RESOURCE MATERIALS FOR CPYP COUNTIES

Declaration of Intent to Maintain Contact

This form was developed by Cheryl Jacobson as part of Project Uplift/Adolescent Connections funded by an Adoption Opportunity Grant received by Colorado. She attributes the successfulness of utilizing the form to two factors: (1) it is very clear to both the adolescent and the connection adult what the commitment will entail, i.e., frequency of contacts, etc.; and (2) from "change theory" it is known that if a person makes a formal written agreement then the desired behavior is much more likely to happen.

Blank Form (MS WORD)

Completed Sample

Agency Self-Assessment Tool on Youth Permanency

This tool is designed to assist an agency or state to reflect on youth permanency. We have designed the questions a) to help assess current work and b) to trigger thinking about people, organizations and methods that could be tapped to strengthen family permanency for youth in the future.

Self-Assessment Tool (MS WORD)

County Data Collection Forms

Intake Form (MS WORD)

Progress Report (MS WORD)

Permanency Practice Tools

Youth Permanency Consult Sheet (MS WORD)

Permanency Scale

1. Youth has no existing or potential lifelong connections
   
   
2. Youth has a potential lifelong connection but no commitment has been made
   
   
3. Youth has a lifelong connection to a caring adult AND caseworker has obtained a signed agreement acknowledging this relationship
   
   
4. A change in legal status: adoption, guardianship, reunification, is in process
   
   
5. Adoption, guardianship, reunification has occurred