determine what a client already has.
2. Make a list of all needed items.




                                               - 83 -
3. Check out ILP storage areas to see what we already have.
4. If necessary, go to thrift stores and purchase needed items.
5. Determine moving date and make sure you have people who can do all necessary lifting.
6. Make sure truck is available.
7. Set up times at least a day in advance of the move.

How to Acquire Apartment Supplies

1. Determine what the client already has.
2. Use list in "New Client Packet" to determine what items are still needed.
3. Check ILP storage areas and basement storage to see what we already have.
4. Purchase all new supplies from Walmart, Value City or any other department        store with
whom we have a charge account.

How to Get Utilities Turned On

Have ready your new address including the apartment number. Call Cinti. Gas and Electric
(CG&E) at 421-9500 and ask for customer service.
CG*E usually wants the person whom the account will be in to call and get service. It is possible
to have service turned on in the name of Lighthouse Youth Services and have the bills mailed to
the main office at 1527 Madison road.

If the bill will be in the customer's name they must call CG&E and apply.

How to get a State Identification Card

Have ready an original or certified birth certificate and your original social security card (you
cannot use copies of these documents). You can use a print out from the social security office if
you have had a previous social security number in place of the original card. The print out show's
that you have reapplied for your social security card. If you are under 18 you must have an adult
sign for you. Go to the nearest license bureau and fill out the forms. There will be a charge of
$5.50.


How to get an Original or Certified Copy of a Birth Certificate

You will need $7.00. You must also know the place of your birth, which includes what hospital
you were born in along with the city and state. Other information needed is mother's maiden
name, father's name and the birth date of the person applying. Take this information to the elm
street clinic at 1525 Elm St. Fill out the necessary application and after about an hour you will
receive the birth certificate.

If the person was not born in Cincinnati, you must contact the bureau of vital statistic in the city
and state that they were born in and follow their instructions. In some cases, if you have all the
information needed, you can order the birth certificate by phone with a credit card number. It
takes usually two weeks to get




                                                - 84 -
it in the mail.

How to Get an Original Copy of a Social Security Card

your original social security card will have to be applied for at a social security office. The two
convenient locations are 550 main street in the federal building downtown and 1811 Losantiville
in Rosaline. You must have with you a certified birth certificate and another form of
identification, i.e. State id, drivers license, a letter with your name and address on it, medical
insurance card etc. You must fill out the application form and turn it in to the clerk at the office.
You will receive a social security card in the mail. It usually takes from 2 to 6 weeks.

If you already have a social security number you will still need to fill out the form with your
social security number on it and have the social security office mail them out. The clerk at the
social security office can give you a "print out" showing that you have reapplied for your card.
You must ask for the "print out". The "print out" can be used along with your birth certificate to
get a state id card.



How to Help a Client Get a Driver's License

A client must be 16 years old and have completed drivers training to get a license. If the client is
under 18 years an adult parent or guardian will have to sign for him/her. Persons applying for the
test must have a certified birth certificate and original social security card. The cost is around
$5.00.

First the client will have to take the temp test. The temp test is a written test on the rules, signs
and laws of driving. All license bureau's will have a book that can be studied before taking the
test.

Having passed the written test you can make an appointment for the driving test. Once the
driving test has been passed you will receive you license for a fee of $10.00. If your client fails
the driving test you are allowed to take the test over three times at different scheduled times.

A person is allowed to drive with his/her temps if there is another person with a valid drivers
license in the car, in the front seat.

How to Help as Client Apply for Subsidized Housing

1. In order to apply for subsidized housing you must be 18 years old.



How to Help a Client Get Birth Control




                                                 - 85 -
How to get a client into a GED program

1. Get permission from referring agency caseworker.
2. Get last school to sign necessary withdrawal forms
3. Establish the best and most convenient program location


How to Help a client deal with problem tenants

1.




Common Problems

* Youths who sabotage progress to stay in care
* Youths who maintain false hopes of family reunification
* Lack of commitment on part of referring agency
 (not enough time to adequately prepare youth)
* Chemically dependent youth
* School failures
* Institutionalized, infantilized youth
* Re-involvement of irresponsible family members
* Pregnancies
* Immature and resistant youth
* Misuse of phones
* Misuse of money
* Harboring runaways of former foster kids
* Undesirable, preying tenants
* Logistics of moving
* Clients with no hygiene skills
* Criminal personalities




                                             - 86 -
What to do when:

* A client gets evicted from an apartment:

1. Establish how much time we have to get the client out.
2. Let the landlord know that we will take action
3. If the client is over 18, determine if s/he merits another chance
4. Communicate with referring agency caseworker
5. Discuss alternative living arrangement options with PD;                                YCC,
YDC, Shared-Home, etc.


* A client breaks the program rules

1. Go over rules with client.
2. Inform referring agency caseworker about rules infraction.
3. If rule breaking continues determine whether a client needs to be:
  terminated, moved to a new location, referred for counseling, moved to another program, etc.
4. At times a contract that delineates specific activities a client must accomplish to remain in the
program will help a client regain control or re-focus on goals. The contract should be made and
signed by the client, the ILP social worker, the Program director and the referring agency
caseworker.
5. The ultimate decision about consequences rest with the program director and referring agency
caseworker.

* A client needs hospitalization

1. If a medical emergency, have client call 911 and meet the client at the hospital.
2. Make sure that you or your client has client’s medical card. If not, take a copy of the
"Authorization to Provide Medical Treatment" form to the hospital.
3. Call 241-KIDS if a Hamilton County Youth needs approval to receive medical services. Call
The DYS emergency number if a ODYS youth needs medical services.

* A client loses an allowance check

1. Discuss the circumstances with the client and go over what could be done to prevent this from
happening again. If the check was stolen, call the bank to stop it.
2. Let client know that s/he will not get a new check.
3. Give client food package that will last until next allowance check.


* A client appears to be depressed or suicidal

1. Determine the severity of the client's intent.
2. Seek assistance from the referring agency caseworker, the program director and the program




                                                - 87 -
clinical consultant.
3. If determined necessary, take client to Children's Hospital (if under 18) or Psychiatric
Emergency Services (PES) at University Hospital. Take medical card with you and inform
reffering agency of the situation.
4. Have client call in daily or have daily contact with the client at the ILP office or at his/her
apartment.
5. Refer client to counseling services ASAP.

* A client has his/her friends/family living at the apartment

1. Inform client of program rules and the possibility of eviction.
2. Inform unauthorized tenants of program policies and ask them to leave.
3. Inform landlord of our efforts to have unauthorized people leave.
4. Put client on visitor restriction if necessary and let them know the consequences for allowing
people to stay in an apartment leased by the agency.
5. Consult with referring agency caseworker on back-up living arrangements.
6. Do unannounced visits if necessary. Follow all staff safety guidelines.

* A client cannot be found

1. Leave a note at the apartment telling the client to call as soon as the note is found.
2. Inform the referring agency caseworker after more than two days absence.
3. Ask other tenants if they had seen client around apartment.
4. Call significant others to see if they had contact with client.
5. Fill out a missing persons report with Police.
6. If it appears that client has left program or run away, bag up belongings and store in BAS.
7. Talk to PD about the need to get locks changed.

* A client refuses to attend school

1. Set up meeting with referring agency caseworker and client.
2. Determine client's level of motivation and previous school efforts.
3. Consider a GED program.
4. Let client know that the State of Ohio requires that a youth be in school in order to be eligible
for services after 18.

* A client threatens or intimidates staff

1. Assess the situation in terms of personal safety. Leave the setting immediately if necessary.
2. Call Police if necessary.
3. Inform client that this could lead to immediate termination or incarceration.
4. Inform program director immediately.
5. Inform referring agency caseworker and set up meeting to discuss the situation with the client.

* A landlord or resident manager complains about our client




                                                - 88 -
1. Assure the landlord that we will deal with the problem.
2. If possible, meet with client and landlord/resident manager to discus situation.
3. Let client know of back-up plans if problems continue
4. Inform caseworker of complaints and discuss alternative options if problems continue.

* A client damages furnishings or property

1. Determine whether or not the client needs to be removed from the program. Discuss situation
with PD.
2. Assess the damage amount.
3. Make sure necessary repairs are done and bill is sent to ILP.
4. Tell accounting to take repair amount out of client savings account
5. Inform client of amount needed to cover damages.
6. Write incident report.
7. Inform referring agency caseworker about situation.

* A client misuses the phone

1. Give them a copy of the bill with a breakdown of what they owe us.
2. Call Accounting and ask them to pay the bill but subtract the amount owed for the bill.
3. Check to see if block is on phone.

* A client receives an elevates utility bill

1. Call client and ask why s/he thinks it is elevated.
2. Shoe client a copy of the bill.
3. Inform client that anything over $40 will come out of client allowance account.
4. Give client tips on cutting utility costs.
5. Look into whether there is a mis-billing that includes
  another client's bill in our client's bill.

* A client allows someone to stay at the apartment

1. Let them know that we know they are doing this.
2. Tell them it is against the program rules.
3. Let them know the lease rules.
4. Let them know the consequences of continuing to do this.
5. Let them know the backup living arrangement.
6. Let client know that resident manager/landlord have been notified to report
 to us if anyone spends the night.

* A person is in the apartment when our client is not

1. Think about your personal safety. Don't enter apartment alone if a stranger is there.
2. Explain to the person who you are, the nature of the program and the agency's lease on the
apartment. If they are hostile or refuse to talk, let PD know.




                                               - 89 -
3. Call police if person makes threats or has caused damage to apt.
4. Ask them to leave immediately and tell them that their presence
  could result is termination from the client from the program.
5. Explain to the person that since they are in our apartment and we could call   police and sign
trespassing charges.


Staff Safety Issues when Visiting Client Apartments

   1. Always let someone know when you plan to make a visit. Sign out at the clipboard
      and/or let your supervisor know where you are going. Let them know approximately
      how long you will be gone.

   2. Know where you are going. Consult a map before you leave the office.

   3. Always carry your cell phone with you. Also carry your personal safety device, if
      desired.

   4. If you are going to an apartment in which you know there is the potential for danger,
      make plans to go with another staff person.

Parking and Leaving your Car:

   1. Choose a parking space that is in the open and well-lit.

   2. Park in the direction you want to go when leaving the home visit.

   3. Beware of dead-end streets.

   4. If possible, try to park where you can see your car from inside the home.

   5. Don’t park near broken glass or rubble.

   6. Do not leave anything of value visible in your car. Always lock your car doors.

   7. Be aware of people in and around the building. Also be aware of dogs.

Approaching and Entering the Apartment:

   1.     When approaching an apartment, listen to see if there are a lot of people inside.

   2.     If no one answers, knock loudly and say, ―This is___________ from the Lighthouse
          Independent Living program, I have a key and am coming in to check your
          apartment.‖ -Do this 2-3 times before keying in.




                                              - 90 -
   3.      After keying in, open the door slightly and call the client’s name again. If there is no
           response, you may enter the apartment.

   4.      If client or someone else is sleeping in the apartment, try to wake them up by calling
           them rather than shaking them—keep plenty of space when doing this.

   5.      If someone other than the client is in the apartment, explain who you are and why you
           are there. Tell them that they are not supposed to be in the apartment when the client
           is not there.

   6.      Show your LYS ID to strangers if client is not there.

   7.      Always leave the door open if more than one person is in the apartment.

   8.      If visitors are hostile in any way, do not enter the apartment. Ask the client to come to
           the hallway to discuss the situation.

   9.      Leave immediately if you feel threatened or intimidated.

   10.     If you suspect there are visitors hiding in the apartment and the client is not there,
           announce your entry but don’t search the place without another staff person.

   11.     If you are uncomfortable visiting a client for any reason, consider asking another ILP
           staff person to go with you. It is best to discuss this with your supervisor first.

   12.     If you observe weapons or drugs in the apartment, contact your supervisor. Leave the
           apartment first if you feel unsafe.

If necessary, call the program director for further assistance.




Possible Independent Living Staff Training Topics


Transition plan development                              Separation and loss issues
Normal adolescent development                            Landlord/tenant laws
Crisis counseling                                        Youth/Adult system resources
Chemical dependency                                      Suicide prevention
Developing healthy relationships                         Developing professional boundaries
Pregnancy prevention                                     Staff safety
Dealing with client resistance                           Teaching parenting skills
Criminal personalities                                   Criminal thinking errors
Assertiveness training                                   Borderline personality disorder




                                                - 91 -
Burnout prevention                                   Developing communication skills
Effects of institutionalization                      Developing social skills
Cultural diversity                                   Working with gay and lesbian youth
Dependent personalities                              Common financial mistakes
Time-management for staff                            The Chaffee Act and implications
Youth/police relations                               Phone/utility companies
Local employment system                              Program marketing
Working with MRDD youth                              Working with sex-offenders
Maximizing family connections                        IL research findings
Liability and risk-management                        Aftercare strategies


Keys to program success

    Conscientious, experienced staff

    High expectations of clients

    Frequent, consistent monitoring of client progress

    Clearly defined rules and policies

    Structured training with financial incentives

    Quick confrontation of negative behaviors

    Responsibility placed on clients to solve problems

    Overall program flexibility and individual planning

    Listening to client feedback about the program

    Continuous work with referring agencies to improve program

    Overall system support of the program




                                            - 92 -
C. Program Forms
** Many of the currently used forms are on Lighthworks

                  * Agreement Granting Permission to Enter Premises

           AGREEMENT GRANTING PERMISSION TO ENTER PREMISES

       This Agreement pertains to the residential property located at _____________________
_________________________________, Ohio ________ (the "Premises").
                                            Recitals:
       (A)     The undersigned Occupant currently occupies the Premises, either as a tenant
pursuant to a written rental agreement between the Occupant and the owner of the Premises, or
with the permission of LIGHTHOUSE YOUTH SERVICES ("LYS"), which leases the Premises
pursuant to a written rental agreement between LYS and the owner of the Premises.

        (B)     The Occupant currently participates in the LYS program and receives assistance,
financial or otherwise, from LYS.

       NOW THEREFORE, the Occupant agrees as follows:

        1.     For so long as the Occupant is entitled to occupy the Premises and is a participant
in the LYS program, the Occupant grants permission to LYS, its agents and employees, to enter
the Premises from time to time for any reasonable purpose, including without limitation for the
purpose of determining whether the Occupant is fulfilling any and all obligations which the
Occupant may have with respect to the Premises. LYS shall make every reasonable effort to
notify the Occupant at least twenty-four (24) hours in advance of entering the Premises pursuant
to the preceding sentence. LYS shall attempt to notify the Occupant in person or by telephone or
by personally delivering or mailing a written notice to Occupant at the address of the Premises.

        The foregoing notwithstanding, in the event LYS determines that (i) there exists a threat
to human health or safety or that property damage is imminent, (ii) there exists some other
emergency situation involving the Occupant or the Premises, or (iii) there may be unlawful or
unauthorized activity within the Premises, then, upon any such determination by LYS, the
Occupant agrees that LYS, its agents and employees shall have the right to enter the Premises,
immediately and without prior notice to the Occupant, for the purpose of taking any and all
actions that LYS may determine to be appropriate under the circumstances. The Occupant
acknowledges and agrees that LYS may keep a key to the Premises for the purpose of entering
the Premises pursuant to this Agreement.

       2.      The Occupant agrees that LYS, its agents and employees shall have no liability to
the Occupant for any inconvenience or damage resulting from any entry upon the Premises by
LYS, its agents or employees, and the Occupant agrees to hold LYS, its agents and employees
harmless with respect thereto.




                                              - 93 -
Occupant: ____________________________________________
Printed name: _______________________________ Date: __________________, 200___
IL Program Director: _________________________________ Date: ______________________

Lighthouse Youth Services 2001




                                 *Apartment Cleaning Instructions

                         CLEANING APARTMENT INSTRUCTIONS:
KITCHEN
____ Clean out the refrigerator
____ Wipe inside and outside, top and sides with hot soapy water/ and degreaser
____ After making sure the freezer is defrosted (if applicable) wipe out the freezer
     with hot soapy water
____ Wipe all cabinets and drawers both on the inside and outside with hot soapy
     water / and degreaser
____ counter tops and sink can be washed with cleanser to remove any stains
____ Clean the top and sides of stove with degreaser/ then soapy water
____ Make sure the rims of the burners are either cleaned or wrapped with
     aluminum foil
____ Make sure the inside of the oven is cleaned. If needed, use the oven cleaner
____ If walls are dirty/greasy….. before cleaning check with appropriate person
     and get permission to wash walls
____ Scrub the kitchen floor with hot, soapy water and then rinse with clean water
____ Clean window and sills if applicable

LIVING ROOM, DINING ROOM, BEDROOM AREAS:
____ Make sure the carpet is swept (If wooden/tile floor make sure it’s mopped)
____ Check and wipe down all window sills
____ Check and clean walls if needed…….. get appropriate permission
____ Clean windows if applicable

BATHROOM:
____ Scrub out the bathtub and walls , toilet and sink with cleanser (rinse good)
____ Wipe around the toilet and the top and bottom of the seat (remember gloves)
____ Clean out medicine cabinet with soapy water
____ windex mirror
____ Clean floor with hot soapy water (with small amount of bleach added)
____ Clean window and sill if applicable




                                              - 94 -
MAKE SURE ALL GARBAGE IS TAKEN OUT AND PUT INTO EITHER THE DUMPSTER OR
THE APPROPRIATE METAL OUTDOOR GARBAGE CANS.

CLEANING ITEMS NEEDED:
Vacuum, broom and dust pan, mop and bucket, garbage bags, rubber gloves, aluminum
foil, oven cleaner. Degreaser, cleanser, bleach, rags or sponges, soapy cleaning detergent,
windex, and paper towels.


                                *Apartment Rules Poster
======================================
THIS APARTMENT IS LEASED BY LIGHTHOUSE YOUTH
SERVICES INC.

THE ONLY PERSON AUTHORIZED TO LIVE HERE IS
____________________________________

ANYONE ENTERING THIS BUILDING MUST AGREE TO
FOLLOW THE RULES SET FORTH BY LIGHTHOUSE YOUTH
SERVICES.

THE FOLLOWING RULES WILL BE ENFORCED:

1.     NO OVERNIGHT VISITORS.

2.     NO DRUGS, ALCOHOL OR WEAPONS ON THE
       PREMISES.

3.     NO MORE THAN TWO VISITORS AT A
       TIME IN EACH APARTMENT.

4.     NO ONE IS ALLOWED IN AN APARTMENT UNLESS
       _______________________ IS PRESENT.

5.     RESIDENTS ARE RESPONSIBLE FOR DAMAGES
       CAUSED BY THEIR GUESTS



                                           - 95 -
* Apartment Start-up Furnishings and Supply List



Client Name: _______________________            Date Moved:
__________________________

Address:___________________________ Worker: _____________________



APARTMENT START-UP FURNISHINGS AND SUPPLY LIST
         FURNITURE                  KITCHEN SUPPLIES                PERSONAL ITEMS
     Couch                        Silverware                        2 Bath Towels
     Chair or Love Seat           Plates                            2 Washcloths
     End Table                    4 Cups/Glasses                    Shampoo
     Small Lamp                   Colander                          Soap
     Large Lamp                   Mixing bowl                       Toothbrush
     Bed Frame                    Steak Knife                       Toothpaste
     Mattress                     Spatula                           Deodorant
     Dresser                      Toaster                                 CLEANING
     Kitchen Table                Pots/Pans                         Iron
     Kitchen Chairs               1 Pack Storage                    Ironing board
                                  Containers
     Curtains/Shades              Measuring cups/spoons
          BEDROOM                 Juice pitcher                     2-3 SOS Pads
     Blanket                      Kitchen Towels                    Floor cleaner
     Comforter                    2 Ice Cube Trays (set)            Bleach Spray
     Sheets w/pillowcase          Can opener
     Pillow                       Cookie Sheet                      Dishwashing Liquid
                                  2 Pot Holders (set)
     1 Pack Hangers               2 Oven mitts (set)                Glass cleaner
     Alarm Clock/radio            Paper towels                      Broom
     Laundry Basket               $1 box Lg. kitchen                Dust Pan
                                  Garbage bags
          SAFETY                  Large Kitchen Garbage             Mop




                                    - 96 -
                                     Can
      Fire Extinguisher              2 Sponges/dish cloths                 Bucket
      Smoke Detector                 Dish drainer                          Toilet brush
      Batteries 9 volt                                                     Laundry Soap
                                   Cutting Board
      First Aid Kit                        Bathroom
      Telephone                      Shower Curtain/Hooks
      Answering Machine              Small Garbage Can                     Storage bins
      75 Watt Light Bulb             1-2 Rolls Toilet Paper
      3-Way Light Bulb               Plunger
      Flashlight

Other items needed: ________________________Other items provided: ___________________________


                          *Apartment Termination Form

                  APARTMENT TERMINATION FORM

APARTMENT / CLIENT TERMINATE (CIRCLE)                               DATE -
____________

Termination Date: _____________

CLIENT’S NAME: ________________________________________________________

CLIENT’S ADDRESS: _____________________________________________________

TELEPHONE #:       ________________________________________________________

ILP SOCIAL WORKER’S NAME: ___________________________________________

KEEPING APARTMENT         _____    TERMINATING APT _____

FORWARDING ADDRESS/PHONE # ________________________________________

__________________________________________________________________________

Cinergy ________(Date Cancelled)                 PHONE ______(Date cancelled)

OTHER BILLS: YES OR NO
_______________________________________________________________________




                                        - 97 -
FROM CLIENT SAVINGS: Y/N _________AMOUNT                  ILP PAYING __________

LOCKS NEED CHANGED: YES/NO                DATE CHANGED:___________________

KEYS TURNED IN: __________ (Date)

APT. CLEANED BY ____________________________________                (date)_________

30 DAY NOTICE SENT: YES/NO ______(DATE)

COPY TO MERRY ________DATE SENT TO MAIN OFFICE: ________________

COMPLETED BY: ______________________________________________________




                                *Authorization for Video Tape Use




                        LIGHTHOUSE YOUTH SERVICES, INC.
                                 P.O. BOX 27035
                             CINCINNATI, OHIO 45227


I/We, the undersigned, give my/our complete and full permission for the use

of the video tape made on or about ___________________________________
                                     (Date)
concerning _______________________________________________________

which is now in the possession of Lighthouse Youth Services, Inc.


It is our understanding that this video tape may be loaned or sold to other

organizations across the United States and may be used as _______________________




                                           - 98 -
Signed :       ___________________________________

Signed:        ___________________________________

Date :         ___________________________________




           *The Lighthouse Independent Living Program AWOL Policy


If an IL program participant’s whereabouts are unknown for more than 24 hours, inform your
team leader and program director immediately and we will work together with the referring
agency caseworker to develop a plan of action. More often than not, the participant is staying
with a friend or relative we know about and returns in short order.

Always make every effort to contact the participant via phone or by leaving notes at the
residence and try to verify his/her location. The expectations and vulnerabilities of each youth
vary greatly. For some, a lengthier AWOL period might be tolerated. For others charges may
need to be assigned immediately. For participants over 18, the decision will need to be made
whether to keep the case open or close it. Social workers and Case-managers should confer with
the program director on whether or not an incident report needs to be completed and sent to all
relevant parties.

If charges do need to be signed, the legal guardian will need to do so.




ILP Share drive under IL Info 1/8/03




                                               - 99 -
                *Basic Rules for Independent Living Program Clients

        The Independent living Program is designed to give you an opportunity to learn how to
live on your own and become a responsible adult member of the community. As a member of
the Program you must agree to the following rules:

1. You must be involved in a productive activity such as school &/or work for at least 20 hours a week.
If you are not enrolled in school, you are required to attend Monday groups at the Independent Living
Office until you are enrolled. If you are not working you are required to come to the office one day a
week to work on life skills until you are employed.
2. You must spend each night in your apartment. You are required to be at your apartment by 11:00pm
on weekdays and 1:00am on weekends or follow city curfew laws (which ever is stricter). Visitors must
be gone by 11:00pm every night.
3. It is your responsibility to keep your apartment clean and in good condition. You are responsible for
everything that happens in your apartment, including the behavior of your visitors. You may not have
more than two visitors at a time in the apartment. No one using or possessing drugs or alcohol is ever
allowed in the apartment. Remember, the lease belongs to the Program and not to you. You will be
responsible to pay for any damages caused by you or your visitors. No pets are allowed in your apartment.




