1.Obtain the Child and Family S Case Record

/ Tennessee Department of Children’s Services
Child Specific Recruitment Case File Review Tool (Archeological Dig)
Child’s Name / Date of Custody / Date of Full Guardianship
Date / Completed By
Permanency Specialist / FSW
Date of Initial Archeological Dig Planning Meeting:
Date of Follow-up Meeting to PresentArcheological Dig Results:
Resources Utilized: / Case File
Interview with Child
Social Media
Search Engine
Other

Introduction

Purpose: An Archeological Dig is a process that utilizes various tools and strategies to conduct an intensive search to identify, locate, and engage family members, kin, and other individuals in a child or youth’s past that could potentially provide a permanent home or lifelong connection. Archeological Digs are used when a child/youth has not established legal permanency.

This tool is designed to assist the child’s worker when reviewing the child and family case record for potential permanent placement resources, individuals who could assist in identifying placement resources, or individuals who might serve as ongoing supports to the child.

In addition, the tool collects information helpful in the development of the child's Lifebook, background information for formal presentations, full disclosure forms and subsidy documents.

Therefore, a single thorough review of the child and family case records can serve to satisfy several case management responsibilities. More importantly, after a meticulous review of the case record, the members of the child’s permanency team become more knowledgeable regarding the child and are better equipped to identify a family to meet the child's lifelong needs.

Directions:

1.Obtain the child and family’s case record.

2. In an organized fashion, review each piece of paper in the case record.

3.As critical information is uncovered, record it on the appropriate section of this tool.

4.Once the case record review is completed, analyze the tool and identify potential placement resources, supports, or individuals who could be utilized as members of the recruitment team.

Child Interview

Child’s Placement History
Dates Resided / Placement Name / Address / Telephone
1. / () -
2. / () -
3. / () -
4. / () -
5. / () -
6. / () -
7. / () -
8. / () -
9. / () -
10. / () -
11. / () -
12. / () -
13. / () -
14. / () -
15. / () -
16. / () -
17. / () -
18. / () -
19. / () -
20. / () -
Notes:
Birth Mother’s Background Information
Name: / aka: / DOB:
Addresses known to reside:
Birth Mother’s Relatives:
Name / Relationship / Address / Telephone No.
() -
() -
() -
() -
() -
() -
Other Individuals Connected to the Birth Mother:
Name / Relationship / Address / Telephone No.
() -
() -
() -
() -
() -
() -
Notes:
Birth Father’s Background Information
Name: / aka: / DOB:
Addresses known to reside:
Birth Father’s Relatives:
Name / Relationship / Address / Telephone No.
() -
() -
() -
() -
() -
() -
Other Individuals Connected to the Birth Father:
Name / Relationship / Address / Telephone No.
() -
() -
() -
() -
() -
() -
Notes:
Siblings
Name / DOB / Relationship / Address & Telephone
Notes:
Other Significant Contacts
Name / DOB / Relationship / Address & Telephone
Notes:
School Information
Schools Attended:
Name of
School / Dates Attended / Address / Telephone Number / Important People to Child*
() -
() -
() -
() -
() -
() -
() -
() -
() -
Notes:
Health Information
Current Primary Doctor / Dentist
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Dates of Service / Dates of Service
Specialist / Eye Doctor
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Dates of Service / Dates of Service
PT/OT/Speech Therapist / Past Doctors
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Dates of Service / Dates of Service
Notes:
Mental Health Information
Current Therapist / Residential Treatment
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Dates of Service / Dates of Service
Past Therapist / Residential Treatment
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Dates of Service / Dates of Service
Past Therapist / Hospitalization
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Dates of Service / Dates of Service
Past Therapist / Hospitalization
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Dates of Service / Dates of Service
Notes:
Social and Community Contacts
Religious Affiliations / Mentor Programs
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Visiting Family / Scouts/Clubs
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Sports/Recreation / Friends
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Friends / Employer
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Notes:
Social Services Contacts
Social Worker / Past Social Worker
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Guardian Ad Litem / Court Appointed Child Advocate (CASA)
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Recruiter / Contract Agency Social Worker
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Independent Living Specialist / Other Staff*
Name / Name
Address / Address
City / State / Zip / City / State / Zip
Telephone Number / () - / Telephone Number / () -
Notes:

*Other staff may include clerical, transportation, training, etc. who may have had contact with the child.

Additional Information, Contacts or Potential Leads for the Child
Placement EcoMap / (Name of Placement)
Friends
School / Church
Neighbors / Foster Parent’s Extended Family
Child's Name
Employment / Activities
Genogram for
Paternal Grandfather / Paternal Grandmother / Maternal Grandfather / Maternal Grandmother
Father / Mother
* / Father
Father’s Sibling / DOB:
Address:
Father’s Sibling / DOB:
Address:
Father’s Sibling / DOB:
Address:
Father’s Sibling / DOB:
Address:
Father’s Sibling / DOB:
Address:
Father’s Sibling / DOB:
Address:
Father’s Sibling / DOB:
Address:
Father’s Sibling / DOB:
Address:

*Blank is to indicate whether the parent is a birth parent, step parent, adoptive parent, god parent, etc.

Genogram for
Paternal Grandfather / Paternal Grandmother / Maternal Grandfather / Maternal Grandmother
Father / Mother
* / Mother
Mother’s Sibling / DOB:
Address:
Mother’s Sibling / DOB:
Address:
Mother’s Sibling / DOB:
Address:
Mother’s Sibling / DOB:
Address:
Mother’s Sibling / DOB:
Address:
Mother’s Sibling / DOB:
Address:
Mother’s Sibling / DOB:
Address:
Mother’s Sibling / DOB:
Address:

*Blank is to indicate whether the parent is a birth parent, step parent, adoptive parent, god parent, etc.

Genogram for
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:
Child’s Sibling: / Sex: / M F / DOB:
Address:
Currently Living With:

Always check the “Forms” Website for most current version. This form may not be altered.

Distribution:Child/Youth/Family Case File

CS-0769 Page 1 of 13

Rev 10/18

RDA S1615