SERVICE

One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.
 
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  FAMILY

Two or more people who consider themselves family and who assume obligations, functions, and responsibilities generally essential to healthy family life. Child care and child socialization, income support, long-term care, and other caregiving are among the functions of family life. The definition of "family" will rest with an individual's indication of who plays a family member role, including current or former foster family, adoptive family, extended family members, fictive kin, or significant others. Organizations that believe family is the central constellation in a child's life, and that family attachments are of primary importance for human development, will strive to work with professional staff to develop a common understanding of "family."
 
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  COMMUNITY

A specific group of people living in the same locality and who may share a common culture, values, and norms. Communities can also be defined by race, religion, ethnicity, age, occupation, political status, tribal affiliation, interest in particular problems or outcomes, or other common bonds. The term "community" encompasses worksites, schools, tribes, residential neighborhoods, business districts, recreational areas, and health and human service sites.
 
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  PROGRAM

A system of services offered by an organization. For example, an organization providing a mental health service may offer several mental health programs to different populations, e.g., a mental health program for adolescent teens. The word "program" can be used interchangeably with the word "service" or to describe specific programs.
 
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  RESEARCH

For purposes of COA accreditation, all forms of internal or external research involving persons served except internal program evaluation and outcomes research, or educational projects performed by students and interns that are part of their professional training.
 
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  OUT-OF-HOME CARE

Services for persons living in environments outside of their usual households. Foster Care Services are considered to serve persons in out-of-home care.
 
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  MANAGEMENT

See ADMINISTRATION
 
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  CONSUMER

The individual, family, group, or community that seeks or receives services.
 
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  PRACTICE

Established actions or ways of proceeding in the regular performance of organizational duties. Policies and procedures often guide practice.
 
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  ADVOCACY

An act performed with or on behalf of others through direct intervention, empowerment, or representation. Case advocacy refers to actions taken in relation to a particular individual consumer. Cause, social, or systems advocacy refers to actions taken in relation to a common issue affecting a group of persons.
 
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  TRAINING

Instruction so as to make fit, qualified, or proficient in a skill or body of knowledge.
 
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  AFTERCARE

Additional services provided beyond the period of primary care that offer continuity and supportive follow-up.
 
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  DISCHARGE

See CASE CLOSING
 
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  LINKED

The means by which individuals access services that may or may not be provided by the organization itself. These terms are used interchangeably when individuals are linked to services either directly or by referral. See also CONNECTED.
 
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  MEDICATION MANAGEMENT

Ongoing review and oversight of a client's use of prescribed or over-the-counter medications by a physician or other prescribing clinician.
 
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  MONITORING

An evaluation involving a periodic review of consumer services, organizational activities, or conduct. Specifically, monitoring is an activity of case coordination, whereas more broadly, monitoring is an evaluation technique used in overall quality assurance.
 
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  CHEMICAL DEPENDENCY

Physiological and psychological dependence on a chemical, such as alcohol, tobacco, or narcotics, which results in increased tolerance and withdrawal symptoms when the chemical is removed.
 
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  PLANNING

The process of specifying objectives, evaluating the means for their achievement, and exercising deliberate decision making about appropriate courses of action.
 
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  PREVENTION

Actions taken to minimize and/or eliminate social, psychological, or other conditions. Prevention can occur at the individual, group, community, and societal levels and enhances opportunities to achieve positive fulfillment.
 
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  CRISIS INTERVENTION

The immediate response to the acute needs of a person in crisis including referral to appropriate community resources, advocacy, support, or direct assistance.
 
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Youth Independent Living Services
 
Private Org Public Agency  

PA-YIL 7: Family, Community, and Workplace Connections

 
Services and supports effectively draw upon a full range of available family, school, workplace, neighborhood, and community resources that establish the young person as a primary resource for, and an active participant in, his or her development.

PA-YIL 7.01

 
Program activities facilitate youth-family and youth-community connections and promote a coordinated response to youth interests and needs.

PA-YIL 7.02

 

Individuals are helped to develop social support networks and build healthy, meaningful relationships with caring individuals.

Interpretation: “Caring individuals” may include mentors, community members, friends, siblings, and other family members.
Research Note: Although many youth in independent living programs are disconnected from long-term family relationships, research indicates that youth in out-of-home care maintain relationships with family members and return to them upon exit from care. Independent living programs should be aware of youth involvement with family members and should foster supportive relationships when possible or assist youth in coping with or avoiding unhealthy relationships.
Research Note: A statewide longitudinal study of youth well being following transition from care concluded that the development of a viable social support system is essential for helping youth successfully transition. Another follow-up study points to the significance for youth of clarifying and reestablishing family ties when possible and desired, since family members will potentially, and often, become part of the young adult’s support system. Youth can perceive relatives to be a source of support to locate housing, in particular.

PA-YIL 7.03

 
Services provided in community settings are accessible by public transportation or arrangement with a service provider.