                                                 - 100 -
You MAY NOT baby-sit any children in your apartment. NO ONE IS ALLOWED IN YOUR
APARTMENT WHEN YOU ARE NOT THERE!
4. You will receive an allowance of $55.00 weekly. $45.00 is to be used for food, transportation and
supplies only. If you are working, your allowance will be set aside until you leave the program. $10.00
will be set aside for aftercare when you leave the program. If you lose your allowance, you will not
receive another check.
5. You are expected to call the office daily (during the first two weeks) to report on your wellbeing and
daily progress. You are also required to meet with your Program Social Worker as scheduled.
6. You are also expected to actively work towards completing the life skills training program which
consists of self-guided projects and videos.
       Refusal to cooperate with the program rules and/or staff can result in termination from the
program. Involvement in any type of illegal activity is grounds for immediate termination.
       I have read and understand the above rules. I agree to follow them at all times.

I have received a copy of the POLICY Manual and have an understanding of the policies.

______________________________________________
client                                 date




                                  *Birth Certificate Request Form Sample

September 24, 2004

Certification Unit
Vital Records Section 12th floor
800 North Pearl Street
Menands, NY 12204


Registrar,

        Enclosed is a check in the amount of $______ to request an original certified copy of a
birth certificate on behalf of the following client. This will be used to complete our records and
obtain housing .

Name: _______________DOB___________

Place of Birth: _________________________




                                                  - 101 -
State File NO: _________________________

Mother’s Name:________________________

Father’s Name: ________________________


I, _____________ give authorization to my Social Worker, ___________, to request this
original to be for my personal use and future housing purposes.

Client Name                                                           Date


Social Worker name                                                    Date


Please send the certificate to the following address:

Lighthouse Youth Services
Independent Living Program
1501 Madison Road
Cincinnati, Ohio 45206




                 *Butler County Children’s Services Board Incident Report Form

                       Butler County Children Services Board
INCIDENT REPORT FORM
Child’s Name:___________________________________________________________

Foster Family:___________________________________________________________

Agency:________________________________________________________________

Date of Incident:____________________ Date Learned of Incident:)________________

Incident: (Describe in full detail the incident that occurred, the individuals involved, along with
what was said during the incident):__________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________



                                               - 102 -
Actions Taken To Resolve The Incident:______________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________                       _________________________________________
Date                                  Signature of Person Filing the Incident Report
________________________________________
Title of Individual Filing the Incident Report

Address:      ______________________________            Phone:_______________




                                          - 103 -
ALL INCDIENT REPORTS MUST BE VERBALLY REPORTED IMMEDIATELY.
ALL INCDIENT REPORTS MUST BE FAXED TO BUTLER COUNTY CHILDREN
SERVICES WITHIN 24 HOURS OF THE DATE THE INCIDENT WAS LEARNED ABOUT.
THE FAX NUMBER IS (513) 887-4260. An original copy will need to be sent with the monthly
progress report.

Date faxed to CSB:    _______________

Caseworker & Supervisor faxed to: _________________________________________

Verbal date:    _______________   Who talked to: ______________________________

Time:______________________

Police called         ___ yes     ___ no

Which department:     ____________________

Runaway               ___ yes     ___ no             Date: ________________________

Found                 ___ yes     ___ no             Date: ________________________

Found by whom: _________________________________
(Complete new incident report when child is found)

Notified CSB          ___ yes     ___ no             Date: ________________________
when found
                                                     Talked to: ____________________

                          For Internal Butler County CSB use only

Date Fax Received:    ____________________________________

Fax Received by:      ____________________________________

Date Original Received:___________________________________

CSB Actions Taken, by whom and date:_______________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Supervisor:_________________________                 ___ Copy Received



                                           - 104 -
                     *Butler County Monthly Progress Report Form

Child’s Name:

Placement Date:

Date of Birth:

Custody Status:

Anticipated Date of Reunification:

Strengths and Talents of Child:

Child’s Input:

Family Involvement:
      -Contacts of family members with child:

       -Contacts of foster parents with family members:

Foster Family Perspective:
       -Family living and child’s adjustment in the home:

       -Needs & Concerns:

Medical:
      -Immunizations:

       -Current medications including the name, frequency, dosage and
       reason for medication and who each medication is prescribed by:

       -Allergic reactions:

       -Hygiene:

       -Physician name and address:
       (Place on contact sheet and submit with treatment plan – this needs to be done at the
geginning of a placement and only needs to be completed once, unless a change is made.)
       -Physical examinations:
               -date of visit:
               -reason to be seen:
               -diagnosis and treatment:
               -medications prescribed including the name, frequency,
               dosage and reason for medication:



                                            - 105 -
       -Annual Health Check: (attach form)
       -Dental:
              -date of visit:
              -reason to be seen:
              -treatment:
              -follow up needed:
       -Optical:
              -glasses:
              -vision check up:
              -date of visit:
              -reason to be seen:
              -diagnosis:
              -follow up needed

Educational:
               -Report card:
               -School name and address:
               -Date of enrollment:
               -Educational strengths and needs:
               -Next IEP meeting date (if applicable):

Activities & Recreation:

Special Issues/Needs: (per individual child)

Services:
       -Services in place (OT, PT, Speech, etc.)
       -Name of provider:
       -Therapeutic goals:
       -Progress of goals:
       -Date of service:
       -Additional services needed:

Therapeutic Counseling and/or psychiatric treatment:
      -Diagnosis:
      -Planned frequency of visit (once a month, weekly, etc)
      -Counselor, Therapist and/or Psychiatrist name and address
       (Place on contact sheet and attach with Treatment Plan-this needs
      to be done at the beginning of a placement and only needs to be
      completed once, unless a change is made)
      -Child’s reaction to therapy:
      -Current/Ongoing concerns:

Problem Areas & Plans to Address Problems:
      -Identification of problem:
      -Step by step outline of the plan:




                                               - 106 -
       -Who is responsible with dates to achieve:

Incident Reports: (attached with monthly progress report)
       -Date of Incident:
       -Type of Incident:
       -Outcome of incident:

Overall Adjustments & Summary:

Date of Contacts:
       (Include where the contact occurred, date, and whether it was a face to face contact or a
contact over the phone for each type of contact listed below)
       -Home-conversation with foster parent:
       -Home-Conversation with child:
       -CSB Caseworker:
       -SAR:
       -IEP:
       -Court:
       -GAL with network provider and child:
       -CASA with network provider and child:
       -Transportation:
       -Probation Officer:
       -Anything important that resulted from contacts:
       -Upcoming/follow up:
       -First visit (after initial placement must be done within 7 days of
       placement excluding first day):

Financial Supports Provided For This Child:
      (Outstanding – one time or ongoing)
      -Type of financial support provided:
      -Dollar amount:
      -Attach pay stubs for the employment of the child:

Independent Living Skills:
       -Children 16 years of age and older are required by the state to be taught independent
Living skills:
       -Independent Living skills classes need to include, but are not limited to the following
areas:
                -Money management/banking:
                -Housing/transportation/community resources:
                -Cooking/shopping:
                -Emergency safety skills/health:
       -Has the child completed the above areas: ___yes ___no
       -If not, what steps are being taken to provide for these classes?

Treatment Plan & Progress on Treatment Plan:




                                            - 107 -
     -Updated every three months:
     -Attach Treatment Plan upon initial placement:
     -Attach Progress on Treatment Plan every three months:
            (attach with monthly progress report)



______________________________
Social Worker/date


______________________________
Program Supervisor




                                         - 108 -
      * Butler County Children Services Board Provider Contact Sheet
Child’s Name:_________________________________      DOB:___________________

Physician’s Name:______________________________     Phone:(___)______________

Address:_________________________________________________________________

Pharmacy:____________________________________       Phone:(___)______________

Address:________________________________________________________________

Therapist Name:________________________________     Phone:(___)______________

Address:_________________________________________________________________

Foster Parent(s) Name:___________________________   Phone:(___)______________

Address:_________________________________________________________________

GAL Name:___________________________________        Phone:(___)______________

Address:_________________________________________________________________

Name of School:________________________________     Phone:(___)______________

Address:_________________________________________________________________

Probation Officer:_______________________________   Phone:(___)______________

Address:_________________________________________________________________

Dentist:_______________________________________     Phone:(___)______________

Address:_________________________________________________________________

Optometrist:___________________________________     Phone:(___)______________

Address:_________________________________________________________________




                                       - 109 -
Butler County Children Services Board Provider Contact Sheet

Agency:   Address:    Service/Service Person:   Title:    Frequency:
          Phone:      Provider:




                                    - 110 -
            *Butler County Children Services Treatment Plan Progress Report


Child’s Name:____________________________         Review Period: _______________________


            DOB:
  Date       Issue    Frequency &    Goals and        Intervention   Target Date   Progress To
                       Severity of   Objectives         Strategy                      Date
                         Initial
                       Behaviors




                                       - 111 -
                      * Cash Allowance request form


WEEK BEGINNING MONDAY:_________ENDING SUNDAY:___________________

WORKER’S NAME:______________________________________________________

CLIENT NAME           AMOUNT      SAVINGS      SAVINGS      CASH       CLIENT SIGNATU
                      EARNED      DEPOSIT      WITHDRAW     RECEIVE
                                               AL           D




CLIENT REIMBURSED TO ACCOUNTS_____________________________________




                                   - 112 -
                         *Client Information Form

CLIENT NAME:_________________________________________DOA:________________

ADDRESS:_____________________________________________PHONE:______________

MEDICAID #:_________________________SS#:___________________________________

OTHER INSURANCE:____________________________________DOB:_______________

REFERRING AGENCY:_______________________CASE WORKER:________________

ADDRESS:_____________________________________________PHONE:______________


EMAIL ADDRESS:
__________________________________________________________________


CASE WORKER SUPERVISOR:__________________ PHONE:
____________

GUARDIAN:___________________________________________PHONE:______________


G. A. L.: ______________________________________ PHONE:_____________


PROBATION OFFICER: _______________________ PHONE:_____________

LANDLORD:__________________________________________PHONE:_______________

SCHOOL:____________________________________________ PHONE:_______________

CONTACT PERSON:__________________________________ PHONE:_______________

WORK:______________________________________________ PHONE:_______________

CONTACT PERSON:__________________________________PHONE:_______________

DOCTOR:____________________________________________PHONE:_______________




                                   - 113 -
DENTIST:____________________________________________PHONE:________________

_____________________________________________________PHONE:________________

_____________________________________________________PHONE:________________

Clothing inventory




                                   - 114 -
Clothing Items           Current # of Items       Needed Items


Sport Coat/ Suit/ Ties

Dress Shirts
Dress Pants

Dress Shoes

Underwear

Socks
T-shirts

Shorts
Sweaters/Sweat Shirts

Belt
Jeans

Tennis Shoes

Pantyhose/ Tights

Slip

Dresses

Skirts

Summer Shoes

Bathing Suits

Umbrella
Winter Shoes

Winter Coat

Winter Hat
Gloves
Scarf

Mid/Light Weight Coat

Purse

Wallet
Robe
House Shoes

Nightgown/ Pajamas




                                              - 115 -
Work Uniforms




                - 116 -
                                 *Consent for Treatment Form



I understand that I/My client will be receiving services as a client of Lighthouse Youth

Services. As a Lighthouse client, I commit to improve my behavior and to develop a

responsible, healthy lifestyle. I agree, at a minimum, to the following:


   Giving the program a chance to help me                      Attending school regularly
   Maintaining a safe and clean apartment                      Actively participating in treatment
   Following all Program rules                                 Refraining from illegal behaviors
   Maintaining weekly contact with my ILP social               Maintaining employment
    worker


Lighthouse services include: provision of a safe living environment; assistance with educational and
vocational goals; case management services; supportive counseling; development of independent living
skills; and referrals to community supports. These services are designed to help me achieve my goals
and develop a healthy, responsible lifestyle.

Benefits of program participation may include improved self-sufficiency skills and
successful transition into independence. Potential risks include termination of services as
well as reports to law enforcement and/or Child Protective Services of any disclosed,
reported or observed illegal behavior.


I understand that I can maintain my placement by following the program rules and
participating in the offered services. Violation of program rules and refusal to participate
in services may result in consequences including loss of privileges and, if appropriate,
notification to guardians and/or law enforcement officials, resulting in further
consequences.

Our signatures indicate that we have been informed of the risks and benefits of the services offered by the
program as well as other services or alternatives that are available and that we consent to participate in the
described services. Our signatures further indicate that we have received copies of the Program Policy,
client rights statement and of the Lighthouse grievance procedures, and that these have been explained to
us.




                                                   - 117 -
__________________________________
Signature of Client            Date


_______________________________
Signature of Guardian     Date


_______________________________
Independent Living Staff       Date




                           *Dental Examination Verification Form


Name of client: _______________________________________________________________________

Name of dentist: ______________________________________________________________________

Dentist’s address: _____________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


Dentist’s phone # : (_____)______________________________________________________________

Date of exam: ________________________________________________________________________

What was done: ______________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Recommendation for dental work needed: __________________________________________________




                                           - 118 -
____________________________________________________________________________________

____________________________________________________________________________________


NOTE: Attach any pertinent dental records to this form



________________________________________                 _____________________
Dentist’s signature                                       Date




                                               - 119 -
                                          *Donation Form


Date:


Donor Name:


Address:


City                                                              State        Zip


Telephone: (       )     -             Fax: (    )     -                  Email:




Quantity               Description of Items




       Per IRS guidelines: Donor assesses value of items or services listed above. This form is
             intended to provide a convenient means of reporting in-kind donations only.

                         Lighthouse Youth Services is a 501 c (3) non-profit organization and in accordance
                         with IRS regulations, acknowledges that no goods or services were provided in
                         consideration of this contribution




                                                  - 120 -
*Duty to Warn Policy


Please understand that you cannot under any circumstances say things like ―I’m going to kill
him‖ or ―I’ll blow this place up.‖ All of the adults you deal with at Lighthouse, Hamilton
County Department of Jobs and Family Services or the Court system now have a legal obligation
to report such statements to the Police.

If you are angry about something, leave the room or building until you cool down and then return
to make your case. But if you lose control and make threatening statements toward someone, it
will have to be reported. We have had several young adults in our program recently get arrested
for making violent statements and they had to appear in court, apologize in public and pay a
large fine. In this day and age, people take all threats seriously and seek Police help.




                                            - 121 -
                  *Emancipating Youth Program Treatment Plan
                     (To be submitted by the 28th of Each Month via Fax)

       Vocational/Educational




       Mental Health/Physical Health




       Economic/Housing




       Social/Environmental Support System


Please List a Detailed Report of all face to face appointments, phone calls, services
provided between consumer and EYP staff. Please List Tasks accomplished and tasks to be
completed in order to achieve self sufficiency of youth.




1. What activities were completed promoting self-sufficiency and transition planning away
   from dependence on Child Welfare? Did the client apply for or has applied for SSI,
   Medicaid, Food Stamps? If so, what is the status of application?




                                           - 122 -
2. What is the consumer’s monthly budget? Please List a Detailed Report of all expenses,
   including Rent, Utilities, Transportation, Food, Household Supplies, Telephone, and
   Other Items…..




3. What is the consumer’s educational plans and how is this being supported? Has the consumer
   applied for Financial Aid Assistance? Has the consumer applied for scholarships? Has the
   consumer applied to college? Has the consumer applied for the Educational Training
   voucher? Has the consumer applied for PEL grants?




4. What Community Resources has the consumer utilized this review period? Does the client
   receive mental health services? If so, what are the services, frequency and scope of work?
   (Please list all appointments, dates and times)




5. Is the consumer in need of Emancipating Youth Program? Please demonstrate need for
   continuation of EYP.



6. Did the consumer have any critical incidents this review period?




7. How is the community supporting the consumer?




                                            - 123 -
8. Current Barriers?
                            *Family Involvement Assessment
Client Name______________________________                    Date:_______________________

In general, what does referring agency caseworker/guardian expect concerning biological family
involvement with client?

______________________________________________________________________________

______________________________________________________________________________

Will other adults care providers be able to provide support? Foster parents? Siblings?
Relatives? Mentors? Guardians Ad Litems/CASAs? Etc.

______________________________________________________________________________

______________________________________________________________________________

Who can the client visit during holidays?_____________________________________________

Is there anyone should not contact?_________________________________________________

Was ILP letter of introduction sent to family members? ________________________________

Was parent/significant adult invited to attend ISP preparation meeting? _____yes _____no If
no, why not?

______________________________________________________________________________

Did they attend or have any input?__________________________________________________

______________________________________________________________________________

What are the client’s expectations/wishes for family involvement?

If there is no family involvement planned, which of the following situation applies? (For ISP
development & reviews)

_____The client is an adult and expressly states that she/he does not desire family involvement
_____The client is in the custody of DHS and the Guardian expressly states that family
involvement is not desired.
_____The client is in the custody of DHS, the guardian is involved, and, in the clinical judgment
of staff, family involvement in treatment would be detrimental to the welfare of the client.




                                             - 124 -
                                     * Fee Agreement Form

CASE NAME:___________________________________                    # IN FAMILY:___________

CASE #:________________________________________                OPENING DATE:___________

                                        MONTHLY INCOME

EMPLOYEMENT                $                          ADC                        $
CHILD SUPPPORT             $                          PENSION                    $
ALIMONY                    $                          SSI                        $
WORKER’S COMP.             $                          SSDI                       $
UNEMPLOYMENT               $                          OTHER                      $

                                                  TOTAL MONTYL INCOME: ___________________

                                   HOURLY FEES FOR SERVICES

DIAGNOSTIC ASSESSMENT                            $_______________
COUNSELING & PSYCHOTHERAPY                       $_______________
CRISIS INTERVENTION                              $_______________
MEN/SOMATIC                                      $_______________

                                             AGREEMENT

I understand that based upon my monthly income and the number of people in my family, i am eligible
for a subsidy of _______% of the service fee.

I AGREE TO PAY:
      $_______________DIAGNOSTIC ASSESSMENT
      $_______________COUNSELING & PYSCHOTHERAPY
      $_______________CRISIS INTERVENTION
      $_______________MED/SOMATIC

My monthly total fee will not exceed a maximum amount of $______________.

I certify that the above information is accurate to the best of my knowledge. I understand that during the
course of treatment, it is my responsibility to immediately inform lighthouse youth services, inc. of any
change in this information. I hereby authorize Lighthouse Youth Services, Inc. to release any information
necessary to process third party claims. I also authorize payment directly to Lighthouse Youth Services,
Inc. for any third party benefits to which I am entitled.

_____________________________________________________________________________
SIGNATURE/GUARDIAN/PARENT                                               DATE

_____________________________________________________________________________
STAFF WITNESS                                                           DATE




                                                 - 125 -
                                         *Fire Safety


It is important that you think about safety issues at all times while in your apartments.
Fires can be started in many ways but they usually happen when someone is careless.
Take the following steps to assure your safety and the safe condition of your apartment:

6) I will turn off all appliances when I leave my apartment, including air-conditioners, irons,
   hair curlers, stoves, ovens, etc.

7) I will never leave an iron on unless I am are using it. Never set an iron face down.

8) It is my responsibility to keep working batteries in my smoke detector.

9) I will never make threats to anyone about starting a fire—you could be charged if anything
   did happen.

10) I will let ILP staff know immediately if anything is not safe in my apartment.

6) I have reviewed the fire evacuation plan of the building where I live. I know how to exit the
building properly, how to alert my neighbors of any danger, and when to exit.

7) I understand the proper use of the Fire Extinguisher and when to use it. I have received
information to call 911 regarding any emergency situation. I will make sure I have a working
fire extinguisher at all times and know how to use it. Let ILP staff know if you need a new
extinguisher, smoke detector or batteries.

8) I will not remove the battery from the smoke detector anytime. I will speak with the resident
manager about any concerns or problems with my smoke detector.

9) I understand that I will have to pay for any damages caused by my irresponsibility.

Please sign that you have read and understand this policy.

______________________________                          ___________________________________
Client Signature        Date                            Staff Signature/Credentials   Date




                                              - 126 -
                               *Health History Questionnaire
Name:__________________ DOB:_______________                     DOA:_______________

1. Do you have any medical problems or conditions that we should know about? YES          NO

If Yes, please explain:___________________________________________________________

       _______________________________________________________________________

2. Are you currently under a doctor’s care for any reason? YES        NO

If Yes, please explain:___________________________________________________________

       _______________________________________________________________________

3. Are you currently taking any medications (prescribed or over the counter)? YES       NO

If yes, please specify:

Medication                      For what                  How much/dose             How often

________________                _____________             ______________            ____________

________________                _____________             ______________            ____________


4. When was the last time you were examined by a doctor?______________________________

5. Please list any previous injuries or illnesses including previous medications.

Illness or injury         When                  Medication            Outcome
_____________             __________            ______________        _______________
_____________             __________            ______________        _______________
_____________             __________            ______________        _______________

6. Do you have any allergies? YES          NO

If Yes, please list:____________________________________________________________

7. When was your last TB test?_______________ Was it POSITIVE or NEGATIVE




                                                - 127 -
8. When was your last Tetanus shot?_______________

If you aren’t sure, when was the last time you had a cut requiring stitches?_____________

9. Do you use any drugs (marijuana, cocaine, crack, LSD, speed, pills, inhalants)? YES      NO

If Yes, specify: ____________________________________________________________

10. Do you drink alcohol (beer, wine or wine coolers, hard liquor)? YES     NO

If Yes, How often?_______________           Last time used?_______________

11. Do you smoke tobacco? YES        NO If Yes, how much do you smoke a day?___________

12. Do you eat a healthy diet? YES NO If No, please explain:
______________________________________________________________________________

______________________________________________________________________________

13. Are you sexually active? YES     NO

If Yes, do you use protection to prevent Sexually Transmitted Diseases? YES NO
        If Yes, what do you use?____________________
        Do you use birth control? YES NO If yes, what do you use?________________

14. Are you currently pregnant? YES       NO     If Yes, when is the baby due?_______________

Are you receiving prenatal care? YES      NO

Where?_______________________________________

15. Have you ever been pregnant? YES       NO If yes, when?__________________________

Please describe any problems or difficulties:_________________________________________

16. Do you have any children now? YES          NO If yes, how many?_____     What ages?_____

17. Have you ever been physically abused? YES         NO

If Yes, please explain:___________________________________________________________

_____________________________________________________________________________

18. Have you ever been sexually abused? YES        NO




                                            - 128 -
If Yes, please explain:___________________________________________________________

19. Do you have any of the following (check all that apply):
___Asthma           ___Diabetes            ___Cancer                  ___Blindness or vision loss
___Seizures         ___Tuberculosis        ___Low blood               ___High Blood Pressure
___Sickle Cell      ___Sexually Transmitted Disease                   ___Deafness or hearing loss

Any checks, please explain:_______________________________________________________

______________________________________________________________________________

20. Do any of your blood relatives have any of the following (check all that apply):

___Asthma            ___Diabetes           ___Cancer                  ___Blindness or vision loss
___Seizures          ___Tuberculosis       ___Low blood               ___High Blood Pressure
___Sickle Cell ___Sexually Transmitted Disease                        ___Deafness or hearing loss

Any checks, please explain:_______________________________________________________

______________________________________________________________________________

21. Have you been feeling down or depressed? YES           NO

If Yes, please explain:____________________________________________________________

22. Are you currently feeling suicidal or like you want to hurt or kill yourself? YES     NO

If Yes, please explain:____________________________________________________________

23. Have you ever tried to commit suicide? YES          NO

If Yes, please explain:____________________________________________________________



Client Signature                     Date              Staff signature/credentials         Date




                                             - 129 -
                             *Hold Bed Verification Letter


Date: _____________

TO:__________________________

   ___________________________


This sheet reflects our agreement that we will hold the bed for

___________________________ for __________ days.

Following his/her:

       AWOL
       Hospitalization
       Detention
       Home Visit
       Other _________________________________________

On __________________________ (date).

