Youth Transition Plan for Independent Living Instructions

Please provide the name of the agency.

Provide a detailed description of the barriers to successful emancipation for the youth. Fill only if 'Release prior to age 21' is 'Yes'.

Provide a description of the clinical goal related to mental/emotional health, substance abuse, or domestic violence.

Provide a brief review of the youth's work history over the past two years and their current work status, including employer details, wages, schedule, hours worked, and insurance. Describe their future employment plan, noting any known issues, needs, or special considerations.

Provide a detailed description of the action step to be taken by both the youth and staff.

Enter the name of the person responsible for completing this action step.

Specify the target date for the completion of this action step.

Provide a detailed description of the first action step for both the youth and staff. Fill only if 'Pregnant & Parenting Goal' is being addressed.

Enter the name of the person responsible for completing the first action step. Fill only if 'Action Step 1 Description' is not empty.

Enter the target date for the completion of the first action step. Fill only if 'Action Step 1 Description' is not empty.

Please provide a detailed description of the first action step for both the youth and staff. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Please enter the name of the person responsible for completing this first action step. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Please provide the target date for the completion of this first action step. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Please provide a detailed description of the first action step planned for both the youth and staff. Fill only if 'Youth is prescribed medications' is 'Yes'

Please provide the name of the person responsible for completing the first action step. Fill only if 'Youth is prescribed medications' is 'Yes'

Please provide the target date for completing the first action step. Fill only if 'Youth is prescribed medications' is 'Yes'

Provide a detailed description of the first action step to be taken by both the youth and staff. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter the name of the person responsible for completing the first action step. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter the target date for the completion of the first action step. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter the specific action step to be taken by youth and/or staff for this first action item.

Enter the name of the person responsible for completing this first action step.

Enter the target date for the completion of this first action step.

Please describe the first action step planned for achieving the employment goal. Fill only if 'Describe Youth's Current Status/Future Plans' under Employment Goal is not empty

Please provide the name of the person responsible for completing the first action step for the employment goal. Fill only if 'Describe Youth's Current Status/Future Plans' under Employment Goal is not empty

Please enter the target date for the completion of the first action step for the employment goal. Fill only if 'Describe Youth's Current Status/Future Plans' under Employment Goal is not empty

Provide the first education goal.

Enter the first action step for both youth and staff regarding food management. Fill only if 'Describe Youth's Current Status/Future Plan' under Food Management Goal is not empty

Enter the name of the person responsible for the first food management action step. Fill only if 'Describe Youth's Current Status/Future Plan' under Food Management Goal is not empty

Specify the target date for completing the first food management action step. Fill only if 'Describe Youth's Current Status/Future Plan' under Food Management Goal is not empty

Provide a detailed description of the first action step to achieve the home management and housing goal. Fill only if 'Home Management and Housing Goal' is selected

Specify the name of the person responsible for completing the first action step. Fill only if 'Home Management and Housing Goal' is selected

Indicate the target date by which the first action step should be completed. Fill only if 'Home Management and Housing Goal' is selected

Provide the first action step for both youth and staff related to money management.

Enter the name of the person responsible for completing the first money management action step.

Enter the target date for the completion of the first money management action step.

Provide the anticipated date of the youth's discharge.

Provide the date when this form was completed.

Please enter the fourth action step for both the youth and staff. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Please enter the name of the person responsible for the fourth action step. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Please enter the target date for the fourth action step. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Provide a detailed description of the fourth action step to be taken by both youth and staff.

Enter the name of the person responsible for the fourth action step.

Enter the target completion date for the fourth action step.

Provide the youth's primary educational goal.

Enter any additional specific details or a brief clarification related to the education goal.

Document the youth's highest level of educational achievement, current educational status, future educational plans, any issues or needs regarding the future plan, and special considerations related to educational or vocational training.

Provide the date when Action Step 1 was achieved.

Provide the date when Action Step 2 was achieved.

Enter a brief review of the youth's work history over the past 2 years, current work status including employer details, wages, schedule, hours worked, and insurance, along with their future employment plan and any related issues or considerations.

Indicate if the first action step for the employment goal was achieved.

Indicate if the second action step for the employment goal was achieved.

Enter a description for the food management goal.

Describe the youth's abilities in food management, including their capacity to shop and cook independently, and any skills developed for independent living after discharge.

Indicate if the first action step for the food management goal was achieved.

Indicate if the second action step for the food management goal was achieved.

Indicate whether the first action step for the transportation, community resources, and recreation goal has been achieved.

Enter a detailed description of the youth's social and family goal, including current status and future plans regarding family relations and support systems.

Indicate whether the first action step for the social and family goal has been achieved.

Indicate whether the third action step for the social and family goal has been achieved.

Indicate whether the first action step for home management and housing goals has been achieved.

Indicate whether the second action step for home management and housing goals has been achieved.

Indicate whether the third action step for home management and housing goals has been achieved.

Provide a brief description or title for the money management and financial goal.

Describe the youth's current financial status and future plans, including details on bill payment, budgeting, bank accounts, and strategies to meet financial responsibilities.