PA-YIL 7.04

 

Service providers and community members identify opportunities for youth to develop a comprehensive set of daily living, social, and communication skills, including:

  1. household management;
  2. budgeting;
  3. building credit;
  4. consumer competence;
  5. nutrition and food preparation;
  6. stress management and coping;
  7. time management;
  8. interpersonal relationships and communication;
  9. problem solving and decision making;
  10. hygiene, self-care, and personal safety; and
  11. exercising legal rights and responsibilities, such as voting.
Research Note: Although daily living skills often are taught in a classroom, educational practice principles support programs that incorporate experiential learning and provide youth opportunities to practice such skills. A rigorous qualitative study of teens in foster care documents staff and youth views that practice is necessary for learning about skills required in the real world. Federal testimony about challenges in helping youth live independently and ILS program effectiveness, based on visits in four states and review of 1998 state reports submitted to HHS, notes that state and local administrators acknowledge lack of opportunity for youth to have real-life practice opportunities.
Research Note: An analysis of multi-state longitudinal change data for young adults on six domains, combined to form an Index of Community Adjustment, adds to earlier research on adaptive behavior of individuals with serious emotional disturbance. Though a causal link has not been established, and instruments available to measure strengths based behaviors have limitations, the finding that youth with poor social-adaptive skills continue to have more problems as adults prompts consideration of how services for adolescents can improve social-adaptive skills at individual, family and community levels before the transitional period. Since strengths based behaviors can be taught and improved, are cumulative, and appear to influence positive adult outcomes, this research underscores the importance of studies that are not exclusively problem focused.

PA-YIL 7.05

 

The agency provides housing, or housing services, including:

  1. education regarding available community housing options;
  2. education on tenant rights and responsibilities;
  3. assistance obtaining a safe, growth-enhancing living environment; and
  4. advocacy for safe, affordable, appropriate housing for youth with a goal of independent living.

PA-YIL 7.06

 

Youth receive help locating and/or enrolling in educational or vocational programs appropriate to their needs, interests and abilities, which can include:

  1. high school or GED programs;
  2. colleges or universities;
  3. vocational training programs; and
  4. special education services.
Research Note: The Individuals with Disabilities Education Act stipulates that all children with disabilities that impact on their ability to succeed in school have a right to a free, appropriate public education in the least restrictive environment possible. The Supreme Court has ruled that an “appropriate” program affords a reasonable opportunity to learn. Lower courts have generally interpreted “reasonable opportunity” as to derive “some educational benefit,” to mean make “meaningful educational progress.”
Research Note: A 10 cohort, longitudinal study of long term, intensive relationship-based aftercare has shown services delivered by a professional mentor to be effective for increasing school completion rates for youth who leave care from residential treatment and group homes, compared to similar youth who receive traditional independent living skills training while in care, and the general population. These results suggest solutions to research that consistently shows foster care youth complete school over a longer period of time and in lower numbers than the general population.

PA-YIL 7.07

 

Youth are helped to obtain and maintain employment, including assistance with:

  1. development of good work habits, skills, and self-awareness essential to sustained employment;
  2. development of self-confidence and presentation skills;
  3. resume writing, completion of job applications, and preparation for interviews;
  4. access to and use of employment information and data to understand job options, and clarify current and future work aspirations; and
  5. use of local employment resources, job finding, and placement options, including on-the-job training.
Research Note: A study that examines the self-sufficiency of former foster youth using unemployment wage data and public assistance data concludes that employment while in foster care appears to be by far the best predictor of post-discharge employment.
Research Note: Research suggests that maintaining employment is a greater challenge for youth than getting a job. Accordingly, programs may wish to place special emphasis on helping youth acquire skills that can help them retain jobs over time.

Research Note: A study using California, Illinois, and South Carolina state administrative data analyzed employment, earnings, and public assistance receipt for youth at least 17 years old who exited out-of-home care in the mid 1990s. Youth who aged out of foster care lacking the social and financial support of their families were found to be at significant risk of poor outcomes. Previous research, based primarily on interviews, has shown that many former foster care youth find it difficult to maintain stable employment and that earnings are low.

Research Note: A report that supports youth access to workforce opportunities draws upon several studies of former foster youth that find a lack of employable skills. Related studies find former foster youth to be underemployed, and to experience low earnings and to use public assistance, although “aging out of care” or being discharged to independent living can result in higher earnings than youth who are reunified, adopted or placed with relatives.

PA-YIL 7.08

 

Youth are linked to necessary health services, including:

  1. medical services, such as routine care and medication management or monitoring;
  2. dental services;
  3. counseling, mental health services, and chemical dependency services;
  4. age-appropriate education regarding family planning, HIV/AIDS and STD prevention, and general information about the prevention and treatment of disease; and
  5. insurance coverage, when available.
Research Note: A longitudinal study found that 44% of youth leaving care reported having problems obtaining health care most or all of the time. This finding is consistent with information from 1998 U.S. Census data that identifies 18-24 year olds, the same age group as young people aging out of foster care, or 30% of all individuals, as uninsured at the highest rate of all age groups; 46.7% of individuals in that age group living below the federal poverty level is uninsured.

PA-YIL 7.09

 

Youth receive additional support services, as needed, including:

  1. crisis intervention;
  2. transportation;
  3. legal assistance, including assistance with citizenship and naturalization;
  4. parent education and family support;
  5. child care and development; and
  6. activities that support social, cultural, and recreational interests, and religious observance.
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PURPOSE: Young adults who receive Independent Living Services obtain safe and stable housing, develop life skills and competencies including work readiness, achieve educational and financial growth goals, and establish healthy, supportive adult and peer relationships.
 
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