MISSOURI DEPARTMENT OF SOCIAL SERVICES CHILDREN’S DIVISION Critical Event Case Review – Open AC
Name of Child	Case Family Name
Date Opened	Call/Case Number
Alternative Care (AC) - (Not applicable when open case was result of current incident)
Was ongoing contact made? (visits to the parents home, child in his/her placement)
If yes explain?
If no, explain?
Last date child was seen by the worker prior to the incident?
How has ongoing safety been assured and assessed? (such as home visit, collaterals, family functioning assessment)
What service needs were identified? (explain)
What services were offered? (explain)
What services have been or are being utilized by the family?
What are the case plan goals?
Do the case plan goals address the needs identified by the family with the worker?
How was progress assessed during supervisory consultations?
Were collateral/professional provider contacts appropriately used and documented to address the identified issue? Yes No
Provide Examples:
Are there written reports from providers in the file? Yes No
Additional Reviewer Comments