Are you able to relocate to a community setting or are there any legal reasons you must stay? Yes, can relocate to a community setting No, not legally permitted to leave (STOPThe individual is ineligible; document on eligibility checklist with comments.) If please describe the situation (e.g. court ordered placement) here. “No”, Need for Housing Do you have a housing option to return to after discharge? Yes will be returning to my own house – Yes will be returning to my apartment – Yes have found new housing – No need help finding housing – If need help finding housing”, where in North Dakota would you like to live “No – (county, city, area of city)? If are you at risk of losing your housing due to your institutional stay? “Yes”, Yes No (Skip to Question 14) Comments/Observations:
Are you able to relocate to a community setting or are there any legal reasons you must stay? Yes, can relocate to a community setting No, not legally permitted to leave (STOPThe individual is ineligible; document on eligibility checklist with comments.) If “No”, please describe the situation (e.g. court ordered placement) here. Need for Housing Do you have a housing option to return to after discharge? Yes – will be returning to my own house Yes – will be returning to my apartment Yes – have found new housing No – need help finding housing If “No – need help finding housing”, where in North Dakota would you like to live (county, city, area of city)? If “Yes”, are you at risk of losing your housing due to your institutional stay? Yes No (Skip to Question 14) Comments/Observations:
Community%20Transition%20Assessment.docx