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a copy of the Participant Tracking System User Manual | Manualzz

THP-P

LUS

P

ARTICIPANT

T

RACKING

S

YSTEM

ONLINE SYSTEM USER MANUAL

John Burton Foundation

235 Montgomery Street, Suite 1142

San Francisco, CA 94104

(415) 348-0011 www.thpplus.org

TABLE OF CONTENTS

S ECTION O NE :

Introduction . . . . . . . . . . . . . . . . . . . . 1

S ECTION T WO :

. . . . . . . . . . . . . . . . . . 7

Manager . . . . . . . . . . . . . . 9

S ECTION O NE

I

NTRODUCTION TO THE

THP-P

LUS

P

ARTICIPANT

T

RACKING

S

YSTEM

The THP-Plus Participant Tracking System is a structured and stable means of gathering data regarding participants in THP-Plus programs statewide. Its primary purpose is to facilitate timely and consistent evaluations of program effectiveness. Counties and providers want to be able to measure the impact of THP-Plus, and program regulations also require reporting on participant outcomes.

However, very few counties and providers have comprehensive systems that can track this information.

Using the THP-Plus Participant Tracking System, counties and programs can work together towards continuous program improvement, as well as document their successes as reflected in improvements in participants’ lives.

The specific data elements tracked by the system were selected in consultation with counties and providers that have implemented THP-Plus, and dovetail with other data-collection requirements and efforts related to former foster youth. The system tracks data about individual THP-Plus participants, with the ability to aggregate data for reports at the program, county and statewide levels. Information tracked includes:

Basic participant demographics, such as age and race/ethnicity;

Type of THP-Plus model, such as scattered-site or single-site; and

Basic participant outcomes in the areas of housing, employment and income, education and training, and assets.

Information is collected about THP-Plus participants at program enrollment, then updated quarterly, at program exit and at six- and twelve-month follow-ups. This process allows measurement of young people’s progress from program entrance to exit and beyond, while also providing “snapshot” information about all participants in the program during any given quarter.

Use of the Participant Tracking System is voluntary, but all counties and providers implementing THP-

Plus are strongly encouraged to participate. The system will facilitate reporting on participant and program outcomes, and data can be used at the local level to monitor and improve THP-Plus programs, with no direct costs for participating counties and providers.

There is no fee for using the system, which is being developed and will initially be maintained by the

John Burton Foundation. Participating counties and providers need to sign a “use agreement” which outlines system requirements, confidentiality protections and other specifications.

The online system is designed to be intuitively navigable and to provide easy access to data about

THP-Plus program performance and participant status. The system also incorporates safeguards to protect the minimal personal and identifying information necessary to track individual participants over time, as well as features to maintain the system information in a streamlined, well-organized database.

(Note: counties participating in the California Connected by 25 Initiative through the Annie E. Casey

Foundation’s Family to Family program can choose to track the same information about THP-Plus participants through the CC25I reports in the ETO database. Data from CC25I counties collected through ETO is compatible with data from the THP-Plus system and will be combined to generate statewide reports for THP-Plus.)

Please note that although the User Manual is designed for use by THP-Plus service providers and counties, the screen shots and screen-by-screen instructions are geared for service provider users, who are responsible for entering participant level data.

1

S

ECURITY

F

EATURES

The THP-Plus Participant Tracking System includes a number of features to protect the security of the participant data collected and stored in the system.

Limited data collection. The system does not collect the Social Security number, driver’s license number, address, telephone number or email address of participants.

User access levels. There are two different levels of access to the system: County and

Service Provider. Each user account will be assigned one and only one of these access levels. Permissions to read and write data will be restricted based on the user’s access level. o County users may view only the data of participants served by certified THP-Plus providers funded by that county, in order to monitor services and to track the progress of individual participants. o Service Provider users may view only the data of participants served by that certified THP-

Plus service provider. Service providers enter and maintain data on all active participants.

The system can be used for a service provider’s internal case-management needs, to monitor the progress of individual participants and to evaluate the effectiveness of the program overall.

Restricted access. The system is only available to approved users with a valid login name and password. Once logged in, the user may log out at any time. If the user has not requested a new page for several minutes, the system will automatically end the session and the user will be asked to log in again before any data may be accessed. When a user leaves an agency, the password can be reset by the administrator so that only active users have access to the system.

Encrypted data. The system implements HTTP over Secure Socket Layers, or HTTPS. This technology encrypts data passing between the browser and the server.

User Safeguards

In addition to the security protection features of the system, there are a number of user safeguards that are recommended. These safeguards should be used each time the system is accessed, and are the responsibility of all users.

Maintain the secrecy of your login and password at all times. Login and password information should be stored in a secure place and should not be shared with unauthorized users.

Log off when your session is complete. Each screen includes a Log Off button that allows users to log off from any point in the system.

• Keep your computers updated with antivirus software and software updates/security

patches. Regularly check for updates from the manufacturers of your operating system, web browser, and antivirus software. Many programs do this automatically.

2

S

YSTEM

O

RGANIZATION

The system is accessed through the webpage https://www.thpplusdata.org

. Users log in to the system to access the Main Menu, from which they may view or create participant records according to their system privileges.

User Privileges

There are two categories of system users, each with access to different sets of data.

County

• Used by staff at county agencies that fund and/or supervise THP-Plus activities

• Can find and view (read-only) every case for every service provider within the specified county only

• Access to selected reports and exports based on data for service providers within the specified county

(NOTE: county-level users cannot access participant or service-provider data from other counties.)

Provider

• Used by staff at agencies that provide THP-Plus programming

• Can find, view and edit participant records created by staff at your agency. (If the service provider works in multiple counties, service-provider-level users will only be able to access records for their home county)

• A few administrative functions (e.g. editing lists of case managers for the specified service provider)

• Access to selected reports and exports based on data for the specified service provider

(NOTE: service-provider-level users cannot access participant or service-provider data from other THP-Plus service providers.)

Records, Forms & Tabs

The Participant Tracking System stores the information that Service Providers enter about a given participant in a Participant Record. The record contains all forms created for the selected participant.

The questions on each form are organized into categories that are accessed through Tabs on the given form.

Users access a Participant Record through the Select a Participant screen for their Service Provider or County (See Section 2, Page 6). Access to records is limited as described above.

A Participant Record contains all of the forms created for a selected participant. The forms used to collect data are:

Entrance Form

Quarterly Update Form(s)

Exit Form

Six-Month Follow-Up Form

Twelve-Month Follow-Up Form

3

The Entrance Form is created automatically when you create a new participant record. The Quarterly

Update, Exit and Follow-Up Forms are created when data is manually entered to reflect a participant’s status at each of those points in time.

The forms are accessed through the Forms Tab on the Participant Overview screen (see also:

Section 2, Page 13)

Each of the Forms comprises several pages. The pages are accessible by Tabs on the main screen for a given form:

The Entrance Form has four tabbed pages:

• Demographics/Housing

• Employment/Income

• Education/Training

Info

The Quarterly Update Form has three tabbed pages:

• Employment/Income

• Education/Training

The Exit Form has five tabbed pages:

• Demographics

• Housing

• Employment/Income

• Education/Training

Info

The Six-Month Follow-Up Form and Twelve-Month Follow Up Forms each have four tabbed pages:

• Demographics/Housing

• Employment/Income

• Education/Training

The questions on each Tabbed Page are almost identical from one form to the next, though the wording on specific questions is adjusted to reflect the time period covered by each form.

H

OW TO

C

OLLECT

D

ATA

The most accurate data will be collected by case managers in conversation with youth participants. It is recommended that data be collected in one of two ways:

• Case managers print out the paper forms and complete them in conversation with the youth.

Case managers or program administrative staff then enter the data into the online system following the data collection schedule.

