Fillable Printable Youth Transitional Plan - Maryland
Fillable Printable Youth Transitional Plan - Maryland
Youth Transitional Plan - Maryland
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MARYLAND YOUTH TRANSITIONAL PLAN
TheMarylandYouthTransitionalPlanisanongoingplanningprocesstoensureyouth’ssuccessful
transitionfromfostercare.Thefollowingformisdesignedtoassistayouthin developingapersonalized
planwiththeirworkerastheyprepareforlifeafterfostercare.Thisplanmustbedrivenbyyouth,and
specifictotheneedsandgoalsoftheyouth.
ToproperlyidentifytheneedsofMaryland’syouthandensureyouthobtaintheresourcesandskillstobe
selfsufficient,caseworkerswilladministerthisformannuallytoallyouthages14to16,andevery180days
thereafterforyouthages
16to21.Itisrequiredthatthisplanbefinalized90daysbeforeayo uthexits
fostercare.
Name:
DateofBirth:
DateEnteredFosterCare:
Case#:
PermanencyPlanGoal:
CaseWorkerName:
AssessmentsTaken&Co mpletionDate:(e.g.,AnsellCaseyTool;completed9/30/10)
DateTransitionPlanCompleted:(e.g.,10/15/10) SixMonthTransitionPlanFollowUpDate:(e.g.,
3/15/11)
ParticipantsInvolvedintheDevelopmentoftheTransitionPlan:(ListNameandRelationship)
Directions to Youth:Beforeyouleavefostercare,aplanmust bedevelopedtoprepareyouforlife
aftercare.Thisformwillguideyouandyourcaseworkerinadiscussionaboutkeytopicssuchas:
howyouwillsupportyourself,whereyouwilllive,howyouwilltakecareofyourhealth,
and/orwho
youwillcallifyouneedhelp.Yourparticipationduringthedevelopmentofthisplanisvery
important.Itwillprovideanopportunitytoshareyourneedsandgoalsandfindoutwhatoptions,
programs,servicesandpeopleareavailabletohelpyouasyoutransitionoutof
fostercare.Thisplan
isaboutyourlife;besuretospeakupandaskquestions.☺
Directions to Adults(e.g.,caseworkers,caregivers,socialworkers,communitypartners):Asanadult
supporter,yourroleistoassistyouthin the development oftheirtransitionplanbyengagingand
teamingwiththeminadiscussiontoidentifyneedsandgoalsaroundeducation,employment,
housing,health,moneymanagement,andsupportiveconnections.
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Thefollowingpageslisttopicareasidentifiedtogatheryouth’sthoughtsandideasonspecific
mattersregardingtheirlives.Thecaseworkerandyouthwillengageinadiscussiontodetail
youth’sidentifiedstrengths,issues,concerns,immediateneeds,goalsandactionplans.
YOUTH’S STRENGTHS:
ISSUES/CONCERNS
SERVICE DELIEVERY & NEEDS(Pleaselistservicesyouthcurrentlyusesand/oridentifiesasimmediateneeds)
??DO YOU KNOW…??
Onthefollowingpages,keyquestionsandfactsarelistedinthe“DoYouKnow”section togivea
headsuponthingsyoushouldknow,orhighlightthingsyoushouldseekoutfromyourlocal
department.Forexample,readthequestionsbelow,ifyoucheck“No”toanyofthe
following,we
encourageyoutogathermoreinformationfromyoursocialworker.
Thefollowingquestionsareparticularlyimportantasyouthinkaboutmaintainingyourhealthasanadult:
Do you know…?
• What information is needed for medical coverage after foster care? (Coverage plans, etc.) [ ] Y [ ] N
• Which clinics/doctor offices you can access with your insurance? [ ] Y [ ] N
• You must inform your caseworker of any address changes to receive health coverage after care.
[ ] Y [ ] N
• The State of Maryland has a benchmark policy that outlines all the information & tools you should
receive by age 14, 15, 16, 17 and 18?
(Ask your social worker for a copy of the Benchmark Policy)
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**EDUCATION**
CurrentEducationalStatus:
(Inschool?Grade?Howaregrades?IEP?Graduationdate?GED?Otherprograms?
FutureGoalsorPlansforEducation/VocationalTraining:
(AttendCollege?Typeofprogram?Vocationaltraining?
Military?)
ShortTermGoals/NextSteps
ShortTermGoals/ PlanofAction ResponsibleParties Projected
completiondate
Areyoufamiliarwiththeeducationtrainingvoucher?[]Y[]N
Areyouexploringotherfinancialresources(e.g.,scholarships&grants)tosupportyourfutureeducational
and/orvocationprograms?[]Y[]NIfso,pleaselist.
?? DO YOU KNOW…??
• About your High School Assessment (i.e. Algebra I)?
• Your educational requirements to graduate? Is your worker aware of what you need to graduate?
• Whether transportation is in place to remain in your same school if you change placements?
• When you need to take the SATs? Have you already registered?
• If your worker is aware of funding and resources for higher education (college and vocational)?
• Where to find assistance in applying for college and working through the admissions process
• About D.O.R.S (Division of Rehabilitation Services)?
• The education requirements needed to obtain a Drivers License?
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**EMPLOYMENT**
CurrentEmploymentStatus:
(JobSearch?Skillsneeded?Ifemployed,howdoyoumaintainemployment?Ifunemployed,how
willyoumaintainemployment?)
