Youth Outcome Survey

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).
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 Alaska Native ............... Yes ................................... All youth in served, baseline and follow-up
populations.
No.
7 ............ Race—Asian ............................................................ Yes.
No.
8 ............ Race—Black or African American ........................... Yes.
No.
9 ............ Race—Native Hawaiian or Other Pacific Islander .. Yes.
No.
10 .......... Race—White ........................................................... Yes.
No.
11 .......... Race—Unknown ...................................................... Yes.
No.
12 .......... Race—Declined ....................................................... Yes.
No.
13 .......... Hispanic or Latino Ethnicity ..................................... Yes.
No.
Unknown.
Declined.
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14 .......... Foster care status—services ................................... Yes ................................... Served population only.
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 assessment .................... Yes.
No.
21 .......... Academic support .................................................... Yes.
No.
22 .......... Post-secondary educational support ....................... Yes.
No.
23 .......... Career preparation .................................................. Yes.
No.
24 .......... Employment programs or vocational training .......... Yes.
No.
25 .......... Budget and financial management ......................... Yes.
No.

26 .......... Housing education and home management training.
Yes.
No.
27 .......... Health education and risk prevention ..................... Yes.
No.
28 .......... Family Support/Healthy Marriage Education ........... Yes.
No.
29 .......... Mentoring ................................................................. Yes.
No.
30 .......... Supervised independent living ................................ Yes.
No.
31 .......... Room and board financial assistance ..................... Yes.
No.
32 .......... Education financial assistance ................................ Yes.
No.
33 .......... Other financial assistance ....................................... Yes.
No.
34 .......... Outcomes reporting status ...................................... Youth Participated ............
Youth Declined
Parent Declined
Youth Incapacitated
Baseline and follow-up populations (with the exception
of the response option ‘‘not in sample’’
which is applicable to 19-year olds in the followup
only).
Incarcerated.
Runaway/Missing.
Unable to locate/invite.
Death.
Not in sample.
35 .......... Date of outcome data collection ............................. CCYYMMDD .................... Baseline and follow-up populations.
CC= century year (i.e., 20).
YY = decade year (00–99).
MM = month (01–12).
DD= day (01–31).
36 .......... Foster care status-outcomes ................................... Yes.
No.
37 .......... Current full-time employment .................................. Yes.
No.
Declined.
38 .......... Current part-time employment ................................ Yes.
No.
Declined.
39 .......... Employment-related skills ....................................... Yes.
No.
Declined.
40 .......... Social Security ......................................................... Yes.
No.
Declined.
41 .......... Educational aid ........................................................ Yes.
No.
Declined.
42 .......... Public financial assistance ...................................... Yes ................................... Follow-up population not 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 certification received ............... High school diploma/GED.
Vocational certificate.
Vocational license.

Associate’s degree.
Bachelor’s degree.
Higher degree.
None of the above.
Declined.
47 .......... Current enrollment and attendance ........................ Yes.
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 coverage ............................ Yes ................................... Baseline and follow-up population.
No.
Don’t know.
Not applicable.
Declined.
56 .......... Health insurance type—medical ............................. Yes.
Don’t know.
Not applicable.
Declined.
57 .......... Health insurance type—mental health .................... Yes.
No.
Don’t know.
Not applicable.
Declined.
58 .......... Health insurance type—prescription drugs ............. Yes.
No.
Don’t know.
Not applicable.
Declined.

APPENDIX B TO PART 1356—NYTD YOUTH OUTCOME SURVEY
INFORMATION TO COLLECT FROM ALL YOUTH SURVEYED FOR OUTCOMES, WHETHER IN FOSTER CARE OR NOT
Topic/element #

Question to youth and response options

Definition

Current full-time employment (37) ...................... Currently are you employed full-time?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
‘‘Full-time’’ means working at least 35 hours
per week at one or multiple jobs.
Current part-time employment (38) .................... Currently are you employed part-time?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
‘Part-time’’ means working at least 1–34
hours per week at one or multiple jobs.

Employment-related skills (39) ........................... In the past year, did you complete an apprenticeship, internship, or other on-the-job
training, either paid or unpaid?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
This means apprenticeships, internships, or
other on-the-job trainings, either paid or unpaid,
that helped the youth acquire employmentrelated 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).
Social Security (40) ............................................ Currently are you receiving social security payments (Supplemental Security
Income(SSI, Social Security Disability Insurance(SSDI), or dependents’ payments)?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
These are payments from the government to
meet basic needs for food, clothing, and
shelter of a person with a disability. A youth
may be receiving these payments because
of a parent or guardian’s disability, rather
than his/her own.
Educational Aid (41) ........................................... Currently are you using a scholarship, grant,
stipend, student loan, voucher, or other
type of educational financial aid to cover
any educational expenses?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
Scholarships, grants, and stipends are funds
awarded for spending on expenses related
to gaining an education. ‘‘Student loan’’
means a government-guaranteed, low-interest
loan for students in post-secondary education.
Other financial support (45) ............................... Currently are you receiving any periodic and/or significant financial resources or
support from another source not previously indicated and excluding paid employment?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
This means periodic and/or significant financial
support from a spouse or family member
(biological, foster or adoptive), child
support that the youth receives or funds
from a legal settlement. This does not include
occasional gifts, 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 certification received (46) .. What is the highest educational degree or
certification that you have received?
lHigh school diploma/GED ............................
lVocational certificate ....................................
lVocational license ........................................
lAssociate’s degree (e.g., A.A.) ....................
lBachelor’s degree (e.g., B.A. or B.S.) .........
lHigher degree ...............................................
lNone of the above ........................................
lDeclined ........................................................
‘‘Vocational certificate’’ means a document
stating that a person has received education
or training that qualifies him or her
for a particular job, e.g., auto mechanics or

