IN THE CIRCUIT COURT FOR __________________________ COUNTY, MARYLAND Sitting as a Juvenile Court In The Matter of: * * Respondent(s) Case Number(s): DOB(s): * DISPOSITION HEARING ORDER Upon consideration of the presented at a disposition hearing, an adjudication hearing having been held on _______________________, 200___, and with the following persons present: Respondent _________________ Respondent’s attorney _________________ DJS Case Manager _____________ Assistant State’s Attorney __________________ Respondent’s parent/custodian/guardian: _____________________________________________________ Other ________________________ in accordance with Rule 11-115 and Courts and Judicial Proceedings Code Annotated, Section 3-8A-19, it is this __________ day of __________________, 20 ___ , by the Circuit Court for __________________ County, the Court finds: That the Respondent is not a delinquent child for the following reasons: In light of the above-stated factual findings, the case is therefore DISMISSED. or That the Respondent is a delinquent child for the following reasons: Page 1 of 7 JO 53 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com The following additional facts were found: That the evidence presented sustained the finding that continuation of the Respondent in the Respondent’s home is not contrary to the child’s welfare and that it is now possible to return the child to that home because the following circumstances exist: (specific, detailed and referenced) or is contrary to the child’s welfare and that it is not possible to return the child to that home because the following circumstances exist: (specific, detailed and referenced) The Respondent is a threat to him/herself because the alleged delinquent behavior poses a physical danger to the Respondent and may result in future long-term confinement. The behavior entails: The Respondent’s parents/ caregivers are continually absent from the home, or are physically or mentally unable or unwilling to care for the Respondent because: The nature of the alleged offense is such that allowing the child to remain in the community would be contrary to the welfare of the child and the community for the following reasons: (specific, detailed and referenced) Page 2 of 7 JO 53 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com In addition, if applicable, The Court has determined that efforts to work with the Respondent in the community have failed to stop the Respondent from committing additional offenses, which compromise the safety and welfare of the child and the community. (Reasonable efforts findings must be made within 60 days of removal. If the Court does not address reasonable efforts to prevent or eliminate the need for removal of the child at either the detention (shelter care hearing) or the waiver (adjudicatory hearing), the Court must address at this hearing if it is within 60 days.) It is further FOUND, that the following reasonable efforts were made prior to the placement to prevent or eliminate the need for removal of the child; (specific, detailed and referenced) substance abuse treatment for _________________ individual counseling for ___________ family counseling supervision by a probation officer wrap around services provided by ____________________ community detention other community services (describe) ___________________________________ FOUND, that the evidence presented sustained a finding that because of the emergent nature of the situation, reasonable efforts could not be made to prevent removal of the child from the home; The emergent nature that existed is that: (specific, detailed and referenced) or Page 3 of 7 JO 53 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com That the absence of efforts to prevent removal from the home was not reasonable for the following reasons: (specific, detailed and referenced) In addition, if applicable, The Court finds that the Department of Juvenile Services is not required to provide reunification services because one of the following circumstances exists: That the child is an abandoned infant; or That the natural parent has been convicted:  In this state of a crime of violence, as defined in § 14-101 of the Criminal Law Article, against: the Respondent, the other natural parent of the Respondent, another child of the natural parent, or any individual who resides in the household of the natural parent. ____________________ (parent’s name) was convicted of __________________________ on the _______ day of ________________ , 20 ___ in the Circuit Court for ___________________ County/City, Case Number _______________; or  In any state or in any court of the United States of a crime that would be a crime of violence, as defined in §14-101 of the Criminal Law Article, if committed in this state against: the Respondent, the other natural parent of the Respondent, another child of the natural parent, or any individual who resides