No N/A (circle all that apply): children non-verbal and no family members could be located; other (describe in comment box) Connection to key expectations Cultural Responsiveness; Open and Clear Communication; Family – Partnerships Novice Emerging Accomplished Distinguished Master In addition to In addition to In addition to In addition to Documented Novice Practice: Emerging Accomplished Distinguished the race / Practice: Practice: Practice: ethnicity of the Asked family additional Attempted to Discussed the Utilized questions about provide family’s culture in cultural Asked about cultural norms / culturally relation to the connections preferred practices / appropriate allegations when doing language beliefs / resources / and/or protective safety traditions referrals to the issues planning OR if the family family -e.g. discussed creating / has Native Identified differences reviewing American strengths from between cultural safety / heritage (NAH) the family’s practices and support culture child abuse laws networks with if applicable the family If the family had NAH, If needed, attempted to additional gather specific research was information on done to gather family members more information and tribal about cultural affiliation so norms/practices noticing could be done and tribal contacts could be established Comments: Was the family assisted with identifying and maintaining a support system/safety network? Yes rate below No N/A (circle all that apply): Parent’s whereabouts have been unknown for the entire RTP; Other (specify the reason in the comments box below)
No N/A (circle all that apply): children non-verbal and no family members could be located; other (describe in comment box) Connection to key expectations – Cultural Responsiveness; Open and Clear Communication; Family Partnerships Novice Emerging Accomplished Distinguished Master Documented the race / ethnicity of the family Asked about preferred language if the family has Native American heritage (NAH) In addition to Novice Practice: Asked additional questions about cultural norms / practices / beliefs / traditions Identified strengths from the family’s culture If the family had NAH, attempted to gather specific information on family members and tribal affiliation so noticing could be done and tribal contacts could be established In addition to Emerging Practice: Attempted to provide culturally appropriate resources / referrals to the family In addition to Accomplished Practice: Discussed the family’s culture in relation to the allegations and/or protective issues -e.g. discussed differences between cultural practices and child abuse laws if applicable If needed, additional research was done to gather more information about cultural norms/practices In addition to Distinguished Practice: Utilized cultural connections when doing safety planning OR creating / reviewing safety / support networks with the family Comments: Was the family assisted with identifying and maintaining a support system/safety network? Yes rate below No N/A (circle all that apply): Parent’s whereabouts have been unknown for the entire RTP; Other (specify the reason in the comments box below)
set_referral_review_tool_v24_1.docx