Please contact me at _________________ if you have any questions.

Sincerely,


Social Worker: _______________________________________
Independent Living
1501 Madison Road
Cincinnati, Ohio 45206




                                           - 130 -
                       *Individual Client Information

CASE NAME: _________________________          OPENING DATE:_____/_____/_____

INDIVIDUAL’S FULL
NAME:____________________________________________________

D.O.B._____/_____/_____ SEX:____________ SOCIAL SECURITY #:_____/______/_____

PRIMARY PHYSICIAN OR CLINIC:______________________________________________

ADDRESS:__________________________________________PHONE:___________________

RESPONSIBLE PARTIES:______________________________________________________

RELATIONSHIP TO ABOVE
INDIVIDUAL:______________NAME:____________________

ADDRESS:__________________________________________PHONE:___________________

D.O.B._____/_____/_____ SEX:____________ SOCIAL SECURITY #:_____/______/_____

EMPLOYER:__________________________________________________________________

ADDRESS:__________________________________________PHONE:___________________

INSURANCE CO.:_________________________ID#:____________GROUP #:____________

ADDRESS:__________________________________________PHONE:___________________


RELATIONSHIP TO ABOVE
INDIVIDUAL:_______________NAME:___________________

ADDRESS:__________________________________________PHONE:___________________

D.O.B._____/_____/_____ SEX:____________ SOCIAL SECURITY #:_____/______/_____

EMPLOYER:__________________________________________________________________

ADDRESS:__________________________________________PHONE:___________________




                                    - 131 -
INSURANCE CO.:_________________________ID#:____________GROUP #:____________

ADDRESS:__________________________________________PHONE:___________________




                                   - 132 -
                        *Important Phone Numbers


Post this list near your phone for easy reference:

       Independent Living Office                           487-7123
Secretary
                                                           487-7 ____
Social Worker

       Police/Fire/Ambulance                         911

       Drug and Poison Information                   911

       Metro Bus Service                             621-4455

       Case Worker __________________                ________________

       Doctor _______________________                ________________

       Dentist _______________________               ________________

       Phone company customer service                565-2210

       Gas and Electric Emergencies                        421-9500

       Landlord ______________________               ________________
       Resident Manager_______________               ________________

       School _______________________                ________________

       Work ________________________                 ________________



USING THE AFTER HOUR ON-CALL SYSTEM
(after 5pm and before 9am weekdays and all day Saturday and Sunday)
-Call 479-2431
-Follow instructions for Independent Living Emergency
-State your name, phone number, and the reason for your call
-STAY OFF THE PHONE - it takes around 10 minutes to respond to the call.

CALL ONLY IN EMERGENCY SITUATIONS--If the problem can wait until
the next day - contact your Social Worker or leave a message for them on their
voice mail




                      * Interview Verification Form
Date: ____________

Dear: ____________________________________

Thank you for referring ____________________________ to the Lighthouse
Independent Living Program.

We are looking forward to your interview scheduled on: ________________

       At (time): ________________

       Location: (check one) ____ Independent Living Office
                                 1501 Madison Rd., 2nd floor
                             ____ Other (specify location).

We are requesting that you bring the following information to the interview:
 (Items still needed are indicated with a √)

                 Copy of Birth Certificate
                 Copy of Social Security Card
                 Most Recent psychological/DAF/social history
                 Medical and Dental records.
                 School records
                 Court records
                 Copy of most recent medical card
                 Any other pertinent information

Also, please be advised that all JFS clients will need to have a placement packet
provided to the ILP social worker within one week of placement in the program.
If you have any additional questions, you may contact:

Mark Kroner – Independent Living Program Director – 487-7130
Shahzaade Ali – Assistant Program Director – 487-7145




                                       -2-
Merry Paul – Admin. Assistant– 487-7123



                    * Client change of address form
                       (PLACE IN FRONT OF FILE)

When client is in the program and moving from one location to another

CLIENT
NAME:________________________________________________________

OLD
ADDRESS:_______________________________________________________
_

OLD PHONE
NUMBER:_________________________________________________


NEW
ADDRESS:_______________________________________________________
_

NEW PHONE
NUMBER:_________________________________________________

HAS EVERYONE INVOLVED WITH THIS CLIENT BEEN NOTIFIED
OF THIS CHANGE?

    DATE OLD                               PERSONS NOTIFIED             DATE NE
    ADDRESS                                                              ADDRES
                                             Landlord notified
                                              Cincinnati Bell
                                         Cincinnati Gas & Electric


IS THERE A CHANGE IN LEVEL OF CARE?________________________

______(Step up / step down Called for AUTHORIZATION to UMUR if
applicable
______Date called




                                     -3-
                         * Clothing Inventory Form

Clothing Item              Current # of     Needed # of     # Items Purchased and
                           Items (sizes)    Items (sizes)   Date
Sport Coat/ Suit/ Ties
Dress Shirts
Dress Pants
Dress Shoes
Underwear
Socks
T-Shirts
Shorts
Sweaters/ Sweat Shirts
Belt
Jeans
Tennis Shoes
Pantyhose/ Tights
Slip
Dresses
Skirts
Summer Shoes
Bathing Suits
Umbrella
Winter Shoes
Winter Coat
Winter Hat
Gloves
Scarf
Mid/Light weight Coat
Purse
Wallet
House Shoes
Nightgown/ pajamas
Work Uniforms




                                      -4-
      *Common Myths About the Independent Living Program
                                            1

Myth #1:    I won't have to deal with any adults!

Reality:    Yes you will and you’ll love it! You will have ongoing contact with
            several adults from the Independent Living Program as well as your
            caseworker. Plan on seeing us at the office and at your apartment at
            least twice a week.

Myth #2:    I will be able to do whatever I want to do, whenever I want to do it.

Reality:    Obviously not true. You will have rules to follow and tasks to
            perform daily. You will have to explain to staff and your caseworker
            what you are doing to become more responsible self-sufficient. And
            if you can’t handle the responsibility, you will have to go back to a
            more-supervised place.

Myth #3:    The program owes me money or should give me money whenever I
            ask.

Reality:    You will receive assistance with your rent, utility and phone bills.
            Eventually you will have to take over all of your bills. You will be
            given a weekly allowance of $45 for food and personal supplies only.
            If you spend your allowance you will not receive more money. You
            will have to earn money for clothing or anything other than basic
            supplies for your apartment.

Myth #4:    This is an easy program and anyone can do it.

Reality:    If you are motivated, organized and use common sense, this
            experience does not have to be difficult. But you will have to do
            more things for yourself than ever before.

Myth #5:    The things I promise to do before entering the program, I really don't
            have to do once I'm in the program.

Reality:    You will sign agreements to follow the rules and policies of the
            program. If you fail to follow them you will be terminated from the
            program. At this point you should be beyond "testing the rules" and
            "getting over."

Myth #6:    ILP clients are truly independent... you don't have to answer to
            anyone.



                                     -5-
Reality:    Everybody answers to someone. You are not truly independent until
            you are paying all of your bills and do not need other people to help
            you with daily duties. Remember, we have the lease on the
            apartment so it is really our place that your are occupying. You have
            to answer to your landlord, your caseworker, the court referees, your
            boss and many others...this is the way of the world and it's not really
            that hard!

Myth #7:    The ILP staff is responsible to you. Staff has to do what you want,
            when you want.

Reality:    We will assist you in many ways. Usually we will try to find a way
            for you to take care of a particular problem yourself. The
            independent living program has clients all over the county and staff
            may be unable to respond to you right away. We have to arrange our
            activities based on overall program priorities.

Myth #8:    My apartment will be furnished beautifully (like with lots of
            decorations, matching sets of furniture, carpet in colors that you like,
            queen-size beds, VCR, cable etc.)

Reality:    You will get the most attractive used furniture that we can find at the
            time. You will get a twin bed, kitchen table, a couch, a dresser, a
            lamp and basic supplies-all that you really need. That's about it!

Myth #9:    I will get to keep your furniture and/or supplies no matter how I
            leave the program, and no matter where I go to live when I leave the
            program.

Reality:    You keep your furniture if you successfully complete the program
            and you are staying in the same apartment. You can keep your
            supplies if you successfully complete the program and decide to
            move to another location. If another move is necessary you will have
            to cover moving expenses.

Myth #10:   ILP staff has to be as responsible for you as group home or shelter
            staff.

Reality:    In most cases you will be expected to make and keep your own
            appointments, unless you are physically unable to. ILP staff does not
            work 24-hours a day. We are available 9-5 Monday through Friday
            at the office. After office hours and on weekends and holidays you
            are expected to take care of your own business and contact us only
            for emergencies that absolutely cannot wait until office hours




                                      -6-
                        * Daily Responsibility Checklist
Check the items below to see how responsible you are:
____ I woke myself up this morning.
____ I took a shower and washed my hair today (if needed).
____ I brushed my teeth this morning.
____ I straightened my bedroom.
____ I made it to school on time without someone else pushing me.
____ I paid for my own bus fare (or I appreciate that somebody else
      helped me with the bus fare or transportation).
____ I prepared my own nutritional breakfast.
____ I cleaned up the kitchen after breakfast.
____ I attended all classes.
____ I ate a nutritional lunch.
____ I completed all homework assignments.
____ I made it to work on time.
____ I don't have a job but I applied for one today.
____ I did my best on the job today.
____ I asked an adult to look over my application.
____ I got along with the adults in my life today.
____ I asked for help if I needed it.
____ I fixed my own supper or helped get it ready.
____ I cleaned up the kitchen after supper.
____ I swept the kitchen floor.
____ I emptied the garbage and changed the bag if needed.
____ I changed any burnt-out light bulbs.
____ I went shopping for groceries.
____ I vacuumed the floors if needed.
____ I cleaned up my room today.
____ I did my laundry today if needed.
____ I thought about what I needed to do tomorrow.
____ I read something about independent living.
____ I scheduled my own medical and dental appointments.
____ I kept all of my appointments this week.
____ I made it to all of my appointments on time this week.
_____I have a state ID card, a social security card and a certified copy of my birth
certificate.

Signs of advanced responsibility:

____ I paid for my own food this week.
____ I paid for my own clothing this month.
____ I paid my own utility bills this month (gas, elec., heat)
____ I paid my own phone bill this month.
____I paid for my own transportation.
____I put some money in savings this week or month.
____I attended classes on independent living this week.
____I scheduled & kept my own medical and dental appointments.




                                             -7-
                                       1999 Lighthouse Youth Services Inc.

                                   * Donation Form




Date:


Donor Name:


Address:


City                                                        State       Zip


Telephone: (       )       -        Fax: (     )      -             Email:




Quantity               Description of Items




Per IRS guidelines: Donor assesses value of items or services listed above. This form is intended
               to provide a convenient means of reporting in-kind donations only.


Lighthouse Youth Services is a 501 c (3) non-profit organization and in accordance with IRS
regulations, acknowledges that no goods or services were provided in consideration of this
                                        contribution.




                                              -8-
                        * Duty to Warn Notification


To: Independent Living Program Clients
From: Mark Kroner, Program Director

Subject: Duty to Warn laws

Please understand that you cannot under any circumstances say things like ―I’m
going to kill him‖ or ―I’ll blow this place up.‖ All of the adults you deal with at
Lighthouse, Hamilton County Department of Jobs and Family Services or the
Court system now have a legal obligation to report such statements to the Police.

If you are angry about something, leave the room or building until you cool down
and then return to make your case. But if you lose control and make threatening
statements toward someone, it will have to be reported. We have had several
young adults in our program recently get arrested for making violent statements
and they had to appear in court, apologize in public and pay a large fine. In this
day and age, people take all threats seriously and seek Police help.

______________________________________________
Client Signature           Date


______________________________________________
Social Worker              Date




                                        -9-
                              * Family Assessment Form

Independent Living Program                              Family Involvement Assessment

Client Name______________________                  Date:_______________________

In general, what does referring agency caseworker/guardian expect concerning biological
family involvement with client?

________________________________________________________________________




Will other adults care providers be able to provide support? Foster parents? Siblings?
Relatives? Mentors? Guardians Ad Litems/CASAs? Etc.

________________________________________________________________________




Who can the client visit during holidays?_______________________________________

Is there anyone____________________________ should not contact?

________________________________________________________________________

Was ILP letter of introduction sent to family members? __________________________

Was parent/significant adult invited to attend ISP preparation meeting?

_____yes _____no If no, why not?

________________________________________________________________________


Did they attend or have any input?____________________________________________

________________________________________________________________________


What are the client’s expectations/wishes for family involvement?




                                          - 10 -
If there is no family involvement planned, which of the following situation applies?


_____The client is an adult and expressly states that she/he does not desire family
involvement

_____The client is in the custody of DHS and the Guardian expressly states that family
involvement is not desired.

_____The client is in the custody of DHS, the guardian is involved, and, in the clinical
judgment of staff, family involvement in treatment would be detrimental to the welfare of
the client.




                                          - 11 -
                                      * File Audit Form

Name:                                                    Referring agency:             DOA:
  I. General Information
                                                                    Lighthouse Authorizations
  File Audit and Set up form (front cover of file)                  Authorizations for Mental Health Services & Client
                                                                    Rights *
  Client Information Form                                           ILP Consent for Treatment *
  Photo / ID Form                                                   Special Needs Authorization
  State ID card (copy on file)                                      Provide Medical Treatment
  Birth Certificate (copy)       Original ____                      Release of Information – LYS requesting info
  Social Security (copy)          Original ____                     Transportation Authorization
  LIDTS Admission
                                                                    V. Monthly Reports… DYS and
                                                                    other counties
  SW Assessment of client functioning at Intake                     All monthly reports & ongoing progress notes
  SW Assessment of client functioning at Discharge
                                                                    VI. Weekly JFS notes
  LIDTS Termination
                                                                    VII. Correspondence
                                                                    Letter to Referring Worker requesting information
  II. DAF & ISP
  DAF
                                                                    VIII. Medical Records
  Social History / FRAM                                             Physical Examination, request for records
  Psychological                                                     Dental
  ISP                                                               Eye Exam
  90 day reviews
                                                                    IX. School Records
  Family Involvement Form                                           School Checks
  Letters of Invitation                                             School Records
  III. Intake Information
                                                                    X. Court Records
  Rights/Grievance…… Booklet (received by Client) *                 Court Records
  Intake/Orientation Checklist                                      Court Hearings
  Client Screening / Interview Form
                                                                    XI. Incident Reports
  Intake Information Sheets                                         Incident Reports
  Basic rules
                                                                    XII. Apartment Information
  Personal Safety                                                   Independent Living Rental Agreement/Apt. Condition
  Allowance Savings Agreement                                       Start up supply list
  Duty to Warn Form                                                 Rental Application / Agreement - LEASE
  Health History Questionnaire                                      Authorization to Enter Premises




                                                     - 12 -
  Weapons Agreement                                            Change of Address Forms
  Client Budget Form
                                                               XIII. Termination
  Fire safety form signed and understood by client             Termination Summary Due 30 days after closing
                                                               Client Evaluation given to client with Satisfaction Survey
  IV. Authorization form from
  Referring Agency
  Care, Supervision/Discipline Agreement *                     Accounting Termination Checklist
  Payment Authorization for Physical Exam/Routine Medical*     Close out Termination Checklist/ sign off sheet
  Authorization for Pharmacy Payment *
  Substitute Child Care Agreement *

  HCJFS Authorization for Release of Information *
  School Notification Form
  UMUR Authorization (most recent on top)


*INDICATES ODMH REQUIREMENTS                         5/07/04



                            *IV-E Monthly Invoice Form

                                                                   ODHS 2020(10/89)
                                                                   County reproduced

                INDEPENDENT LIVING INITIATIVE INVOICE

COUNTY _____________________ PAYMENT MONTH ______________

Agency: Lighthouse Youth Services ____________________________

                                                  SERVICES TO CHILDREN
SERVICE CATEGORY                          Number of   Expenditure Administration                    Total          (4)
                                         Children     Amount      and Training
                                         (1)          (2)         (3)
EDUCATIONAL/VOCATIONAL
ASSISTANCE

LIFE SKILL SERVICES

SELF-ESTEEM / SELF -
CONFIDENCE DEVELOPMENT

LINKAGE AND PRACTICE

OUTREACH

ASSESSMENT/PLAN




                                                - 13 -
DEVELOPMENT

SUPPORT SYSTEM



COLUMN TOTALS

I certify that the costs submitted on this invoice are correct and incurred for
the purpose of developing and rendering allowable Independent Living
Initiative services.

_____________________________________________________                 ______
Signature Director County Department of Human Services                Date



                    * Host Home Contract Template
Client: _______________________               Date:_______________

Agency: Lighthouse Youth Services

Host:_______________________Custodial agency:_________

Host responsibilities:

1. Provide housing and furnishings to ___________ until
_____, 200_, providing that client meets his contract
terms.
2. Have weekly contact with Lighthouse ILP staff.
3. Alert ILP staff weekly of any concerns, problems or
rules infractions.
4. Have daily contact with ________, by phone if necessary.
5. Act as a positive role model to resident.

Client responsibilities:
1. Follow all ILP rules and policies.
2. Attend school and call ILP office daily.
3. Follow host home rules and respect host property.
4. Attend weekly therapy groups
5. Budget weekly allowance money for according to plan
6. Purchase own food, clothing and personal items.
7. Call ILP office weekly to report activities.

Lighthouse responsibilities:
1. Cover monthly rent of $________
2. Reimburse ____for half of basic monthly phone bill.
3. Reimburse _____________% of monthly utility bill
4. Make weekly checks of the home
5. Document weekly progress



                                     - 14 -
6. Meet weekly with client at home
7. Have weekly contact with _________________________

Referring agency responsibilities:
1. Provide transportation to weekly group meetings.
2. Cover medical and treatment group expenses
3. Have monthly contact with_________________ to assess
client progress.
4. Agree to support_________until__________________.

Any party can cancel this contract if given 30 days notice.
_____________________________    _________________________
Client                           Host
_____________________________    _________________________
Director-Lighthouse ILP          Referring agency rep.



                         *Individualized Service Plan Form
Plan developed by: ____________________________________________
                             Staff Name/Credentials


CLIENT NAME:                                     SS#:                              D.O.B.:                DHS CASEWORKER:

DATE CURRENT AUTHORIZATION EXPIRES:                                         MPS CARE MANAGER:



                  Tx Plan Date:
                  Current GAF:                                                                            Date Last Collaboration w/DHS:
                   Life Domain:     Therapy/Med/Somatic                  Educational/Vocational                        Date of Diagnosis:
                                    Family                               Medical                                    Diagnosis for Tx Obj:
                                    Peers/Community                      Personal                           Date of Next Tx Plan Review:
                  Specific Need:
  Staff/Prog Developing Tx Plan:




                                                                                                                 Time
                                                                                                                 Frame                  Targe
GOAL #
Overall Goal: (Enter actual goal here.   Space available here is limited to a total of 300 characters.)




                                                      - 15 -
Client Strengths: (Enter strengths/assets here.      Space available here is limited to a total of 250 characters.)




                                                                                                                        Time                 Target
Measurable Objective(s):           (Space available for this section is limited to 300 characters.)                     Frame                Date




Services Provided, Frequency of Services, Staff Responsible:                    (Enter services, staff responsible and frequency of services to achieve o
individual goal listed above. Space available here is limited to 250 characters.)




Other Agencies/Services Involved:               (Enter other agencies/systems providing services, including IEP if applicable)
                    AGENCY                                          SERVICES PROVIDED                                        PROVIDER & TITLE
1.                                                      1.                                                        1.
2.                                                      2.                                                        2.
3.                                                      3.                                                        3.



How Did Guardian Help with Treatment Plan: (Space available here is limited to 200 characters.)




Should client remain in
program?                                Yes       No
Is this the least restrictive setting appropriate for
the client?                                                        Yes        No

Anticipated Discharge
Date:

Plans for Discharge or Alternative Placement:




Please describe any other specific activities and services to be provided by Lighthouse staff,




                                                        - 16 -
including frequency of services, which are not listed previously with goals.

   Educational/Vocational/Employment:




   Social/Recreational:




   Medical/Dental/Optical:




   Other (Specify):




   Specify frequency of progress reports to be provided to the guardian/custodial agency:




   Specify plans for visitation with family and friends:




                                                 - 17 -
                          *Individualized Service Plan Review

Plan developed by: __________________________________________
                                                  Staff Name/Credentials



CLIENT NAME:                                    SS#:                             D.O.B.:       DHS CASEWORKER:

DATE CURRENT AUTHORIZATION EXPIRES:                                        MPS CARE MANAGER:


REVIEW
#

Date of Tx Plan
Review:
Overall Goal
Status:                    Achieved              Continued                 Discontinued

Date of Current
Diagnosis:
Current
Diagnosis:
Current
GAF:

Date of Next Tx Plan
Review:
Last Documented Collaboration
w/DHS:
Should client remain in
program?                                Yes      No
Is this the least restrictive setting appropriate for the
client?                                                            Yes      No
Anticipated Program Discharge
Date:




                                                    - 18 -
                                                                                                                       Time
                                                                                                                       Frame                    Targe
GOAL #
Overall Goal: (Enter actual goal here.   Space available here is limited to a total of 300 characters.)




                                                                                                                       Time
                                                                                                                       Frame                    Targe
Objective               Rating:           Achieved              Partially Met             Not Met

Progress Toward Goal/Objective(s): (Enter objective from Individual Service Plan here.               Also, enter narrative information regarding objective
here.)




                                                                                                                       Time
                                                                                                                       Frame                    Targe
Objective               Rating:           Achieved              Partially Met             Not Met

Progress Toward Goal/Objective(s): (Enter objective from Individual Service Plan here.               Also, enter narrative information regarding objective
here.)




                                                                                                                       Time
                                                                                                                       Frame                    Targe
Objective               Rating:           Achieved              Partially Met             Not Met




Progress Toward Goal/Objective(s): (Enter objective from Individual Service Plan here.               Also, enter narrative information regarding objective
here.)




                                                                                                                       Time                     Targe



                                                     - 19 -
                                                                                                                            Frame
Objective                  Rating:             Achieved              Partially Met             Not Met

Progress Toward Goal/Objective(s): (Enter objective from Individual Service Plan here.                    Also, enter narrative information regarding objective
here.)




Services Provided, Frequency of Services, Staff Responsible:                    (Enter services, staff responsible and frequency of services to achieve o
individual goal listed above. Space available here is limited to 250 characters.)




NEW GOALS & OBJECTIVES:

                     Life Domain:         Therapy/Med/Somatic                 Educational/Vocational                              Date of Diagnosis:
                                          Family                              Medical                                          Diagnosis for Tx Obj:
                                          Peers/Community                     Personal                                  Date of Next Tx Plan Review:
                    Specific Need:
   Staff/Prog Developing Tx Plan:




                                                                                                                            Time
                                                                                                                            Frame                    Targe
GOAL #
Overall Goal: (Enter actual goal here.       Space available here is limited to a total of 300 characters.)




Client Strengths: (Enter strengths/assets here.        Space available here is limited to a total of 250 characters.)




                                                                                                                            Time                   Target
Measurable Objective(s):             (Space available for this section is limited to 300 characters.)                       Frame                  Date




                                                          - 20 -
Services Provided, Frequency of Services, Staff Responsible:                    (Enter services, staff responsible and frequency of services to achieve o
individual goal listed above. Space available here is limited to 250 characters.)




Other Agencies/Services Involved:               (Enter other agencies/systems providing services, including IEP if applicable)
                    AGENCY                                         SERVICES PROVIDED                                         PROVIDER & TITLE
1.                                                     1.                                                       1.
2.                                                     2.                                                       2.
3.                                                     3.                                                       3.


How Did Guardian Help with Treatment Plan: (Space available here is limited to 200 characters.)




Anticipated Discharge
Date:

Plans for Discharge or Alternative Placement:




Please describe any other specific activities and services to be provided by Lighthouse staff,
including frequency of services, which are not listed previously with goals.