Case managers enter the data directly into the system with the youth present.

4

D

ATA

C

OLLECTION

S

CHEDULE

Providers will complete a baseline assessment of each THP-Plus participant at program entrance by collecting information about the participant’s demographic characteristics, housing, employment, income, education and more. At the end of each quarter, providers will update the housing, employment, income, education and other information for each continuing participant, providing a snapshot of participants at a point in time. At program exit, the participant information will be updated once more; this data will be used to show the participant’s progress from entrance to exit. Additional updates will be completed at follow-up periods of six and twelve months after program exit, to measure longer-term impact of the program.

Specific data collection forms and schedules include:

Entrance Form and Participant Profile

Data collected at program enrollment

Forms due by 15 days after enrollment

• Assessment based on information about the participant at the point in time when he/she is enrolling in the THP-Plus program

Quarterly Update Form

• Data collected at the end of each quarter:

• o September 30 (for July 1 – September 30) o December 31 (for October 1 – December 31) o March 31 (for January 1 – March 31) o June 30 (for April 1 – June 30)

Forms due by the 15th of the following month (October 15, January 15, April 15, July 15)

Contains information about participant status on the last day of the quarterly reporting period

Exit Form

Data collected at program exit

Forms due by 15 days after exit

Contains information about participant status upon exiting the THP-Plus program (if information is not available due to an unplanned exit, check the appropriate box on the Participant Overview screen and leave all responses blank)

Six-Month Follow-Up Form

• Data collected six months after program exit

Forms due by 15 days after six-month mark

Contains information about participant status six months after exit from the THP-Plus program

(if information is not available due to an unplanned exit, check the appropriate box on the

Participant Overview screen and leave all responses blank)

Twelve-Month Follow-Up Form

Data collected twelve months after program exit

Forms due by 15 days after twelve-month mark

Contains information about participant status twelve months after exit from the THP-Plus program (if information is not available due to an unplanned exit, check the appropriate box on the Participant Overview screen and leave all responses blank)

5

(NOTE: If determined necessary, obtaining and storing written consent from individual THP-Plus participants to release and store their information in the Tracking System shall be the sole responsibility of the User and/or its THP-Plus contractors.)

6

G

ETTING

M

ORE

H

ELP

Online

Help topics for every screen in the Participant Tracking System are accessible by clicking on the Get

Help shortcut in the upper right corner of the screen (see section 2, page 2). Help screens are presented in pop-up windows – users should enable pop-ups for the thpplusdata.org website.

By Email

Feel free to send questions by email to Reed Connell of the John Burton Foundation at [email protected]

; or to Michele Byrnes, THP-Plus Statewide Implementation Project

Manager at [email protected]

.

By Phone

John Burton Foundation staff is available to answer questions about the system from 10:00 a.m. to 4:00 p.m., Monday through Thursday, at (415) 348-0011.

For Additional Information

More information about the THP-Plus Participant Tracking System is available on the THP-Plus website at www.thpplus.org

, under Training – Resources – Tracking System. There you may download a recording of a web seminar which includes a demo of the system, as well as this document in Adobe

Acrobat PDF format.

If you have any further questions about the THP-Plus Participant Tracking System, please contact:

Reed Connell

John Burton Foundation

(415) 693-1326 [email protected]

Michele Byrnes

John Burton Foundation

(415) 693-1323 [email protected]

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8

S ECTION T WO :

Screen-by-Screen Instructions

THP-P LUS P ARTICIPANT T RACKING S YSTEM

S ECTION T WO

L

OGIN

P

AGE

When you enter www.thpplusdata.org

into your internet browser, you will be directed to the Login page, which appears below.

Enter your Login and Password.

Clicking on Forgot your login or password? will allow you to enter the email address associated with your login. If the system recognizes that address, it will send you an email with your login and password.

Please contact Michele Byrnes by email at [email protected]

or by phone at

(415) 693-1323 if:

You need to set up an account so you can access this system

You need to change the details on your account

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

M

AIN

M

ENU

& B

ASIC

S

YSTEM

N

AVIGATION

Once you log on to the system, you will see the Main Menu:

System Shortcuts

At upper right are three shortcuts used for basic site navigation. These shortcuts are visible and active on every screen in the system.

Log Off

Clicking the Log Off link will log you off from the system and return you to the login screen.

Main Menu

The Main Menu link will return you to the main system menu from any point in the system.

Get Help

Get Help will open a pop-up window with detailed information on the particular screen you are using.

Participant Record, Reports & Administrative Links

Under the headline listing your login and agency name are three links: and asks you to search for a participant by last name. NOTE: To help prevent duplicate entries, you must use this search box, even before creating a new participant record. Per the dropdown menu, you may use “*” as a wild card. You may also leave the text box blank, and simply click the “GO” button. Doing so will take you to the Select a participant screen, which will list all participants entered through your agency login. will announce the roll out of the Reports features, and will provide an online training. you to enter Case Manager information (see page 6).

2

THP-P LUS P ARTICIPANT T RACKING S YSTEM

System Navigation Bar

At upper left, below the THP-Plus logo and solid blue bar, is the System Navigation Bar. You’ll see the bar on every screen in the system. The visible and active links depend upon where you are in the system.

Example:

This is the primary way to make your way around the system. NOTE: Please do not use your browser’s back and forward buttons within the system, as unsaved data will be lost. As you click on links to move through the system, the System Navigation Bar lists each screen you have moved through. To return to a previous screen, such as Participant Overview, simply click on the underlined text. If you have entered any information, the system will prompt you to save before leaving the screen or form you are viewing.

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

A

CCESSING

P

ARTICIPANT

R

ECORDS

From the Main Menu, click on the Find or create a participant record link

1. A text box will appear that asks you to search for a participant by last name

2. The search box will recognize partial names and initials. You may use “*” as a wild card. To access all participant records, you may also leave the text box blank, and simply click the “GO” button.

3. The system will direct you to the Select a participant screen, that lists all participant records created through your agency login

4. If a participant is already in the system, you can access their record by clicking on their name.

5. It is possible that you will see multiple records for a single participant who exited and reentered the same program (see Service Provider View or County View explanations, below).

Select a Participant Screen

Below is an explanation of the information that you see on this screen. First, there is a table listing basic participant information.

Name Birth date Intake Exit Service provider

County

Participant’s legal name:

Last, First

Participant’s birth date as entered on creation of the

Date that the participant entered this

THP Plus program

Date of participant exit from the program

(if applicable)

Agency associated with the login used to create

County that the program in which the participant participant record the participant record. resides is located

Below the table are two orange buttons, one to “Create” a new participant record, and the second to

“Cancel” the current search and return to the Main Menu.

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

Notes:

• Criteria used in the search will be listed above the table.

• If no criteria were used (the text box under the Find or create a participant record link on the

Main Menu was left blank), the criteria listed will simply be the county and program associated with the user login. In this case, all past and current participants will be listed in the table.

Participant names are links to their individual records.

Once entered, the information in this table can be changed in the Participant Tab on the

Participant Overview screen.

Service Provider view:

• Participants who exit and reenter the same program will be listed twice, once for each period of participation.

County view:

• Participants who exit and reenter the same program will be listed twice, once for each period of

• participation.

Participants who exit one program in the county and enter another will be listed twice, once for each program.

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6

THP-P LUS P ARTICIPANT T RACKING S YSTEM

H

OW TO CREATE A

N

EW

P

ARTICIPANT

R

ECORD

There are several steps to creating a new Participant Record:

2. A text box will appear that asks you to search for a participant by last name

3. NOTE: Before creating a new record you must perform a search operation (this will alleviate duplicate entries). The search box will recognize partial names and initials. You may use “*” as a wild card. You may also leave the text box blank, and simply click the “GO” button.

