Form 1 Center for Tribes Demographic Survey

Evaluation of the Child Welfare Capacity Building Collaborative

Center for Tribes Demographic Survey Revised_June_2016

Center for Tribes Demographic Survey

OMB: 0970-0484

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Expiration Date: xx/xx/20xx


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[Official Tribe Name]

[Date]



Legal and Judicial


Yes

No

Operates own tribal court



Hears criminal child welfare matters



Hears civil child welfare matters



Written criminal Children’s Code

Last amended:



Written civil Children’s Code

Last amended:



Offers clear definitions of child abuse and neglect



Offers procedural guidelines of investigations of complaints



Court provides notifications to foster parents and relatives



Who provides notification?


Civil Children’s Code addresses custody rights of parents and TPR



Civil Children’s Code allows for customary adoption



Legal advocate to provide representation for the following in tribal court:



  • Parents



  • Child



  • Child Welfare staff



  • Relatives



Tribal CASA or GAL in place





Additional Comments:

Child Welfare Program Services


Yes

No

Title IV-B funding, Part I



Tribal IV-B funding, Part 2



Tribal/state IV-E agreement in place



If yes, Administrative reimbursement funds



If yes, Maintenance reimbursement payments



If yes, Training reimbursement funds



Tribal Title IV-E development grant completed and Title IV-E plan approved



Direct Title IV-E program operational



Operates tribal child welfare program




  • Child protection investigations



  • Foster care recruitment



  • Foster placements



  • Permanency planning



  • Case management



  • Adoptions (including customary adoption)



  • Guardianship



  • ICWA





Additional Comments:

Family Preservation

Placement prevention services


In-home services


What agency provides prevention or in-home services?


Family Preservation Policies and procedures in place


Prevention Services Provided:

CPS Investigations

CPS Manager Name



What agency provides investigation services?



Yes

No

Risk/safety assessment tool used



CPS Policies and procedures in place for law enforcement





ICWA

ICWA Program Manager






ICWA program in place



ICWA Policies and procedures in place



Tribal/state ICWA agreement in place



Who makes ICWA intervention decisions?




Additional Comments:

Resource Families

Resource Family Manager






Tribe licenses foster and kinship homes



License off-reservation



Licensing standards in place?



What areas of licensing do codes cover?



Formal foster recruitment/retention plan in place



Is foster parent training available? describe



Provides guardianship/adoption services



Policies and procedures for adoption/guardianship



Who is responsible for recruitment and licensing?





Additional Comments:

Youth Services

Youth Services Manager




Yes

No

Independent living services available for youth?

Provided by State/County/Tribe/Other




Other available services for youth (drop down) – mental health, transitional living, mental, cultural, tutoring, recreation, educational, job training, child care, transportation, food, clothing




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