     Educational/Vocational/Employment:




                                                        - 21 -
Social/Recreational:




Medical/Dental/Optical:




Other (Specify):




Specify frequency of progress reports to be provided to the guardian/custodial agency:




Specify plans for visitation with family and friends:




                                              - 22 -
                        * Intake Information Form

Client name___________________________________________________


School:

Classes and last quarter grades:

____________________ __________________ ______________________

____________________ __________________ ______________________

____________________ __________________ ______________________

Problem areas at school:____________________________________

_______________________________________________________________

________________________________________________________________


Does client have a realistic chance of graduating while in this program?

_________________________________________________________________


Family:

Mother’s name and address:

_______________________________________________________________

_______________________________________________________________

Father’s name and address:__________________________________

_______________________________________________________________

What is the current family involvement?

_______________________________________________________________




                                      - 23 -
What are the client's expectation of the family?

________________________________________________________________

________________________________________________________________

_________________________________________________________________

_________________________________________________________________


With whom can the client most likely spend weekend & holidays?

_________________________________________________________________

_________________________________________________________________


Is reunification a possibility?__________________________________

Anyone the client should not be in contact with?

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Health:

Client’s doctor:____________________________________________________

Phone___________________________________________________________

Date of last physical________________________________________________

Client’s dentist ____________________________phone______________

Date of last check-up____________________________________

Does client have a medical card?__________________________

Is client sexually active?______________
Does the client take a proactive approach to protecting self?
______________________________________________________




                                       - 24 -
Any previous pregnancies?___________________________________

Does the client exhibit any of the following behaviors or
problems:

_____Sleep problems                   _____eating disorders
_____Phobias of fears                 _____frequent lying
_____Compulsive stealing              _____other___________________
_____Bed wetting


What concerns do you have about this client while they are in this program?
_________________________________________________________________

_________________________________________________________________


What are the client's interests, ambitions and free-time activities?

__________________________________________________________________

If client does not succeed in this program, what are the back-up plans?

________________________________________________________________



_________________________________________________________________


Any other information that would help us understand this client:

_________________________________________________________________


___________________________________ ___________
Signature of caseworker    date




                                       - 25 -
            *Intake And Orientation Checklist

All Interview Forms complete and signed

ILP Authorization Packet complete and signed

New Client Packet complete and signed

Review program rules with client

Copy of ID, BC, and SS card

Original BC and SS card

Review lease and apartment operations with client

Directions to office, school, etc…by bus understood

Post list of important phone numbers

On-Call system explained

Apartment operations (stove, AC, washer, dryer, etc…) understood

Copies of apartment keys made

Rental agreement submitted to office manager on move-in date

Placing agency notified of move-in date; authorizations requested

Client picture in file and computer

Schedule physical exam

Schedule eye exam

Schedule dental exam

Enroll in school or GED

Paperwork request complete and sent to referring agency worker

ISP scheduled

Medicaid enrollment initiated, if applicable




                              - 26 -
                     *Interview Confirmation Letter
Date: ____________

Dear: ____________________________________

Thank you for referring ________________________________ to the Lighthouse
Independent Living Program.

We are looking forward to your interview scheduled on:
Date:_______       at (time)______________

Location: (check one) ____ Independent Living Office
                                 1501 Madison Rd., 2nd floor
                             ____ Other (specify location).

We are requesting that you bring the following information to the interview:
 (Items still needed are indicated with a √)

                     Copy of Birth Certificate

                     Copy of Social Security Card

                     Most Recent psychological/DAF/social history

                     Medical and Dental records.

                     School records

                     Court records

                     Copy of most recent medical card

                     Any other pertinent information


Also, please be advised that all JFS clients will need to have a placement packet
provided to the ILP social worker within one week of placement in the program.
If you have any additional questions, you may contact:

Mark Kroner – Independent Living Program Director – 487-7130
Shahzaade Ali – Assistant Program Director – 487-7145
Linda King – Social Work Supervisor – 487-7126




                                      - 27 -
                  * Landlord notification sample letter

September 13, 2005

Platinum Management
PO Box 37802
Cincinnati, Ohio 45222

Mr. Smith:

Let me start off by saying how much we appreciate our working relationship we
have had with you.      We value our landlords very much. To follow up with the
particulars that was left on your voicemail, Lighthouse Youth Services will give 30
day notice for the apartment located at 6832 Montgomery Rd. #16, with the
understanding to pay a pro-rated October amount of rent of $225.00 (1/2 of the
$450 monthly) and forfeit the deposit. Any damages, which I do not expect, will
be taken care of by Lighthouse Youth Service upon receipt of itemized and
completed work statement. We will either complete a walk through with you at
the time of move out, as well as return keys at that same time, or what is
convenient for your schedule to finalize things. If I can be of further assistance,
please call.

Sincerely,

Merry Paul, Administrative Assistant
Lighthouse Youth Services
Independent Living Program
1501 Madison Road
Cincinnati, Ohio 45206

487-7123




                                       - 28 -
                                  * Landlord Letter

Dear Landlord:                                      Today’s date_______________

The Independent Living Program of Lighthouse Youth Services is designed to provide
adolescents who are unable to live at home with a safe place to live as
well as support and training from a professional staff. The program has been in existence
since 1981 and has served over 900 youths in privately owned apartments.

The youths in our program have rules to follow, constructive activities to attend and are
in constant communication with staff members. Our clients are trained in basic self-
sufficiency skills and job readiness from the moment they enter the program until they
are discharged. We believe that this is the best way to prepare them for life on their
own-hopefully permanently outside of the welfare system.

Our staff meet with assigned clients at least twice a week to monitor the client's health,
apartment cleanliness, financial situation and school/work progress. Clients receive a
weekly allowance from the program to cover food and transportation. Lighthouse Youth
Services will sign the lease, pay the deposit and rent, cover utilities and provide a phone
and furnishings. These apartments must meet and maintain basic health and safety
guidelines throughout the term of the lease.

If necessary, the program staff will confront any negative behavior in the apartment such
as noise or visitor problems. We are on call 24 hours a day if problems arise. If a
situation should arise that calls for serious action, we will remove the client from the
apartment without an eviction process. Lighthouse reserves the right to place another
client in the apartment until the expiration of the lease after receiving your approval. If a
client leaves unexpectedly, we request the option of getting out of lease by giving 30 days
notice, covering any damages and forfeiting the security deposit.

If a client successfully completes our program and is ready to handle financial
responsibilities, we release the deposit to him or her and allow him or her to keep the
apartment and sign his/her own lease after, of course, clearing this with you.

Lighthouse Youth Services is a non-profit United Way Agency in operation since 1969.
If there are any questions, please call 487-7130, 7145 or 7123.


__________________________                          __________________________
Landlord                                            Lighthouse Representative




                                           - 29 -
                         * Life Coach Referral

(To be completed by ILP Social Worker)

Client name: _________________Social Worker: _______________________

Date: ______________Estimated Length of services _______________

D.O.A.___________D.O.B.____________

How often is staff required to meet with this client on a weekly basis?
__________________________________________________________________

What is the client’s most recent diagnoses?
__________________________________________________________________

__________________________________________________________________

Is the client involved in Mental Health/Psychiatric or Substance Abuse
Treatment? YES or NO If yes, please explain:
__________________________________________________________________



__________________________________________________________________

Is the client currently on any medications? Please list them below.
__________________________________________________________________



Where does the client attend school?_________________________________

Is the client currently employed? ____________________________________

What is the family’s level of involvement? ____________________________

Are there any restrictions?__________________________________________

__________________________________________________________________
______

What area’s do you feel Life Coaching would most benefit the client?

__________________________________________________________________



                                   - 30 -
__________________________________________________________________

Please list any goals and their target dates you would like to see
accomplished.

__________________________________________________________________

__________________________________________________________________

Is there any other information you feel is necessary to better serve your client?

__________________________________________________________________

__________________________________
ILP Social Worker/ Case Manager

__________________________________
Date




              *Life Coach/Tutor/Mentor Contact Report
       Lighthouse Youth Services, Inc          Independent Living Program

Client: ______________________________________________

Life Coach: _________________________________________



                                      - 31 -
ILP Social
Worker/Case-manager: _________________________________________

Date: ___________________

Time: ___________________


Summary of weekly contacts:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Please fax to ILP at 475-5689 or e-mail to ILP SW/CM
Paperwork request form



Date: ___________


                    * Medical Examination Report
BRING THIS FORM TO EXAMINER

CLIENT’S NAME____________________________________ D.O.B._____________




                                   - 32 -
HEIGHT_________WEIGHT_________PULSE__________TEMPERATURE________
T.B.TEST___________

RIGHT EYE____/20 LEFT EYE_____/20 RIGHT EAR______LEFT EAR________


NUTRITION_____________________________________________________________

________________________________________________________________________

DEVELOPMENT_________________________________________________________

________________________________________________________________________

POSTURE_______________________________________________________________

________________________________________________________________________

SKIN___________________________________________________________________

________________________________________________________________________

VACCINATION SCAR

CHEST_________________________________________________________________

________________________________________________________________________

HEART_________________________________________________________________

________________________________________________________________________

LUNGS_________________________________________________________________

ABDOMEN

GENITALIA_____________________________________________________________

_______________________________________________________________________

EXTREMITIES__________________________________________________________

_______________________________________________________________________

REFLEXES




                              - 33 -
HEAD__________________________________________________________________

________________________________________________________________________

NECK__________________________________________________________________

________________________________________________________________________

NOSE

MOUTH/
THROAT_______________________________________________________________

_______________________________________________________________________

TONSILS_______________________________________________________________

_______________________________________________________________________

EYES

RECOMMENDATIONS FOR FURTHER MEDICAL CARE (LAB WORK,
OPTHALMOLOGIST, IMMUNIZATIONS)

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________


IS THIS CHILD FREE OF CONTAGIOUS DISEASE? YES_____NO__________

DIAGNOSIS:____________________________________________________________

PHYSICIAN’S OR NURSE’S
SIGNATURE_____________________________________DATE______________




    * Medication Recommendation/ Medication Change Form
                      Lighthouse Youth Services
                     Independent Living Program
                            Fax: 475-5689




                               - 34 -
Name: _________________________                              Date:
_____________

Date of Birth: ______________________________

Guardian/Caseworker:________________________       Phone : ________

Fax: _______________________

ILP Social Worker: ____________________________________________

Recommended Medications or Medication Changes:


Reason for Medication or Medication Change:


Possible Side Effects:



Guardian/Caseworker authorization signature for permission to administer
medication:

__________________________________________________________________
Signature                                            Date

Person authorizing recommendation or change:

__________________________________________________________________

Physician: _______________________________________________MD


Date Faxed/Sent to Guardian/Caseworker : ___________________________

Date Returned to Lighthouse Staff/Social Worker: _____________________



                  *Monthly Safety & Security Review




                                  - 35 -
For Facility-Based Programs
       This form should be forwarded to Pat Nelson, CQI Director at the
                          Administrative Office and
         a copy should be placed in the CQI Notebook for Team review

Program:                                         Building:

Date of                            Reviewers:
Review:



1. Security System (if applicable). Inspect and test system.
      Did system test properly?          YES            NO                 N/A
      If no, explain problems and action taken:

2. Equipment Safety
       Inspect all electrical equipment, cords and plugs, water heaters,
appliances. Explain any
       problems and action taken:

      Inspect doors, windows and lighting, and ensure that stairways,
basements, attics, and
      storage areas are free of clutter. Explain any problems and action taken:


3. Vehicle Safety (If applicable)                  Check here if no agency vehicle
   in use at program
       Inspect vehicle for safety and necessary repairs including 1) seat belts
working, 2) fluid
       levels (oil, coolant, washer fluid), 3) lights and turn signals working, 4)
windshield wipers
       working, 5) tires properly inflated and not worn excessively, and 6) all
scheduled
       maintenance completed. Explain problems and action taken:

4. Fire Safety

       Conduct inspection of smoke alarms (if present), fire extinguishers (if
present) and fire
       exits to ensure that they are clearly marked, clear and unlocked. If
applicable,
       evacuation routes should be posted. Explain any problems and action
taken:

          Date and time fire drill completed for



                                        - 36 -
         current month:
                                                       Date               Time
       How long did it take to evacuate building?

       Explain any problems and action taken:

5.   Medication Safety

       Are all medications stored in a secure place?
           YES           NO
       Are all medication logs completely and accurately filled out?
           YES           NO
       Is the phone number of Poison Control Center clearly posted?
           YES           NO

       Explain any problems (including medication errors) and action taken:


6.  Hazardous Materials
       Check that all hazardous chemicals, cleaning supplies, etc. are securely
and safely stored.
       Contact Mike King, Safety Officer, if you have materials which require
disposal.

7.  Staff and Client Safety
       Describe any injuries or accidents involving staff or clients which
occurred at the
       program/agency site or were related to agency business, including action
       taken:

       Describe any safety or security concerns expressed by staff or clients:


8. Information Security:
       Inspect security of confidential client and/or staff information (e.g., file
cabinets or doors
       locked, confidential information not left on accessible desks or
computers). Explain any
       problems or action taken:


        Please describe any suggestions or recommendations for improving staff
and client safety
        and security:




                                        - 37 -
Reviewed and Approved:


                      _______
Program Director                              Date




                                                           Rev. 1/28/00




                   * New Client Screening/interview Form

                                            Date of
Client Name:                                Interview:




                                   - 38 -
Date of Birth:                          Age                  Race/Ethnicity:
                                                             Social Security
Gender:          Female              Male                    Number:
Referral Source:                                             Court Date:
Caseworker/Guardian:                                         CW Phone:
                                                                                    Yes
Medicaid Eligible:             Yes            No             Medical Card: No
Last Clothing                                                Estimated Length
Voucher:                                                     of Stay:
Current Living
Arrangement:
Contact at current
placement:                                                          Phone:
Supplies/Furniture
Needs:

Emergency Contacts (include client-identified):

Name                          Relationship          Phone            Address




School and Work History:

   Not currently enrolled in school
       Last School Attended:
       Last Grade Completed:

           Currently enrolled in school or GED
       Current Grade:                Special Ed?
       School:
   Performing at appropriate level in school or not in school         Mild to moderate problems at school including
                                                                         underachievement, discipline problems, or in special
                                                                         education program

   Serious school difficulties including suspensions, frequent        Very severe school problems including persistent failure
      truancy, significant discipline problems, not doing well in        attend, dangerous discipline problems or currently ex
      special education setting, or failing grade                        from school

Educational goals:


Currently employed:                Yes           No     If yes:       Full-Time            Date last
     Part-Time                                                                               Worked:
   Has held a job for at least 6 months with few                      Has held a job for at least one month or h
     to no problems or no opportunity to work                           mild attendance or disciplinary problem
   Serious difficulties finding or maintaining                        Very significant difficulties such as frequen
     employment                                                         dismissal or persistent disciplinary prob




                                              - 39 -
Where
 employed


SPECIAL NEEDS                    YES             NO

Specify
Care Manager’s                                        Date
Name:                                                 Called:
CALL MAGELLAN FOR PRE-AUTHORIZATION



Social, Household and Community Functioning:

                                          Typical Performance
         Skill              Always or   Sometimes Never or          No
                             Usually        or         Rarely   Opportunity
                                        Frequently               or Don’t
                                                                  Know
Uses public
transportation safely and
appropriately
Manages free time
constructively
Shops for food, clothing
and personal items
Prepares meals without
assistance
Uses the phone book
and phone without
assistance
Does laundry and
housekeeping without
assistance
Manages money without
assistance
Participates in social
activities with friends
without supervision
Follows through on
commitments


Judgment and Insight:




                                        - 40 -
                                     Always     Sometimes          Never or           No
Skill                                  or           or              Rarely        Opportunity
                                     Usually    Frequently                         or Don’t
                                                                                    Know
Weighs
consequences of
actions before
making decisions
Aware of problems
and challenges
including causes
and own
contributions to
problems
Has realistic future
plans
Has good social
judgment

Mental Health and Substance Abuse:

List current Diagnoses:

Current Counseling/Therapy:                    Yes        No

Current and Past Mental Health/Psychiatric/Substance Abuse
Treatment History: (Include all outpatient treatment and any psychiatric hospitalization or
residential treatment)


Treatment                           Dates of Service           Reason for Treatment               Type of        Res
Provider                                                                                          Treatment      e
                                    From       To

                                    From       To


Describe any difficulties with adjustment, cooperation or
relationships with previous programs/providers:



Current Medication Usage: (List all current medications and reasons for use.    Include name of
prescribing physician or clinic.)



                      Medication                 Dosage                      Purpose                 Prescribed By




                                                - 41 -
Suicidal Behavior and Suicide Risk                              Violent Behavior and Risk of Danger to O
    No known history of suicide attempts or ideation                No current physical aggressiveness and no known h
                                                                      aggression to persons or property
    No current suicidal ideation and no recent attempts but         No current physical aggressiveness but recent verba
      previous suicidal attempts or ideation                          aggressiveness or a known history of aggression
                                                                      persons or property
    Current Suicidal Ideation or preoccupation, but no recent       Currently physically aggressive toward persons or pr
      attempt (last 30 days)                                          but not at a level that risks significant injury or de
    Recent suicide attempt (last 30 days) and current active        Currently physically aggressive to the extent that the
      suicidal ideation. Date of last attempt:                        risk of causing significant injury or death or expre
                                                                      homicidal threats or ideation.

If Current Suicidal Ideation, describe plan, intent and lethality:



Describe past suicide attempts:



Describe history of criminal behaviors if applicable, including any
convictions and incarceration:



Substance Abuse:

    No notable substance use difficulties currently or in       Mild to Moderate substance use problems that occasiona
      recovery for at least 1 year                                 present problems of living or in recovery for less than
                                                                   year.
    Moderate to serious substance abuse problem that            Extreme substance abuse and/or dependence that prese
      requires treatment and exacerbates current                   a significant problem (e.g., requires detoxification or
      problems and conditions.                                     residential treatment.

Describe current substance abuse treatment:



Medical, Health and Parenting:

                                                                     Does/will this
Health Conditions and                  Treatment Provider            condition interfere
                                                                     with work, school or
Concerns (including                    Name and Address              independent living?
pregnancy)




                                              - 42 -
                                                                       YES
                                                                     NO
                                                                       YES
                                                                     NO

Does the client have any children?   Yes                      No          Does the
client have Custody?      Yes     No


Child                           Age                    DOB            SSN
Name

Describe any other health concerns or current health-related needs,
including any health concerns of children:



Social and Emotional Support:


Supportive Relatives and Adults
Name                         Relationship                    Phone/Comment




Restrictions on family visits or contacts

     Has relationship with consistently supporting adults      Some supportive adults and peers but not consistently
       and peers including non-system adults                          available or appropriate

     Few consistently supportive adults outside of system.     No social support network. Few or no appropriate peers
       Few supporting appropriate peers

Cooperation/Compliance at current placement:

     Generally compliant and cooperative                       Occasionally noncompliant to some rules or ad
                                                               instructions.
     Frequently noncompliant to rules and adult                Virtually always noncompliant to rules or instructions.
        instructions.

Is youth a sex          Yes     No
offender?
If yes, request a Relapse Prevention Plan before placement.

Attitude toward Entering ILP:



                                              - 43 -
     Good interview/strong desire to join program            Fair interview/strong desire to join program
     Poor interview/ambivalent about program                 Does not want to participate in the program


Where would client
like to live?


Current
address:
Current phone:
Caseworker
present:
Caseworker
phone:


Overall assessment of suitability for ILP

   Appropriate for Services       Requires additional services or
support                 Not appropriate

Explain additional services required or why not appropriate (attach
level checklist if applicable):




                                            NOTES




Case Worker’s Signature                               Date




ILP Staff Signature                                   Date




                                             - 44 -
               *Notification of Cleaning Apartment


Date: ___________________




(Client) ___________________My staff have been telling me that
your apartment is messy and that you won’t clean it. I told
_____________________ to hire someone to clean for you this week.
We will pay them out of your savings at $10 an hour. So, the more
cleaning you do the less it will cost you. Adults are expected to keep
their personal spaces clean. Your space is not acceptable.

Mark Kroner
Program Director




                                - 45 -
                              * Personal Safety
In the interest of your personal safety and well-being, we ask you to review and
follow the guidelines written below:


1.     Never allow a stranger into your apartment. Never let a stranger know
       where you live.
2.     Make sure you know and trust someone well enough before you give them
       your phone number.
3.     Hitchhiking is not allowed while in the program.
4.     Report to your independent living program social worker and/or landlord
       whenever you have any problems with gas, electricity or plumbing in your
       apartment.
5.     Let your program social worker and landlord know of any malfunctioning
       locks, windows, window locks, outside lighting problems or hallway
       lighting problems.
6.     Make sure you have a smoke detector and good batteries in it. Check it on
       a weekly basis.
7.     Before leaving your apartment, make sure:
               a. your stove is turned off
               b. all water faucets are turned off
               c. all appliances are turned off (irons, radios, tv's)
               d. all windows and doors are locked
8.     Make sure you know and trust someone well enough before you get into a
       car with them. Never get into a car with someone who is under the
       influence of drugs or alcohol.
9.     Follow your curfew. Use good judgment when you are out late at night.
       Make sure you have a ride home from any late night activity. if possible,
       do not walk alone on the street after 11:00 pm.
10.    Weapons are a potential danger to you and are not allowed in the
       program. No guns, knives, brass knuckles, etc. will be tolerated.
11.    Be knowledgeable about fire prevention. Know in advance when you
       would do in case of a fire. Make sure you have been provided with a fire
       extinguisher and know how to use it.
12.    Post on your telephone the numbers of any emergency services.
13.    if you do not know how to operate your stove, oven or other appliances, be
       sure that you ask for help in learning how to do so.

I have read and understand the above safety guidelines:
_________________________________________




                                      - 46 -
client                        date

_________________________________________
social worker                date




                          *Progress Report Form

Lighthouse Youth Services            Independent Living Program

Client Name/ID#:                 Program: ILP

Sex:      Age:        Date of Birth:            Race/Ethnicity:

Date of Admission
Date of Report:
Reporting Period:

Referring Agency Worker:
Address:

Social Worker:
Address: 1501 Madison Rd.
Phone: 475-5680 ext.

Overall Summary:

Medical/Dental/Optical:

Individual counseling:

Family Involvement:

Educational/Training:

Describe unresolved issues and problems

Summary of Medication Record:

Medication   Dose           Dates of Administration

Describe any unusual effects, medication errors or problems:
Referrals made to other community resources:




                                       - 47 -
Agency/Resource Date of Referral               Reason for Referral

_______________________________ __________________________
Social Worker                   Supervisor


            * Request for Paperwork from Referring Agency
Dear: ___________________________


Your client ______________________ will be placed in the Independent Living
Program on ________________. In reviewing the intake information that we
received from your agency, we have found that several items are still needed.
Please submit these papers to the Independent Living office at the time of
placement:
                  (Items still needed are indicated with a √)

                     Copy of Birth Certificate

                     Copy of Social Security Card

                     Most Recent psychological/DAF/social history

                     Medical/ Dental/ Immunization records

                     School records

                     Court records

                     Copy of most recent medical card

                     ILP Authorization Forms (Signature)

                     Placement Packet (Pink or Blue)

                     Other:



If you have any additional questions, you may contact your client’s social worker:

____________________
Social Worker

____________________




                                      - 48 -
Phone number

CC:     File
        JFS Supervisor


                LIGHTHOUSE INDEPENDENT LIVING PROGRAM

                  *Referring Agency Satisfaction Survey
Termination date: ______________Client initials:______________________

Thanks for helping us to improve the quality improvement effort sponsored by the
Hamilton County Community Mental health Board and Lighthouse Youth Services. This
satisfaction survey is intended to provide useful feedback about the services your client
received from Lighthouse Youth Services. While completing this page, please rate only
the services that they received from Lighthouse Services.

Directions:     Please circle a number above the word that best describes how you feel
about the services they received from Lighthouse Youth Services.