Futuregoalsorplansforemployment/career:
(whatcareerfielddoyouwanttopursue?Howwillyougaintheskills
necessaryforyourcareergoals?Whocanhelpyouobtainexperienceinthiscareerarea?Anyplansforjobshadowingorinternship?)
ShortTermGoals/NextSteps:
ShortTermGoals/
NextSteps
PlanofAction ResponsibleParties Projected
completiondate
?? DO YOU KNOW…??
• How to find assistance with applying for summer youth employment?
• About Maryland RISE workforce development program?
• About the career assessment at your school? Have you developed a career development framework? Be
sure to share this information with your worker.
• Where to find help with interviewing skills, resume building, appropriate dressing, and proper
behavior in the workplace?
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**MONEY MANAGEMENT **
Doyoucurrentlyhavea:[]CheckingAccount []SavingsAccount?
Ifyoucheckedyes,whatisthenameofyourbank?___________________________________________
AreyoucurrentlyenrolledintheMDFosterYouthSavingsProgram?[]Y[]N
Whatisyourcurrentsourceofincome?__________________MonthlyAmount?_________________
Doyoucurrentlykeepamonthlybudgetofyourexpenses?[]Y[]N
Areyousavingmoneytosupportyourselfafteryouleavefostercare? []Y[]N
Currentamountsaved:______________________Goal$:___________________________________
ShortTermGoals/NextSteps:
NextSteps PlanofAction ResponsibleParties Projected
completiondate
**HOUSING**
?? DO YOU KNOW…??
• Your credit score? Why credit history is so important?
• The importance of having a bank account (i.e. savings/checking) and budgeting?
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**HOUSING**
CurrentLivingSituation:
FuturePlans/GoalsforHousing:
Planforhousingupondischarge:
(Intheeventyouloseyourhousingorexitcare,whatisyouremergencyhousingplan?where?withwhom?Whowillyouaskforhelp?)
ShortTermGoals/NextSteps:
ShortTermGoals/
NextSteps
PlanofAction ResponsibleParties Projected
completiondate
?? DO YOU KNOW…??
• All your housing options?
• How to secure funding for housing? How to apply for section 8 housing? Or, how to find information
for low income housing in the area, if needed?
• About SILA (Semi-independent living program)?
• How to get on the HUD list?
• What’s needed to get housing (i.e. criminal background, leasing agreement)?
• About the Family Reunification Program (FUP)?
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**SUPPORTIVE RELATIONSHIPS AND COMMUNITY CONNECTIONS**
Whoiscurrently yoursupportsystem?Whodoyoufeelcloselyconnectedto?Howaretheyasupport?
(Name,Contactinformation&Relationship)
Effortstoidentifyadditionaladultsupportsandmentors
(Pleaseidentifyclubs,organizations,interestareas,social
networksyouthcandevelop)
Areyoucurrentlyinvolvedinyourcommunity? []Y[]NIfyes,ho w?
Doyouhaveaspiritualsupport/churchorganizat ion?(
Name,Contactinformation)
ShortTermGoals/NextSteps:
ShortTermGoals/
NextSteps
PlanofAction Responsible
Parties
Projected
completion
date
Mylongtermgoaltobuildormaintainstrongrelationshipswithsupportiveadultsis…
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___________________________________________________________________________________________.
**HEALTH**
CurrentHealthStatus:
GoalstoObtainorMaintainGoodHealth:
PlansforMedicalCoverageafterFosterCare:
(Insurance?Howwillyouaccesshealthcare‐doctorsvisits,medicines?)
SpecificHealthIssues:
Concerns/Needs DateofLast
Exam
DoctorContactInformation:
(name,officeaddress,phone#)
therapist,dentist,optometrist
PhysicalHealth
DentalHealth
Vision/Eye
Health
SexualHealth
ShortTermGoals/NextSteps:
NextSteps PlanofAction
(includestepsandservices)
ResponsibleParties Projected
completiondate
Ifyouareunabletomakeadecisionaboutyour healthortreatmentisthereanyoneyouwouldliketomake
thosedecisionsforyou?_______________________________
?? DO YOU KNOW…?
• Regular exams and annual physicals are important to maintain good health.
• The im
p
ortance of desi
g
natin
g
another individual to make health care decisions for
y
ou.
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**DOCUMENATION**
Hastheyouthmetthefollowingbenchmarksand/orreceivedthefollowingdocuments?
[]Driver’slicense
[]BirthCertificate
[]SocialSecurityCard
[]MedicalRecords
[]EducationRecords
[]GreenCard(ifapplicable)
[]PhotoIdentification
[]OtherDocumentation
Whatadditionaldocumentsdoestheyouthneed/want?________________________________________
ShortTermGoals/NextSteps:
ShortTermGoals/
NextSteps
PlanofAction ResponsibleParties Projected
completiondate
Copiesofthistransitionplanhavebeenmadeforthefollowing:
[]Youth
[]Caregiver
[]CaseFile
[]IndependentLivingProvider
[]Other__________________
The following signature indicates a commitment to help ____________________________reach his/her transition plan goals.
NAME
____________________________________ _____________________
YouthSignature Date
____________________________________ _____________________
LDSSRepresentativeSignature Date
_____________________________________ _____________________
OtherParticipant(s)Signature Date