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Standard Court Report - National Court Appointed Special Advocate

By Lauren Perkins,2014-12-13 09:04
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Standard Court Report - National Court Appointed Special Advocate

    TO: The Honorable Judge Rouse

    FROM: -------------, CASA Volunteer

    PREPARED: Monday, December 13, 2010

    RE: CHILD/REN’S NAME, date of birth and age

    CASE: Docket Number JV04-__

    PURPOSE: Prepared for hearing on [insert date]

    PLACEMENT: • ___months in current placement • ___months AWAY from the home

    • __ placements since entering out of home care

    ; This section may need to be divided depending on number of children and if they are in

    different placements.

    HIS HISTORY:

    ; Briefly state why the court is involved

    NEW CASA VISITS WITH CHILD:

    (You can summarize this section by just listing dates you had contact with the child/ren, and/or

    list each as indicated below, or only a few that you want to highlight) ; April 12, 2003 York Public School -- “Little Kid’s Day” -- He showed me his favorite activity,

    the sand box, and he introduced me to his teachers (name the teachers). ; May 1, 2003 Foster Home. -- He appears to be attached to his foster parents and ran to hug

    them when he saw them.

     510 Lincoln Avenue • York, NE 68467 Member of the National CASA Association info@casaforyork.org • 402.362.5454 www.casaforyork.org

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    PERSONS CONTACTED: (if you contact a person more than once list each date

    separated by a comma.)

     Name Relationship to Child Date(s)

    ; Space keeper

    ; Space keeper

    Reports and Records Read: (remember to include the date of the document)

    ; Space keeper

    ; Space keeper

    SCHOOL/EDUCATION: -- discuss if applicable

    SERVICES OFFERED:

    What services have been offered to the family and what have they used. Keep this an

    ongoing record of services. Any changes in circumstances: (placement change, school

    changes)

    THERAPY: (how often, with whom, have you seen reports, any progress being made)

    Parents:

    Children:

    VISITATION:

    Visits between parents and children:

    Summarize what visitation has been ordered and if visits are occurring as court ordered.

    Sibling visits:

    NEEDS AND WISHES OF THE CHILD:

    ; Johnny would like to see his mom more (date)

    ; Johnny wants a dog (date)

    ; Johnny wants to go to Disney Land (date)

    ; Specific things that the child has spoken to you about may be about visits with parents

    or siblings, or placement. Personalize this section if the child wants a dog, list that they

    want a dog. If they want to go to Disney land, list that as well. REMEMBER TO DATE

    THIS SECTION!

     510 Lincoln Avenue • York, NE 68467 Member of the National CASA Association info@casaforyork.org • 402.362.5454 www.casaforyork.org

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ISSUES FOR THE COURTS ATTENTION:

    ; Visits, placement, gaps in service, compliance or noncompliance with court orders education, emotional issues, therapy any concern the CASA may have. State progress the family has made to remedy the issues adjudicated. Be sure to include the positive actions the family has taken. Also, state the basis for those recommendations, which should have been covered in the Facts section. Noted “appeared” attachments the child has formed. Bullet the recommendation and/or concern.

RECOMMENDATIONS TO PROTECT AND PROMOTE THE BEST INTEREST OF THE

    CHILD:

    ; Johnny needs PERMANENCY now. He has been in out of home care for 15 months.

    ; CHILD SHOULD… – BECAUSE…OR, “I HAVE NO RECOMMENDATIONS AT THIS TIME.”

    ; Need to state whether you agree with the permanency plan or not. Document the basis for your recommendation and/or concerns

Respectfully submitted, Reviewed by,

(Name), CASA Volunteer Advocate Carol Knieriem, CASA Director

Cc:

    (Name), Case Manager, NDHHS

    Tim Sieh, York County Attorney

    Eric Williams, GAL, children

    (Name), Mother’s Attorney

    (Name), Father’s Attorney

    Review Specialist, Foster Care Review Board

THIS REPORT IS CONFIDENTIAL AND WRITTEN SOLELY FOR USE BY THE JUVENILE COURT OF YORK COUNTY, NEBRASKA. DISCLOSURE TO ENTITIES

    NOT NAMED HEREIN WITHOUT EXPRESS WRITTEN PERMISSION OF THE EXECUTIVE DIRECTOR OF CASA FOR YORK COUNTY IS PROHIBITED.

     510 Lincoln Avenue • York, NE 68467 Member of the National CASA Association info@casaforyork.org • 402.362.5454 www.casaforyork.org

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