How satisfied are you with the help your client received from Lighthouse Youth
Services in reaching the goals set when they began treatment?
        1              2              3              4             5
        NA
Highly         Somewhat               Neutral        Somewhat      Highly
Dissatisfied Dissatisfied                            Satisfied     Satisfied
How satisfied are you with how much you were involved in planning and goal
setting?
        1              2              3              4             5
        NA
Highly         Somewhat               Neutral        Somewhat      Highly
Dissatisfied Dissatisfied                            Satisfied     Satisfied
How satisfied are you with how quickly you were able to get services?
        1              2              3              4             5
        NA
Highly         Somewhat               Neutral        Somewhat      Highly
Dissatisfied Dissatisfied                            Satisfied     Satisfied
How satisfied are you with Lighthouse Youth Services’ response to your client
when they had an emergency?
        1              2              3              4             5
        NA
Highly         Somewhat               Neutral        Somewhat      Highly
Dissatisfied Dissatisfied                            Satisfied     Satisfied
Staff were willing to see me as often as necessary.
        1              2              3              4             5



                                         - 49 -
  Strongly         Disagree        Neutral      Agree        Strongly
  Disagree         Somewhat                    Somewhat       Agree
How satisfied are you with the respect Lighthouse Youth Services’ staff had for
your client’s ethnic and racial background?
        1              2              3            4              5
        NA
Highly          Somewhat              Neutral      Somewhat       Highly
Dissatisfied Dissatisfied                          Satisfied      Satisfied


How would you rate the quality of service your client received from LYS?
         1              2               3              4               5
     Poor            Fair            Average         Good          Excellent
How satisfied are you with the respect that the staff at LYS gave your client?
         1              2               3              4               5
         NA
Highly          Somewhat                Neutral        Somewhat        Highly
Dissatisfied Dissatisfied                              Satisfied       Satisfied
If you raised an issue about services, how satisfied are you with the response you
received?
         1              2               3              4               5
         NA
Highly          Somewhat                Neutral        Somewhat        Highly
Dissatisfied Dissatisfied                              Satisfied       Satisfied
If a friend were in need of similar help, would you recommend Lighthouse Youth
Services’ services to him or him?
         1              2               3              4               5
     No            No, I don’t       I’m not        Yes, I          Yes
Definitely Not      Think So           Sure          Think So       Definitely
Do you feel that the program helped your client deal with the problems that lead
them to involvement with the program?
         1              2               3              4               5
     No            No, I don’t       I’m not        Yes, I          Yes
Definitely Not      Think So           Sure          Think So       Definitely
Do you feel that your client is better able to solve problems and function in the
community (that is, in school or work) as a result of the involvement in the
program?
         1              2               3              4               5
     No            No, I don’t       I’m not        Yes, I          Yes
Definitely Not      Think So           Sure          Think So       Definitely
Do you believe that your client feels better about his/her life as a result of
involvement with the program?
         1              2               3              4               5
     No            No, I don’t       I’m not        Yes, I          Yes
Definitely Not      Think So           Sure          Think So       Definitely



                                      - 50 -
__________________________________________________________________
_____
Did Lighthouse Staff take your client’s needs, strengths and preferences into
account when developing goals and strategies?
        1             2              3               4              5
    No           No, I don’t       I’m not        Yes, I         Yes
Definitely Not     Think So          Sure          Think So      Definitely
How satisfied are you with goals and recommendations the program had made for
your client when they left the program?
        1             2              3               4              5
        NA
Highly         Somewhat              NeutralSomewhat         Highly
Dissatisfied Dissatisfied                            Satisfied      Satisfied




                                   - 51 -
* Placement Procedures
 LIGHTHOUSE YOUTH SERVICES                INDEPENDENT LIVING PROGRAM


REFERRAL PROCEDURES

Referrals for placement should be sent to Shahzaade Ali, BA, LSW Independent
Living Assistant Program Director 1501 Madison Rd., Cincinnati, Ohio, 45206.

In order to determine the appropriateness of placement, specific information is
needed prior to the Intake Interview with the child. This information includes
but is not limited to the following:

1. Social History/Psychological
2. Placement History
3. Medical and Dental Records
4. School Progress, problems, transcripts, etc.
5. Court record
6. Diagnosis

If, after receiving and reviewing the materials, the youth is deemed appropriate
for the program, the caseworker will be contacted by the program staff and an
Intake Interview will be arranged. If the referral is deemed inappropriate for
the program, the caseworker will be notified.

PLACEMENT

If the youth is accepted into the program, a tentative placement/moving date
will be set up by Independent Living Program Staff. We cannot always
guarantee that the exact date will be held to due to factors such as apartment
readiness and weather. Most clients are placed in apartments within 2-3 weeks
of acceptance into the program.

We ask that the referring agency understand the risk, liabilities and logistical
issues of the Independent Living Program. We will do everything possible to
maintain the client in our program. However, in some circumstances
alternative placements may be necessary. These may include transfer to another
apartment; transfer to another Lighthouse facility; and/or placement at Anna
Louise Inn or Friars Club.




                                      - 52 -
TERMINATION

The Independent Living Program will do everything possible to assist clients in
the preparation for self-sufficiency and responsible adult living in the
community. The program will also
do everything to avoid terminating a client before the agreed upon time. If,
however, the client is at-risk to him/herself, at-risk to others in the community,
involved in illegal or high-risk activities or a liability to the program's
reputation in the community, termination plans will need to be made. It is the
responsibility of the referring agency to find an alternative placement. We will
assist the caseworker in every possible way.




                                      - 53 -
       *Policy on Establishing Internet Services in Your Apartment

Since the Independent Living Program pays for your phone bill, you are not allowed to
add Internet services without permission from the program director. Exceptions can be
made for program participants who have regular jobs, are in college or have other means
of paying for this service. Lighthouse will not pay for charges not pre-approved, which
could result in losing phone services.

The same applies for people who abuse this privilege by accepting collect calls form
prison or friends. You will have to cover the bill or lose your phone privileges.



I understand this policy and agree to follow it.



________________________________________________
ILP participant                     date


________________________________________________
ILP staff                           date




                                           - 54 -
* Procedures for Wraparound Services for ILP Clients

    1. ILP staff member interviews client.
    2. ILP staff member and JFS caseworker determines during the interview if client
        will need a Life coach. (Normally JFS workers already know when this is needed
        and will ask for the extra services.)
    3. ILP staff member calls UMUR and request a Life Coach. JFS caseworker will
        request the authorization for Wraparound from UMUR before client is placed in
        the ILP.
    4. ILP staff will note on the ILP rental agreement that a Life Coach is needed and
        will date when UMUR was called.
    5. Once client is placed ILP SW will write Wraparound services in the ISP. The IL
        SW, UMUR and JFS CW determine the amount of hours/days of services needed.
    6. IL SW contacts Wraparound to get name of Life coach and when services will
        begin.
    7. ILP SW receives weekly progress notes from Wraparound staff via email to
        review and include termination information and comments on family involvement
        and discharge planning from Wraparound. Then cut and paste the progress note
        on the JFS/Macsis service ticket.
    8. The service ticket is saved in the MM folder.
    9. ILP staff member reviews the service ticket and make corrections if necessary
        then print a hard copy and sign it.
    10. ILP staff member emails the service ticket to JFS UMUR Data Entry.
    11. ILP SW will email C. Wilson, D. Latter, S. Ali and M. Kroner regarding any
        concerns.
    12. Any concerns regarding Wraparound from UMUR should be directed to D.
        Latter.
ILP staff member = Assistant Program Director




                                                - 55 -
LIGHTHOUSE YOUTH SERVICES

                                           *Psychiatric Referral

Client Name:                                                                               Date of Birth:                     11/12/87
                                                                                                                               4/13/05
Referral Source:                                                                           Date of Referral:


Sex:           Male            Female                  Race/Ethnicity:                        African-American               White
                                                                                              Hispanic                       Asian
                                                                                              Biracial/Multiracial           Other

Reason for Referral: (Describe problem as seen by client and staff.             Briefly describe history of presenting
problem including related symptoms, precipitant for referral at present time. Be specific about what you want psychiatrist
to address, e.g., diagnostic considerations, medications, etc.)
Past Psychiatric Treatment History: (Include all outpatient treatment and any psychiatric hospitalization
or residential treatment, with dates if possible. Describe past responses to treatment. Include past medications for
psychiatric disorders or symptom relief and client’s response if known.)


  Treatment Provider                Dates of Service                    Reason for Treatment                 Type of Treatment       Response

                               From              To

                               From              To

                               From              To

                               From              To

Comment:




Previous Medications for Psychiatric Disorders (Do not include current
medications):
UNKNOWN
    Medication                     Dates of Use                     Prescribed By               Reason for Prescription          Client Respon

                          From                To
                          From                To
                          From                To


Current Primary Care Physician or Facility:
                                                               Provider                       Address                                Phone




                                                          - 56 -
Current Medication Usage: (List all current medications and reasons for use.   Include name of prescribing
physician or clinic.)
          UNKNOWN

         Medication                        Dosage                              Purpose                       Prescribed by




History of Suicidal and/or Violent Behavior and Current Potential for Suicide
and/or Violent Behavior:

Suicidal Behavior and Suicide Risk                                Violent Behavior and Risk of Danger to Othe
    No known history of suicide attempts or                           No current physical aggressiveness and no
    ideation                                                            known history of aggression to persons o
                                                                        property
      No current suicidal ideation and no recent                      No current physical aggressiveness but
        attempts but previous suicidal attempts                         recent verbal aggressiveness or a known
        or ideation                                                     history of aggression to persons or
                                                                        property
      Current Suicidal Ideation or preoccupation,                     Currently physically aggressive toward
        but no recent attempt (last 30 days)                            persons or property but not at a level tha
                                                                        risks significant injury or death
      Recent suicide attempt (last 30 days) and                       Currently physically aggressive to the exte
        current active suicidal ideation. Date of                       that there is a risk of causing significant
        last attempt:                                                   injury or death or expressing homicidal
                                                                        threats or ideation.
If Current Suicidal Ideation, describe plan,
intent and lethality:


History of Physical/Sexual Abuse:

     No history or any form of physical or                             History of either physical or sexual abuse
       sexual abuse or neglect                                           (or both) or neglect occurring more than
                                                                         1 year ago with minimal risk of
                                                                         repetition or suspected abuse.
     Recent History of physical or sexual                              Physically or sexually abused or
       abuse and/or neglect or past abuse or                             neglected within past 30 days
       neglect unresolved or abuse likely to
       reoccur


Diagnostic Impressions:            Code                  Diagnosis

Axis I (primary):
       (secondary):



                                                - 57 -
        (secondary):

Axis II (primary):
        (secondary):

Axis III (if applicable)




Staff Signature and Credentials            Date




                                  - 58 -
                             * ILP Rental Agreement Form
                                                                  CLIENT    APT
                                                                 New ___ New ___
                                                                 Old   ___ Current ___
PROPERTY OWNER’S NAME. ADDRESS AND ZIPCODE
____________________________________________________
____________________________________________________
____________________________________________________

CHECK MADE PAYABLE TO:(AND ADDRESS AND ZIPCODE)
_________________________________________________________
_________________________________________________________
_________________________________________________________
CLIENT NAME:_________________________________________________
ADDRESS:______________________________________________________
ZIP CODE:____________________PHONE:__________________________

RESIDENT MGR._________________________PHONE:________________

SSN# OR TAX ID# OF PROPERTY OWNER: (This form is not complete
without this information and a check cannot be processed)
_________________________________________________________________
IS PROPERTY OWNER INCORPORATED? YES OR NO (Circle)

LANDLORD’S/MANAGER PHONE #:_______________________________

REFERRING AGENCY: (Circle one) Caseworker ____________________
CC   DHS   DYS   CCDHS CCJC OTHER_____________________

PAYING AGENCY: (Circle one) Care Manager _________________________

CC      MAG/DHS DYS CCDHS                         CCJC OTHER_______________

RENT AMOUNT:____________           DATE MOVED IN:_________________

NEEDS PHONE_______(DATE CALLED) (DATE INSTALLED) ___________
NEEDS CG&E ________(DATE CALLED) (DATE ON) _____________________

SOCIAL WORKER:______________________________________________
Date rented ________    Date changed locks _______ New keys in box _____
Deposit Amt.__ paid _____date      ___ Copy to accounting
1st mo rent Amt __paid _____date    ___ original in file ___ copy Merry (__)
Pro-rated Amt. for _____(month)    Put on rent list effective _______(month)


Completed by: _________________________________________ date_____
CLIENT’S
D.0.B.:_________________________SS#:____________________________




                                               - 59 -
CHILD:_______________________________DOB:
___________________
EXPECTING: __________(YES)




           * Requirements for CMHA Housing and Hart Realty


1. Current income verification. If employed you need your last three check stubs or a
   dated verification from employer verifying weekly average hours, hourly rate of pay
   and year- to- date gross. If income is TANF, social security, child support, etc.
   letters of income verification are needed. DHS has a form for income verification. A
   print out maybe used from social security.
2. Picture ID (current) on all members 18 and older.
3. Social security cards on all members who will reside in the unit. If no social security
   card or card is lost, must provide a print out from social security verifying ss number
   or proof of application for card.
4. Birth certificates on All household members. Birth certificate must have the official
   seal. (No Copies).
5. If pregnant, must provide Doctor’s statement verifying pregnancy and estimated due
   date of delivery.
6. Current copy of Police Report . Must be yellow original only. No copies.
7. Letter from ILP stating current living arrangements and termination date.




                                          - 60 -
                               *Resume Form Template

                                              Resume of

                                               NAME
                                               Address
                                        City, State zip code
                                     phone # (include area code)
                                       date of birth (optional)

Work Experience

--include name of company, address including city and state, phone number, position you
held.

--include either dates you worked or the number of months or years. (If you worked for less
than a month, don't include the job if you quit or were fired. If you can't remember exact
dates, use the year).

Volunteer Work

--if you have done any.

Skills

--include things like: typing (include number of words per minute you type), counting back
change, supervising children, child care (include the ages of the children you have cared for
on a regular basis; example,"children ages infant - 9 years old") tutoring, filing, using an
industrial buffer, stripping floors, laying tiles, cleaning carpet with industrial vacuum
sweeper, mowing lawns, cooking, cleaning restaurant equipment, closing restaurant, running
a cash register (put down the model or brand of register, if you know).

Education

--put this at the top, before work experience, if you are a high school (or college) graduate or
if you have received your GED. If you are still in high school or studying for your GED,
put the Education section last.



                                             - 61 -
                                          --Tips--
A skill is anything you know how to do well enough that a new employer won't have to
teach you from scratch.

Although there are exceptions, if you have never taken a typing course you probably can't
claim more than 25 wpm unless you have used it at work. If you have taken typing, put
down the # of wpm you did on your last test minus 5 wpm (unless you have taken typing
very recently).




                                         - 62 -
                            *Savings Account Agreement
 Lighthouse will place $10 a week in an aftercare savings account. These funds will be
used for housing, repairs, utilities, food and other basic expenses after you leave ILP in
case you lack the income to cover your bills. This fund cannot be used for non-essential
purchases.

If you work while in the ILP, we will set aside your entire $55 weekly allowance in a
Lighthouse savings account. These funds can be used for non-essential purchases if
approved by your caseworker and Lighthouse ILP worker.

ILP participants with children will have separate savings agreements established
depending on their circumstances and other possible sources of income.




                                           - 63 -
                       *School/Work Schedule
CLIENT:__________________________________________DOA:________________


                            School schedule

       PERIOD                 CLASS                 TIME                TEACHER




                             Work Schedule

PLACE OF WORK:__________________________PHONE:__________________

SUPERVISOR:________________________Date of Hire:_____________________

SUNDAY:___________________________________

MONDAY:__________________________________

TUESDAY:__________________________________

WEDNESDAY:______________________________




                                 - 64 -
THURSDAY:________________________________

FRIDAY:____________________________________

SATURDAY:________________________________      TOTAL
HOURS:______________

                     * Self-sufficiency Assessment
Name:_____________________________________ Date:_________

Part One: General Knowledge of Independent Living Issues

(To be completed by youth)

1. What are two of the most common complaints about teens
who live in apartments? (2 points)



2. Who is the person, other than the landlord, you call
when you have a problem with your apartment? (1 point)



3. What happens when you don't pay the rent? (1 point)


4. What do you sign when you move into an apartment to
promise that you will stay for a period of time and follow
all rules of the landlord? (1)


5. What is another name for a lease? (1)


6.   Who do you call when you are in legal trouble and
cannot afford a lawyer? (1)



7. What are utilities? (1)



8.   What do you pay when your rent is not on time? (In
addition to the rent). (1)



                                 - 65 -
9.    What   is   another   person   in   your   apartment   building
called?
(1 point)

10. What do you pay when you acquire an apartment to cover
any damages? (1 point)



11.   What do you make to keep track of your expenses and
income?
(1 point)
12. What is a good way to keep track of what you need to
do each week and when you need to do it? (1 point)



13.   What is one way other than a check that you can pay
your bills by mail? (1 point)



14. What do you have to control to keep your heating bill
from being too high? (1 point)



15. What should you keep somewhere other than inside your
apartment to keep from being locked out? (1 point)



16. What is something you should never give to anyone else
unless you absolutely know and trust them? (1 point)



17. What will your landlord do if you fail to pay the rent
after an eviction notice? (1 point)



18. What is the best way to keep from getting pregnant? (1
  point)



                                - 66 -
19. What is the most common sexually transmitted disease
  among teens? (1 point)

20.    What is   a   good   tool    for   keeping   track    of   your
appointments?
(1 point)



21.   What is a "landlord”?   (1 point)


22. What happens when you don't pay your phone bill?               (1
  point)



23.   What will you have to pay to get your phone turned
back on after it has been disconnected? (1 point)



24. What is something I will need to bring to the bank to
cash a check? (1 point)



25. How much will car insurance cost you a year? (1 point)



26.    What will happen if         you use too      many   electrical
appliances at the same time?       (1 point)



27. What do you do if a fuse is blown? (1 point)



28.   What can happen if you let your apartment get real
dirty?
(1 point)




                               - 67 -
29. What will you have to pay if you are called to court
for an offense? (1 point)


30. What will happen if you give your key to someone who
is dishonest? (1 point)


31.   What will happen if you let your friends make long
distance phone calls on your phone? (1 point)



32. What is the number one thing your landlord wants from
you?
(1 point)



33. What is the number two thing your landlord wants from
you?
(1 point)



34. What number can you call to get a phone number for a
service you need? (1 point)



35.   What is the cost of a deposit for starting a phone
service in your apartment? (1 point)

36.   Where can you go if you have no place to live after
you are 18? (1 point)



37.   What might you have to pay to be considered for an
apartment? (1 point)



38.   What   can   happen   to   a   young   man   who   gets   someone
pregnant?



                                 - 68 -
(1 point)



39. What can happen to a child whose mother drinks alcohol
or does drugs while she is pregnant? (1 point)



40.   What is the number you can call to find a new phone
number from out of town, not listed in the phone book? (1
point)


41.   What is the most important thing you need to do to
stay healthy? (1 point)



42. What should you do if you have a friend who is keeping
you from being responsible? (1 point)



43.   What should you do to assure that you always have
money for transportation? (1 point)



44. How many times do you need to have sex in order to get
pregnant? (1 point)


45. What is the number one reason teens are fired from
their jobs? (1 point)



46. What does your boss want to do when you do a good job?
(1 point)


47. What are three reasons why teens get fired from their
jobs?
(3 points)
48.   What are two documents you need to have in order to
get ID's etc.? (2 points)



                           - 69 -
49.   Where can you go to get birth control or information
about birth control? (1 point)



50.   When is rent due? (1 point)


51. Who is responsible for any damages your friends do to
your apartment? (1 point)



52.     What is an apartment          with   only   a   stove   and
refrigerator called? (1 point)



53.What is the first thing you should do if your apartment
has roaches? (1 point)



54.   What is a term for when someone is low on energy,
feels sad a lot and doesn't want to do anything? (1 point)



55.   What is the cheapest place to go to get used books,
cassettes, videos and compact discs? (1 point)



56. What is one way to lower your car insurance bill?
(1 point)



57.   What are STD's? (1 point)



58. What is the best way to cut down on heating costs at
your apartment? (1 point)



                             - 70 -
59.   What is the best way to keep from spending money on
cars?
(1 point)
60.   What is the best way to keep from spending too much
money on furniture? (1)


61.   What is the term for when a person can't stop doing
something? (1)



62.   What is a written notice that you receive that tells
you that you have to go court? (1)



63.   What term means you can't sleep at night? (1)



64.   Can a landlord charge you to open your apartment if
you lose your key? (1)



65.   What is the term for the amount of time you can
concentrate on something? (1)



66. What is the term for being denied housing due to race
or
other minority status? (1)



67.   What are three signs of alcoholism? (3)




68.   Where can you get your state ID card? (1)




                             - 71 -
69.   What is the term for an irrational fear of something?
(1)



70.   Why would one group of people perform better than
another group of people at a task? (1)


71.   What are two signs of pregnancy? (2)


72.   Who is the one person who has the most control over
what happens to you in your life? (1)


73.   What are three signs of depression? (3)




74.    What is the term for the positive        or   negative
influence your friends have on you? (1)



75. What are five things you will have to pay for when on
your own? (5)




76. Which of the terms below means "putting off something
you want today for something you need in the future?" (1)

      A. torture
      b. delayed gratification
      c. self-sufficiency

77. Which of the terms below means never giving up on a
task?
(1)
     A. machismo



                             - 72 -
     b. persistence
     c. stubbornness

78. Which of the terms     below     means   "standing   up    for
yourself"?
(1)
     A. guts
     b. exhibitionism
     c. assertiveness

79. Which of the terms below means learning to thoroughly
complete a task? (1)


A. termination
     b. follow-through
     c. full-baked

80.   Which  of   the  terms   below   means  "taking         full
responsibility for your life in every way?" (1)

     A. self-sufficiency
     b. assertiveness
     c. budgeting

81. Which one of the terms below means "organizing your
days in order to take care of yourself and your
responsibilities?"
(1)
     A. independent living
     b. time-management
     c. self-discipline

82. What is the average rent for a one bedroom apartment in
your community? (1)



83. What is "take home pay?" (1)



84. How many days notice do you have to have to give a
landlord before you move out in order to receive your
security deposit?
(1)




                            - 73 -
85. Can a landlord retain some of your security deposit if
you fail to return your keys? (1)



86. True or False: A lease is a legal document you sign
  that
states rules you must follow at an apartment and the amount
of time you have agreed to stay at the apartment.(1 point)

87.True or false: The landlord always lives in his or her
apartment building.(1 point)

88.What are five expenses you will have when on your own?
(5 points)




89. What are two reasons why a landlord might not want to
  rent to
someone under 21? (2 points)


90. What are three reasons why people get evicted from an
apartment? (3 points)




91.Where can you go to get information about birth control?
(1 point)

92. What is the name of your dentist? (1 point)



93. Where can you get a certified copy        of   your   birth
  certificate
if you were born in Hamilton Co.? (1 point)




94. Where can you get a state ID card? (1 point)



                            - 74 -
95. How can you cut your rent, utility and phone bills in
  half if
you move out? (1 point)



96. What are three things you should do at a job interview?
  (3
points)




97. Where can you get a Social Security Card? (1)


98.How much is a Metro card, (a bus card good for one
month)?
(1 point)



99. What are five expenses that come with owning a car?
(5 points)




100. How much money would you have left over for bills if
  you
worked full-time at $6.00 and had 15% taken out for taxes?




score = _______________________

Possible total = 125




                            - 75 -
                     *Service Plan Guardian Invitation Form

Date: _______________________

To:    ________________________

       ________________________

Re:    ________________________

Dear ________________________________________:

       Lighthouse Independent Living Program will be conducting a meeting

with all parties involved with _______________________________ to

discuss and develop the treatment plan on _________, at _________ at the

ILP office at 1501 Madison Road. In addition, we will discuss __________

strengths and weaknesses that will enable us to develop a comprehensive

strategy to successfully complete this program. Your participation in this




                                          - 76 -
process is very important. Please plan on joining us for this review. Please

contact _________________________________ at 475-5680 ext. _______ to

let us know whether you will be able to attend. If you cannot attend, please

contact us in order to discuss the service plan with a staff member.


Sincerely,



Social Worker
Lighthouse Independent Living Program




                        * Shared Home Client Information Form

              (One copy for resident manager and one copy for client file)

Client:                                      DOB:

Children Names and DOB:

1.

2.

