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State of Kansas Department for Children and Families Prevention and Protection Services PPS 5000 REV 117-Page 1 of 3 FAMILY PRESERVATION REFERRAL AND TRANSMITTAL SHEET Head of Household: Initial Referral

How to fill out family preservation referral and

How to fill out family preservation referral and

1. Gather all the necessary information and documentation required for the referral form.
2. Start by filling out the basic information of the family, including their names, addresses, and contact details.
3. Provide a brief description of the family's current situation and the reasons why a family preservation referral is necessary.
4. Include any relevant background information about the family, such as their history of child abuse or neglect.
5. Specify the goals and objectives of the family preservation referral, outlining what outcomes are desired for the family.
6. Identify the specific services and support needed by the family, such as counseling, parenting education, or housing assistance.
7. Clearly outline the safety plan for the family, addressing any immediate risks or threats to the well-being of the family members.
8. Collaborate with other professionals involved with the family, seeking their input and incorporating their recommendations into the referral.
9. Review the completed referral form for accuracy and completeness, ensuring all required fields have been filled out.
10. Submit the filled-out family preservation referral form to the appropriate agency or department for further processing.

Who needs family preservation referral and?

1. Families facing significant challenges in maintaining a safe and nurturing environment for their children.
2. Families with a history of child abuse or neglect who require intensive support and intervention.
3. Families experiencing domestic violence or substance abuse problems that impact the well-being of the children.
4. Families with limited access to resources and services that can help address their specific needs.
5. Families at risk of having their children removed from their care due to safety concerns.
6. Families going through a major life transition, such as the birth of a new child, divorce, or the death of a family member.
7. Families with children exhibiting behavioral or emotional challenges that require specialized interventions and support.
8. Families who have been referred by child protective services or other social service agencies due to identified risks or concerns.
9. Families seeking assistance and guidance in improving their parenting skills and overall family dynamics.
10. Families willing to actively engage in the family preservation program and work towards positive change.

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What is family preservation referral?

Family preservation referral is a process where families at risk of separation receive services to help them stay together.

Who is required to file family preservation referral?

Any agency or individual who has concerns about a family's well-being and wants to provide support can file a family preservation referral.

How to fill out family preservation referral?

To fill out a family preservation referral, the individual or agency must gather relevant information about the family's situation and complete the referral form provided by the appropriate authority.

What is the purpose of family preservation referral?

The purpose of family preservation referral is to prevent the unnecessary removal of children from their families and to provide support services to strengthen family relationships.

What information must be reported on family preservation referral?

Information that must be reported on a family preservation referral includes details about the family members, their living situation, any risks or concerns, and the services needed to support the family.