Indicate whether the first action step for money management and financial goals has been achieved.

Indicate whether the second action step for money management and financial goals has been achieved.

Indicate whether the third action step for money management and financial goals has been achieved.

Provide a comprehensive description of the youth's current status and future plans regarding pregnancy and parenting, including details on children, medical records, childcare concerns, court expectations for DCFS-involved children, family planning, TPSN involvement, home safety, prenatal care, and daycare.

Indicate whether the first action step for pregnant and parenting goals has been achieved.

Indicate whether the third action step for pregnant and parenting goals has been achieved.

Describe the youth's current clinical status and future plans, including mental/emotional health history, substance use, service needs, and progress reports. Fill only if 'Pregnant & Parenting Goal' is being addressed.

Indicate whether Action Step 1 has been achieved. Fill only if 'Pregnant & Parenting Goal' is being addressed.

Indicate whether Action Step 2 has been achieved. Fill only if 'Pregnant & Parenting Goal' is being addressed.

Indicate whether Action Step 3 has been achieved. Fill only if 'Pregnant & Parenting Goal' is being addressed.

Indicate whether Action Step 4 has been achieved. Fill only if 'Pregnant & Parenting Goal' is being addressed.

Provide a comprehensive description of the youth's current status and future plans relevant to specialty programming, covering sex offender status, supervision, adult service transition, treatment services, diagnosis, hospitalizations, medication, and CILA placement with PAS referral steps. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Indicate whether the second action step for specialty programming has been achieved. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Indicate whether the third action step for specialty programming has been achieved. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Indicate whether the fourth action step for specialty programming has been achieved. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Provide a comprehensive description of the youth's current status and future plans, addressing probation/parole, warrants, criminal charges, court fines, community service, DCFS court hearings, and anticipated release date.

Enter the status indicating whether the first action step was achieved. Fill only if 'Youth is prescribed medications' is 'Yes'

Enter the status indicating whether the second action step was achieved. Fill only if 'Youth is prescribed medications' is 'Yes'

Enter the status indicating whether the fourth action step was achieved. Fill only if 'Youth is prescribed medications' is 'Yes'

Describe the youth's current status, future plans, any pending reports, dangerous behaviors, safety or risk issues, supervision plans, and parenting concerns. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter information indicating whether action step 1 was achieved. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter information indicating whether action step 2 was achieved. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter information indicating whether action step 3 was achieved. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter information indicating whether action step 4 was achieved. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter a concise summary of the youth's home management and housing goal.

Describe the youth's current living arrangement, including details for independent living such as address, lease holder/landlord information, and rent amount. Explain whether the youth can maintain current residence post-emancipation or if an affordable housing plan is in place.

Provide a concise summary of the youth's legal goal.

Provide a detailed description of the youth's current health status, future plans, medical needs, insurance plans post-emancipation, and ability to care for self, including information on medical, dental, vision, and immunization records.

Check this box if the plan milestone being documented is for when the youth is 17 years old.

Check this box if the plan milestone being documented is for when the youth is 19 years old.

Check this box if the plan milestone being documented is for within 90 days prior to the youth's discharge from care.

Provide details on the youth's current status and future plans regarding pregnancy and parenting, including information about children, medical records, childcare, court expectations for DCFS-involved children, family planning, TPSN involvement, home safety, and prenatal/daycare arrangements.

Provide the main goal regarding the identified safety issues or concerns. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Describe the specific action step to be taken for the second item, detailing roles for both youth and staff.

Provide the name of the individual responsible for completing the second action step.

Enter the target date by which the second action step is expected to be completed.

Provide a detailed description of the second action step for both the youth and staff. Fill only if 'Pregnant & Parenting Goal' is being addressed.

Enter the name of the person responsible for completing the second action step. Fill only if 'Action Step 2' is not empty.

Enter the target date for completing the second action step. Fill only if 'Action Step 2' is not empty.

Provide a detailed description of the second action step to be taken by both youth and staff. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Enter the name of the person responsible for completing the second action step. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Specify the target date for the completion of the second action step. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Please provide the second action step for both the youth and staff. Fill only if 'Youth is prescribed medications' is 'Yes'

Please enter the name of the person responsible for completing the second action step. Fill only if 'Youth is prescribed medications' is 'Yes'

Please provide the target date for the completion of the second action step. Fill only if 'Youth is prescribed medications' is 'Yes'

Provide a detailed description of the second action step to be taken by both youth and staff. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter the name of the person responsible for completing the second action step. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter the target date for the completion of the second action step. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Provide the details of the second action step for both youth and staff.

Enter the name of the person responsible for the second action step.

Enter the target date for the second action step.

Enter the second education goal for the youth.

Provide the target date for the second food management action step. Fill only if 'Describe Youth's Current Status/Future Plan' under Food Management Goal is not empty

Provide a detailed description of the second action step required for home management. Fill only if 'Home Management and Housing Goal' is selected

Enter the name of the individual responsible for completing the second home management action step. Fill only if 'Home Management and Housing Goal' is selected

Specify the target date by which the second home management action step is expected to be completed. Fill only if 'Home Management and Housing Goal' is selected

Provide the second action step for both the youth and staff to achieve the Money Management/Financial Goal.