4. The system will direct you to the Select a participant screen, that lists all participant records created through your agency login

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

If the participant record does not yet exist, you may create a new participant record by completing the following steps:

1. Click the orange “Create” button. The system will take you to the Key participant data screen

Note: You must make valid entries in each text box in order to proceed

2. Click the orange “Create” button. The system will create a Participant Record, and an Entry

Form, and take you to the Participant Overview screen (see page 10)

3. If necessary, add a Case Manager to the Case Manager dropdown menu on the Participant

Tab of the Participant Overview screen (see page 8). Case Manager information is included to assist providers in maintaining complete records by facilitating easy identification of the party responsible for collecting data. To add a Case Manager to the dropdown menu, return to the

Main Menu by clicking Main Menu on the System Navigation Bar or by using the Main Menu shortcut at upper right. The system will prompt you to save any changes to the Participant

Record before taking you to the Main Menu.

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

H

OW TO

A

DD A

C

ASE

M

ANAGER

The system is organized so that every participant record includes the name of the participant’s case manager, allowing agencies to keep track of who is responsible for collecting information on a particular participant.

When creating new participant records or entering data into the system for the first time, Service

Providers should use the Administrative options link on the Main Menu to add individual Case

Manager’s names to that dropdown menu:

You’ll see the following screen:

3. Click on the orange “Create” button

Click “Save” to save the information. If you are entering historical data and the Case Manager is no longer active in that role, simply uncheck the box and click “Save.”

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

6. You may change the “Active?” status on any Case Manager in the system at any time, and may also delete their record entirely. However, it is recommended that all Case Managers associated with any Participant Record remain in the system. The delete function should be used only to remove erroneous entries.

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

Participant Overview – Participant Tab

Once you have selected a participant to view, you’ll be taken to the Participant Overview screen, from where you can access complete participant record information. Select the Participant Tab to see the participant’s basic identifying information. This information should be entered upon creation of a new participant record.

Most of the information on the Participant Tab generally does not change over time, though Service

Providers do have the option to make changes. Changes made to the basic identifying information entered when creating the participant record (First Name, Last Name, Date of Birth, Entry Date) will be made when you click the orange “Save” button at the bottom of the page.

Detailed information about the participant is contained on several different forms (Entrance, Quarterly

Update, Exit, Six-Month Follow-Up and Twelve-Month Follow-Up). Click on the Forms Tab to switch to a table listing all of the forms created for this participant. For more information on the Forms Tab, click on the Get Help link while viewing that tab.

The questions on this screen are found on page 1 of the Paper Entrance Form

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Case Manager

Name of organization or agency

First Name

Is the participant unable to be located and lost to follow up?

County of jurisdiction at emancipation

Prior to emancipation, was the participant an

ILP-eligible probation ward?

Gender

Select the participant’s case manager from the drop down menu. Users with Service Provider logins may add new case managers to the list through the Administrative options link on the Main Menu. Once created, case manager names may not be deleted, but may be designated “inactive.”

This field will be filled in automatically by the system, to reflect the agency associated with the user login used to create the record.

You may change the participant’s full legal first name if necessary.

Last Name

Date of Birth

You may change the participant’s full legal last name if necessary.

You may change the participant’s date of birth if necessary.

CWS/CMS Client ID# Enter the CWS/CMS Client ID number (note that this is different from the

CWS/CMS Case ID number). The county can provide the CWS/CMS

Client ID number when screening a participant for THP-Plus eligibility. If the participant’s CWS/CMS Client ID number is unknown, enter 0.

Select Yes if, on the date data is entered the participant is no longer in contact with the THP-Plus program completing the form and it will likely not be possible to locate the youth for follow up. Select No if the participant is still living in or in contact with the program.

Enter the county that was supervising the participant’s child-welfare and/or probation case at the time that the participant emancipated or was last living in out-of-home care as a minor. The THP-Plus county can provide this information.

Select Yes if the youth was a ward of the county probation department and living in out-of-home placement immediately before emancipation.

Select the gender with which the participant self-identifies. For transgender participants, select male, female or other, depending on the participant’s self-identification.

Hispanic or Latino

Ethnicity? transgender, or as questioning his/her sexual orientation. Select no if the participant self-identifies as heterosexual. Select Unknown/decline to

answer if the participant chooses not to self-identify either way.

Note that the ethnicity/race categories follow the format used in the U.S.

Census. If the participant self-identifies as Hispanic/Latino ethnicity (of any “race” – white, African American, Asian, etc.), check Yes. least one of these choices must be selected, even for participants identified above as Hispanic/Latino.

Orange Buttons

Below the Participant Tab are three orange buttons:

Clears any changes made to this form since your last save.

Deletes the ENTIRE participant record, including all associated forms. The system will prompt you to confirm that decision.

Saves all responses on the

Participant Tab only.

12

Participant Overview – Forms Tab

THP-P LUS P ARTICIPANT T RACKING S YSTEM

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

The Forms Tab on the Participant Overview screen displays basic identifying information and a table listing all Forms created for the participant. Forms provide deeper information about the participant, and include the Quarterly Update, Exit, Six-Month and Twelve-Month Follow-Up Forms. The system automatically creates a blank Entrance Form when creating a new participant record. The table displays:

Form type

Clicking on any form listed takes the user to that form

(e.g. Quarterly Update,

Exit, Six-Month or Twelve-

Month Follow-Up Forms)

Event date

This is the date for which the

Form provides information (i.e. the entry and/or exit date, the end of the quarter), not the creation date

Entered by

The user login initials of the party that created the form

How to Create New Forms

Below the Forms Tab are four purple buttons, used to create the data forms contained within the system. Only those buttons linking to forms relevant to the participant’s program status are active – i.e., providers may create Quarterly Update Forms and Exit Forms for participants who are still enrolled in THP-Plus, but not for those who have exited. Users may create Six-Month and Twelve-Month

Follow-Up Forms only for those participants who have exited THP-Plus.

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

E

NTRANCE

F

ORM

& I

NSTRUCTIONS

The Entrance Form is generated automatically when you create a new participant record. It contains four tabbed pages: Demographics/Housing, Employment/Income, Education/Training and Add’l Info.

Entrance Form – Demographics /Housing Tab

This screen in the online Participant Tracking System corresponds to pages 2

and 3 of the Paper Entrance Form. After entering data on this page, click on the

blue “Next page” arrow in the lower right corner to be brought to the next tab.

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

L

INE

-

BY

-

LINE

I

NSTRUCTIONS FOR

Q

UESTIONS ON THIS

S

CREEN

:

Demographics

Date of enrollment in this THP-Plus program

Used to calculate length of stay. This should be the date the participant entered the THP-Plus program caseload and began receiving services, even if he/she does not move into the THP-Plus housing until a later date.

Is the participant reentering this THP-Plus program after previously exiting this THP-Plus program?

Has the participant given birth to or fathered one or more children?

Select Yes if the participant has previously participated in this THP-Plus program (operated by the same agency/provider). Select No if the participant has never participated in THP-Plus. Also select No if the participant was previously in a different THP-Plus program (funded by a different county or operated by a different agency/provider).

Select Yes if the participant has given birth to or fathered one or more children at any point previous to the date of data collection. Select No if this is not the case. Select Unknown/decline to answer if the information is unknown or the youth declines to state. Do not include unborn children, i.e. current pregnancy.

Select Yes only if one or more children are in the custody of the participant at the point of program entrance (i.e. children who will be living with the participant in the program). Select No if this is not the case.

Is the participant a custodial parent (i.e. one or more of his/her children living with the participant)?

Housing

Immediately prior to enrolling in this THP-

Plus program, what type of housing did the participant live in?

Was housing subsidized? (Section 8, public housing, affordable housing development, receiving rental subsidy, etc.?)