in the household of the natural parent. ____________________ (parent’s name) was convicted of __________________________ in the State of __________________ on the _______ day of ________________ , 20 ___ in the __________ Court for ___________________ County/City, Case Number _______________; or  of aiding or abetting,  conspiring, or  soliciting to commit the crime of __________________(crime of violence described above) on __________________ , 20 ___ in the ____________ Court for __________________ County/City, Case Number______________. In light of the above-stated factual findings, on this _________ day of _______________, 20 ___ , it is therefore, ORDERED, that the Respondent  remain  be placed in the custody of ________________________ (name of parent/relative/other)  with  without Page 4 of 7 JO 53 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com restrictions, e.g. curfew, attend school everyday, etc. or ORDERED, that the Respondent be placed in the custody of  DJS  DSS  DHMH pending further disposition before this Court on the above-captioned matter; and it is further, or ORDERED, that the Respondent be placed on probation or under supervision in the Respondent’s own home under the following conditions: ORDERED, that the  DJS  DSS  DHMH  relative be awarded limited guardianship for the purpose of routine medical, dental, educational, psychological and out of state travel decisions on behalf of the Respondent, and, it is further, ORDERED, that the Respondent’s parents/custodian/guardian participate in the following rehabilitative services: ORDERED, that a treatment service plan be implemented for Respondent within _____ days. Requirements of the treatment service plan include the following:       specified supervision; mentoring; mediation; monitoring; placement. other (please specify) ORDERED, that DJS shall certify in writing to the Court no later than _____________ , 20 ___ , whether implementation of the treatment service plan has been implemented. ORDERED, that following services:  DJS  DSS  DHMH Page 5 of 7 provide or make referrals for the JO 53 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com family counseling substance abuse evaluation psychological evaluation parenting classes other (please specify) individual counseling substance abuse treatment psychiatric evaluation medical evaluation and it is further; ORDERED, that is to complete all ordered evaluations and classes and is to enter and complete any treatment or class that may be recommended. ORDERED, that counseling is to involve: when deemed appropriate by the therapist. ORDERED, that visitation between the Respondent and _______________ be ___________________________________________________________________________ ORDERED, that  DJS  DSS  DHMH  other agency submit a written progress report to the Court and all parties no later than __________________, 20 ___ , and it is further ORDERED, that a Writ of Attachment be issued for _______________________. Upon being apprehended, he/she is to be turned over to a DJS Case Manager for temporary detention/shelter care and is to be brought before the Court on the next day the Court sits. ORDERED, that the Writ of Attachment issued against _______________________ on the ______ day of _________________, 20 ___ , is to be quashed and recalled. ORDERED, that a review permanency planning hearing be scheduled on the ______ day of _________________, 20 ___ , at ___________ a.m./p.m. before the Court. It is further ORDERED That all parties present have a continuing obligation to assist the court in identifying and locating each parent of each child. That all parents present shall continually keep the clerk of the court and the department of social services apprised of their current address. Page 6 of 7 JO 53 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com THAT THE PERMANENCY PLAN OF REUNIFICATION MAY BE CHANGED TO ANOTHER PERMANENCY PLAN, WHICH MAY INCLUDE THE FILING OF A PETITION FOR TERMINATION OF PARENTAL RIGHTS IF THE PARENTS HAVE NOT MADE SIGNIFICANT PROGRESS TO REMEDY THE CIRCUMSTANCES THAT CAUSED THE NEED FOR REMOVAL AS SPECIFIED IN THIS COURT ORDER AND ARE UNWILLING OR UNABLE TO GIVE THE CHILD PROPER CARE AND ATTENTION WITHIN A REASONABLE PERIOD OF TIME. ALL PARTIES LISTED ABOVE AS PRESENT RECEIVED NOTICE OF THE FINDINGS ON THE RECORD AND UPON COMPLETION A COPY OF THIS ORDER WAS HANDED TO THEM or SENT BY FIRST CLASS MAIL. A COPY OF THIS ORDER WILL BE MAILED TO THOSE PARTIES NOT PRESENT. SERVICE IS TO BE BY: First class mail . Sheriff’s Service on Certified Mail, Return Receipt Requested on . Appropriate means when an address is supplied to the Court Recommendations Made By ___________________________________ Master ___________________________________ Date ___________________________________ JUDGE ___________________________________ Date Page 7 of 7 JO 53 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com