[Code of Federal Regulations] [Title 45, Volume 4] [Revised as of October 1, 2008] From the U.S. Government Printing Office via GPO Access [CITE: 45CFR1356 App A-B] [Page 335-341] TITLE 45--PUBLIC WELFARE CHAPTER XIII--OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 1356_REQUIREMENTS APPLICABLE TO TITLE IV-E Sec. Appendix A to Part 1356--NYTD Data Elements ---------------------------------------------------------------------------------------------------------------- Element Element name Responses options Applicable population ---------------------------------------------------------------------------------------------------------------- 1................................. State..................... 2 digit FIPS code... 2................................. Report date............... CYYMM............... CC= century year (i.e., 20). YY = decade year (00- 99). MM = month (01-12).. [[Page 336]] 3................................. Record number............. Encrypted, unique person identification number. 4................................. Date of birth............. CCYYMMDD............ CC= century year (i.e., 20). YY = decade year (00- 99). MM = month (01-12).. DD= day (01-31)..... 5................................. Sex....................... Male................ Female.............. 6................................. Race--American Indian or Yes................. All youth in served, Alaska Native. baseline and follow-up populations. No.................. 7................................. Race--Asian............... Yes................. No.................. 8................................. Race--Black or African Yes................. American. No.................. 9................................. Race--Native Hawaiian or Yes................. Other Pacific Islander. No.................. 10................................ Race--White............... Yes................. No.................. 11................................ Race--Unknown............. Yes................. No.................. 12................................ Race--Declined............ Yes................. No.................. 13................................ Hispanic or Latino Yes................. Ethnicity. No.................. Unknown............. Declined............ ---------------------------------------------------------------------------------------------------------------- 14................................ Foster care status-- Yes................. Served population only. services. No.................. 15................................ Local agency.............. FIPS code(s)........ Centralized unit.... 16................................ Federally-recognized tribe Yes................. No.................. 17................................ Adjudicated delinquent.... Yes................. No.................. 18................................ Education level........... Less than 6th grade. Served population only. 6th grade........... 7th grade........... 8th grade........... 9th grade........... 10th grade.......... 11th grade.......... 12th grade.......... Postsecondary education or training College, at least one semester. 19................................ Special education......... Yes................. No.................. 20................................ Independent living needs Yes................. assessment. No.................. 21................................ Academic support.......... Yes................. No.................. 22................................ Post-secondary educational Yes................. support. No.................. 23................................ Career preparation........ Yes................. No.................. 24................................ Employment programs or Yes................. vocational training. No.................. 25................................ Budget and financial Yes................. management. No.................. 26................................ Housing education and home Yes................. management training. No.................. 27................................ Health education and risk Yes................. prevention. No.................. 28................................ Family Support/Healthy Yes................. Marriage Education. [[Page 337]] No.................. 29................................ Mentoring................. Yes................. No.................. 30................................ Supervised independent Yes................. living. No.................. 31................................ Room and board financial Yes................. assistance. No.................. 32................................ Education financial Yes................. assistance. No.................. 33................................ Other financial assistance Yes................. No.................. ---------------------------------------------------------------------------------------------------------------- 34................................ Outcomes reporting status. Youth Participated.. Baseline and follow-up Youth Declined...... populations (with the Parent Declined..... exception of the response Youth Incapacitated. option ``not in sample'' which is applicable to 19- year olds in the follow- up only). Incarcerated........ Runaway/Missing..... Unable to locate/ invite. Death............... Not in sample....... ---------------------------------------------------------------------------------------------------------------- 35................................ Date of outcome data CCYYMMDD............ Baseline and follow-up collection. populations. CC= century year (i.e., 20). YY = decade year (00- 99). MM = month (01-12).. DD= day (01-31)..... 36................................ Foster care status- Yes................. outcomes. No.................. 37................................ Current full-time Yes................. employment. No.................. Declined............ 38................................ Current part-time Yes................. employment. No.................. Declined............ 39................................ Employment-related skills. Yes................. No.................. Declined............ 40................................ Social Security........... Yes................. No.................. Declined............ 41................................ Educational aid........... Yes................. No.................. Declined............ ---------------------------------------------------------------------------------------------------------------- 42................................ Public financial Yes................. Follow-up population not assistance. in foster care. No.................. Not applicable...... Declined............ 43................................ Public food assistance.... Yes................. No.................. Not applicable...... Declined............ 44................................ Public housing assistance. Yes................. No.................. Not applicable...... Declined............ ---------------------------------------------------------------------------------------------------------------- 45................................ Other financial support... Yes................. Baseline and follow-up population. No.................. Declined............ 46................................ Highest educational High school diploma/ certification received. GED. Vocational certificate. Vocational license.. Associate's degree.. Bachelor's degree... Higher degree....... None of the above... Declined............ 47................................ Current enrollment and Yes................. attendance. [[Page 338]] No.................. Declined............ 48................................ Connection to adult....... Yes................. No.................. Declined............ 49................................ Homelessness.............. Yes................. No.................. Declined............ 50................................ Substance abuse referral.. Yes................. No.................. Declined............ 51................................ Incarceration............. Yes................. No.................. Declined............ 52................................ Children.................. Yes................. No.................. Declined............ 53................................ Marriage at child's birth. Yes................. No.................. Not applicable...... Declined............ 54................................ Medicaid.................. Yes................. No.................. Don't know.......... Declined............ 55................................ Other health insurance Yes................. Baseline and follow-up coverage. population. No.................. Don't know.......... Not applicable...... Declined............ 56................................ Health insurance type-- Yes................. medical. Don't know.......... Not applicable...... Declined............ 57................................ Health insurance type-- Yes................. mental health. No.................. Don't know.......... Not applicable...... Declined............ 58................................ Health insurance type-- Yes................. prescription drugs. No.................. Don't know.......... Not applicable...... Declined............ ---------------------------------------------------------------------------------------------------------------- [73 FR 10372, Feb. 26, 2008] Appendix B to Part 1356--NYTD Youth Outcome Survey ------------------------------------------------------------------------ Question to youth Topic/element and response options Definition ------------------------------------------------------------------------ INFORMATION TO COLLECT FROM ALL YOUTH SURVEYED FOR OUTCOMES, WHETHER IN FOSTER CARE OR NOT ------------------------------------------------------------------------ Current full-time employment Currently are you ``Full-time'' means (37). employed full-time? working at least 35 --Yes............... hours per week at --No................ one or multiple --Declined.......... jobs. Current part-time employment Currently are you ``Part-time'' means (38). employed part-time? working at least 1- --Yes............... 34 hours per week --No................ at one or multiple --Declined.......... jobs. Employment-related skills In the past year, This means (39). did you complete an apprenticeships, apprenticeship, internships, or internship, or other on-the-job other on-the-job trainings, either training, either paid or unpaid, paid or unpaid? that helped the --Yes............... youth acquire --No................ employment-related --Declined.......... skills (which can include specific trade skills such as carpentry or auto mechanics, or office skills such as word processing or use of office equipment). [[Page 339]] Social Security (40)........ Currently are you These are payments receiving social from the government security payments to meet basic needs (Supplemental for food, clothing, Security Income and shelter of a (SSI, Social person with a Security Disability disability. A youth Insurance (SSDI), may be receiving or dependents' these payments payments)? because of a parent --Yes............... or guardian's --No................ disability, rather --Declined.......... than his/her own. Educational Aid (41)........ Currently are you Scholarships, using a grants, and scholarship, grant, stipends are funds stipend, student awarded for loan, voucher, or spending on other type of expenses related to educational gaining an financial aid to education. cover any ``Student loan'' educational means a government- expenses? guaranteed, low- --Yes............... interest loan for --No................ students in post- --Declined.......... secondary education. Other financial support (45) Currently are you This means periodic receiving any and/or significant periodic and/or financial support significant from a spouse or financial resources family member or support from (biological, foster another source not or adoptive), child previously support that the indicated and youth receives or excluding paid funds from a legal employment? settlement. This --Yes............... does not include --No................ occasional gifts, --Declined.......... such as birthday or graduation checks or small donations of food or personal incidentals, child care subsidies, child support for a youth's child or other financial help that does not benefit the youth directly in supporting himself or herself. Highest educational What is the highest ``Vocational certification received (46). educational degree certificate'' means or certification a document stating that you have that a person has received? received education --High school or training that diploma/GED. qualifies him or --Vocational her for a certificate. particular job, --Vocational license e.g., auto --Associate's degree mechanics or (e.g., A.A.). cosmetology. --Bachelor's degree ``Vocational (e.g., B.A. or license'' means a B.S.). document that --Higher degree..... indicates that the --None of the above. State or local --Declined.......... government recognizes an individual as a qualified professional in a particular trade or business. An Associate's degree is generally a two- year degree from a community college, and a Bachelor's degree is a four- year degree from a college or university. ``Higher degree'' indicates a graduate degree, such as a Masters or Doctorate degree. ``None of the above'' means that the youth has not received any of the above educational certifications. Current enrollment and Currently are you This means both attendance (47). enrolled in and enrolled in and attending high attending high school, GED school, GED classes, post-high classes, or school vocational postsecondary training, or vocational training college? or college. A youth --Yes............... is still considered --No................ enrolled in and --Declined.......... attending school if the youth would otherwise be enrolled in and attending a school that is currently out of session (e.g., Spring break, summer vacation, etc.). Connection to adult (48).... Currently is there This refers to an at least one adult adult who the youth in your life, other can go to for than your advice or guidance caseworker, to whom when there is a you can go for decision to make or advice or emotional a problem to solve, support? or for --Yes............... companionship to --No................ share personal --Declined.......... achievements. This can include, but is not limited to, adult relatives, parents or foster parents. The definition excludes spouses, partners, boyfriends or girlfriends and current caseworkers. The adult must be easily accessible to the youth, either by telephone or in person. [[Page 340]] Homelessness (49)........... Have you ever been ``Homeless'' means homeless? that the youth had OR.................. no regular or adequate place to live. This includes living in a car, or on the street, or staying in a homeless or other temporary shelter. In the past two years, were you homeless at any time? --Yes............... --No................ --Declined.......... Substance abuse referral Have you ever This includes either (50). referred yourself self-referring or or has someone else being referred by a referred you for an social worker, alcohol or drug school staff, abuse assessment or physician, mental counseling? health worker, OR.................. foster parent, or other adult for an alcohol or drug abuse assessment or counseling. Alcohol or drug abuse assessment is a process designed to determine if someone has a problem with alcohol or drug use. In the past two years, did you refer yourself, or had someone else referred you for an alcohol or drug abuse assessment or counseling? --Yes............... --No................ --Declined.......... Incarceration (51).......... Have you ever been This means that the confined in a jail, youth was confined prison, in a jail, prison, correctional correctional facility, or facility, or juvenile or juvenile or community detention community detention facility, in facility in connection with connection with a allegedly crime (misdemeanor committing a crime? or felony) OR.................. allegedly committed by the youth. In the past two years, were you confined in a jail, prison, correctional facility, or juvenile or community detention facility, in connection with allegedly committing a crime? --Yes............... --No................ --Declined.......... Children (52)............... Have you ever given This means giving birth or fathered birth to or any children that fathering at least were born? one child that was OR.................. born. If males do not know, answer ``No.'' In the past two years, did you give birth to or father any children that were born? --Yes............... --No................ --Declined.......... Marriage at Child's Birth If you responded yes This means that when (53). to the previous every child was question, were you born the youth was married to the married to the child's other other parent of the parent at the time child. each child was born? --Yes............... --No................ --Declined.......... Medicaid (54)............... Currently are you on Medicaid (or the Medicaid [or use State medical the name of the assistance program) State's medical is a health assistance program insurance program under title XIX]? funded by the --Yes............... government. --No................ --Don't know........ --Declined.......... [[Page 341]] Other Health insurance Currently do you ``Health insurance'' Coverage (55). have health means having a insurance, other third party pay for than Medicaid? all or part of --Yes............... health care. Youth --No................ might have health --Don't know........ insurance such as --Declined.......... group coverage offered by employers or schools, or individual policies that cover medical and/or mental health care and/or prescription drugs, or youth might be covered under parents' insurance. This also could include access to free health care through a college, Indian Tribe, or other source. Health insurance type-- Does your health This means that the medical (56). insurance include youth's health coverage for insurance covers at medical services? least some medical --Yes............... services or --Don't know........ procedures. This --Declined.......... question is for only those youth who responded ``yes'' to having health insurance. Health insurance type-- Does your health This means that the mental health (57). insurance include youth's health coverage for mental insurance covers at health services? least some mental --Yes............... health services. --No................ This question is --Don't know........ for only those --Declined.......... youth who responded ``yes'' to having health insurance with medical coverage. Health insurance type-- Does your health This means that the prescription drugs (58). insurance include youth's health coverage for insurance covers at prescription drugs? least some --Yes............... prescription drugs. --No................ This question is --Don't know........ for only those --Declined.......... youth who responded ``yes'' to having health insurance with medical coverage. ------------------------------------------------------------------------ ADDITIONAL OUTCOMES INFORMATION TO COLLECT FROM YOUTH OUT OF FOSTER CARE ------------------------------------------------------------------------ Public financial assistance Currently are you This refers to (42). receiving ongoing ongoing welfare welfare payments payments from the from the government government to to support your support your basic basic needs? [The needs. Do not State may add and/ consider payments or substitute the or subsidies for name(s) of the specific purposes, State's welfare such as program]. unemployment --Yes............... insurance, child --No................ care subsidies, --Declined.......... education assistance, food stamps or housing assistance in this category. Public food assistance (43). Currently are you Public food receiving public assistance includes food assistance? food stamps, which --Yes............... are government- --No................ issued coupons or --Declined.......... debit cards that recipients can use to buy eligible food at authorized stores. Public food assistance also includes assistance from the Women, Infants and Children (WIC) program. Public housing assistance Currently are you Public housing is (44). receiving any sort rental housing of housing provided by the assistance from the government to keep government, such as rents affordable living in public for eligible housing or individuals and receiving a housing families, and a voucher? housing voucher --Yes............... allows participants --No................ to choose their own --Declined.......... housing while the government pays part of the housing costs. This does not include payments from the child welfare agency for room and board payments. ------------------------------------------------------------------------ [73 FR 10372, Feb. 26, 2008]