County where participant was living

Had the participant experienced one or more nights of homelessness after exiting foster care and prior to entering this

THP-Plus program?

Select only one. Select the type of housing the participant was living in

immediately before enrolling in the THP-Plus program. If none of the choices apply, write the type of housing in the Other field.

Select Yes if the housing the participant was living in immediately before enrolling in the THP-Plus program was subsidized through a formal program such as a Section 8 voucher, public housing, affordable housing development, rental subsidy or other subsidy program. Select Yes if the

participant was living in a THP-Plus program. Select No if the housing was not subsidized through a formal program (even if the participant’s family member/friend was assisting with the rent). If the participant was living in some type of institutional housing – including foster care of any kind, or a shelter, jail, hospital or similar setting – or was homeless, couch-surfing, etc. select N/A (not applicable).

Select the county where the participant was living or staying immediately before enrolling in the THP-Plus program. Select Out-of-state if the participant was not living in California (includes outside of the country).

Select Yes if the participant had ever been homeless (includes sleeping on the street, in a car, in a homeless shelter, couch-surfing) for one or more nights after leaving foster care and before entering this THP-Plus program.

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What housing model is the participant moving into for this THP-Plus program?

Does the participant have the option of remaining in the same housing unit after completion of this THP-

Plus program?

Select the THP-Plus housing model. Scattered-site means single or small clusters of apartments/units/dorm rooms located among non-THP-

Plus units. Single site – Apartments means an apartment building or complex where all of the apartments/units are occupied by THP-Plus participants (possibly with on-site staff). Single site – Single family

home means a single family home or duplex shared by two or more

THP-Plus participants, where all residents of the home are THP-Plus participants (possibly with on-site staff). Host family means that the participant lives in the home of an adult he/she has identified as a lifelong connection.

Select Yes if the participant will have the opportunity to keep or take over the lease on the same housing unit, or remain with the host family, after completing this THP-Plus program (even if he/she may need to formally apply for a new lease or may choose not to remain in the unit). Select

No if the participant must vacate the housing after completing this THP-

Plus program (i.e. there is no possibility of remaining in the same unit).

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Entrance Form – Employment/Income Tab

This screen in the online Participant Tracking System corresponds to page 3 of the Paper Entrance Form. After entering data on this page, click on the blue

“Next page” arrow in the lower right corner of the screen to be brought to the next tab.

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THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Employment and Income

Employment at entrance to this THP-Plus program

(SELECT ONE)

Select the choice that best describes the participant’s employment status at the time of program entrance. Include only hours worked in legal employment (not informal/under-the-table work).

Hourly wage at entrance to this THP-Plus program

Enter the hourly wage earned in legal employment by the participant at the time of entrance to this THP-Plus program. If the participant has multiple jobs, enter the average hourly wage. Include tips in calculating the hourly wage. Do not include wages earned in informal/under-thetable work.

Select all public benefits that the participant is receiving at the time of program entrance. If the participant is receiving a benefit not included in the listed choices, write it in the Other field. If the participant is not receiving any public benefits, choose Not applicable.

Receiving public benefits at entrance to this THP-Plus program

(SELECT ALL THAT

APPLY)

Receiving other financial support at entrance to this THP-

Plus program (SELECT

ALL THAT APPLY)

Total monthly income from all sources at entrance to this THP-

Plus program

Select all sources that apply. If the participant has another source of income besides wages, public benefits and the other sources of support listed – such as paid informal/under-the-table work – write it in the Other field. If the participant is not receiving any other financial support, choose

Not applicable.

Enter the participant’s total monthly income from all sources, including wages, public benefits, financial aid, child support, family member contributions, informal work or any other sources of financial support at the time of program entrance. Include only income received as cash or cash equivalents (e.g. wages, CalWORKS payments, Food Stamps) – do not include the value of in-kind benefits not received as cash equivalents

(such as MediCal).

20

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Entrance Form – Education/Training Tab

This screen in the online Participant Tracking System corresponds to page 4 of the Paper Entrance Form. After entering data on this page, click on the blue

“Next page” arrow in the lower right corner of the screen to be brought to the next tab.

21

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Education and Training

Educational status at entrance to this THP-

Plus program

(SELECT ONE)

Select the choice that best describes the participant’s status at the time of program entrance with respect to enrollment in or graduation from high school, GED or high-school equivalency program; 2-year college program; or 4-year college program. Select Unknown if none of the options apply.

Highest level of education completed

(SELECT ONE)

Vocational training status at entrance to this THP-Plus program

(SELECT ONE)

Other training status

(military / JobCorps /

CCC / AmeriCorps) at entrance to this THP-

Plus program

(SELECT ONE)

Select the choice that indicates the highest level of education completed by the participant prior to program entrance. Select Unknown if none of the options apply.

Select the choice that best describes the participant’s status at the time of program entrance with respect to enrollment in or graduation from a vocational training program. Completed vocational training or

Received vocational certificate or license means finished the full course of training and received a recognized formal professional certification or license (e.g. a CNA, licensed phlebotomist, etc. – not a

“job readiness certificate” or other informal certification). If none of the choices apply, choose Not applicable. Select Unknown if status is unknown.

Select the choice that describes the participant’s status at the time of program entrance with respect to enlistment in, completion of or dropping out of these types of training. If none of the choices apply, choose Not

applicable.

22

Entrance Form – Add’l Info Tab

THP-P LUS P ARTICIPANT T RACKING S YSTEM

This screen in the online Participant Tracking System corresponds to page 5 of the Paper Entrance Form. After entering data on this page, click on the blue

“Finished” arrow in the lower right corner of the screen. You will be brought back to the Forms page of the Participant Overview Screen.

23

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Additional Information

Does the participant have a checking account, savings account or IDA at entrance to this THP-

Plus program?

Select Yes if the participant has one or more of these types of banking accounts. IDA (Individual Development Account) means an account where the participant’s deposits are matched by another organization; typically the funds can only be withdrawn for specified expenses such as education. Select No if the youth has no formal banking account at the time of entry. Select Unknown if the youth does not know.

Does the participant have health insurance

(through Medi-Cal, employer or other source) at entrance to this THP-Plus program?

Has the participant been involved with the adult criminal justice system prior to entering this

THP-Plus program?

Participant reports permanent connection with at least one adult for support, advice, guidance?

Select Yes if, on the day of program entry, the participant has health coverage of any kind, from any source. Select No if they do not. Select

Unknown if the youth does not know.

Include only involvement with the adult criminal justice system prior to entering the program – do not include juvenile convictions.

Incarcerated/detained means held in a jail or other detention facility for any period of time, even if not ultimately charged or convicted. Select

Yes if this is the case, select No if it is not and Unknown if the youth is unsure. Adult criminal conviction means that the youth was charged with and convicted of a crime, no matter their plea at arraignment. Select

Unknown if the youth is unsure. Select None if the youth has never been convicted of either a misdemeanor or felony. If the youth was convicted of a crime as an adult, select Adult misdemeanor conviction or Adult felony conviction as applicable.

Select Yes or No based on the participant’s self-report at the time of program entrance. Select Unknown if they are unsure.

24

THP-P LUS P ARTICIPANT T RACKING S YSTEM

25

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Quarterly Update Form & Instructions

26

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Q

UARTERLY

U

PDATE

F

ORM

& I

NSTRUCTIONS

This form creates a quarterly snapshot of the participant’s information. To create a Quarterly Update

Form, select the Forms Tab on the Participant Overview screen. Select the first blue button at bottom left, “Create a Quarterly Update Form.” You will see the screen below:

You must first define the quarter you are reporting on:

Last day of quarterly reporting period

Select the day and month of the last day of the 3-month quarterly reporting period. For the quarter from July-September, select September

30. For the quarter from October-December, select December 31. For the quarter from January to March, select March 31. For the quarter from

April to June, select June 30. Enter the year in four digits (i.e. 2008,

2009) in the blank.