cosmetology. ‘‘Vocational license’’ means a
document that indicates that the State or
local 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 attendance (47) ............ Currently are you enrolled in and attending
high school, GED classes, post-high school
vocational training, or college?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
This means both enrolled in and attending
high school, GED classes, or postsecondary
vocational training or college. A
youth is still considered enrolled in and 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 at least one adult in your
life, other than your caseworker, to whom
you can go for advice or emotional support?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
This refers to an adult who the youth can go
to for advice or guidance when there is a
decision to make or a problem to solve, or
for companionship to share personal
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.
Homelessness (49) .......................... Have you ever been homeless?
OR ....................................................................
‘‘Homeless’’ means that the youth had 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?
lYes ...............................................................
lNo .................................................................
lDeclined.

Substance abuse referral (50) ...................... Have you ever referred yourself or has someone
else referred you for an alcohol or drug
abuse assessment or counseling?
OR ....................................................................
This includes either self-referring or being referred
by a social worker, school staff, physician,
mental health worker, 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?
lYes ...............................................................
lNo .................................................................
lDeclined.
Incarceration (51) ............................................... Have you ever been confined in a jail, prison,
correctional facility, or juvenile or community
detention facility, in connection with allegedly
committing a crime?
OR ....................................................................
This means that the youth was confined in a
jail, prison, correctional facility, or juvenile
or community detention facility in connection
with a crime (misdemeanor or felony)
allegedly committed by the youth.
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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?
lYes ...............................................................
lNo .................................................................
lDeclined.
Children (52) ....................................................... Have you ever given birth or fathered any
children that were born?
OR ....................................................................
This means giving birth to or fathering at least
one child that was 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?
lYes ...............................................................
lNo .................................................................
lDeclined.
Marriage at Child’s Birth (53) ............................. If you responded yes to the previous question,
were you married to the child’s other
parent at the time each child was born?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
This means that when every child was born
the youth was married to the other parent
of the child.
Medicaid (54) ...................................................... Currently are you on Medicaid [or use the
name of the State’s medical assistance program
under title XIX]?
lYes ...............................................................
lNo .................................................................
lDon’t know ....................................................
lDeclined ........................................................
Medicaid (or the State medical assistance
program) is a health insurance program
funded by the government.
Other Health insurance Coverage (55) .............. Currently do you have health insurance, other
than Medicaid?
lYes ...............................................................
lNo .................................................................
lDon’t know ....................................................
lDeclined ........................................................
‘‘Health insurance’’ means having a third party
pay for all or part of health care. Youth
might have health insurance such as 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—medical (56) ................. Does your health insurance include coverage
for medical services?
lYes ...............................................................
lDon’t know ....................................................
lDeclined ........................................................
This means that the youth’s health insurance
covers at least some medical services or
procedures. This question is for only those
youth who responded ‘‘yes’’ to having
health insurance.
Health insurance type—mental health (57) ........ Does your health insurance include coverage
for mental health services?
lYes ...............................................................
lNo .................................................................
lDon’t know ....................................................
lDeclined ........................................................
This means that the youth’s health insurance
covers at least some mental health services.
This question is for only those youth
who responded ‘‘yes’’ to having health insurance
with medical coverage.
Health insurance type—prescription drugs (58) Does your health insurance include coverage
for prescription drugs?
lYes ...............................................................
lNo .................................................................
lDon’t know ....................................................
lDeclined ........................................................
This means that the youth’s health insurance
covers at least some prescription drugs.
This question is for only those youth who
responded ‘‘yes’’ to having health insurance
with medical coverage.

Public financial assistance (42) .......................... Currently are you receiving ongoing welfare
payments from the government to support
your basic needs? [The State may add and/
or substitute the name(s) of the State’s welfare
program].
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
This refers to ongoing welfare payments from
the government to support your basic
needs. Do not consider payments or subsidies
for specific purposes, such as unemployment
insurance, child care subsidies,
education assistance, food stamps or housing
assistance in this category.
Public food assistance (43) ................................ Currently are you receiving public food assistance?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
Public food assistance includes food stamps,
which are government-issued coupons or
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 (44) .......................... Currently are you receiving any sort of housing
assistance from the government, such
as living in public housing or receiving a
housing voucher?
lYes ...............................................................
lNo .................................................................
lDeclined ........................................................
Public housing is rental housing provided by
the government to keep rents affordable for
eligible individuals and families, and a
housing voucher allows participants to
choose their own 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.