Instrument 2- Administrative Data List

OPRE Study: Evaluation of LifeSet [Impact and Implementation Evaluation]

Instrument 2- Administrative Data List

OMB: 0970-0577

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Instrument 2: Administrative Data List


Instructions:

This information is being collected to inform the evaluation of the LifeSet program being conducted by a research team at the Urban Institute, Chapin Hall at the University of Chicago and Child Trends. This information will be used to inform the US Department of Health and Human Services Administration for Children and Families (HHS ACF) to improve the evidence base for programs relevant to the child welfare population. All the information you provide will be kept private to the extent permitted by law.

To conduct the evaluation, we would like to collect the following administrative data for young people involved in the evaluation of LifeSet in New Jersey: public child welfare agency (DCF) data, LifeSet provider agency data, Youth Villages agency data, homeless management information system data, National Student Clearinghouse data, unemployment insurance data, National Directory of New Hires data, criminal justice agency data, and public benefits agency data. We understand that not all items may be available in the formats described below. The data may be delivered in any format.

Specifically, we would like to collect the following data elements:

Public Child Welfare Agency (DCF)

Sample

Every young person involved in the study

Years

[4 years before first youth randomized] – [2 years after last youth randomized]

Data Element

Notes

Demographics

For each youth:

Child Welfare ID

For linking

Research ID

For linking

Name

For linking

Date of Birth

For linking

Race/Ethnicity


Sex


County Code

i.e. County FIPS Code or County Name

Out of home placement data

For each out-of-home placement:

Foster care entry date

Date first removed

Out of home placement start date

Date out-of-home placement started for each out-of-home placement episode

Removal reason

e.g. abuse, neglect, etc.

Placement setting

e.g. foster care, group home, etc.

Out of home placement end date

End date for each out-of-home placement episode

Date of discharge from foster care

Date removal ended

Discharge reason

e.g. reunification, guardianship, etc.

Total removals

Lifetime total number of placement episodes

Transition services data

For each youth:

Voluntary services agreement dates

Start and end dates for VSA

Aftercare case dates

Start and end dates for aftercare case management

Transitional living placement dates

Start and end date for each placement

Transitional living placement type

For each placement (e.g. SIL, housing hub, permanent supportive housing)

Independent living stipend dates

Start and end date

Independent living stipend amount

Amount of stipend received

Education and Training Vouchers (ETV)

For each youth:

Awarded voucher

Binary: yes-no

Year

School year of voucher award

Categories of voucher use


School name and campus


Accepted financial aid


Credits signed up for that year


Credits completed that year


Other


TPR Date

Date of the Termination of Parental Rights (TPR)

TPR Parent

Which parent the TPR was for

Ever TPR

For each parent, whether the parent has ever had a TPR



LifeSet Provider Agency

Sample

Every young person involved in the study

Years

[date first youth randomized] – [2 years after last youth randomized]

Data Element

Notes

Demographics

For each youth:

Child Welfare ID

For linking

Research ID

For linking

Name

For linking

Date of Birth

For linking

LifeSet case data

For each youth:

Enrollment date

Date(s) youth enrolled in program

Discharge date

Date(s) youth exited program

Assessment data

For each assessment:

Pre-Enrollment assessment date

Date completed

Eligibility determination

Appropriateness item from PEA

Initial psychosocial date

Date completed

Comprehensive psychosocial date

Date completed

Service plan data

For each service plan:

Date started

Date service plan created

Treatment issue

Listed treatment issues

Desired outcome

For each treatment issue

Treatment goal

For each treatment issue

Session data

For each session:

Session date


Cancelation reason

e.g. youth not home, youth canceled, specialist canceled, etc.

NYTD services addressed in session


Session location


Serious Incident data

For each reported incident:

Date of incident


Date reported


Incident type


Exit summary data

For each summary:

Date summary completed


Duration of services


Circumstances for program exit

Reason youth exited the program

Educational attainment

Highest level of education completed

Educational enrollment

Enrollment status

Employment status


Living arrangement at exit


Stable living arrangement

Binary: yes-no; plan to remain in current arrangement for foreseeable future

Next planned arrangement

If applicable, next planned living arrangement

Social connections

Number of supportive adults at exit

Relationship strength

Strength of supportive adult relationships

Presence of caring adult

Binary: yes-no; at least 1 supportive adult who expressed care for the youth

Presence of growth adult

Binary: yes-no; at least 1 supportive adult who challenged youth’s growth

Presence of supportive adult

Binary: yes-no; at least 1 supportive adult who provided support for the youth

Presence of respectful adult

Binary: yes-no; at least 1 supportive adult who treated youth with respect

Presence of connective adult

Binary: yes-no; at least 1 supportive adult who connected youth to other people




Criminal Justice Agency

Sample

Every young person involved in the study

Years

[4 years before first youth randomized] – [2 years after last youth randomized]