Clicking the orange “Create” button will take you to the Quarterly Update Form. This form contains three tabs: Employment/Income, Education/Training and Add’l Info.

This screen in the online Participant Tracking System corresponds to page 1 of the Quarterly Update Paper Form.

27

THP-P LUS P ARTICIPANT T RACKING S YSTEM

28

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Quarterly Update Form – Employment/Income Tab

This screen in the online Participant Tracking System corresponds to pages 1

and 2 of the Quarterly Update Paper Form. After entering data on this page,

click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

29

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Is the participant a custodial parent? (i.e. one or more of his/her children living with the participant)

Select Yes only if one or more children are in the custody of the participant at the point of data collection (i.e. children who are living with the participant in the program). Select No if this is not the case.

Employment and Income

Employment status Select the choice that best describes the participant’s employment status at the end of this reporting period. Include only hours worked in legal employment (not informal/under-the-table work).

Hourly wage

Receiving public benefits (SELECT ALL

THAT APPLY):

Enter the hourly wage earned in legal employment by the participant at the end of this reporting period. If the participant has multiple jobs, enter the average hourly wage. Include tips in calculating the hourly wage. Do not include wages earned in informal/under-the-table work.

Select all public benefits that the participant is receiving at the end of this reporting period. If the participant is receiving a benefit not included in the listed choices, write it in the Other field. If the participant is not receiving any public benefits, choose Not applicable.

Receiving other financial support

(SELECT ALL THAT

APPLY)

Total monthly income from all sources

Select all sources that the participant is receiving from at the end of this reporting period. If the participant has another source of income besides wages, public benefits and the other sources of support listed – such as paid informal/under-the-table work – write it in the Other field. If the participant is not receiving any other financial support, choose Not

applicable.

Enter the participant’s total monthly income at the end of this reporting period from all sources, including wages, public benefits, financial aid, child support, family member contributions, informal work or any other sources of financial support. Include only income received as cash or cash equivalents (e.g. wages, CalWORKS payments, Food Stamps).

Include any cash or cash equivalent provided as a stipend by a THP-Plus program. Do not include the value of in-kind benefits not received as cash equivalents (such as MediCal).

30

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Quarterly Update Form – Education/Training Tab

This screen in the online Participant Tracking System corresponds to page 3 of the Quarterly Update Paper Form. After entering data on this page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

31

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Education and Training

Educational status

(SELECT ONE)

Highest level of education completed

(SELECT ONE)

Vocational training status (SELECT ONE)

Other training status

(military / JobCorps /

CCC / AmeriCorps)

(SELECT ONE)

Select the choice that best describes the participant’s status at the end of this reporting period with respect to enrollment in or graduation from high school, GED or high-school equivalency program; or 2-year or 4-year college program. Select Unknown if none of the options apply.

Select the choice that indicates the highest level of education completed by the participant at the end of this reporting period. Select Unknown if none of the options apply.

Select the choice that best describes the participant’s status at the end of this reporting period with respect to enrollment in or graduation from a vocational training program. Completed vocational training or

Received vocational certificate or license means finished the full course of training and received a recognized formal professional certification or license (e.g. a CNA, licensed phlebotomist, etc. – not a

“job readiness certificate” or other informal certification). If none of the choices apply, choose Not applicable. Select Unknown if status is unknown.

Select the choice that describes the participant’s status at the end of this reporting period with respect to enlistment in, completion of or dropping out of these types of training. If none of the choices apply, choose Not

applicable. Select Unknown if status is unknown.

32

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Quarterly Update Form – Add’l Info Tab

This screen in the online Participant Tracking System corresponds to page 4 of the Paper Quarterly Update Form. After entering data on this page, click on the blue “Finished” arrow in the lower right corner of the screen. You will be brought back to the Forms page of the Participant Overview Screen.

33

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Additional Information

Does the participant have a checking account, savings account or IDA at entrance to this THP-

Plus program?

Select Yes if the participant does have one or more of these types of banking accounts. This includes the THP-Plus Emancipation Fund.

IDA (Individual Development Account) means an account where the participant’s deposits are matched by another organization; typically the funds can only be withdrawn for specified expenses such as education.

Select No if the youth has no formal banking account at the time of this update. Select Unknown if the youth does not know.

Select Yes if, at the end of the reporting period, the participant has health coverage of any kind, from any source. Select No if they do not. Select

Unknown if the youth does not know.

Does the participant have health insurance

(through Medi-Cal, employer or other source) at the end of this reporting period?

Has the participant been involved with the adult criminal justice system since entering this THP-

Plus Program?

Participant reports permanent connection with at least one adult for support, advice, guidance?

Include only involvement with the adult criminal justice system. The system only records whether or not a youth had criminal justice system involvement during the reporting period, not the date of involvement.

Incarcerated/detained means held in a jail or other detention facility for any period of time, even if not ultimately charged or convicted. Select

Yes if this is the case, select No if it is not, and Unknown if the youth is unsure.

Adult criminal conviction means that the youth was charged with and convicted of a crime, no matter their plea at arraignment. Select

Unknown if the youth is unsure, select None if the youth has never been convicted of either a misdemeanor or felony. If the youth was convicted of a crime as an adult, select Adult misdemeanor conviction or Adult

felony conviction as applicable.

Select Yes or No based on the participant’s self-report at the time of this reporting. Select Unknown if they are unsure.

34

THP-P LUS P ARTICIPANT T RACKING S YSTEM

35

THP-P LUS P ARTICIPANT T RACKING S YSTEM

E

XIT

F

ORM

& I

NSTRUCTIONS

This form records information about participant status at exit from THP-Plus. To create an Exit Form, select the Forms Tab on the Participant Overview screen. Select the second blue button at bottom left, “Create an Exit Form.” You will see the screen below:

You must first define the date of participant’s exit:

Date of exit from this

THP-Plus program

Enter the date that the participant officially exited the THP-Plus program.

This data is used to calculate length of stay.

Clicking the orange “Create” button will take you to the Exit Form. This form contains five tabs:

Demographics, Housing, Employment/Income, Education/Training and Add’l Info.

The questions on this screen in the online Participant Tracking System are found on page 1 of the Paper Exit Form.

36

Exit Form – Demographics Tab

THP-P LUS P ARTICIPANT T RACKING S YSTEM

The questions on this screen in the online Participant Tracking System are found on page 1 of the Paper Exit Form. After entering data on this page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

37

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Demographics

Date of exit from this

THP-Plus program

Used to calculate length of stay.

Has the participant given birth to or fathered one or more NEW children since entering this THP-Plus program?

Is the participant a custodial parent (i.e. one or more of his/her children living with the participant) at THP-Plus program exit?

Select Yes only if the participant has given birth to or fathered one or more children since entering the program. This includes from “current pregnancies” at the time of entry. Select No if this is not the case, and select Unknown if the youth does not know or declines to state.

Select Yes only if one or more children are in the custody of the participant at the point of program exit (i.e. children who will be living with the participant in their next housing arrangement). Include children for whom the participant has shared custody, if they are living with the participant at least part-time. Select No if this is not the case.

38

Exit Form – Housing Tab

THP-P LUS P ARTICIPANT T RACKING S YSTEM

The questions on this screen in the online Participant Tracking System are found on page 2 of the Paper Exit Form. After entering data on this page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

39

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Housing

Has the participant experienced one or more nights of homelessness since entering this THP-Plus program?

Select Yes if the participant was homeless (includes sleeping on the street, in a car, in a homeless shelter, couch-surfing) for one or more nights since the end of the last reporting period.

Exit from THP-Plus was: Select Voluntary if the participant exited voluntarily, for example because he/she reached the program time limit, preferred to move to another housing situation, or left voluntarily for some other reason.

