{"report_id":326,"form_id":"22","user_id":71,"organization_id":13,"question_id":"349","question_type":"Free_Text","text_answer":"LP #1:\r\nIt was difficult to find a placement that could meet this child's unique needs and this impacted the agency's ability to place her in a lesser restrictive setting including being able to reunifying with her mother and residing with relatives. This coupled with being unable to identify viable maternal and paternal relative placement options impacted the agency's ability to achieve permanency for this youth.\r\n\r\nLP #2:\r\nThe coordination of guidance around role responsibilities of child protection workers and children's mental health staff has been further impacted by the resources (staff) available at DHS within the Child Safety and Permanency Division and other areas to provide guidance and training around active efforts.\r\n\r\nFunding also influences active efforts not being achieved as additional resources have not been allocated to both the local agencies and Tribes to ensure additional active effort requirements are fulfilled.  For example, there has not been any additional funding provided to Tribes to support Tribal Child Welfare infrastructure in being able to meet the demands of the county agencies state and federal requirements. The additional requirements have placed demands on both the local agencies and Tribes in which both agencies struggle to have the resources to ensure active efforts are met on all cases.\r\n\r\nLP #3:\r\nPermanent custody to the agency as permanency for the subject child was influenced by the subject child's overall complex needs. This influenced the agency's decision to move towards permanent custody to the agency as there were not any other options as mom wasn't fulfilling her case plan requirements and had identified that she was not able to care for the subject child.  There were also not any relatives that could care for the subject child due to her emotional, behavior, and developmental needs.  In addition to this, the agency tried a foster care home, however, this placement was not successful due to the subject child's complex and unique needs, especially given her history of aggression.\r\n\r\nThis combination (dual diagnoses) made it challenging to locate placements for the subject child.  Further impacting the ability to find a foster care home was that there are very few foster care homes that can take a child with such complex and unique needs.  Lastly, the subject child had identified to staff that she wanted to remain in her current placement.","created_by":71,"updated_by":71,"updated_at":"6\/1\/2021 2:05:30 pm","created_at":"6\/1\/2021 2:05:30 pm","id":42869}