Child Protection, Adoption and Permanency Worker Survey
The purpose of this anonymous survey is to determine what barriers exist to completing Social Medical Histories (or other foster care summary document) and how we might overcome them together.
What role do you currently fill?
*
Child Protection Worker
Adoption/Permanency Worker
Child Protection Supervisor or Admin
Adoption/Permanency Supervisor or Admin
Private Agency Worker or Staff
Past Worker, Supervisor or Admin
Other
Country of Residence
*
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
US State of Residence
*
Please Select
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Have you ever completed a Social Medical History?
*
Yes
No
If you had to complete a Social Medical History tomorrow, would you feel comfortable doing so?
*
Yes, very comfortable.
Kind of comfortable.
Not at all.
For youth who have been in care for OVER six months AND are not moving toward adoption, how likely are they to have a completed Social Medical History in your experience?
*
Not at all likely
1
2
3
4
Very likely
5
1 is Not at all likely, 5 is Very likely
For youth who have been in care for OVER six months AND ARE moving toward adoption, how likely are they to have a completed Social Medical History in your experience?
*
Not at all likely
1
2
3
4
Very likely
5
1 is Not at all likely, 5 is Very likely
What have made Social Medical History's easy or enjoyable?
*
Gathering history.
Nice to have all information in one place.
Easy to share when needed.
Easy to make non-identifiable.
Easy to update once completed.
A standardized form.
Give birth family chance to share what they know.
Give foster family a chance to share what they know.
Learn new/additional information during process.
Getting positive information about child.
Getting positive information about family.
Getting a more detailed understanding of case history.
Other
What have made Social Medical History's hard or frustrating?
*
Too much other paperwork.
Other crisis taking my time.
Caseload too high.
Form hard to update.
Not enough training.
Form is confusing.
Form routinely rejected by DHS.
I don't think SMH are important.
Birth family is not cooperative.
Birth family contact sporadic or limited.
Foster family is not cooperative.
Adoptive family is not cooperative.
Former adoptive family is not cooperative.
Medical records: takes too long after TPR.
Medical records: can't request before TPR.
Lack of "good" information to share.
Not sure how to word hard details of story.
Case file too big to review thoroughly.
Seems like a duplication of work.
Other
Ideas to make Social Medical History's or the process completing them better.
*
Training, guidance, specially trained colleague, contract to have someone else complete, etc.
Please provide your email. All your answers will remain anonymous.
*
example@example.com
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