Select Involuntary but no legal eviction if the participant exited because he/she had violated program or lease requirements and was asked to leave, but no legal eviction was finalized; also select this option if the participant exited due to incarceration. Select Legal eviction if the participant exited as a result of a finalized formal legal eviction (i.e. Notice

Is the participant staying in the same housing unit occupied during this

THP-Plus program? of Unlawful Detainer was served).

If the participant is keeping or taking over the lease on his/her THP-Plus housing unit select Yes. If he/she is in the host family model and will continue living with the same host family after exiting THP-Plus, select

Yes. If the participant is moving into some other housing unit, select No.

Select the type of housing the participant is moving into after exiting the program. If none of the choices apply, write the type of housing in the

Other field.

What type of housing will the participant live in after exiting this THP-

Plus program?

(SELECT ONE)

Will housing be subsidized (Section 8, public housing, affordable housing development, receiving rental subsidy, etc.)?

Monthly rent participant will be paying (include only the amount paid by the participant)

Select Yes if the participant is moving into housing that is subsidized through a formal program such as a Section 8 voucher, public housing, affordable housing development, rental subsidy or other subsidy program. Select Yes if the participant will be living in a THP-Plus

program. Select No if the housing is not subsidized through a formal program (even if the participant’s family member/friend is assisting with the rent). Select Not applicable – not paying rent in all other known cases, including if the participant will be living in some type of institutional housing – including a shelter, jail, hospital or similar setting – or is homeless, couch-surfing, etc. Select Unknown in any other case.

Enter the total monthly rent the participant will be paying for the housing they are moving into. Do not include any portion of the rent that is not paid by the participant directly (e.g. portions paid through a Section 8 voucher, by a roommate, etc.). If the participant will not be paying any rent, enter 0.

40

Exit Form – Employment/Income Tab

THP-P LUS P ARTICIPANT T RACKING S YSTEM

The questions on this screen in the online Participant Tracking System are found on page 3 of the Paper Exit Form. After entering data on this page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

41

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Employment and Income

Employment status at program exit

(SELECT ONE)

Select the choice that best describes the participant’s employment status at program exit. Include only hours worked in legal employment (not informal/under-the-table work).

Hourly wage at program exit

Enter the hourly wage earned in legal employment by the participant at program exit. If the participant has multiple jobs, enter the average hourly wage. Include tips in calculating the hourly wage. Do not include wages earned in informal/under-the-table work.

Select all public benefits that the participant is receiving at program exit.

If the participant is receiving a benefit not included in the listed choices, write it in the Other field.

Receiving public benefits at program exit

(SELECT ALL THAT

APPLY)

Receiving other financial support at program exit (SELECT

ALL THAT APPLY)

Total monthly income from all sources at program exit

Select all sources that the participant is from receiving at program exit. If the participant has another source of income besides wages, public benefits and the other sources of support listed – such as paid informal/under-the-table work – write it in the Other field.

Enter the participant’s total monthly income at program exit from all sources, including wages, public benefits, financial aid, child support, family member contributions, informal work or any other sources of financial support. Include only income received as cash or cash equivalents (e.g. wages, CalWORKS payments, Food Stamps) – do not include the value of in-kind benefits not received as cash equivalents

(such as MediCal).

42

Exit Form – Education/Training Tab

THP-P LUS P ARTICIPANT T RACKING S YSTEM

The questions on this screen in the online Participant Tracking System are found on page 4 of the Paper Exit Form. After entering data on this page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

43

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Education and Training

Educational status at exit from this THP-Plus program

(SELECT ONE)

Select the choice that best describes the participant’s status at exit from this THP-Plus program with respect to enrollment in or graduation from high school, GED, or high-school equivalency program; or 2-year or 4year college program. Select Unknown if none of the options apply.

Highest level of education completed

(SELECT ONE)

Vocational training status at exit from this

THP-Plus program

(SELECT ONE)

Other training status

(military / JobCorps /

CCC / AmeriCorps) at exit from this THP-Plus program

(SELECT ONE)

Select the choice that indicates the highest level of education completed by the participant prior to program exit. Select Unknown if none of the options apply.

Select the choice that best describes the participant’s status at the time of program exit with respect to enrollment in or graduation from a vocational training program. Completed vocational training or

Received certificate or license means finished the full course of training and received a recognized formal professional certification or license

(e.g. a CNA, licensed phlebotomist, etc. – not a “job readiness certificate” or other informal certification). If none of the choices apply, choose Not

applicable. Select Unknown if status is unknown.

Select the choice that describes the participant’s status at exit from this

THP-Plus program with respect to enlistment in, completion of or dropping out of these types of training. If none of the choices apply, choose Not applicable. Select Unknown if status is unknown.

44

Exit Form – Add’l Info Tab

THP-P LUS P ARTICIPANT T RACKING S YSTEM

The questions on this screen in the online Participant Tracking System are found on page 5 of the Paper Exit Form. After entering data on this page, click on the blue “Finished” arrow in the lower right corner of the screen. You will be brought back to the Forms page of the Participant Overview Screen.

45

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Additional Information

Does the participant have a checking account, savings account or IDA at exit from this THP-Plus program?

Select Yes if the participant does have one or more of these types of banking accounts. IDA (Individual Development Account) means an account where the participant’s deposits are matched by another organization; typically the funds can only be withdrawn for specified expenses such as education. Select No if the youth has no formal banking account at the time of exit. Select Unknown if the youth does not know.

Does the participant have health insurance

(through Medi-Cal, employer or other source) at exit from this

THP-Plus program?

Has the participant been involved with the adult criminal justice system since entering this THP-

Plus program?

Select Yes if, at the end of the reporting period, the participant has health coverage of any kind, from any source. Select No if they do not. Select

Unknown if the youth does not know.

Include only involvement with the adult criminal justice system during this reporting period. Incarcerated/detained means held in a jail or other detention facility for any period of time, even if not ultimately charged or convicted. Select Yes if this is the case, select No if it is not, and

Unknown if the youth is unsure.

Adult criminal conviction means that the youth was charged with and convicted of a crime, no matter their plea at arraignment. Select

Unknown if the youth is unsure, select None if the youth has never been convicted of either a misdemeanor or felony. If the youth was convicted of a crime as an adult, select Adult misdemeanor conviction or Adult

felony conviction as applicable.

Select Yes or No based on the participant’s self-report at the time of this reporting. Select Unknown if they are unsure.

Does the participant report having a permanent connection to at least one adult to whom he/she can go for support, advice and guidance at exit from this THP-Plus program?

Is the participant receiving services or treatment for mental health needs at program exit?

Is the participant receiving services or treatment for substance abuse at program exit?

Is the participant receiving services or treatment for an educational or learning disability at program exit?

Select Yes if the participant is receiving services or treatment for mental health needs at program exit. Select No if this is not the case.

Otherwise, select Unknown.

Select Yes if the participant is receiving services for substance abuse at program exit. Select No if this is not the case. Otherwise, select

Unknown.

Select Yes if the participant is receiving services or treatment for an educational or learning disability at program exit. Select No if this is not the case. Otherwise, select Unknown.

46

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Is the participant receiving services or treatment for a developmental disability at program exit?

Is the participant receiving services or treatment for a physical disability at program exit?

Select Yes if the participant is receiving services or treatment for a developmental disability at program exit. Select No if this is not the case.

Otherwise, select Unknown.

Select Yes if the participant is receiving services or treatment for a physical disability at program exit. Select No if this is not the case.

Otherwise, select Unknown.

