YCPRT Form Submission
This form is used by YCPRT counties to submit their required quarterly data reports.
Your County
Person Entering Data
First Name
Last Name
Key Metrics
Number of YCPRT's Held in Last Completed Quarter
*
Quarters Are: January, February, March / April, May, June / July, August, September / October, November, December
Number of PRT's Held in Last Completed Quarter
*
Quarters Are: January, February, March April, May, June July, August, September, October, November, December
Number of Youth Eligible for YCPRT in Last Completed Quarter
*
Explanation of Circumstances
Explanation for circumstances/discretion for the difference in number held vs number eligible where neither a YCPRT or PRT were held (record number of youth in each applicable category)
Youth AWOL or Incarcerated
Cognitive / Emotional Functioning Concerns
Youth In Temporary Custody
Permanency Plan in Place
Youth Unwilling
Youth Engaged in another model/program such as WrapAround
Limited Agency / Staff Capacity
Other
Please include explanation along with number
Exits to Permanency
Number of Youth Exiting to Adoption in Last Completed Quarter
*
Number of Youth Exiting to Legal Custody in Last Completed Quarter
*
Number of Youth Exiting to Emancipation in Last Completed Quarter
*
Permanency Rating
Number of Youth with a "Poor" Permanency Rating
Number of Youth with a "Fair" or "Good" Permanency Rating
Number of Youth with a "Very Good" or "Permanency Achieved" Permanency Rating
Submit
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