Social Worker:                               Phone number:

Life Coach:                                  Phone number:

Guardian:                                    Phone number:

Date of Placement:

Estimated Length of Stay:




                                           - 77 -
School:

Work:

Other Daily Activities: Medications Health Issues:

Behavior problems:



Other:




   *Social Worker’s Assessment of Youth's Independent Functioning
(To be filled out by the Social Worker Case Manager)

Score each item below using the following scale:
0 = Never/No    1 = Partially/Sometimes
2 = Yes/Usually     D = Don’t know      N = No opportunity

1.___ Sets his/her own alarm clock and gets on without
needing
      my assistance.
2.____Changes his/her sheets as needed.
3.____Does his/her own laundry as needed.
4.____Makes own nutritional breakfast.
5.____Cleans own dishes.
6.____Does own food shopping.
7.____Gets to school on time.
8.____Does assigned homework.
9.____Packs own lunch.
10.___Makes and keeps own dental appointments.
11.___Makes and keeps own medical appointments.
12.___Is able to use public transportation system.
13.___Makes own dinner.
14.___Cleans the bathroom, kitchen and bedroom as needed.



                                        - 78 -
15.___Does general house cleaning.
16.___Does own shopping for clothing.
17.___Empties the garbage and/or takes the garbage to the
curb.
18.___Manages own time without needing me to remind him/her
of
      time issues.
19.___Asks for help when needed.
20.___Can identify and express his/her feelings.
21.___Can control anger.
22.___Gets enough sleep.
23.___Takes care of personal hygiene.
24.___Takes care of daily dental hygiene.
25.___Talks about the future.
26.___Reads about the world or watches the news.
      (Seems interested in others)
27.___Finds fun things to do during free time.
28.___Connects with positive peers.
29.___Respects others in this household.
30.___Has and carries ID card.
31.___Has and uses a bank account.
32.___Pays toward room and board.
33.___Contributes toward phone bill.
34.___Can find any needed phone number.
35.___Knows what community resources he/she needs.

36.___Shows respect for community laws.
37.___Is assertive when appropriate.
38.___Understands birth control.
39.___Keeps track of appointments on a calendar or
datebook.
40.___Follows a written budget.
41.___Is aware of when expenses are being paid on his/her
      behalf.
42.___Keeps important papers in a safe place.
43.___Is working on a "Lifebook."
44.___Has a job.
45.___Gets to work on time.
46.___Uses money wisely.
47.___Shows appreciation for care-providers.
48.___Asks questions about things not understood.
49.___Is sensitive to people from different backgrounds.
50.___Talks about what it will be like after she/he leaves
the
      program.
51.___Uses good judgment when out of the house.
52.___Can control emotions.



                           - 79 -
53.___Understands community laws.
54.___Understands why things really happen to them.
55.___Understands strengths and good points.
56.___Understands limitations and weaknesses.
57.___Discusses future job possibilities.
58.___Responds appropriately to criticism.
59.___Understands how to read a paycheck.
60.___Can write a check or money order.
61.___Understands how to read a phone bill.
62.___Understands how to read a utility bill.
63.___Can properly fill out an envelope.
64.___Can remember to carry and not lose a house key.
65.___Wants to take over personal responsibilities.




Initial Total = _______                      6 month total = __________

POSSIBLE TOTAL =130




                  *Special Needs Client: Verification of Costs

We understand that the client, __________________________________________
                                Name                   DOB

will need extra services in order to be accepted into the Lighthouse Youth Services
Independent Living Program.


The extra service(s) requested : _________________________________________




                                          - 80 -
The additional cost to ______________________________________ (in addition to the
per diem) is ________________ a day / per hour.



Referring Agency Social Worker/ Care Manager: _____________________________

Referring Agency Supervisor: ____________________________________________



_____________________________________________________________________
Lighthouse Youth Services Independent Living Assistant Program Director Date




                       *Staff meeting Agenda Outline

Staff present:

Agency/program information:

On call:

Positives/Red Flag clients:




                                      - 81 -
EYP/TYP issues:

Incident reports due:

Open apartments:

Discharges:

New Clients:

Moves this week:

Upcoming trainings:

CQI issues:

DAFS outstanding:

Medicaid Billing issues:

Vacations:



Significant events of the upcoming week:

Shared home issues:

Loose ends:



             *Staff Safety Issues when Visiting Client Apartments

   5. Always let someone know when you plan to make a visit.

   6. When approaching an apartment listen to see if there are a lot of people inside.

   7. If no one answers, knock loudly and say, ―This is___________ from the
      Lighthouse Independent Living program, I have a key and am coming in to check
      your apartment.‖ -Do this 2-3 times before keying in.




                                         - 82 -
  8. If client or someone else is sleeping in the apartment, try to wake them up by
     calling them rather than shaking them—keep plenty of space when doing this.

  9. If someone other than the client is in the apartment, explain who you are and why
     you are there. Tell them that they are not supposed to be in the apartment when
     the client is not there.

  10. Show your LYS ID to strangers if client is not there.

  11. Always leave the door open if more than one person is in the apartment.

  12. If visitors are hostile in any way, do not enter the apartment. Ask the client to
      come to the hallway to discuss the situation.

  13. Leave immediately if you feel threatened or intimidated.

  14. If you suspect there are visitor hiding in the apartment and the client is not there,
      announce your entry but don’t search the place without another staff person.

  15. If you are uncomfortable visiting a client for any reason, consider asking another
      ILP staff person to go with you. It is best to discuss this with your supervisor
      first.

  12. If necessary, call the police




                       * STAFF SUMMARY OF TRAINING FOR 200

Staff Name____________________               Program Name___________________

       Topic
Date                                                                              Trainer     Hours




                                          - 83 -
TOTAL # OF HOURS Training for 200 ___________


________________________________
Program Director Signature




                      * Teen Mom Monitoring Checklist

Client name_____________________________date of visit____________

Child’s name____________________________date of birth____________

Staff visitor____________________________________________________

Referring agency caseworker______________________________________




                                     - 84 -
Please check and comment on the following:

Overall apartment cleanliness____________________________________

Child’s appearance_______________________________________________

Mom’s appearance_________________________________________________

Child’s clothing situation_______________________________________

Child’s food supplies____________________________________________

Number of day's diapers available________________________________

Kitchen condition________________________________________________

Bathroom condition_______________________________________________

Bedroom condition________________________________________________

Living room condition____________________________________________
-----------------------------------------------------------------
Apartment safety:
Outlets safe or covered______
Bed has safety rail ______
Crib with slats close together (2 & 3/8" max.)
Cleaning supplies out of reach______
Stairs inaccessible?________(gate?)
Windows inaccessible________(screens tightly secured?)
Open heaters inaccessible_________
Any open doors that are a problem_______
Drug and poison center phone number posted_______(558-5111)
Doctor’s number posted____________dentist no. posted______
Poisons out of reach (cleaning products, cosmetics, perfume, medicines, cigarette butts
etc.)_________

Please check for the following:
____Electrical cords that can be pulled
____Lamps or appliances that can be knocked down
____Things in lower drawers that could be dangerous
____Tools, kitchen utensils that are in reach
____Toilet seat shut

-2-




                                         - 85 -
Please review the following with the client:

_____Do not give the baby a pillow
_____Do not leave the child in the bathtub alone
_____Do not leave the child in the apartment alone
_____Do not leave the child alone with strangers
_____Do not give the child any alcohol, peanuts, popcorn
     or anything they could choke on. don't prop bottle in bed.
_____Do not put the baby in a car without a car seat
_____No toys tied onto crib/pacifier not around neck

Health and health records:
Immunizations explained and understood______
Immunizations up-to-date______
Immunization records on file______
Appointment for next immunization set_______

Does client have a car seat available?______________
Are there toys or games for the child to play with?_____________
Is there anything that the client needs for her child or the apartment?
________________________________________________________________

________________________________________________________________

Who will provide childcare if necessary? (Name and phone):

________________________________________________________________

Are parenting classes being attended?___________________________
Does client have reading materials on child development/behaviors             and
concerns?________________________
Does client have reading materials on the emotional care of                   her
child?______________________

Any other observations or comments:_____________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Baby’s father's full name_______________________________________

Level of father's involvement______________________________________________




                                               - 86 -
Any other adult supports?_____________________________________________________

_________________________________________________________________________

_________________________________      ________________________________
Signature of staff visitor - date      client signature




                                    - 87 -
                               Termination Checklist:
Date of termination: _______

_____         Landlord notified of client departure

_____         Apartment clean/Emptied

_____         Apartment termination form completed

_____         Referring agency caseworker notified

_____         Accounting notified (Connie) about client termination

_____         Phone canceled or transferred (circle)

_____         Utilities canceled or transferred (circle)

_____         Keys returned from client or keys given to client. (open apartment keys to
              ILP specialist)

_____         Removed from allowance form

_____         New lease signed by client (or copy of transferred lease letter)

_____         Client’s change of address form (front of file)

_____         Last Phone Bill received

_____         Client satisfaction survey sent to Clinical Director

_____         Evaluation returned to Director

_____         Deposit will be received or transferred      (circle)

_____         Apartment Termination Form completed and filed

_____         Life Skills completed

_____         Client file put in order in folder

_____         LIDTS information completed

_____         Termination Summary completed

_________________________________             _____Audited and ready for close-out
Assistant / Program Director date



                                           - 88 -
                        *Termination Summary Form Template


Client Name/ID#:              Program: ILP

Sex:     Age:      Date of Birth:            Race/Ethnicity:

Date of Admission:
Date of Discharge:
Date of Report:
Referring Agency Worker:
Social Worker:
Overall Summary:



Reason for Discharge


Medical/Dental/Optical:


Family Involvement:


Counseling:


Educational/Training:

Vocational:

Did client terminate services unexpectedly:

Agency contacted:

 Date                                              Time        Contact
                                             Person/Agency



Was client involuntarily terminated from program/service?




                                       - 89 -
Describe unresolved issues and problems, including recommendations for these
needs:


Summary of Medication Record:

Medication Dose             Dates of Administration


Describe any unusual effects, medication errors or problems:

Referrals made to other community resources:

Agency/Resource      Date of Referral            Reason for Referral

Briefly describe client and, if applicable, parent/guardian response to termination:


Document all follow-up arrangements if indicated made with client and/or
parent/guardian.




__________________________
Social Worker



__________________________
Program Director




                                        - 90 -
                         *Transfer of Lease: Sample letter

April 29, 2004

Normar Corporation
3092 Shadycrest Ln.
Cincinnati, Ohio 45239

Ms. Kris Norton,

This is to follow-up with the arrangement made regarding the transfer of lease/security
deposit from Lighthouse Youth Services’s name to Ms. Breanna Robinson’s account.
Ms. Robinson will be taking over the financial responsibility for the apartment located at
2150 Harrison Ave. #3 as of May 1, 2004. Lighthouse Youth Services will no longer be
on the lease and agrees to transfer the deposit amount into her name. The following
signatures below indicate that all parties are in agreement with this change. Upon Ms.
Robinson’s vacating the apartment, after giving the appropriate 30 day notice, the deposit
will be forwarded to her address.

Thanks You.

__________________________________________________________
Lighthouse Youth Services Staff           (Date)

__________________________________________________________
Breanna Robinson                          (Date)

__________________________________________________________
Normar Corporation Staff                   (Date)




                                          - 91 -
              Lighthouse Youth services, Inc. Independent Living Program


                    *Visual Examination Verification Form

Name of youth: ________________________________________________________

Date of exam: ___________________________(must be within 30 days of placement)

Name of examiner:
____________________________________________________________________

Examiner’s address:
___________________________________________________________________

___________________________________________________________________


___________________________________________________________________

Examiner’s phone #___________________________________________________


Summation of results - left eye: _________________________________________

___________________________________________________________________

Summation of results - right eye: ________________________________________

___________________________________________________________________

Summation of results / overall: __________________________________________

Recommendations: ____________________________________________________

____________________________________________________________________

NOTE: Please attach all pertinent papers to this report

____________________________________                  ___________________
Examiner’s signature                               Date




                                          - 92 -
                                *Weapons Agreement


I understand that while in the Lighthouse Independent Living Program, I am not allowed
to have in my apartment or in my possession any weapons or object that resemble
weapons of any kind. These include real, fake or toy guns, knives, swords, spears, clubs,
throwing objects, bb, pellet or paint guns, etc. Lighthouse staff members may do one of
the following depending on the situation: confiscate the items, notify your guardian or
call the police. I further understand that failure to abide by this agreement could possibly
result in my termination from the program.


_________________________________                            __________
Client name




                                           - 93 -
                * Weekly Independent Living Awareness Check

Name _________________________________Today's date________________

Address__________________________________________________________

City_________________________ Zip code_____________________

phone no. ______________ Social Security Number_________________

School_____________________________ Grade _________________________

Caseworker____________________________ Phone______________________

Place of employment______________________________________________

Landlord's name__________________________________________________

Landlord's address_______________________________________________

Monthly rent $_______________due date for rent___________________
Monthly utility bill _____________________due date________________
Monthly phone bill _______________________due date________________
How much money did you earn this week? $_________________________
How much money did you receive from someone else this week?
From the independent living program $______________________

From other sources $_______________________________________

When will you turn 18?_____________________________________

When is your planned termination date?_____________________

How much do you have saved? $______________________________

How much did you take out of your savings this week?_______

What for?__________________________________________________

How many days did you attend school last week?_____________

How many days were you tardy? _____________________________

What subjects need work?___________________________________

___________________________________________________________

Who paid your rent for this month?___________________________




                                           - 94 -
Who paid your utility bill? __________________________________

Who paid your phone bill? ____________________________________

Who gave you money for food?_________________________________

Do you have your state ID card with you?________

During the past week did you do any of the following:

_____shop for groceries        _____cook your own meals
_____take care of transportation _____wake yourself up in the
_____do dishes                 morning
_____do your laundry           _____clean your bathroom
_____change lightbulbs          _____take out garbage
_____clean kitchen floor       _____sweep all floors
_____straighten up apartment                                         _____complete   homework
assignments

How many life skills chapters have you completed?______________

Which one did you complete last week?__________________________

What other activities did you do to help take care of yourself
last week:
________________________________________________________________

________________________________________________________________

What are some things that others did to help you get by last week?

_________________________________________________________________

_________________________________________________________________

What are you planning to do this week to improve your situation?

__________________________________________________________________

Did you miss any appointments? yes___ no____

If yes, which one?_________________________________________

When was your last dental check-up?_______________________________

Who is your dentist?______________________________________________

When was your last doctor's appointment?__________________________




                                               - 95 -
Who is your doctor?_______________________________________________

did you make any appointments for this week? _________if yes, what for?

__________________________________________________________________

What were your biggest problems last week?________________________

__________________________________________________________________

Is your smoke detector working? ___________ Battery okay?___________

What community resources did you use last week?___________________

Did you have any family contact last week?________________________

Do you have any outstanding debts or unpaid bills?________________

When will you get your next report card?__________________________

What were your contacts with the Independent Living Program last week?

____________________________________________________________

Do you have with you or at your apartment the following:
_____your state id card
_____a certified copy of your birth certificate
_____an original copy of your social security card
_____a library card
_____a calendar for writing down appointments
_____an emergency phone list

What do you need from the Independent Living Program?

________________________________________________________________________


________________________________________________________________________




                                              - 96 -
++++++++++++++++++++++++++
Agreement to enter premises
Allowance
Basic Rules form
Bed days for Flora
Birth Certificate request form
Change of Address form
Client change of address form
Clothing inventory
Common Myths
Consent for treatment
Duty to warn
Hold bed day authorization
Host home contract template
Family Assessment
File audit form
Health Assessment
ILP Computer documentation system
Interview confirmation form
File audit form
EYP monthly report form
Monthly Reports form template
Myths about the ILP
Staff Safety in the Filed
Client Satisfaction Survey
Referring Agency Satisfaction Survey
Apartment Costs Policy
Referring agency satisfaction form
Rental Agreement
Staff meeting agenda outline
Savings account agreement
Self-sufficiency information assessment
Self-sufficiency assessment key
Social worker assessment
ISP form
Infant and toddler price lsit
Intake and Orientation checklist
IV-E Invoive (Self-sufficincy trining
Landlord letter
Lease review monitoring form
Life coach referral form
Mentor orientation
Medication
New Client packet
Notification of cleaning apartment
Paperwork request




                                          - 97 -
Personal safety
Policy manual
Policy on Internet hookup
Progress note form
Sample resume
Savings form
School or work schedule form
Service plan guardian letter
Service plan review form
Special needs client authorization
Staff training summary
Start up costs
Start up supplies list
Teen mom monitoring checklist
Termination summary form
Transfer of lease to client
Treatment review
Verification of costs for Special needs
Volunteer
Duty to Warn Policy
Weapons agreement
Discharge Summary Form
Monthly Report Form
Monday Groups
Clinical Supervision
Staff Meetings
File Reviews
Caseload Reviews
CQI
Teen mom monitoring form
Vacating Apartment form
Weekly Awareness
Yellow cab letter


D. Job Descriptions

Program Director

Assistant Program Director

Senior Social Worker

Social Worker

Case-manager




                                          - 98 -
Client Support Specialist

Administrative Assistant

Mover

Resident Manager


D. Office management


E. Computer system



F. Helpful Resources

Independent Living Terminology

Adjudicatory Hearing: A court proceeding held to determine whether the allegations of
a petition are supported by legally admissible evidence and whether the court has
jurisdiction of the child.

Adoption and Safe Families Act of 1997: Federal legislation that represents a bipartisan
effort to effect change in the out-of-home care system. It attempts to refocus attention on
child safely, to reduce overly long stays in out-of-home care by moving children
promptly into permanent families, and to facilitate the adoption of waiting children.

Advocacy: the act of supporting, recommending, and/or speaking on behalf of a
child/youth, in order to promote the individual’s positive development (Webster’s
Dictionary). Championing the rights of individuals or communities through direct
intervention or through empowerment (The Social Work Dictionary).

Aftercare: Within the context of transition services, aftercare would be those services
and supports provided to young people who have been discharged from foster care but
are still in need of services during the transition period. Aftercare services may be
provided informally, through contact with the young person’s social worker or previous
placement staff, or formally, through an aftercare program. Aftercare is a critical part of
the transition service continuum for those young people who are no longer legally
connected to the service system. For the purpose of this report, the concept of aftercare
and services traditionally provided within this time frame comprise Transition
Services.(CTF)




                                          - 99 -
Age-Out: The termination of legal foster care status due to the attainment of adult status
at age 18 or above as a result of administrative or statutory regulations at the state level.
When publicly funded child welfare services end because a young person has reached the
statutory age limit, that young person is said to have ―aged out‖ of the system.
appropriate age for transition out of the system, allowing a phasing-out process
appropriate to the individual needs of the young person (Krissy).

Assessment: The process used with a family or individual to determine the family or
individuals strengths, needs, and support network. In the context of transition services,
an assessment should be utilized to determine the youth’s level of accomplishment of
independent living tasks and skills. Specialized assessment tools may be utilized to
measure educational progress, vocational skills and/or interests, special physical/mental
health needs, or level of community and/or social supports.

Boarding home: A transition setting for youth or young adults that provides individual
rooms for youth or young adults, often with shared facilities and minimal supervisory
expectations. A boarding home can be set in a single family or townhome in the
community, or may be developed as an SRO (single room occupancy) housing setting in
a remodeled apartment building or motel.

Campus-Based Group Homes or Apartments: Many large residential treatment
programs are located on campus settings, often in rural communities adjacent to a city or
town from which youth are placed at the facility. Over the years, many of these programs
have recognized the need for transition services for the youth they serve who may exit
care from the residential setting. Utilizing existing buildings, or building transition homes
or apartments on campus, residential programs may develop an on-site transition services
program for youth getting ready to age out of care or to return to the community as young
adults

Caregivers: Caregivers are individuals who are responsible for supervision of youth and
providing for youth’s basic needs while in out-of-home care.(CTF)

Care Manager: An alternative term for Case Manager, the Care Manager is the primary
individual responsible for securing, monitoring, and managing services in partnership
with an individual client and/or family. The Care Manager may or may not provide
direct services themselves, such as independent living skills training, counseling, etc.
When a young person is in an out-of-home care placement, they may have a public child
welfare social worker assigned to them, as well as a Care Manager in the placement
setting. The balance of responsibility in this situation depends on the agreement or
contract between the placement provider and the public agency. Either of these Care
Managers may be responsible for providing transition services and support to youth on
their caseload, or such services may be provided by a third party, such as an independent
contractor or a specialized IL department within the public child welfare department.




                                           - 100 -
Caseload: All individuals (usually counted as children, youth, or families) for whom a
social worker or care manager is responsible, as expressed in a ratio of clients to staff
members.

Case Plan: An agreement, usually written, developed between the individual, or family,
the primary care manager,, and other service providers. It outlines the tasks necessary by
all individuals to achieve the goals and objectives identified by the individual or family in
order to best promote their well-being In the case of a youth or young adult in transition,
the case plan may include a transition service or independent living plan, or there may be
a separate additional plan related specifically to transition.

Chafee Program: The Foster Care Independence Act of 1999, which increases federal
support to states for independent living programs. Under this new legislation, named in
honor of the late Senator John H. Chafee, the federal allotment for Title IV-E
independent living programs has doubled from $70 million per year to $140 million
(although currently only appropriated at $105 million).

Child Protective Services (CPS): A process beginning with the assessment of reports of
child abuse and neglect. If it is determined that the child is at risk of or has been abused
or neglected then CPS includes the provision of services and supports to the child and
his/her family by the public child protection agency and the community.

Child Well-Being: The healthy physical, emotional, intellectual, and spiritual
development of a child.

Coach: One who gives instruction, advice, training or preparation for future events or
situations (Webster’s Dictionary).

Court-Appointed Special Advocate (CASA): A trained person (usually a volunteer)
appointed by the juvenile or family court to assure that the needs and best interests of the
child are addressed during the court process.

Collaboration: A process of individuals and organizations in a community working
together toward a common purpose. All parties have a contribution to and a stake in the
outcome.

Community: A group of individuals or families that share certain values, services,
institutions, interests, and/or geographic proximity.

Community-based group home: Detached homes housing 12 or fewer children in a
community-based setting that offer the potential for the full use of community resources
including employment, health care, educational, and recreational opportunities. They can
be staffed on a rotating shift basis, by a live-in houseparent, or use a teaching family or
some variations of these staffing patterns.




                                           - 101 -
Community-Based Organization: Non-profit organization established as a support to
the community and its members, and supported by government contracts, private
endowments, grants, and community donations. Community-based Organizations
(CBO’s) have historically been developed by individuals or groups within the community
in response to a perceived community need.

Concurrent Planning: Permanency planning strategy for assuring an expedient
permanent placement for a child. Planning for reunification occurs simultaneously with
the development of alternative permanency plans, including adoption, to be used in the
event that it is not possible for the child to return to his or her family of origin. In the
context of transition, concurrent planning can be utilized as a strategy for ensuring that all
youth receive services and support to prepare them for the transition to adulthood while at
the same time ensuring that efforts continue to secure family permanency.

Confidentiality: The protection of information obtained from an individual or family
receiving services from release to organizations or individuals not entitled to it by law or
policy.

Continuum Housing Options: see Continuum Living Arrangements Options, below.

Continuum Living Arrangements Options: In the context of transition, optimal
outcomes can best be achieved through the provision of a continuum of transitional living
arrangement options. Living arrangements that include a range of more and less-
supervised and supported settings enable a youth or young adult to build on real life
experience, make mistakes in a safe environment, and to move both backward and
forward on the continuum until they are able to live on their own. A transition living
arrangements continuum includes a variety of settings such as: scattered site apartments,
host homes, mentor roommate apartments, boarding homes, respite/emergency shelters,
shared homes, supervised apartments, dorms, group homes, etc. Youth may move from
one type of living arrangement to another (Mark Kroner).

Continuum of Service: Like the continuum of living arrangements, a broad continuum
of    service     optimizes     the     movement     of    young     people    toward
independence/interdependence while making an adequate level of services and supports
available to them during the transition period. The transition continuum of service
includes assessment, service planning, service delivery, evaluation, and aftercare, all
provided within the context of a youth development approach.

