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Intensive Family Preservation Referring Agency Referral Form DSS County DSS workers may complete this form and send to an IPS program to begin a referral. The Supervisor s signature verifies that
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How to fill out intensive family preservation referring

To fill out an intensive family preservation referring, follow these steps:
01
Start by providing basic information about the family such as their names, addresses, and contact information.
02
Describe the reason for the referral and the specific challenges or concerns the family is facing that warrant intensive family preservation services.
03
Include any relevant background information about the family's history, previous interventions, or services they have received.
04
Assess the family's strengths and protective factors that could support the preservation of the family unit.
05
Identify any risk factors or challenges that could hinder the family's ability to maintain a safe and stable environment.
06
Determine the goals or outcomes that the intensive family preservation services aim to achieve.
07
Collaborate with the family to develop a plan of action that includes specific strategies, interventions, and services to address their identified needs and goals.
08
Outline the timeline and frequency of the services to be provided, as well as the responsible parties involved in the family preservation process.
09
Include any additional information or documentation required by the referring agency or organization.
10
Submit the completed intensive family preservation referral form to the appropriate agency or individual responsible for coordinating the services.
Intensive family preservation referring is beneficial for families who:
01
Are experiencing significant challenges or crises that could lead to the breakdown of the family unit.
02
Have a history of child abuse or neglect and require intensive support and intervention to ensure the safety and well-being of the children.
03
Are at risk of having their children removed from their care due to concerns about their ability to provide a safe and nurturing environment.
04
Are facing multiple stressors such as substance abuse, mental health issues, domestic violence, or homelessness that impact their ability to meet their children's needs.
05
Require specialized services and support to address complex family dynamics, communication difficulties, or parenting skills deficits.
06
Have demonstrated a willingness and commitment to engage in intensive services and work towards positive change.
07
Need assistance with accessing and coordinating community resources and support services.
08
Would benefit from a comprehensive assessment, case management, and ongoing monitoring to ensure the family's progress and well-being.
Overall, intensive family preservation referring is targeted towards families who require intensive support and intervention to address their unique challenges and prevent the disruption of family unity.
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What is intensive family preservation referring?
Intensive family preservation refers to a program that aims to provide intensive support and services to families in crisis to prevent the unnecessary removal of children from their homes.
Who is required to file intensive family preservation referring?
Social workers, child welfare agencies, or other professionals working with families in crisis are required to file intensive family preservation referrals.
How to fill out intensive family preservation referring?
Intensive family preservation referrals can be filled out by providing detailed information about the family in crisis, including their circumstances, needs, and any risks present.
What is the purpose of intensive family preservation referring?
The purpose of intensive family preservation referrals is to prevent the unnecessary removal of children from their homes by providing intensive support and services to families in crisis.
What information must be reported on intensive family preservation referring?
Information such as family background, current crisis situation, needs assessment, risk factors, and recommended services must be reported on intensive family preservation referrals.
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