FCASMTL 108 (Revisions to the Risk Assessment Model and Forms)
Family, Children and Adult Services Manual Transmittal Letter No. 108
February 26, 2001
TO: Family, Children and Adult Services Manual Holders
FROM: Jacqueline Romer-Sensky, Director
SUBJECT: Revisions to the Risk Assessment Model and Forms

The Family, Children and Adult Services Manual Transmittal Letter No. 108 regarding the Revisions to the Risk Assessment and Forms was incomplete and reproduced incorrectly. This Manual Transmittal Letter is being issued to provide the correct information and forms.

The Ohio Department of Job and Family Services has worked closely with the Statewide Risk Assessment Committee to revise the "Family Risk Assessment Model". A primary recommendation of the committee was to change the name of the model to the "Family Decision Making Model". This was done to focus attention on the fact that the Risk Assessment Matrix is only one part of the model which also includes the Case Plan, the Semiannual Review and the Safety Plan. As a result, the name of the model listed on the forms had to be changed. There were no recommendations for changes in how the forms were to be completed or the information to be collected and documented on the forms.

The forms (JFS 01500, JFS 01444, JFS 01445, JFS 01510 and JFS 01520) became effective on January 1, 2001 (the previously stated date of January 1, 2000 was incorrect). The form, JFS 01414, will be effective on February 1, 2001. A brief explanation of the revisions appears on the following page.

For those PCSAs using the Family Assessment and Planning Tool (FAPT), modifications are underway to version the application for these forms with an effective date of April 2, 2001. Forms completed prior to April 2, 2001, will follow the prior format in FAPT. Therefore, until that time, PCSAs may use either the forms currently available in FAPT or the revised forms found as an attachment to this transmittal letter. All old forms will be obsolete as of April 2, 2001.

The following table consists of a brief explanation of the form revisions mentioned above.

ODJFS Form NumberForm Title and Brief Explanation of Proposed Changes
JFS 01500Family Risk Assessment Matrix - multiple use version
Name of model was changed to Family Decision Making Model
Name and number of form was changed from ODHS 1500 to JFS 01500
Element a - Extent of Physical Injury was changed to Extent of Inflicted Physical Injury
Element b - Extent of Emotional Harm was changed to Extent of Emotional Maltreatment
Element l - Behavioral Problems of Children was changed to Emotional/Behavioral Problems of Child(ren)
Factor IV - Characteristics of all adults in the household was changed to Characteristics of all involved adults
Element u - Coping with Problems in Family Functioning was changed to Recognition of Problems in Family Functioning
Element w - Adult's response to Stress was changed to Family Stressors and Response
Element y - Attachment/Bonding-Nurturance was changed to Attachment/Bonding
JFS 01444Case Plan
Name of model was changed to Family Decision Making Model
Name and number of form was changed from ODHS 1444 to JFS 01444
Certified Family Foster home was changed to Certified Foster Home
Long Term Foster Care (LTFC) was removed from the Child's Legal Status Codes
JFS 01445Amended Case Plan Cover Sheet
Name of model was changed to Family Decision Making Model
Name and number of form was changed from ODHS 1445 to JFS 01445
JFS 01414Semiannual Administrative Review (SAR)
Name of model was changed to Family Decision Making Model
Name and number of form was changed from ODHS 1414 to JFS 01414
Family Foster Home was been changed to Certified Foster Home
Long Term Foster Care (LTFC) was removed from the Child's Legal Status Codes
JFS 01510Safety Plan for Children
Name of the model was changed to Family Decision Making Model
Name and number of form was changed from ODHS 1510 to JFS 01510
JFS 01520Family Risk Assessment Matrix - single use version
Name of model was changed to Family Decision Making Model
Name and number of form was changed from ODHS 1520 to JFS 01520

INSTRUCTIONS:

The following chart depicts what materials are to be removed from the Family, Children and Adult Services Manual (FCASM) and what materials are to be inserted in the FCASM.

LOCATIONREMOVE AND FILE AS OBSOLETEINSERT/REPLACEMENT
FORMSODHS 1414JFS 01414
 ODHS 1414 InstructionsJFS 01414 Instructions
 ODHS 1444JFS 01444
 ODHS 1444 InstructionsJFS 01444 Instructions
 ODHS 1445JFS 01445
 ODHS 1445 InstructionsJFS 01445 Instructions
 ODHS 1500JFS 01500
 ODHS 1510JFS 01510
 ODHS 1510 InstructionsJFS 01510 Instructions
 ODHS 1520JFS 01520
 ODHS 1506