Title 45
PART 1356 APPENDIX B
| Topic/element No. | Question to youth and response options | Definition |
|---|---|---|
| INFORMATION TO COLLECT FROM ALL YOUTH SURVEYED FOR OUTCOMES, WHETHER IN FOSTER CARE OR NOT | ||
| Current full-time employment (37) | Currently are you employed full-time? | “Full-time” means working at least 35 hours per week at one or multiple jobs. |
| _Yes | ||
| _No | ||
| _Declined | ||
| Current part-time employment (38) | Currently are you employed part-time? | “Part-time” means working at least 1-34 hours per week at one or multiple jobs. |
| _Yes | ||
| _No | ||
| _Declined | ||
| Employment-related skills (39) | In the past year, did you
complete an apprenticeship, internship, or other on-the-job
training, either paid or unpaid? _Yes _No _Declined |
This means apprenticeships, internships, or other on-the-job trainings, either paid or unpaid, that helped the youth acquire employment-related skills (which can include specific trade skills such as carpentry or auto mechanics, or office skills such as word processing or use of office equipment). |
| Social Security (40) | Currently are you receiving social security payments (Supplemental Security Income (SSI, Social Security Disability Insurance (SSDI), or dependents' payments)? | These are payments from the government to meet basic needs for food, clothing, and shelter of a person with a disability. A youth may be receiving these payments because of a parent or guardian's disability, rather than his/her own. |
| _Yes | ||
| _No | ||
| _Declined | ||
| Educational Aid (41) | Currently are you using a scholarship, grant, stipend, student loan, voucher, or other type of educational financial aid to cover any educational expenses? | Scholarships, grants, and stipends are funds awarded for spending on expenses related to gaining an education. “Student loan” means a government-guaranteed, low-interest loan for students in post-secondary education. |
| _Yes | ||
| _No | ||
| _Declined | ||
| Other financial support (45) | Currently are you receiving
any periodic and/or significant financial resources or support from
another source not previously indicated and excluding paid
employment? _Yes _No _Declined |
This means periodic and/or significant financial support from a spouse or family member (biological, foster or adoptive), child support that the youth receives or funds from a legal settlement. This does not include occasional gifts, such as birthday or graduation checks or small donations of food or personal incidentals, child care subsidies, child support for a youth's child or other financial help that does not benefit the youth directly in supporting himself or herself. |
| Highest educational certification received (46) | What is the highest
educational degree or certification that you have received? _High school diploma/GED _Vocational certificate _Vocational license _Associate's degree (e.g., A.A.) _Bachelor's degree (e.g., B.A. or B.S.) _Higher degree _None of the above _Declined |
“Vocational certificate” means a document stating that a person has received education or training that qualifies him or her for a particular job, e.g., auto mechanics or cosmetology. “Vocational license” means a document that indicates that the State or local government recognizes an individual as a qualified professional in a particular trade or business. An Associate's degree is generally a two-year degree from a community college, and a Bachelor's degree is a four-year degree from a college or university. “Higher degree” indicates a graduate degree, such as a Masters or Doctorate degree. “None of the above” means that the youth has not received any of the above educational certifications. |
| Current enrollment and attendance (47) | Currently are you enrolled in
and attending high school, GED classes, post-high school vocational
training, or college? _Yes _No _Declined |
This means both enrolled in and attending high school, GED classes, or postsecondary vocational training or college. A youth is still considered enrolled in and attending school if the youth would otherwise be enrolled in and attending a school that is currently out of session (e.g., Spring break, summer vacation, etc.). |
| Connection to adult (48) | Currently is there at least
one adult in your life, other than your caseworker, to whom you can
go for advice or emotional support? _Yes _No _Declined |
This refers to an adult who the youth can go to for advice or guidance when there is a decision to make or a problem to solve, or for companionship to share personal achievements. This can include, but is not limited to, adult relatives, parents or foster parents. The definition excludes spouses, partners, boyfriends or girlfriends and current caseworkers. The adult must be easily accessible to the youth, either by telephone or in person. |
| Homelessness (49) | Have you ever been
homeless? OR _In the past two years, were you homeless at any time? _Yes _No _Declined |
“Homeless” means that the youth had no regular or adequate place to live. This includes living in a car, or on the street, or staying in a homeless or other temporary shelter. |
| Substance abuse referral (50) | Have you ever referred
yourself or has someone else referred you for an alcohol or drug