Enter the name of the person responsible for completing the second money management action step.

Provide the target date by which the second money management action step should be completed.

Provide a detailed description of the action to be taken for the first social and family goal.

Enter the name of the person responsible for completing this social and family action step.

Specify the target date for completing this social and family action step.

Please provide the second action step for both the youth and staff related to the Social and Family Goal.

Please enter the name of the person responsible for the second action step related to the Social and Family Goal.

Please provide the target date for completing the second action step related to the Social and Family Goal.

Provide the third specific action step for both the youth and staff to address the social and family goal.

Enter the name of the person responsible for completing the third social and family action step.

Enter the target date for the completion of the third social and family action step.

Provide the specific goal for the specialty programming related to MI, DD, JJ, or SBP. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Please provide a detailed description of the third action step to be taken by both youth and staff. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Please enter the name of the person responsible for completing the third action step. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Please enter the target date for completing the third action step. Fill only if 'Does this youth demonstrate a need for disability benefits?' is 'Yes'.

Enter the details for the third action step for both youth and staff. Fill only if 'Youth is prescribed medications' is 'Yes'

Provide the name of the person responsible for the third action step. Fill only if 'Youth is prescribed medications' is 'Yes'

Provide the target date for the completion of the third action step. Fill only if 'Youth is prescribed medications' is 'Yes'

Enter the description of the third action step for both youth and staff. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter the name or role of the person responsible for the third action step. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter the target date for completing the third action step. Fill only if 'Clinical (Mental/Emotional Health, Substance Abuse, Domestic Violence, Etc) Goal' addresses safety concerns

Enter the third action step to be taken by both youth and staff.

Provide the name of the person responsible for completing the third action step.

Enter the target date for the completion of the third action step.

Enter the third action step for the employment goal, detailing actions for both youth and staff. Fill only if 'Describe Youth's Current Status/Future Plans' under Employment Goal is not empty

Provide the name of the person responsible for the third action step for the employment goal. Fill only if 'Describe Youth's Current Status/Future Plans' under Employment Goal is not empty

Indicate the target date for completing the third action step for the employment goal. Fill only if 'Describe Youth's Current Status/Future Plans' under Employment Goal is not empty

Provide the third action step for food management, detailing the specific tasks for both youth and staff. Fill only if 'Describe Youth's Current Status/Future Plan' under Food Management Goal is not empty

Enter the name of the person responsible for the third food management action step. Fill only if 'Describe Youth's Current Status/Future Plan' under Food Management Goal is not empty

Enter the target date for completing the third food management action step. Fill only if 'Describe Youth's Current Status/Future Plan' under Food Management Goal is not empty

Provide a detailed description of the third action step to be taken for home management and housing. Fill only if 'Home Management and Housing Goal' is selected

Enter the name of the person responsible for completing the third home management action step. Fill only if 'Home Management and Housing Goal' is selected

Specify the target date for the completion of the third home management action step. Fill only if 'Home Management and Housing Goal' is selected

Please enter the third action step for money management, outlining tasks for both the youth and staff.

Please enter the name of the person responsible for completing the third money management action step.

Please enter the target date for the completion of the third money management action step.

Provide the full name of the youth for whom this transition plan is being created.

Enter the youth's date of birth.

Enter the first action step planned for both youth and staff regarding transportation, community resources, and recreation. Fill only if 'Transportation, Community Resources, and Recreation Goal Description' is filled

Provide the name of the person responsible for completing the first transportation action step. Fill only if 'Transportation, Community Resources, and Recreation Goal Description' is filled

Specify the target date by which the first transportation action step is expected to be completed. Fill only if 'Transportation, Community Resources, and Recreation Goal Description' is filled

Enter the detailed description of the second action step for transportation, involving both youth and staff. Fill only if 'Transportation, Community Resources, and Recreation Goal Description' is filled

Enter the name of the person responsible for completing the second transportation action step. Fill only if 'Transportation, Community Resources, and Recreation Goal Description' is filled

Enter the target date for completing the second transportation action step. Fill only if 'Transportation, Community Resources, and Recreation Goal Description' is filled

Please provide the specific action step for both youth and staff for Transportation Action Step 3. Fill only if 'Transportation, Community Resources, and Recreation Goal Description' is filled

Please provide the target date for completing Transportation Action Step 3. Fill only if 'Transportation, Community Resources, and Recreation Goal Description' is filled

Provide details on the youth's current transportation plan, community resources, recreation activities, interests, hobbies, leisure/cultural/spiritual needs, specific resources to promote interests, method of payment, and estimated start date.

Provide a detailed description of the youth's current status and future plans, including their medical, dental, vision, and immunization records, current medical issues, medications, plans for continuing medical needs, health insurance after emancipation, possession of medical records, and ability to care for self.