This document contains forms and guidelines for developing individual care plans and monitoring children under institutional care or probation. It outlines the following:
- Form XXI provides guidance on developing an individual care plan for each child based on their best interests and considering biological family preservation, kinship care, in-country adoption, foster care, inter-country adoption, and institutional care in order of preference.
- Sections A-D include forms for collecting personal details of the child, submitting fortnightly probation reports, preparing a pre-release report 6 months prior to release/transfer, and conducting post-release follow-ups after 2 and 6 months.
- The forms gather information on the child's needs, progress,
This document contains forms and guidelines for developing individual care plans and monitoring children under institutional care or probation. It outlines the following:
- Form XXI provides guidance on developing an individual care plan for each child based on their best interests and considering biological family preservation, kinship care, in-country adoption, foster care, inter-country adoption, and institutional care in order of preference.
- Sections A-D include forms for collecting personal details of the child, submitting fortnightly probation reports, preparing a pre-release report 6 months prior to release/transfer, and conducting post-release follow-ups after 2 and 6 months.
- The forms gather information on the child's needs, progress,
This document contains forms and guidelines for developing individual care plans and monitoring children under institutional care or probation. It outlines the following:
- Form XXI provides guidance on developing an individual care plan for each child based on their best interests and considering biological family preservation, kinship care, in-country adoption, foster care, inter-country adoption, and institutional care in order of preference.
- Sections A-D include forms for collecting personal details of the child, submitting fortnightly probation reports, preparing a pre-release report 6 months prior to release/transfer, and conducting post-release follow-ups after 2 and 6 months.
- The forms gather information on the child's needs, progress,
This document contains forms and guidelines for developing individual care plans and monitoring children under institutional care or probation. It outlines the following:
- Form XXI provides guidance on developing an individual care plan for each child based on their best interests and considering biological family preservation, kinship care, in-country adoption, foster care, inter-country adoption, and institutional care in order of preference.
- Sections A-D include forms for collecting personal details of the child, submitting fortnightly probation reports, preparing a pre-release report 6 months prior to release/transfer, and conducting post-release follow-ups after 2 and 6 months.
- The forms gather information on the child's needs, progress,
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FORM-XXI
[Rules 50(12)(a),54(1)(o) and 87 (1) (k)]
INDIVIDUAL CARE PLAN Individual care plan for each child shall be prepared following the principle of the best interest of the child. In preparing individual care plan the care option in the following order of preference shall be considered :i ii iii iv v vi
Preserving the biological family
Kinship Care In-Country adoption Foster Care Inter-Country Adoption Institutional Care
Case/Profile No. .. of 20.(year) of the Board/Committee
Admission No. : Date of Admission : A 1 2 3 4 5 6 7 8
PERSONAL DETAILS Name of the child : Age : Sex(male /female) : Fathers / Mothers Name : Nationality : Religion/Caste : Educational attainment : Summary of Case History : Health needs Emotional & Psychological support needed Educational & Training needs Lesiure, creativity and play Attachments and Relationships : Religious beliefs Protection from all kinds of abuse, neglect and maltreatment Social mainstreaming Follow-up post release/restoration
B FORTNIGHTLY PROGRESS REPORT OF PROBATIONER
Part One 1 2 3 4 5 6 7 8 9
Name of the Prohation Officer/ Case Worker
For the month of Registration No, Competent Authority Profile No. Name of the Child Date of Supervision Order Address of the Child Period of Supervision Part Two
Place of interview .. . . . . 1 2 3 4 5 6 7
Date .
Where the child is residing ?
Progress made in any educational/training course. What work he/she is doing and his/her monthly average earning, if employed. Saving kept in the post office. Savings Bank Account in his/her name. Remarks on his / her general conduct and progress. Whether property cared for?
Part three 1
2 3
Any proceeding before the competent authority of or
a Variation of conditions of bond b Change of residence c Other matters Period of supervision completed on Result of supervision with remarks (if any)
Name and addresses of the parent or guardian or fit person under whose care the juvenile is to live after the supervision is over. Signature of the Probation Date of report ..
Officer/Case Worker .
C PRE-RELEASE REPORT Tick whichever is applicable Final Release . Transfer .
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Details of place of transfer and concerned authority responsible ion the place of transfer/Release Details placement of the juvenile/child in different institution Training undergone and skills acquired Final progress report of the officer-in-charge/probation officer/child welfare officer/case worker/social worker (to be attached) Date of release/transfer Date of repatriation Requisition for escort, if required Identification of escort Recommended rehabilitation plan including possible placements Sponsorship requirement and report, if applicable Identification of probation officer/case worker/social worker/non-governmental organization for post-release follow-up Memorandum of Understanding with non-governmental organization identified for post-release follow-up Identification of sponsorship agency / individual sponsor for the child postrelease, if any Memorandum of Understanding between the sponsoring agency and individual sponsor Details of Saving Account of the child, if any Details of childs earnings and belongings, if any Details of awards/rewards due to the child, if any Opinion of the child Any other information
Note: Pre-release report shall be prepared 6 months prior to the date of release/ transfer of juvenile/child and shall take into account the recommendations of the last review report and all other relevant information.
D POST-RELEASE REPORT 1 2 3
Status of Bank Account :
Closed/Transferred Earnings and belongings of the child : Handed over to the child or his/her parents/guardians-Yes/No First interaction report if the probation officer/child welfare officer/case worker/social worker/non-governmental organization identified for follow-up with the child postrelease
4 5 6 7 8 9
Placement of juvenile/child, if any
Familys behavior towards the chid Social milieu of the child, particularly attitude of neighbours/community How is the child using the skills acquired? Whether the child has been admitted to a school or vocation? Give date & name of the school/institute /any other agency Report of second and third follow-up interaction with the child after two months and six months respectively.
