Elevated Minds: Kenny A Survey

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* 2. If yes, how long have you been in care/custody?

<30 days

1-6 months

6-12 months

1-2 years

2-4 years

4+ years

NA-I have left care/custody

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* 3. If yes, where do you live?

Relative Home

Family Friend Home

Foster Home, Group Home

Residential Treatment Facility

Supervised Independent Living

NA-I have left care/custody

Other (please specify)

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* 4. If no, the last time you were in care/custody, how long were you in care/custody?

<30 days

1-6 months

6-12 months

1-2 years

2-4 years

4+ years

NA-I am still in care/custody

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* 5. If no, when did you leave care/custody? (MM/YYYY)

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* 6. If no, where were you living right before leaving care/custody?

Relative Home

Family Friend Home

Foster Home, Group Home

Residential Treatment Facility

Supervised Independent Living

NA-I am still in care/custody

Other (please specify)

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* 7. Have you heard of DFCS’s new way of doing work called “Solution Based Casework?”

Yes

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* 8. If yes, what do you know about “Solution Based Casework?”

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* 9. In the last two years, have you noticed DFCS staff members engage you more in case planning and decision making?

Definitely more engagement

A little more engagement

No more engagement

I haven’t been in care/custody for the last two years

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* 10. Have you noticed DFCS staff members engage your family more in the last two years in case planning and decision making?

Definitely more engagement

A little more engagement

No more engagement

I haven’t been in care/custody for the last two years

NA-I don’t have contact with my family, so I don’t know

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* 11. Have you ever participated in a Family Team Meeting?

Yes

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* 12. If yes, (on average), when you were in care/custody, how often did you participate in Family Team Meetings?

Once a month

Once every 2 or 3 months

Once or twice a year

Only once or twice

NA-I have never participated in a Family Team Meeting

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* 13. If you participated in Family Team Meetings, did you feel comfortable giving your opinion during the meeting?

Definitely felt comfortable giving my opinion

I somewhat felt comfortable giving my opinion

I did not feel comfortable giving my opinion in the meeting

NA-I have never been to a family team meeting

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* 14. How involved are/were you in making big decisions about your life?

Very involved

Somewhat involved

Not involved at all

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* 15. Did/Does DFCS ask you questions about your family and extended family?

Yes, they ask about my family often

Yes, they asked about my family a couple of times

Yes, they asked about my family once

No, they did not ask me about my family

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* 16. Generally speaking, has/did DFCS help you maintain relationships with your family /other people who are important to you?

I had a lot of help maintaining relationships with family/people who are important to me

I had some help maintaining relationships with family/people who are important to me

I had no help maintaining relationships with family/people who are important to me

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* 17. What services did you/do you receive? (For example, tutoring, counseling, etc.)______

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* 18. Do you feel the services you did/do receive have helped you?

They helped me a lot

They helped me a little

They did not help me at all

NA-I receive/received no services

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* 19. What services did you or your family wish you had received, but did not receive?

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* 20. Do you feel that DFCS made efforts to get you back to your own family or to a permanent placement?

I feel DFCS has made a lot of efforts to get me back to my family or in a permanent home

I feel DFCS has made some efforts to get me back to my family or in a permanent home

I feel DFCS has NOT made any efforts to get me back to my family or in a permanent home

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* 21. Have you attended any permanency hearings (court time where everyone is discussing where you will live and how you are doing)?

Yes, I have attended those

No, I have not attended those

If you attended a permanency hearing, did the judge ask your opinion about your case?

I was definitely asked my opinion

I wasn’t asked my opinion in hearings

NA-I have never been to a permanency hearing

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* 22. Please tell us anything else you would like to share about your experience working with DFCS?____

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* 23. Contact info( for Drawing)

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 1. Are you currently in care/custody?

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* 2. If yes, how long have you been in care/custody?

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* 3. If yes, where do you live?

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* 4. If no, the last time you were in care/custody, how long were you in care/custody?

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* 5. If no, when did you leave care/custody? (MM/YYYY)

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* 6. If no, where were you living right before leaving care/custody?

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* 7. Have you heard of DFCS’s new way of doing work called “Solution Based Casework?”

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* 8. If yes, what do you know about “Solution Based Casework?”

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* 9. In the last two years, have you noticed DFCS staff members engage you more in case planning and decision making?

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* 10. Have you noticed DFCS staff members engage your family more in the last two years in case planning and decision making?

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* 11. Have you ever participated in a Family Team Meeting?

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* 12. If yes, (on average), when you were in care/custody, how often did you participate in Family Team Meetings?

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* 13. If you participated in Family Team Meetings, did you feel comfortable giving your opinion during the meeting?

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* 14. How involved are/were you in making big decisions about your life?

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* 15. Did/Does DFCS ask you questions about your family and extended family?

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* 16. Generally speaking, has/did DFCS help you maintain relationships with your family /other people who are important to you?

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* 17. What services did you/do you receive? (For example, tutoring, counseling, etc.)______

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* 18. Do you feel the services you did/do receive have helped you?

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* 19. What services did you or your family wish you had received, but did not receive?

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* 20. Do you feel that DFCS made efforts to get you back to your own family or to a permanent placement?

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* 21. Have you attended any permanency hearings (court time where everyone is discussing where you will live and how you are doing)?

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* 22. Please tell us anything else you would like to share about your experience working with DFCS?____

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* 23. Contact info( for Drawing)