Youth Outcome Survey

APPENDIX B TO PART 1356—NYTD YOUTH OUTCOME SURVEY
INFORMATION TO COLLECT FROM ALL YOUTH SURVEYED FOR OUTCOMES, WHETHER IN FOSTER CARE OR NOT
Topic/element #
Current full-time employment (37) ......................

Question to youth and response options
Currently are you employed full-time?
Yes ...............................................................
No .................................................................
Declined ........................................................

Current part-time employment (38) .................... Currently are you employed part-time?
Yes ....................................................
No .................................................
Declined ......................................

Definition

‘‘Full-time’’ means working at least 35
hours per week at one or multiple
jobs.

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 ........................................................

Social Security (40) ..........................................Currently are you receiving social security payments
(Supplemental Security Income(SSI, Social Security
Disability Insurance(SSDI), or dependents’ payments)?
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?
Yes ...............................................................
No .................................................................
Declined ........................................................

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].

‘Part-time’ means working at
least 1–34 hours per week at
one or multiple jobs.

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).

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.

Scholarships, grants, and
stipends are funds awarded for
spending on expenses related
to gaining an education.
‘‘Student loan’’ means a
government-guaranteed, lowinterest loan for students in postsecondary education.

Yes ...............................................................
No .................................................................
Declined ........................................................

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.

Public food assistance (43) ....................Currently are you receiving public food assistance?
Yes ...............................................................
No .................................................................
Declined ........................................................

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 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 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

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 ........................................................

‘‘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.
In the past two years, were you homeless at
any time?
Yes .................................................................
No ............................................................
Declined.

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.

Incarceration (51) ...............................................

with RULES2

Children (52) .......................................................

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.
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?
Yes ...............................................................
No .................................................................
Declined ........................................................
This means that when every child was
born the youth was married to the other
parent of the child.

Medicaid (54) ......................................................

Currently are you on Medicaid [or use the
name of the State’s medical assistance program
under title XIX]?
Yes ...............................................................
No .................................................................
Don’t know ....................................................
Declined ........................................................
Medicaid (or the State medical
assistance program) is a health
insurance program funded by the
government.

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) .................

Health insurance type—mental health (57) ........

Does your health insurance include coverage
for medical services?
Yes ...............................................................
Don’t know ....................................................
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.

Does your health insurance include coverage
for mental health services?
Yes ...............................................................
No .................................................................
Don’t know ....................................................
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.