47

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Six-Month Follow-Up Form & Instructions

48

THP-P LUS P ARTICIPANT T RACKING S YSTEM

S

IX

-M

ONTH

F

OLLOW

-U

P

F

ORM

& I

NSTRUCTIONS

This form creates a snapshot of the participant’s information six months after he/she has left the program. To create a Six-Month Follow-Up Form, select the Forms Tab on the Participant

Overview screen. Select the third blue button at bottom, “Create a Six-Month Follow-Up Form.” This form contains four tabs: Demographics/Housing, Employment/Income, Education/Training and Add’l

Info.

Six-Month Follow-Up Form – Demographics/Housing Tab

The questions on this screen in the online Participant Tracking System are found on page 1 & 2 of the Paper Six-Month Follow-Up Form. After entering data on this page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

49

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Demographics

Has the participant given birth to or fathered one or more NEW children since EXITING this THP-Plus program?

Is the participant a custodial parent (i.e. one or more of his/her children living with the participant)?

Housing

Has the participant experienced one or more nights of homelessness since exiting the THP-Plus program?

Is the participant living in the same housing unit occupied during THP-

Plus program participation?

What type of housing is the participant living in currently?

(SELECT ONE)

Is housing subsidized

(Section 8, public housing, affordable housing development, receiving rental subsidy, etc.)?

Monthly rent participant is paying

Select Yes only if the participant has given birth to or fathered one or more children since exiting the program. This includes from “current pregnancies” at the time of exit. Select No if this is not the case and select Unknown if the youth does not know or declines to state.

Select Yes only if one or more children are in the custody of the participant at the point of follow-up (i.e. children who are living with the participant in their housing arrangement). Include children for whom the participant has shared custody, if they are living with the participant at least part-time. Select No if this is not the case.

Select Yes if the participant was homeless (includes sleeping on the street, in a car, in a homeless shelter, couch-surfing) for one or more nights since program exit.

If the participant is still living in his/her THP-Plus housing unit, select Yes.

If he/she was in the host family model and is still living with the same host family, select Yes. If the participant is living in some other housing unit, select No.

Select the type of housing the participant is living in. If none of the choices apply, write the type of housing in the Other field.

Select Yes if the participant is living in housing that is subsidized through a formal program such as a Section 8 voucher, public housing, affordable housing development, rental subsidy or other subsidy program. Select

Yes if the participant is living in a THP-Plus program. Select No if the housing is not subsidized through a formal program (even if the participant’s family member/friend is assisting with the rent). Select Not

applicable – not paying rent in all other known cases, including if the participant will be living in some type of institutional housing – including a shelter, jail, hospital or similar setting – or is homeless, couch-surfing, etc. Select Unknown in any other case.

Enter the total monthly rent the participant is paying for his/her housing.

Do not include any portion of the rent that is not paid by the participant directly (e.g. portions paid through a Section 8 voucher, by a roommate, etc.). If the participant is not paying any rent, enter 0.

50

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Six-Month Follow-Up Form – Employment/Income Tab

The questions on this screen in the online Participant Tracking System are found on page 3 of the Paper Six-Month Follow-Up Form. After entering data on this page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

51

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS SCREEN :

Employment and Income

Employment status

Hourly wage

Receiving public benefits

(SELECT ALL THAT

APPLY)

Receiving other financial support

(SELECT ALL THAT

APPLY)

Total monthly income from all sources

Select the choice that best describes the participant’s employment status at the end of this reporting period. Include only hours worked in legal employment (not informal/under-the-table work).

Enter the hourly wage earned in legal employment by the participant at the end of this reporting period. If the participant has multiple jobs, enter the average hourly wage. Include tips in calculating the hourly wage. Do not include wages earned in informal/under-the-table work.

Select all public benefits that the participant is receiving at the end of this reporting period. If the participant is receiving a benefit not included in the listed choices, write it in the Other field. If the participant is not receiving any public benefits, choose Not applicable.

Select all sources that the participant is receiving from at the end of this reporting period. If the participant has another source of income besides wages, public benefits and the other sources of support listed – such as paid informal/under-the-table work – write it in the Other field. If the participant is not receiving any other financial support, choose Not

applicable.

Enter the participant’s total monthly income at the end of this reporting period from all sources, including wages, public benefits, financial aid, child support, family member contributions, informal work or any other sources of financial support. Include only income received as cash or cash equivalents (e.g. wages, CalWORKS payments, Food Stamps)

Include any cash or cash equivalent provided as a stipend by a THP-Plus program. Do not include the value of in-kind benefits not received as cash equivalents (such as MediCal).

52

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Six-Month Follow-Up Form – Education/Training Tab

The questions on this screen in the online Participant Tracking System are found on page 4 of the Paper Six-Month Follow-Up Form.

After entering data on this page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

53

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Education and Training

Educational status

(SELECT ONE)

Highest level of education completed

(SELECT ONE)

Vocational training status

(SELECT ONE)

Other training status

(military / JobCorps /

CCC / AmeriCorps)

(SELECT ONE)

Select the choice that best describes the participant’s status at the end of this reporting period with respect to enrollment in or graduation from high school, GED or high-school equivalency program; or 2-year or 4-year college program. Select Unknown if none of the options apply.

Select the choice that indicates the highest level of education completed by the participant at the end of this reporting period. Select Unknown if none of the options apply.

Select the choice that best describes the participant’s status at the end of this reporting period with respect to enrollment in or graduation from a vocational training program. Completed vocational training or

Received vocational certificate or license means finished the full course of training and received a recognized formal professional certification or license (e.g. a CNA, licensed phlebotomist, etc. – not a

“job readiness certificate” or other informal certification). If none of the choices apply, choose Not applicable. Select Unknown if status is unknown.

Select the choice that describes the participant’s status at the end of this reporting period with respect to enlistment in, completion of or dropping out of these types of training. If none of the choices apply, choose Not

applicable. Select Unknown if status is unknown.

54

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Six-Month Follow-Up Form – Add’l Info Tab

The questions on this screen in the online Participant Tracking System are found on page 5 of the Paper Six-Month Follow-Up Form. After entering data on this page, click on the blue “Finished” arrow in the lower right corner of the screen.

You will be brought back to the Forms page of the Participant Overview Screen.

55

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Additional Information

Does the participant have a checking account, savings account, or IDA?

Select Yes if the participant does have one or more of these types of banking accounts. IDA (Individual Development Account) means an account where the participant’s deposits are matched by another organization; typically the funds can only be withdrawn for specified expenses such as education. Select No if the youth has no formal banking account. Select Unknown if the youth does not know.

Select Yes if the participant has health coverage of any kind, from any source. Select No if they do not. Select Unknown if the youth does not know.

Does the participant have health insurance

(through Medi-Cal, employer, or other source)?

Has the participant been involved with the adult criminal justice system since exiting this THP-

Plus program?

Include only involvement with the adult criminal justice system.

Incarcerated/detained means held in a jail or other detention facility for any period of time, even if not ultimately charged or convicted. Select

Yes if this is the case, select No if it is not, and Unknown if the youth is unsure.

Adult criminal conviction means that they youth was charged with and convicted of a crime, no matter their plea at arraignment. Select

Unknown if the youth is unsure, select None if the youth has never been convicted of either a misdemeanor or felony. If the youth was convicted of a crime as an adult, select Adult misdemeanor conviction or Adult

felony conviction as applicable.

Select Yes or No based on the participant’s self-report at the time of this reporting. Select Unknown if they are unsure.

Does the participant report having a permanent connection to at least one adult to whom he/she can go for support, advice and guidance?

