Initial Plan for Court, Submitted to the Court on _____ Day of ______, ______

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PERMANENCY PLAN

Pursuant to K.S.A. 38-2263

☐ Initial Plan for Court, submitted to the Court on _____ day of ______, ______

Child Name ______Year of Birth ______Court Case # ______

Other Household Members______

______

Person preparing form: Name, Address, Telephone Number, [Fax Number], and [E-mail Address]

______

Permanency Planning Conference Date: ______Attending: ______

☐Child is under the age of 14 years old.

or

☐Child is 14 years of age or older and has been consulted regarding this plan.

Permanency Plan is effective from: ______to: ______

Previous Permanency Planning Conference from: ______to: ______

Permanency Goal: (check one of the following)

☐ Maintain at Home ☐ Reintegration ☐ Adoption ☐ Permanent Custodianship

☐ Another planned permanency living arrangement ______

If the permanency goal has changed from the previous case plan, state reason for change:

______

The state of the child’s physical, mental and emotional health, and educational functioning is:

______

Family’s/Child’s strengths and resources ______

Family’s/Child’s needs ______

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The services to be provided to the child, the parents and the placement are: ______

The tasks and responsibilities designed to achieve the plan, and to whom they are assigned, are: ______

The objectives and time schedule for achieving the permanency plan are: (Include the plan for reintegration if reintegration is a viable alternative) ______

The following placement alternatives are available: (For use if the child is placed out of the home)______

The placement selected is appropriate because: (For use if the child is not placed in the parent’s or custodian’s home. Include a description of the safety of the placement.) ______

Summarize progress made in achieving case plan goal since the last case planning conference. ______

Concurrent Case Plan:

☐ Adoption ☐ Guardianship ☐ A.P.P.L.A. ______

☐ N/A

Reason: ______

Authority

K.S.A. 38-2263.

Notes on Use

A permanency plan shall be developed and submitted to the court within 30 days of the court’s initial custody order. This form may be used by a court services officer or custodian if the child is not in the secretary’s custody and the secretary is not providing services to the child. This form is to be prepared in consultation with the child, if 14 years of age or older, and the parents, when possible. The purpose of the permanency plan is to assure, in so far as is possible, that children have permanency and stability in their living situations, and that the continuity of family relationships is preserved. The safety and well-being of the children is paramount.

Comments

Appeals from a reintegration plan are from the court’s approval of the plan, rather than subject to the agency’s administrative review procedures. In re J.G., 12 Kan. App. 2d 44, 734 P.2d 1195 (1987).

Rev. 07/2016 ©KSJC1