abuse assessment or counseling? OR |
This includes either self-referring or being referred by a social worker, school staff, physician, mental health worker, foster parent, or other adult for an alcohol or drug abuse assessment or counseling. Alcohol or drug abuse assessment is a process designed to determine if someone has a problem with alcohol or drug use. |
| In the past two years, did you refer yourself, or had someone else referred you for an alcohol or drug abuse assessment or counseling? | ||
| _Yes | ||
| _No | ||
| _Declined | ||
| Incarceration (51) | Have you ever been confined in
a jail, prison, correctional facility, or juvenile or community
detention facility, in connection with allegedly committing a
crime? OR |
This means that the youth was confined in a jail, prison, correctional facility, or juvenile or community detention facility in connection with a crime (misdemeanor or felony) allegedly committed by the youth. |
| In the past two years, were you confined in a jail, prison, correctional facility, or juvenile or community detention facility, in connection with allegedly committing a crime? | ||
| _Yes | ||
| _No | ||
| _Declined | ||
| Children (52) | Have you ever given birth or
fathered any children that were born? OR |
This means giving birth to or fathering at least one child that was born. If males do not know, answer “No.” |
| In the past two years, did you give birth to or father any children that were born? | ||
| _Yes | ||
| _No | ||
| _Declined | ||
| Marriage at Child's Birth (53) | If you responded yes to the previous question, were you married to the child's other parent at the time each child was born? | This means that when every child was born the youth was married to the other parent of the child. |
| _Yes | ||
| _No | ||
| _Declined | ||
| Medicaid (54) | Currently are you on Medicaid [or use the name of the State's medical assistance program under title XIX]? | Medicaid (or the State medical assistance program) is a health insurance program funded by the government. |
| _Yes | ||
| _No | ||
| _Don't know | ||
| _Declined | ||
| Other Health insurance Coverage (55) | Currently do you have health
insurance, other than Medicaid? _Yes _No _Don't know _Declined |
“Health insurance” means having a third party pay for all or part of health care. Youth might have health insurance such as group coverage offered by employers or schools, or individual policies that cover medical and/or mental health care and/or prescription drugs, or youth might be covered under parents' insurance. This also could include access to free health care through a college, Indian Tribe, or other source. |
| Health insurance type - medical (56) | Does your health insurance
coverage include coverage for medical services? _Yes _No _Don't know _Not Applicable _Declined |
This means that the youth's health insurance covers at least some medical services or procedures. This question is for only those youth who responded “yes” to having health insurance. |
| Health insurance type - mental health (57) | Does your health insurance
include coverage for mental health services? _Yes _No _Don't know Not Applicable _Declined |
This means that the youth's health insurance covers at least some mental health services. This question is for only those youth who responded “yes” to having health insurance with medical coverage. |
| Health insurance type - prescription drugs (58) | Does your health insurance
include coverage for prescription drugs? _Yes _No _Don't know _Declined |
This means that the youth's health insurance covers at least some prescription drugs. This question is for only those youth who responded “yes” to having health insurance with medical coverage. |
| ADDITIONAL OUTCOMES INFORMATION TO COLLECT FROM YOUTH OUT OF FOSTER CARE | ||
| Public financial assistance (42) | Currently are you receiving ongoing welfare payments from the government to support your basic needs? [The State may add and/or substitute the name(s) of the State's welfare program]. | This refers to ongoing welfare payments from the government to support your basic needs. Do not consider payments or subsidies for specific purposes, such as unemployment insurance, child care subsidies, education assistance, food stamps or housing assistance in this category. |
| _Yes | ||
| _No | ||
| _Declined | ||
| Public food assistance (43) | Currently are you receiving
public food assistance? _Yes _No _Declined |
Public food assistance includes food stamps, which are government-issued coupons or debit cards that recipients can use to buy eligible food at authorized stores. Public food assistance also includes assistance from the Women, Infants and Children (WIC) program. |
| Public housing assistance (44) | Currently are you receiving
any sort of housing assistance from the government, such as living
in public housing or receiving a housing voucher? _Yes _No _Declined |
Public housing is rental housing provided by the government to keep rents affordable for eligible individuals and families, and a housing voucher allows participants to choose their own housing while the government pays part of the housing costs. This does not include payments from the child welfare agency for room and board payments. |