Cultural Competence: The ability of individuals and systems to respond respectfully
and effectively to people of all cultures, classes, races, ethnic backgrounds, sexual
orientations, and faiths or religions in a manner that recognizes, affirms and values the
worth of individuals, families, and communities and projects and preserves the dignity of
each. It is a continuous process of learning about the differences of others and integrating
their unique strengths and perspectives into our lives, serving as a vehicle used to
broaden our knowledge and understanding of individual and communities.




                                           - 102 -
Dependency: a state of reliance on other people or things for existence or support; a
tendency to rely on others to provide nurturance; to make decisions; and to provide
protection, security, and shelter (The Social Worker’s Dictionary). In legal terms,
dependency refers to the legal status of a child or youth who is in the care and custody of
the state, and whose status is supervised by the court.

Discharge: To release, send away or discharge a child or youth from an environment or
system (Webster’s Dictionary).

Dispositional Hearing: A court hearing held to decide what action should be taken after
the court has conducted an adjudicatory hearing and has determined the case is within its
jurisdiction. Decisions commonly made at the dispositional hearing include whether the
child should be removed from the home and what services are needed to reduce risks and
prevent future abuse or neglect. A dispositional hearing may also be held to determine if
services to a young adult will be terminated, and the youth discharged, when s/he reaches
the age of 18. (I think—I’m not totally positive that this is called a dispositional hearing!)

Emancipation: The process through which a state terminates all financial support, care
and supervision of a youth in the care and custody of the state through the child welfare
system. Emancipation is also the statutory process through which a juvenile can appeal
to the court to grant legal adult status to a minor. An emancipation order may be granted
by a judge, in which case a minor would be granted all the legal rights of an adult. This
type of emancipation is often confused with the term emancipation as it applies to the end
of foster care status which occurs when youth in foster care reach the age of 18 or older
and are emancipated from care. (Krissy).

Emotional Maltreatment: Parental or other caregiver acts or omissions, such as
rejecting, terrorizing, berating, ignoring, or isolating a child, that cause, or are likely to
cause, serious impairment of the physical, social, mental, or emotional capacities of the
child.

Expungement: The destruction of records of minors or adults, after the passage of a
specified period of time or when the person reaches a specified age.

FYSB: The Family and Youth Services Bureau (FYSB) is a Federal agency dedicated to
supporting young people and strengthening families. The Bureau does so by providing
runaway and homeless youth service grants to local communities; the Bureau also funds
research and demonstration projects.

FUP: The Family Unification Program (FUP) is a housing subsidy program for families
in the child welfare system and for youth aging out of the foster care system. Child
welfare agencies refer families and youth in need of housing assistance to local public
housing agencies where they are provided with a Section 8 voucher to subsidize their
rent.




                                           - 103 -
Foster care: Foster care is 24-hour substitute care for children placed away from their
birth parents. An agency (state, local, tribal, non-profit, or child welfare) is involved in
placement and care responsibility for the child. Foster care includes foster family homes
(kin and non-relative); group homes, residential facilities, or child care institutions.(CTF)

Guardian ad Litem: An adult person (lawyer or trained lay person) appointed by the
court to represent a child's best interests in juvenile or family court (see Court-Appointed
Special Advocate).

Harm: An injury received as a result of physical abuse, sexual abuse, neglect, or
emotional maltreatment.

Host home: A situation in which a youth rents a room in a family or single adult's home,
sharing basic facilities and agreeing to basic rules, while being largely responsible for
his/her own life.

Health and Human Services (HHS): One of the largest federal agencies, the
Department of Health and Human Services is the principal agency for protecting the
health of all Americans. Comprising twelve operating divisions, HHS' responsibilities
include public health, biomedical research, Medicare and Medicaid, welfare, social
services, and more.

HUD: The U.S. Department of Housing and Urban Development is the federal
government agency charged with providing affordable housing options for all Americans.

IEP: Individualized Educational Plans are the formal case planning mechanism utilized
by the school system to ensure that children and youth who are receiving and/or in need
of special educational services and supports receive those to which they are entitled by
law. Like the child welfare case plan, the IEP describes tasks, timelines, and persons
responsible for tasks that will contribute to the achievement of (in this case) educational
goals and objectives.

Independence: State of being self-sufficient as an adult of legal age. In the context of
transition services, this state would apply to youth and young adults after emancipation
from the child welfare system, juvenile justice system, or other state custody status. In the
context of transition services and support, independence refers to the interdependent state
of being an adult community member, family member, and citizen.(Mark Kroner).

Independent Living: Those segments of the human services fields (including, at a
minimum, child welfare, youth development, developmental disabilities, vocational,
mental health, etc.) dedicated to the development of programs, policies, and services that
best support the positive development of youth and adults as citizens, community
members, employees, and family members.

Independent Living Service Plan: (see Transition Services Plan, below)




                                           - 104 -
Independent Living (State) Plan: The plan required by Federal Law (see Foster Care
Independence Act of 1999, above) to be developed by states and submitted to the
Secretary for Health and Human Services once every five years, as part of the state’s
child and family services plan. The state Independent Living, or Chafee, plan, outlines
the scope of services available in the state to youth preparing for and making the
transition to adulthood, certifies that the state will comply with federal requirements for
such programs, and details the state’s financial and other resource contributions to the
program.

Institution: A large structured facility or group of facilities housing anywhere from 40
to several hundred children, youth, and/or young adults, with most services provided on-
grounds. Institutions may have as their goal residential treatment for children and youth
with severe behavioral/emotional disturbance, diversion from juvenile corrections
placement, or as a placement alternative for youth considered hard to place in the
community.

Interdependency: Interdependency represents the ability to meet one’s physical,
cultural, social, emotional, economic, and spiritual needs within the context of
relationships with families, friends, employers, and the community. We use this term
rather than independent because the relationships cultivated throughout life are the basis
for successful adult functioning, rather than a particular level of self-sufficiency or
individual independence. .(CTF)

Investigation: An inquiry or search by law enforcement and CPS to determine the
validity of a report of child abuse or neglect and/or to determine if a crime has been
committed

Jurisdiction: The power of a particular court to hear cases involving certain
categories or allegations.

Juvenile and Family Courts: Established in states to handle legal matters concerning
juveniles. Most often they have jurisdiction over child abuse and neglect, status
offenders, and juvenile delinquency. In some states, they also have jurisdiction over
domestic violence, divorce, child custody, and, child support.

Kinship Care: The full-time nurturing and protection of children by relatives, members
of their tribes or clans, godparents, stepparents, or other adults who have a kinship bond
with a child.

Life Skills: Life skills typically include both hard (tangible) and soft (intangible) skills
that support a youth’s ability to develop emotionally into an adult. Hard skill areas
include meeting transportation needs, maintaining one’s home, knowing legal rights and
responsibilities, being aware of community resources, managing money, and identifying
health care needs. Soft skills include making decisions, solving problems,
communicating effectively, developing meaningful relationships with others, developing
a sense of one’s self, and cultural awareness. Relevant life skills are taught at




                                           - 105 -
developmentally appropriate stages of a youth’s life; there are intrinsic differences in life
skills taught across diverse cultures.(CTF)

Live-in roommate (mentor apartments): A situation in which a youth shares an
apartment with an adult or student who serves as a mentor or role model. The apartment
can be rented or owned by either the adult or the agency. As an intermediate step on the
living arrangement continuum, mentor apartments offer an increased level of supervision
with true apartment-living experience.

Lobbying: The act of urging or advocating, resulting in a positive effect for the
child/youth (The Social Worker’s Dictionary). Lobbying generally refers to advocacy in
the legislative context, for changes to existing laws or the introduction and passage of
new legislation to benefit children, youth, and families.

Mandated Reporter: A person who in his/her professional capacity is required by state
or provincial law to report suspected child abuse or neglect to the designated state or
provincial agency. In some states, all adults are mandated to report suspected child abuse
or neglect.

McKinney Act: The Stewart B. McKinney Homeless Assistance Act (PL100-77) was the
first -- and remains the only -- major federal legislative response to homelessness. In
1987 Congress passed the act to improve services for homeless persons, including
emergency shelters, health care, and job training. Subtitle VII-B of the legislation
specifically addresses education of homeless children.

Mentor: A wise and trusted counselor or teacher who serves as a senior sponsor,
supporter and loyal advisor (The Social Worker’s Dictionary). Someone, usually over
the age of 21 who acts as a supportive role model for a vulnerable or at-risk youth.
Mentors can be volunteers, students, paid adults, former clients, etc. (Mark Kroner).

Multidisciplinary Team: A group established among agencies or individuals to promote
collaboration and shared decision making around the protection of children and the
promotion of their well being. Some multidisciplinary teams address issues related to
individual children and families, while others focus more on community wide prevention
and protection strategies.

Neglect: Failure of parents or other caregivers, for reasons not solely due to poverty, to
provide the child with needed age appropriate care, including food, clothing, shelter,
protection from harm, supervision appropriate to the child's development, hygiene,
education, and medical care.

Non-Systems Youth: Youth in need of services and support, such as runaway and
homeless youth, who are not under the care and custody of a system such as child welfare
or juvenile justice.




                                           - 106 -
Partner: A person who shares or is associated with another in some action or endeavor
with joint interest, shared roles and responsibilities (Webster’s Dictionary).

Permanency: Permanency in child welfare is a concept that encompasses more than
time. It involves a sense of having a place to call home; a feeling of belonging and
connectedness; and an identity linked to family, tradition, culture, and community.
Formal permanency is the achievement of permanent legal status for a child or youth with
a family or other caregiver through adoption or long-term guardianship.

Permanency Planning: Process through which planned and systematic efforts are made
to assure that children are in safe and nurturing family relationships expected to last a
lifetime.

Petition: A legal document filed with the court to initiate a juvenile or family court
action. The petition sets forth the alleged grounds for the court to take jurisdiction of the
child.

Positive Youth Development: Youth Development can be defined as the process in
which all youths engage over time in order to meet their needs and build their
competencies. A positive youth development philosophy and approach reflect our desire
for positive outcomes in the developmental process and our purposeful efforts to design
environments and services that will contribute to the achievement of desired outcomes.

Residential Treatment Center: A facility or group of facilities usually serving between
l5 to 40 youth and utilizing a combination of on-grounds and community-based services.
Some residential treatment centers may be much larger, serving several hundred youth in
a campus-based setting.

Self-sufficiency: The ability to care for, provide and maintain adequately for ones self
without the need or assistance of a person and/or agency.

Semi-supervised apartment (scattered site or single site apartments): A privately
owned apartment rented by an agency or youth in which a youth lives independently or
with a roommate, with financial support, training, and some monitoring. Apartments may
be scattered in a community, or an agency may support a group of apartments in a
complex or single building.

Service: Any act or helpful activity, help or aid (The Social Worker’s Dictionary).

Service Coordinator: Similar to a care manager, a service coordinator works with a
young person to secure the services and supports needed to transition successfully to
adulthood. A youth may have a service coordinator in addition to a care manager, where
the service coordinator specializes in brokering community supports and services, such as
employment, education, and housing.




                                           - 107 -
Shared House: A minimally supervised house shared by several young adults who take
full responsibility for the house and personal affairs. These homes may or may not have
live-in staff to provide support and supervision. The house may be sponsored or owned
by a CBO, or young people may secure the housing independently and rent as a group.

Shelter: A facility whose purpose is to provide short-term emergency housing to teens or
adults in crisis.

Shelter Plus Care: The Shelter Plus Care Program provides rental assistance for hard-to-
serve homeless persons with disabilities in connection with supportive services funded
from sources outside the program.

Single room occupancy (SRO): A room for rent, often near a city center. SRO’s are
often remodeled motels utilized by community housing agencies to provide low-cost
housing to eligible populations at risk of homelessness, including youth or young adults.

Specialized family foster home: A situation in which a youth is placed with a
community family specially licensed to provide care and sometimes specifically trained
to provide independent living services.

Specialized group home: Sometimes referred to as semi-independent living programs,
these homes are usually staffed as a group home, but house older teens and focus on
developing self-sufficiency skills.

State Independent Living Coordinator: Individual designated to oversee Chafee-
funded Independent Living Programs in the state and to ensure the guidelines are
followed. The Coordinator may act as a liaison between counties and the state child
welfare office in county administered states, between the state and regions in state
administered states, or may directly implement the states independent living program
statewide. (Mark Kroner)

Strengths-based approach: The philosophy of seeing or evaluating a person, group or
system by their assets and/or positive attributions instead of focussing on their deficits. A
strengths-based approach is a foundational to a positive youth development philosophy,
and provides the context for design and implementation of all services for youth in
transition.

Subsidized housing: Government-supported, low-income housing. Monthly rent is
based on income. A CBO or public child welfare agency may also provide subsidized
housing for youth in transition through the direct provision of no- or low-cost transitional
housing or through housing stipends given directly to youth in the community during a
transition period of 18 months to three years.

Subsidy programs: A situation in which a youth receives a monthly stipend that can be
used toward a self-chosen living arrangement and food and personal supplies. The youth




                                           - 108 -
are required to follow certain agency guidelines and participate in agency activities, such
as life skills classes, in order to maintain the subsidy.

Supervised apartment: An apartment building, rented or owned by an agency, in which
numerous youth live with a live-in supervisor who occupies one of the units.

Systems Youth: Youth in the care and custody of the state, either through child welfare,
juvenile justice, or mental health (are youth in the mh system in the custody of the child
welfare dept? Are youth who are in residential placement through special ed provisions
in the custody of the education dept or the child welfare dept, or their own families?
Would they still be considered systems youth?) Young adults ages 18-21 may still be
considered systems youth when they maintain foster care status, though the youth must
voluntarily agree to remain in custody, and the custodial status remains voluntary until
the youth is discharged from services or reaches the age when services must terminate by
state policy or statute.

Teachers: One who imparts knowledge or skill in an area or subject.

Temporary Assistance to Needy Families (TANF): The U.S. federally structured
welfare program established in 1996 to replace the Aid to Families with Dependent
Children (AFDC) program; the Job Opportunities and Basic Skills Training (JOBS)
program; emergency assistance; and some provision in Medicaid, Supplemental Security
Income (SSI), and other programs. The program is part of the Personal Responsibility
and Work Opportunity Reconciliation Act of 1996 (P.L.104-193) and gives the states
more authority to create and manage their own welfare programs. States are permitted to
cut their welfare spending by up to 25 percent without losing the fixed federal block
grants. Unlike the AFDC program, TANF cash assistance is no longer considered an
entitlement, lifetime eligibility of benefits is reduced to a total of five years, and benefits
to legal immigrants are restricted (The Social Worker’s Dictionary).

Title IV-B: The nature of this program is to fund child welfare services. Eligible
services under Subpart 1 (Yearly appropriation. 25 percent state match required) include
emergency caretaker and homemaker services, emergency financial assistance, family
preservation activities, mental health services, alcohol and drug abuse counseling, and
post-adoption services. Eligible services under Subpart 2 (Capped entitlement, 25
percent state match required) include a range of family support and family preservation
services.

Title IV-E: This is an entitlement program that funds foster care maintenance (or room
and board costs), for eligible children, and adoption assistance payments for children with
special needs. Children are Title IV-E eligible and, therefore, entitled to federal financial
participation in the costs of their foster care placement, if they enter foster care from
families who are eligible for Aid to Families with Dependent Children (AFDC) or from
families who would have been AFDC eligible if the family had applied for AFDC
benefits. Children with special needs are eligible for adoption assistance payments if




                                            - 109 -
they were eligible for Title IV-E at the time of their foster care placement or became
eligible for SSI before adoption.

Transition In the child welfare arena, transition is generally understood to be the period
of time from late adolescence to the early adult years during which the youth increases
their level of skills and practice of independent living and begins taking on the tasks and
responsibilities of interdependent adult living.

Transitional services: Transition services represent the array of services available to a
youth or young adult who has reached adolescence and is beginning to move through the
transition process, or may be at any point in the transition process.

Transition Service planning and delivery include a wide range of supports and
opportunities including:
 direct delivery of IL skills training,
 opportunities to practice life skills in real life settings with support,
 community resource referral,
 physical and mental health services,
 education and employment preparation and support,
 strengthening relationships,
 achieving family permanency
 opportunities to participate in community life, community leadership,
 opportunities to be mentored
 work experience
 transitional housing and housing preparation and support
Transition Service(s) Plan: A plan developed as part of the youth’s overall case plan
that outlines steps to be taken to prepare a youth without stable family support for life
after the child welfare system . A youth or young adult may have a transitional service
plan in addition to a case plan, or may only have a transitional service plan while
participating in aftercare services or post-foster care transitional programs.
Transitional Living Program (TLP): In general, TL is the broad term referring to the
broad array of possible living arrangements that help youth learn skills needed for the
next, less supervised setting. Some campus programs have assigned a house to serve as a
transitional living experience before a youth leaves the system and moves out on his/her
own. Some agencies refer to TL as housing-based services for older homeless youth and
young adults who are not in the system.
Transitional Living Group Home: A home, often affiliated with a residential treatment
center to which older teens move upon completion of treatment goals. The focus while a
youth lives in the transitional home is to acquire life skills and to prepare for a return to
the community and for self-sufficiency.
Transitional Living Program for older, non-system youth: The Transitional Living
Program for Homeless Youth is a federally funded transitional program for youth ages
16-21 funded by the Department of Health and Human Services as one of the Family and



                                           - 110 -
Youth Services Bureau’s Runaway and Homeless Youth Programs. This funding is
available to community based public and private agencies for the purpose of providing
transition services for up to 18 months to homeless youth who are not eligible for
services under an existing system, such as the child welfare system. While the
Transitional Living Program funded by HHS is the most commonly known TLP, it is not
the only transitional program, and should not be categorized as such. A transitional
living program can be any program in a community that is designed to assist youth in
transition. The terms ―transitional living program‖ and ―independent living program‖ can
be used interchangeably without attribution to funding source. For the purposes of this
document, the term transitional services is the broad term encompassing all supports,
services, and opportunities designed to help youth make successful transitions to
adulthood.

Welfare Investment Act: (P.L.105-220) The Workforce Investment Act of 1998 (WIA)
was implemented to consolidate, coordinate, and improve employment, training, literacy,
and vocational rehabilitation programs in the United States, and for other purposes.

Welfare to Work Partnership: The national organization of business and government
leaders established in 1997 to facilitate the transition of public assistance recipients to the
private-sector workforce. The executives of business corporations work in partnership
with government representatives to create meaningful jobs for former welfare clients and
provide training and mentoring to succeed in those jobs. (The Social Worker’s
Dictionary).

Wrap Around:

Youth Advisory Committee: A group of youth recruited, trained, and supported by a
private or public agency to act in an advisory capacity to the agency. Young people on
an advisory committee or council may participate in agency governance, advocate on the
agency’s behalf to policymakers and legislators, act as a liaison between the agency and
the community, represent the views and needs of their peers being served by the agency,
and participate in program development, implementation, and evaluation.

Youth Worker: A person who works with young people in a community or other
program setting with the goal of promoting their positive development. Youth workers
may be paid staff or volunteers.




50 Things You Can Do to Help Someone Get Ready for Life on Their Own

1. Help them get an original copy of their birth certificate.
2. Help them get a social security card (and wallet to put it in).
3. Enroll them in a school program in which they can succeed.
4. Help them get a picture identification card.




                                            - 111 -
 5. Find out if they are eligible for a Medicaid card.
 6. Help them get copies of medical records.
 7. Start a "life book" that will contain important papers.
 8. Help them open up a bank account.
 9. Teach them how to write and cash a check.
10. Line them up with a dentist that they can continue to use.
11. Line them up with a doctor they can use when they on their own.
12. Help them put together a family scrapbook.
13. Help them renew contact with family members.
14. Help them develop at least one friendship.
15. Line them up with a good counselor.
16. Take them to join a local recreation center.
17. Teach them some new ways to have fun.
18. Connect them with a church group.
19. Help them find a better paying job.
20. Make sure they really understand birth control.
21. Show them the best place to shop for food, clothing & furniture
22. Help them learn how to look up resources in the phone book.
23. Help them work through an independent living skills workbook.
24. Teach them how to read a map.
25. Take them on a tour of the city.
26. Teach them how to use the bus system and read the bus schedules.
27. Buy them an alarm clock and teach them how to use it.
28. Show them how to use the library & get a library card.
29. Help them get a driver's license and price insurance.
30. Role-play contacts with police, bank tellers, doctors & others.
31. Role-play several different styles of job interviews.
32. Help them put together a resume and an application fact sheet.
33. Make a list of important phone numbers.
34. Teach them how to cook five good meals.
35. Teach them how to store food.
36. Teach them how to use coupons and comparison shop.
37. Teach them how to read a paycheck stub.
38. Teach them how to use an oven and microwave.
39. Teach them how to thoroughly clean a kitchen and bathroom.
40. Take them to a session of adult court; traffic and criminal.
41. Tell them how to get a lawyer and when to get one.
42. Help them understand a lease or rental agreement.
43. Teach them how to do their taxes.
44. Teach them how to write a letter and mail it.
45. Help them develop good phone communication skills.
46. Go over tenant and landlord rights.
47. Help them find a safe, inexpensive place to live.
48. Teach them how to budget their money.
49. Help them find and get along with a potential roommate.
50. Talk to them often about feelings about going out on their own.




                                        - 112 -
                                              2001 Lighthouse Youth Services


Daily Responsibility Checklist

Check the items below to see how responsible you are:
____ I woke myself up this morning.
____ I took a shower and washed my hair today (if needed).
____ I brushed my teeth this morning.
____ I straightened my bedroom.
____ I made it to school on time without someone else pushing me.
____ I paid for my own bus fare (or I appreciate that somebody else helped me with the bus
     fare or transportation).
____ I prepared my own nutritional breakfast.
____ I cleaned up the kitchen after breakfast.
____ I attended all classes.
____ I ate a nutritional lunch.
____ I completed all homework assignments.
____ I made it to work on time.
____ I don't have a job but I applied for one today.
____ I did my best on the job today.
____ I asked an adult to look over my application.
____ I got along with the adults in my life today.
____ I asked for help if I needed it.
____ I fixed my own supper or helped get it ready.
____ I cleaned up the kitchen after supper.
____ I swept the kitchen floor.
____ I emptied the garbage and changed the bag if needed.
____ I changed any burnt-out light bulbs.
____ I went shopping for groceries.
____ I vacuumed the floors if needed.
____ I cleaned up my room today.
____ I did my laundry today if needed.
____ I thought about what I needed to do tomorrow.
____ I read something about independent living.
____ I scheduled my own medical and dental appointments.
____ I kept all of my appointments this week.
____ I made it to all of my appointments on time this week.
____ I have a state ID card, a social security card and a certified copy of my birth certificate.

Signs of advanced responsibility:

____ I paid for my own food this week.
____ I paid for my own clothing this month.
____ I paid my own utility bills this month (gas, elec., heat)
____ I paid my own phone bill this month.
____ I paid for my own transportation.




                                             - 113 -
____ I put some money in savings this week or month.
____ I attended classes on independent living this week.
____ I scheduled & kept my own medical and dental appointments.



End of Year Check up                      Name________________________________

Please take a few minutes and fill out this form as honestly as possible and return to Mark. On
a scale of 1-10, with 1 being the lowest score and 10 being the highest how would you rate the
following? You can add comments on the back if you want.

1. The support of your supervisor?
1       2       3       4       5         6       7       8      9      10

 2. The helpfulness and accessibility of the program director?
1       2       3        4       5         6      7       8      9      10

3. The helpfulness of clinical supervision?
1       2       3        4        5       6       7       8      9      10

4. The usefulness/helpfulness of staff meetings?
1       2       3       4        5       6       7        8      9      10

5. The effectiveness and helpfulness of the IL Specialist
1       2       3       4        5       6       7        8      9      10

6. The effectiveness and helpfulness of our mover?
1       2       3       4        5       6      7         8      9      10

7. Trainings offered by LYS?
 1      2        3       4       5        6       7       8      9      10

8. The clarity and do-ability of your job description?
1       2        3       4        5       6        7      8      9      10

9. Your current stress level?
1       2       3        4       5        6       7       8      9      10

10. The overall effectiveness of the IL program?
1       2       3        4        5       6      7        8      9      10

11. Your quality of work and productivity this year?
1      2        3       4       5       6        7        8      9      10

12. The effectiveness of the Shared-homes.
1       2       3        4       5     6          7       8      9      10

What are two things you would like to see happen next year in the program?