56

THP-P LUS P ARTICIPANT T RACKING S YSTEM

57

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Twelve-Month Follow-Up Form & Instructions

58

THP-P LUS P ARTICIPANT T RACKING S YSTEM

T

WELVE

-M

ONTH

F

OLLOW

-U

P

F

ORM

& I

NSTRUCTIONS

This form creates a snapshot of the participant’s information twelve months after he/she has left the program. To create a Twelve-Month Follow-Up Form, select the Forms Tab on the Participant

Overview screen. Select the last blue button at bottom, “Create a 12-Month Follow-Up Form.” This form contains four tabs: Demographics/Housing, Employment/Income, Education/Training and Add’l

Info. Creating a Twelve-Month Follow-Up Form takes you directly to the Demographics/Housing tab.

Twelve-Month Follow-Up Form – Demographics/Housing Tab

Questions on this screen in the online Participant Tracking System are found on

pages 1 & 2 of the Paper Twelve-Month Follow-Up Form. After entering data

on this page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

59

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Demographics

Has the participant given birth to or fathered one or more

NEW children since

EXITING this THP-Plus program?

Is the participant a custodial parent (i.e. one or more of his/her children living with the participant)?

Housing

Has the participant experienced one or more nights of homelessness since the six-month follow-up?

Select Yes only if the participant has given birth to or fathered one or more children since exiting the program. This includes from “current pregnancies” at the time of exit. Select No if this is not the case and select Unknown if the youth does not know or declines to state.

Select Yes only if one or more children are in the custody of the participant at the point of follow-up (i.e. children who are living with the participant in their housing arrangement). Include children for whom the participant has shared custody, if they are living with the participant at least part-time.

Select No if this is not the case.

Select Yes if the participant was homeless (includes sleeping on the street, in a car, in a homeless shelter, couch-surfing) for one or more nights since the six-month follow-up.

Is the participant living in the same housing unit occupied during THP-

Plus program participation?

What type of housing is the participant living in currently?

(SELECT ONE)

Is housing subsidized

(Section 8, public housing, affordable housing development, receiving rental subsidy, etc.)?

Monthly rent participant is paying

If the participant is still living in his/her THP-Plus housing unit, select Yes.

If he/she was in the host family model and is still living with the same host family, select Yes. If the participant is living in some other housing unit, select No.

Select the type of housing the participant is living in. If none of the choices apply, write the type of housing in the Other field.

Select Yes if the participant is living in housing that is subsidized through a formal program such as a Section 8 voucher, public housing, affordable housing development, rental subsidy or other subsidy program. Select

Yes if the participant is living in a THP-Plus program. Select No if the housing is not subsidized through a formal program (even if the participant’s family member/friend is assisting with the rent). Select Not

applicable – not paying rent in all other known cases, including if the participant is living in some type of institutional housing – including a shelter, jail, hospital, or similar setting – or is homeless, couch-surfing, etc. Select Unknown in any other case.

Enter the total monthly rent the participant is paying for his/her housing.

Do not include any portion of the rent that is not paid by the participant directly (e.g. portions paid through a Section 8 voucher, by a roommate, etc.). If the participant is not paying any rent, enter 0.

60

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Twelve-Month Follow-Up Form – Employment/Income Tab

Questions on this screen in the online Participant Tracking System are found on

page 3 of the Paper Twelve-Month Follow-Up Form. After entering data on this

page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

61

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Employment and Income

Employment status Select the choice that best describes the participant’s employment status at the end of this reporting period. Include only hours worked in legal employment (not informal/under-the-table work).

Hourly wage

Receiving public benefits

(SELECT ALL THAT

APPLY)

Receiving other financial support

(SELECT ALL THAT

APPLY)

Total monthly income from all sources

Enter the hourly wage earned in legal employment by the participant at the end of this reporting period. If the participant has multiple jobs, enter the average hourly wage. Include tips in calculating the hourly wage. Do not include wages earned in informal/under-the-table work.

Select all public benefits that the participant is receiving at the end of this reporting period. If the participant is receiving a benefit not included in the listed choices, write it in the Other field. If the participant is not receiving any public benefits, choose Not applicable.

Select all sources that the participant is receiving from at the end of this reporting period. If the participant has another source of income besides wages, public benefits and the other sources of support listed – such as paid informal/under-the-table work – write it in the Other field. If the participant is not receiving any other financial support, choose Not

applicable.

Enter the participant’s total monthly income at the end of this reporting period from all sources, including wages, public benefits, financial aid, child support, family member contributions, informal work or any other sources of financial support. Include only income received as cash or cash equivalents (e.g. wages, CalWORKS payments, Food Stamps).

Include any cash or cash equivalent provided as a stipend by a THP-Plus program. Do not include the value of in-kind benefits not received as cash equivalents (such as MediCal).

62

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Twelve-Month Follow-Up Form – Education/Training Tab

Questions on this screen in the online Participant Tracking System are found on

page 4 of the Paper Twelve-Month Follow-Up Form. After entering data on this

page, click on the blue “Next page” arrow in the lower right corner of the screen to be brought to the next tab.

63

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Education and Training

Educational status

(SELECT ONE)

Select the choice that best describes the participant’s status at the end of this reporting period with respect to enrollment in or graduation from high school, GED or high-school equivalency program; or 2-year or 4-year college program. Select Unknown if none of the options apply.

Highest level of education completed

(SELECT ONE)

Vocational training status

(SELECT ONE)

Other training status

(military / JobCorps /

CCC / AmeriCorps)

(SELECT ONE)

Select the choice that indicates the highest level of education completed by the participant at the end of this reporting period. Select Unknown if none of the options apply.

Select the choice that best describes the participant’s status at the end of this reporting period with respect to enrollment in or graduation from a vocational training program. Completed vocational training or

Received vocational certificate or license means finished the full course of training and received a recognized formal professional certification or license (e.g. a CNA, licensed phlebotomist, etc. – not a

“job readiness certificate” or other informal certification). If none of the choices apply, choose Not applicable. Select Unknown if status is unknown.

Select the choice that describes the participant’s status at the end of this reporting period with respect to enlistment in, completion of or dropping out of these types of training. If none of the choices apply, choose Not

applicable. Select Unknown if status is unknown.

64

THP-P LUS P ARTICIPANT T RACKING S YSTEM

Twelve-Month Follow-Up Form – Add’l Info Tab

Questions on this screen in the online Participant Tracking System are found on

page 5 of the Paper Twelve-Month Follow-Up Form. After entering data on this

page, click on the blue “Finished” arrow in the lower right corner of the screen.

You will be brought back to the Forms page of the Participant Overview Screen.

65

THP-P LUS P ARTICIPANT T RACKING S YSTEM

L INE BY LINE I NSTRUCTIONS FOR Q UESTIONS ON THIS S CREEN :

Additional Information

Does the participant have a checking account, savings account or IDA?

Select Yes if the participant does have one or more of these types of banking accounts. IDA (Individual Development Account) means an account where the participant’s deposits are matched by another organization; typically the funds can only be withdrawn for specified expenses such as education. Select No if the youth has no formal banking account. Select Unknown if the youth does not know.

Does the participant have health insurance

(through Medi-Cal, employer or other source)?

Has the participant been involved with the adult criminal justice system since the six-month follow-up?

Select Yes if the participant has health coverage of any kind, from any source. Select No if they do not. Select Unknown if the youth does not know.

Include only involvement with the adult criminal justice system.

Incarcerated/detained means held in a jail or other detention facility for any period of time, even if not ultimately charged or convicted. Select

Yes if this is the case, select No if it is not, and Unknown if the youth is unsure.

Adult criminal conviction means that the youth was charged with and convicted of a crime, no matter their plea at arraignment. Select

Unknown if the youth is unsure, select None if the youth has never been convicted of either a misdemeanor or felony. If the youth was convicted of a crime as an adult, select Adult misdemeanor conviction or Adult

felony conviction as applicable.

Select Yes or No based on the participant’s self-report at the time of this reporting. Select Unknown if they are unsure.

Does the participant report having a permanent connection to at least one adult to whom he/she can go for support, advice and guidance?

66

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