INTENSIVE IN-HOME SERVICES &	Intesive Family Reunification Services PEER RECORD REVIEW

REVIEW INFORMATION
Reviewer Name	Date of Review
CASE INFORMATION
Family/Case Name
IIS/IFRS Specialist/Agency
I.	QUALITY OF SERVICE DELIVERY
RATING
1.	Was sufficient information documented to determine IIS/IFRS was the appropriate service for the family?
2.	Did face to face contact with the family occur within 24 hours of receipt of the initial referral by the contractor for IIS and 72 hours for IFRS?
3.	Was immediate safety of the family assured through a safety plan?
4.	Was the referral source notified verbally or in writing within 24 hours of the initial screening whether the family was accepted or not accepted?
5.	Does the initial family assessment clearly document:
a) Safety of the child and all family members?
b) Areas of Need?
c) Frequency, intensity, and/or duration of behaviors placing the children at risk of removal?
d) Examination of environmental conditions and their influence upon the family?
e) Consideration of the interactions of all family members?
f) The contingencies impacting family needs?
g) Strengths and behavioral assets?
6.	Does the record reflect the initial family assessment was submitted to the Children’s Division?
7.	Does the Service Plan clearly document:
a) Services to protect child(ren) from harm and to prevent further abuse/neglect?
b) Services to reduce the risks to the children’s safety or well-being?
c) Areas of focus?
d) The idea that children have essential needs for care beyond child safety?
e) Services which support and enhance parents’ capacity to safely care for their children?
f) The value and importance of maintaining children’s connections with their families when it is believed the family unit is the best place for the children?
g) Achievable, measurable, behaviorally oriented goals and tasks?
h) The family participated in the development of the service plan?
8.	Does the record reflect the initial service plan was submitted to the Children’s Division?
9.	Did the worker link the family with appropriate safety network contacts and community resources?
10.	Did the services provided meet the family needs?

11.	Were worker interventions/activities/progress/obstacles clearly documented in the service delivery notes?
12.	Does the record document ongoing safety assessment of the child, family, and community?
13.	Is there evidence the family’s level of functioning and protective capacities were continuously assessed during the intervention? (e.g., assessment documentation, Progress Notes, Termination Summary)
14.	Did the skill-building activities respond to the individualized and specific needs of the family (e.g., child management skills, emotional management skills, interpersonal skills, assertiveness skills, advocacy skills, life skills, self-sufficiency skills, behavioral modification skills, etc)?
15.	Does the record document contacts with family members to accomplish the goals?
16.	Were joint staffings conducted with other agencies/individuals pertinent to the family? (e.g., Family Support Teams, Community Response Teams)
17.	Is there evidence the family participated in the termination of services?
18.	Were follow-up services recommended?
a) Were referrals and linkages made for follow-up services? b) Was the family involved in the formulation of the follow-up plan?
19.	Termination:
a) Was the Children’s Division and/or referring agency notified within 24 hours of the termination?
b) Was the Termination Summary submitted to the Children’s Division within 10 days after termination or within 5 days for an early termination?
20.	On a scale of 0 to 10 where 10 is there is clear evidence that there is a behaviorally-oriented, goal directed service plan that addresses the results of the initial family assessment and 0 is there is no evidence that there is a behaviorally-oriented, goal directed service plan that does not address the results of the initial family assessment. What is your rating for the overall quality of service delivery?
COMMENTS ON QUALITY OF SERVICE DELIVERY Based on your rating for the overall quality of service delivery what evidence do you need to see in the case file to bring your number up?
II.	RECORD CONTENT
RATING
1.	Are contact entries detailed and thoroughly documented (e.g., progress notes)?
2.	On a scale of 0 to 10 where 10 is there is clear evidence in the record documentation to understand the purpose of the work that was completed with the family and 0 is there is no evidence in the record documentation and the purpose of the work with the family is not understood. What is your rating for the overall quality of documentation?

COMMENTS ON RECORD CONTENT Based on your rating for the overall quality of documentation what evidence do you need to see in the case file to bring your number up?
III.	SERVICE AVAILABILITY
RATING
1.	Did the record document contractor availability (24/7)? (Documented via Participation Agreement, and/or Treatment Agreement).
2.	Were coverage arrangements made during specialist vacation, illness, etc.?
3.	List the number of weeks in the intervention of direct Specialist contact:
a) No. of Weeks: ______
4.	On a scale of 0 to 10 where 10 is there is clear evidence that the contractor was available to provide services which represented a crisis intervention / solution focused model that emphasized teaching skill building and 0 is there is no evidence that the contractor was available to provide services which represented a crisis intervention / solution focused model that emphasized teaching skill building. What is your rating for the overall quality of service availability?
COMMENTS ON SERVICE AVAILABILITY Based on your rating for the overall quality of service availability what evidence do you need to see in the case file to bring your number up?
IV.	SUPERVISION/CONSULTATION
RATING
1.	Was there at least weekly consultation with the supervisor?
2.	Were weekly consultation recommendations and concerns documented?
3.	Did the supervisor attend the initial family screening in person or virtually, or did the supervisor visit the family in person or virtually within the first seven (7) days of service?
4.	Rating of the overall quality of Supervision/Consultation.
COMMENTS ON SUPERVISION/CONSULTATION
V.	OVERALL COMMENTS
What are the overall strengths of the case record?
Are there any areas for improvement?