                                              - 114 -
What are two things that would make your job more doable?



Any other comments you would like to make?




Learning life skills the hard way

* Some learn money management by going without food for few days after spending
their money on non-essential purchases.

* Some learn time-management after they are evicted from their apartment due to non-
payment of rent caused by lack of income due to being fired for being late at work too
many times.

* Some learn to clean their place after they see roaches everywhere.

* Some learn personal hygiene after figuring out that nobody will go out with them.

* Some learn to control their anger after spending a month in jail due to excessive
fighting.


* Some learn to eat well when they realize they can’t wear any of their clothing and can’t
afford to buy more.

* Some stop drinking after losing their driver’s license and having to take the bus to
work.

* Some stop using drugs when they find out they can’t get a job unless they can pass a
drug screen.

* Some learn to control their friends at their apartment after losing their 3rd deposit due to
being evicted because of too much partying.

* Some learn to pay their rent on time after finding all of their possessions sitting out on
the curb in front of their apartment.

*Some learn the importance of an education when they always get beat out for a
promotion or better job by people who have degrees and more training.




                                           - 115 -
*Some never learn.


Weekly IL Awareness Checklist

name_________________________________today's date________________

address__________________________________________________________

city_________________________zip code_____________________

phone number______________social security number_________________

school_____________________________grade_________________________
caseworker____________________________phone______________________
place of employment______________________________________________

landlord's name__________________________________________________

landlord's address_______________________________________________
monthly rent $_______________due date for rent___________________
monthly utility bill_____________________due date________________
monthly phone bill_______________________due date________________
how much money did you earn this week? $_________________________
how much money did you receive from someone else this week?
from the independent living program $______________________
from tanf $_________________ from food stamps $_____________
from other sources $_______________________________________
when will you turn 18?_____________________________________
when is your planned termination date?_____________________
how much do you have saved? $______________________________
how much did you take out of your savings this week?_______

what for?__________________________________________________
how many days did you attend school last week?_____________
how many days were you tardy? _____________________________

what subjects need work?___________________________________

___________________________________________________________

who paid your rent for this month?___________________________
who paid your utility bill$__________________________________
who paid your phone bill$____________________________________
who gave you money for food$_________________________________
do you have your state id card with you?________




                                    - 116 -
during the past week did you do any of the following:

_____shop for groceries        _____cook your own meals
_____take care of transportation _____wake yourself up in the
_____do dishes                 morning
_____do your laundry           _____clean your bathroom
_____change lightbulbs          _____take out garbage
_____clean kitchen floor       _____sweep all floors
_____straighten up apartment                                _____complete   homework
assignments

how many life skills chapters have you completed?______________
which one did you complete last week?__________________________

what other activities did you do to help take care of yourself
last week:
________________________________________________________________

________________________________________________________________

what are some things that others did to help you get by last week?

_________________________________________________________________

_________________________________________________________________

what are you planning to do this week to improve your situation?

__________________________________________________________________

did you miss any appointments? yes___ no____
if yes, which one?_________________________________________

when was your last dental check-up?_______________________________

who is your dentist?______________________________________________

when was your last doctor's appointment?__________________________

who is your doctor?_______________________________________________

did you make any appointments for this week?_________if yes, what for?
__________________________________________________________________

what were your biggest problems last week?________________________




                                           - 117 -
__________________________________________________________________
is your smoke detector working?___________battery okay?___________

what community resources did you use last week?___________________

did you have any family contact last week?________________________

__________________________________________________________________

do you have any outstanding debts or unpaid bills?________________

when will you get your next report card?__________________________

what were your contacts with the independent living program last week?
____________________________________________________________
do you have with you or at your apartment the following:
_____your state id card
_____a certified copy of your birth certificate
_____an original copy of your social security card
_____a library card
_____a calendar for writing down appointments
_____an emergency phone list

what do you need from the independent living program?______________




Lessons learned
* We are able to take in and hang on to tough IL youth by either adding on services or moving
them around until we find a place that works out. Having other programs in our agency that can
take problem youth in on short notice really helps.

* Nobody knows how a youth will do when first placed in an apartment. We know that we will
have to remove some of our youth from their original apartment—we’ve moved some kids 4 or 5
times.




                                            - 118 -
* It took years, but most of the people in our county now buy in to what we are doing-the juvenile
court sometimes orders a youth in our program. But explaining the difference between IL & TL
never ends.

* Very few of our clients are ready for this experience-we put them out on their own because they
don’t have the time to grow up as youth from normal families do. We force them to deal with
practical adult issues.

* Our year-round countywide self-sufficiency training program makes a difference for IL youth.
The youth know what to expect if they come in to our program and it gets their care-providers
thinking more about their client’s future too.

* Running a large housing-based IL/TLP is a crazy, chaotic business-every day is full of
surprises, disappointments and successes. There will be some days when you think it’s all falling
apart.

* It takes a certain amount of salesmanship to get some landlords to rent to a youth.
 Some landlords will never rent to us again—some fax over lists of open apartments.

* We see a lot of both IL and TL youth, who didn’t do that well in the program, eventually get it
together and come back to visit us.

* We are able to use low-income housing for youth who are getting ready to live on their own but
can’t afford their current apartments. However, waiting lists are getting longer each month.

* We hang on to staff because we push them to do a good job but don’t hold them responsible for
things that they can’t control.

* Former clients are acting as trainers to younger foster youth, speakers at agency functions and
advocates locally and statewide. They are more effective advocates than any adult professional.

* The youth we work with will probably have difficult lives for many years to come. For
everyone three we run into out in the community who have a job and a place to stay at age 25, we
see or hear about one who is locked up or not doing so well. Many have life-long mental health
issues.

* We are not having enough success with males in general. They should be kept in care longer
than females who tend to mature earlier.

* Teaching staff how ―not to be helpful‖ is important.



Lighthouse Stakeholders

Field acronyms

Risk Factors
Risk Factors in Assessing a Youth’s Readiness for Various Housing Options




                                              - 119 -
This youth:

_____Has committed a felony offense in last year.

_____Is chemically dependent

_____Is Pregnant

_____Has a child

_____Has more than one child

_____Has made a suicide attempt in last year

_____Has history of poor judgment

_____Has chronic medical issues

_____Has chronic mental health issues

_____Is on psychotropic medication

_____Has had more than two misdemeanors in last year

_____Has runaway from a stable placement in the last year

_____Has little or no work experience in the private sector

_____Has been violent toward people in last year

_____Has committed a sex offense in last two years

_____Has chronic history of truancy or school problems

_____Has no known social supports

_____Has limited intellectual abilities

_____Avoids responsibilities

_____Cannot read or write

_____Has a diagnosed developmental disability

_____Has friends/family members involved in illegal activities

_____Has been involved in gang activities


Indicators of Success in Independent/Transitional LivingPrograms




                                               - 120 -
The IL/TL program participant…

-left system with potential long-term living arrangement

-never needs outside financial assistance again

-increased score on written IL information test

-increased score on behavioral checklist

-improved communication with adult world

-has better awareness of family strengths and limitations

-has better awareness of strengths and limitations

-is more independent -takes more responsibility for life situation

-is more assertive/less passive

-has decreased delinquent behavior

-has decreased substance abuse

-achieved an educational goal

-gained work experience

-improved mental health

-benefited from group attendance/participation improved

-is better able to express feelings and ask for help

-responded to therapy

-knows that s/he can’t make it alone

-detaches from unhealthy peers/relatives

Potential Problems

     Drug/Alcohol Abuse

     Too many visitors/loud music

     Hygiene problems

     Loneliness




                                               - 121 -
     Time-management problems

     Negative peer/family pressure

     Self-sabotage

     High Utility bills

     High phone bills

     Misuse of money

     Harboring minors/runaways

     Property damage

     Roommate/arguments

     Learned helplessness

       Lack of positive youth development opportunities


Quotes that Guide IL/TL Housing Programs

     Tell me and I’ll forget. Show me and I’ll remember some of it. Let me do it and
      I’ll understand.

     Three predictors of behavior:
             ~ Past learning
             ~ Present thinking
             ~ Future vision

     Ya don’t know what you don’t know until you know that you don’t know it!

     A person’s image of his or her future may be a better predictor of his /her future
      success than his/her past behavior.

     A ship in the harbor is safe. But that’s not what a ship is for.

     It’s easier to ask for forgiveness than it is to get permission.

     Don’t be afraid to go out on a limb. That’s were the fruit is.

     Give a person a fish and s/he will have fish for the day. Teach a person to fish and
      s/he will have fish for a lifetime minus, of course, any taxes.




                                           - 122 -
HCJFS Emancipation policy


Emancipation Planning & Case Closing for Youth in Custody
              Emancipation planning pertains to youth over the age of 14 and under the age of
Purpose for   21 who are in the custody of Hamilton County Jobs and Family Services. As an
Policy        agency we will improve standardization and documentation of processes that will
              systemically prepare our youth for self sufficiency, emancipation and case
              closure.

              Our explicit agenda is to provide clear and well-understood guidelines for
              emancipation planning. Whenever possible, we intend to support adult
              consumers who are actively and consistently pursuing work and school activities,
              while enforcing less generous timelines on those not actively engaged in their
              plan.
              Caseworkers should begin concurrent planning as soon as possible for housing,
Case          school, and employment. In order to best serve these youth, caseworkers must
Workers       adhere to specific actions/steps in order to ensure the youth works toward and
              able to achieve self sufficiency:
Responsibili
ties         When Youth reach age 14:
              Staff should refer youth with a variety of challenges, listed below, to Workforce
              Investment Act (WIA activities). Those served can range from 14 to 21.
              Substantial federal funds are available to provide a range of school, training, and
              job readiness activities.
              An eligible youth is defined as an individual who:
              a) Is age 14 through 21;
              b) Is a low income individual,
              c) Is within one or more of the following categories:
              (1) Deficient in basic literacy skills;
              (2) School dropout;
              (3) Homeless, runaway, or foster child;
              (4) Pregnant or parenting;
              (5) Sex or violent offender; or
              (6) Is an individual (including a youth with a disability) who requires additional
              assistance to complete an educational program, or to secure and hold
              employment.

              The "Building Futures" staff are trained to determine income eligibility and Basic
                 Literacy skills deficiency. Contact Building Futures – Debbie Smith (458-
                 7970) - if you need to make a referral, or have questions about services or
                 eligibility. In house, please contact Tim Dingler at 946-7423.




                                        - 123 -
Emancipation Planning & Case Closing for Youth in
Custody, Continued
               When Youth reach age 16:
Case             If youth displays possible MRDD traits, the caseworker will make a referral
Workers           for an OEDI through MRDD to determine the youth’s level of functioning and
                  eligibility for services with adult MRDD.
Responsibili    Make an Independent Living referral to the Children Services Division
ties              Program Support Worker (or HCJFS Independent Living Coordinator) when
                  the youth reaches the age of 16. The Independent Living Assessment
                  should be completed within 60 days of their 16 birthday or 60 days after the
                  youth enters into the agency custody. Add Independent Living Assessment to
                  the family service plan.
                Facilitate a Family Team Meeting within 30 days after the completion of Life
                  Skills Assessment to assist in establishing individualistic needs of youth,
                  standards for foster parents and treatment providers and a set time line for
                  skill mastering.
                Invite all parties to Family Team Meetings including the child, foster parent,
                  support workers, network provider, family and therapist every 90 days
                  thereafter to discuss and evaluate the progress of youth and implement new
                  objectives for their Independent Living. Issues that must be discussed
                  include employment, school, housing, budgeting, expected goals and
                  anticipated closing date.
                 It is important for JFS Support Workers to play an active role in working
                   with foster families around independent living skills of the foster
                   children.


               When Youth reach age 17:
Case              If the youth will require mental health services as an adult, refer youth to
Workers            MHAP for further Adult Mental Health Services. An Independent Living
                   placement is common at this age.
Responsibil-
ities          Ensure that the youth is placed in housing that they can afford upon discharge
               and/or assure that any changes in housing take into consideration current
               lease agreements. Low-income housing should be pursued if the youth cannot
               afford the current apartment rent. These steps should be taken, or planfully
               managed prior to the consumer’s 18th birthday.

               All youth pursuing a college, vocational or trade school education should apply
               for FASF and the Educational and Training Vouchers as soon as they commit
               to continuing their education. Information about these funds can be obtained
               from the HCJFS Independent Living Coordinators.




                                         - 124 -
Emancipation Planning & Case Closing for Youth in
Custody, Continued

         If Youth reach age 18 and remain open with Children Services:

            Initiate the process for Adult SSI, if appropriate.
            Instruct youth in obtaining ADC, medical card, and food-stamp assistance.

         Transitions to adult services provided through MRDD should begin with SSI
         applications as early as possible, and no later than 17 and a half. Referral to
         the Intersystem Collaboration group should occur three months prior to the
         consumer’s 18th birthday. Margie Weaver (UM supervisor) is the JFS contact
         for Intersystem Collaboration referrals.

         Transitions to adult services provided through the Mental Health Board (MHB)
         are more well defined. MHB is legally responsible for services delivered to
         consumers over 18. This transition to adult services is managed by MHAP.
         Transition to adult systems should begin at 17 and 9 months. That consumer
         should have all required services in place through MHAP no later than three
         months after their 18th birthday. For the six intervening months, responsibility
         for care, oversight, and costs may be shared by both MHB and JFS.

         Youth over 18 years of age:

            If a youth is over 18, concurrent planning should occur for housing, school,
             and employment. It is not appropriate to wait unit a 19-year-old graduates
             to begin pursing housing and employment.

            Independent living dollars are available to help young adults who have left
             the system, but who run into short-term difficulty paying rent.




                                  - 125 -
Documentat The following documentation is necessary to include in the case record to
ion        illustrate Emancipation Planning for the youth:
                   Record all contacts with clients on Case Contact Form Document/Running
                    Dictation in FACTS.
                   Copies of referrals.
                   If applicable, once Independent Living placement is approved, flow a family
                    service plan within 14 days or obtain approval by court or obtain approval
                    by court outlined in a court entry prior to the move.
                   A copy of the Independent Living Assessment results.
                   Documentation of all efforts to engage the youth in schooling



Who
determines      Independent Living applies to those youth that are able to and willing to maintain
youth’s         good academic standing, attend school/vocational training regularly and maintain
applicability   employment.
for
                The Caseworkers, Supervisors, Utilization Management, and GAL assess the
Independent     youth’s applicability for an Independent Living placement.
Living
Placement?      The caseworker will make a referral to Utilization Management using a Case
                Information Sheet and Placement Form requesting an Independent Living
                placement.

                As with all moves, the Caseworker must flow a family service plan no less than 14
                days prior to movement or obtain approval by court outlined in a court entry prior to
                the move.

                NOTE: Independent Living is determined on an individual basis. It is preferred but
                not required that the youth complete their classes prior to an Independent Living
                placement.


Support
Workers         Youth who remain in foster care of their own volition beyond 17 rather than
Roles           participating in Independent Living placement should do so in the context of a
                formal, documented understanding on the part of the case worker, consumer, and
                foster parents, that those foster parents will take responsibility for promoting the
                consumer’s’ independent living skills and experiences.




                                         - 126 -
            All case terminations must be approved by Juvenile Court. The Ohio Revised
When Does   Code defines the scope of court authority regarding orders for continued service
JFS         beyond 18 years of age.
Terminate
            ―The court shall retain jurisdiction over any child … until the child attains the age
Children?   of eighteen years if the child is not mentally retarded, developmentally disabled, or
            physically impaired … [E]xcept that the court may retain jurisdiction over the child
            and continue any order … for a specified period of time to enable the child to
            graduate from high school or vocational school. ― 2151.353 E1 ORC

            It is appropriate for juvenile court to exercise discretion in ordering services beyond
            18 for consumers who are physically handicapped, mentally retarded,
            developmentally delayed, or engaged in high school, secondary vocational school,
            or pursuing a GED.

            That discretion does not extend to consumers over 18 who:
            a. have received a GED, or high school diploma,
            b. are enrolled in college,
            c. have chosen not to continue with schooling
            d. have failed consistently to engage in offered secondary educational
               opportunities.

            When applicable, the court should be made aware that one of the circumstances
            described above is true and well documented.

            If JFS proposes termination and staff receive orders in court to continue services
            under these circumstances, staff should object. If the termination request is made
            in accordance with this emancipation policy, that objection will be actively and
            visibly supported by agency administration.




                                      - 127 -
When Does       Prior to termination, it is presumed that each youth is over 18 years of age and the
JFS             agency has made all reasonable efforts to secure housing. Referrals for all
                appropriate adult services shall have been made. All parties should be aware early
Terminate
                in the planning process that repeated active or passive refusals to participate in
Children?       activities to support emancipation planning will not delay termination. The following
                outline should be used as guidelines to determine when to file a motion to
                terminate custody.

                1. We must close cases with consumers over 18 if they are not MRDD, physically
                   handicapped, or actively engaged in high school, GED, or secondary
                   vocational education.
                2. Absent those exception criteria, challenges related to mental health, college
                   enrollment, immaturity, pregnancy, or a clack of adequate transition planning
                   can not serve to keep that case open.
                A. HCJFS is not permitted to pay for services for youth over 18 and in college or
                   transitioning from high school to college.
                B. Pregnancy is not a primary driver of emancipation timelines. Pregnancy affects
                   community supports pursued, but not the timelines for IL, housing, or
                   emancipation.
                C. Immaturity does not constitute a sufficient rationale for maintaining a case
                   beyond 18.
                D. Failure to participate in IL activities will not delay elements of a plan related to
                   housing, work, school, or emancipation.
                E. All individuals over age 18 may choose to leave any and all services at any
                   time if they have not been formally probated by court.
                F. Casework staff should reach out to IL staff in the RT section regarding
                   consumers in need of services beyond emancipation such as emergency
                   assistance with rent, schooling, training, credit counseling, or family services.




When developing housing options
   Try to find a place the youth can keep after discharge from care.

   Try to find a place that the youth can somehow afford (with a roommate, subsidy,
    savings, etc.).

   Try to find a place in an area comfortable and/or familiar to the youth.

   Keep safety and security issues in mind.




                                           - 128 -
   Find places with access to transportation, employment, shopping, etc.

   Try to give the youth at least 6 months experience in a living arrangement prior to
    discharge. Expect lots of mistakes, problems and dumb choices.

   Have back-up plans in place for youth who can’t handle the less supervised settings.
    Understand that youth might need to be moved around several times before they learn
    what it takes to be a responsible tenant.

   If your agency can’t create alternative living arrangements, contract with someone
    who already has them in place or is willing to give it a try.

   Try to create a program that is flexible, responsive to clients needs and cost-effective.

   Educate (continuously) key systems people about the importance of real life
    experience and the need to have affordable housing lined up at discharge.

   Understand that developing a full continuum of living arrangements takes years.

   Hire staff who are experienced, tolerant, creative problem solvers and have a rich
    sense of humor.

   Understand that liability issues are no more or less an issue than in any type
    of child welfare placement-but be sufficiently insured anyway!


Working With Adolescents

Things to remember when working with adolescents with behavioral problems.

1. At some time in their adolescence, most people do things that could be classified as
   ―behaviorally disturbed.‖

2. There are no infallible experts or pat solutions in dealing with difficult adolescents;
   each adolescent responds to a different approach. Sometimes doing nothing is best.

3. Much of the difficult behavior displayed by a youth is related to survival instincts that
   he/she has developed from a previous traumatic situation.

4. Youth often tend to recreate their previous chaotic, unhealthy environments because
   that is what they are most familiar and comfortable with.




                                           - 129 -
5. Many of these youth are ―guessing at what is normal.‖ It is our job to create a
   healthy, ―normal‖ environment by letting them know what is expected from them and
   what will not be tolerated.

6. Regardless of what a adolescent has experienced and regardless of how bad their past
   has been, he/she needs to be responsible for his/her present behavior.

7. Youth need and want limits. They want to know who is watching them, who will
   control them, who will care if they do right or wrong, and who will stop them if they
   lose control.

8. Many undesirable behaviors are defense mechanisms to cover up inadequacies,
   painful feelings, or poor self image.

9. Being firm and consistent is important. If an adolescent does not respect you or feels
   that you do not respect yourself, you will have a difficult time working with him or
   her.

10. With time, patience, and active involvement, all adolescents are able to make positive
    changes. Sometimes you don’t get rid of negative behaviors; instead, you help to add
    positive behaviors.


A Review of the IL field Best practices literature

Studies

Paperwork Training for ILP Social Workers

   1. UMUR Reports –
         Monthly reports due to your supervisor by the 10th of every month
         Weekly notes (for JFS kids with Life Coach) due every Monday
         All weekly and monthly notes go into Michelle’s Magellan into your
          folder
         Shaz and Linda will review and submit to UMUR data entry


   2. EYP Reports –
         There is an EYP folder on the ILP P drive with forms and instructions
         Due by the 25th of every month to your supervisor
         Shaz and Linda will review and submit to Amy Fritsch via fax by 27th of
           every month

   3. Medicaid Paperwork –
         There is a Medicaid folder on the ILP P drive with forms and instructions




                                          - 130 -
          Please refer to Medicaid Flowchart for deadlines
          Tickets to be put in Michelle’s Magellan in the Medicaid ticket folder on
           an on-going basis
          Linda will review and submit to UMUR data entry



                 CARF Program-Specific Policy Requirements

   Description of program (Note: These should be consistent with program-specific
    standards in CARF Manual).
   Mission
   Philosophy of program
   Program goals
   Description of clients served
   Description of services/mechanisms to serve clients
   Assurance of adequate resources to delivery identified services
   Description of required staff and staff competencies
   Access to services
   Admission and readmission criteria; procedures for referral/recommendations if
    ineligible.
   Procedures for ongoing communication with other involved providers (internal
    and external).
   Waiting list procedures
   Program orientation for clients
        o Rights and responsibilities
        o Grievance procedures
        o Ways to have input
        o Explanation of services, therapeutic interventions, expectations, hours,
            access after hours, ethics, confidentiality, follow-up/aftercare
        o Financial obligations/fees
        o Premises including evacuation, exits, etc.
        o Policies on seclusion and restraint, smoking, illegal substances, weapons
        o Identification of primary case coordinator
        o Program rules including restrictions, behaviors that may lead to loss of
            privilege or rights, how to regain rights.
        o Purpose and process of assessments
        o How the IFSP/ISP will be developed and how they participate
        o Transition criteria and procedures
   Policy for provision or arrangement of crisis intervention services.
   Safety
        o Evacuation
   Safety education for persons in community housing (e.g., scattered site).
   Transportation safety, including emergency procedures
   Job descriptions
   Staff promotion guidelines



                                     - 131 -
   After-hours policies
   Referral procedures
   Transition planning and procedures
   Discharge procedures
   Pharmacotherapy (TFC, ILP, NB, YDC)
   Medication dispensation/administration
   Seclusion/Restraint policies




                     CARF Agency-wide Policy Requirements

   Accessibility of services
   Client Rights
   Commitment to diversity
   Confidentiality/privacy
   Freedom from abuse
   Informed consent
   Access to records
   Research guidelines/protections
   Grievance procedures
   Emergency safety procedures (e.g., fires, disasters, medical, etc.).
   Safety of staff and clients
   Infection control
   Hazardous materials
   Use of tobacco
   Critical incident reporting
   Personnel policies
        o Credential verification
        o Background checks
        o Required skills and competencies
        o Nondiscrimination
        o Personnel records
        o Initial and ongoing training
   Risk management plan
   Records management
   Release of information
   Cultural competency and diversity
   Seclusion/restraint policies
   Code of ethics
   Volunteers/Students/Interns




                                       - 132 -
        o Signed agreements
        o Orientation & training
        o Performance assessment
        o Policies for dismissal
   Confidentiality
   Service planning
CQI/QA/Record Review




                                   - 133 -

				
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