MISSOURI DEPARTMENT OF SOCIAL SERVICES CHILDREN’S DIVISION Critical Event Case Review – Prior FCS
Name of Child	Case Family Name
/
Date Opened / Date Closed	Call / Case Number
Family Centered Services (FCS) Prior
Reason this prior case is relevant to critical event:
Reason for Opening:
Household Composition: (name, age, role)
Family Strengths
As identified in Case File:
As identified by Reviewer:
Family Challenges: (such as history of substance abuse including mom during pregnancy, mental/physical/behavioral issues, including post partum depression, domestic violence, criminal convictions, financial stressors)
As identified in Case File:
As identified by Reviewer:
Was initial contact made according risk level? Yes No
If no, explain:
Was ongoing contact made according to risk level? Yes No
If no, explain:
Last date child was seen by the worker prior to case closing?
How was ongoing safety assured and assessed? (such as home visit, collaterals, family functioning assessment)
What service needs were identified? (explain)
What services were offered? (explain)
What services were utilized by the family?
Were the case plan goals achieved?
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
Was a written referral made to the Juvenile Court? Yes No
If yes, discuss the request and the outcome.
If no, discuss why not.
Additional Reviewer Comments