Data Element

Notes

Demographics

For each youth:

Research ID

For linking

Date of Birth


Race/Ethnicity


Sex


Arrest Data

For each arrest:

Date of arrest


Offense type

Type of offense(s) charged at arrest

Felony

Binary: yes-no

Conviction Data

For each conviction:

Date of conviction


Offense type

Type of offense(s) convicted for

Felony

Binary: yes-no

Incarceration Data

For each period of incarceration:

Entry date

Date youth entered incarceration

Release date

Date youth released from incarceration

Incarceration setting

e.g. juvenile detention, jail, state prison, federal prison

Probation/Supervision Data

For each probation period:

Date entered probation


Date released probation


Offense type

Type of offense(s) on probation for

Felony

Binary: yes-no



Public Benefits Agency

Sample

Every young person involved in the study

Years

[4 years before first youth randomized] – [2 years after last youth randomized]

Data Element

Notes

Demographics

For each youth:

Research ID

For linking

Date of Birth


Race/Ethnicity


Sex


Benefit Data


SNAP dates

Start and end dates of SNAP receipt

SNAP amount

Amount of SNAP benefit

WorkFirst NJ/TANF dates

Start and end dates of TANF receipt

WorkFirst NJ/TANF amount

Amount of WorkFirst NJ/TANF

WIC dates

Start and end dates of WIC receipt

WIC amount

Amount of WIC benefit



Homeless Management Information System

Sample

Every young person involved in the study

Years

[4 years before first youth randomized] – [2 years after last youth randomized]

Data Element

Notes

Demographics

For each youth:

Child Welfare ID

For linking

Research ID

For linking

Date of Birth


Disability

Whether they have a disability

Race/Ethnicity


Sex


Program Data

For each homeless spell:

Program entry date

Date individual entered the program

Program exit date

Date individual exited the program

Program type

e.g. emergency shelter, transitional housing, etc.

Housing status at entry

e.g. literally homeless, unstably housed, imminently losing their housing, etc.

Prior night’s residence

e.g. rental by client, staying or living with family member, substance abuse treatment facility or detox center, etc.

Zipcode

Zipcode of last permanent address where client lived for at least 90 days

Assistance Provided

Types of assistance provided (e.g. back rent, move-in/security deposit)

Assistance Amount

Dollar amount of assistance provided

Exit Destination

e.g. rental by client, permanent supportive housing, emergency shelter



National Student Clearinghouse

Sample

Every young person involved in the study

Years

[4 years before first youth randomized] – [2 years after last youth randomized]

Data Element

Notes

Research ID

For linking

School attendance data

For each school enrollment:

College code


College name


College state


Type of college

e.g. 2-year, 4-year, or < 2-year

Public or private


Enrollment begin date


Enrollment status


Graduated

Binary: yes-no

Graduation date


Degree title


Major


College sequence




National Directory of New Hires

Sample

Every young person involved in the study

Years

[4 years before first youth randomized] – [2 years after last youth randomized]

Data Element

Notes

Research ID

For linking

New Hire File

For each hire:

Employer name


Date of hire


Unemployment Insurance File

For each UI claim:

Benefit amount


Reporting period





State Wage Records

Sample

Every young person involved in the study

Years

[4 years before first youth randomized] – [2 years after last youth randomized]

Data Element

Notes

Research ID

For linking

Wages data

For each youth:

Reporting period

Year and quarter

Employer name


Employer NAICS code


Wage amount

Quarterly wages paid


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The Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to evaluate the effectiveness of the LifeSet Program.[3] Public reporting burden for this collection of information is estimated to average 5 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB number and expiration date for this collection are OMB #: 0970-XXXX, Exp: XX/XX/XXXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Michael Pergamit at mpergamit@urban.org.






File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLoveless, Annelise
File Modified0000-00-00
File Created2023-08-30

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