IN THE CIRCUIT COURT FOR __________________________ COUNTY, MARYLAND Sitting as a Juvenile Court In The Matter of: * * Respondent(s) Case Number(s): DOB(s): * PERMANENCY PLANNING/REVIEW HEARING ORDER Having heard this matter on the issue of permanency planning by the Court for ________________ (county/city), on this _________ day of _________________, 20 ___, and with the following persons present: child DJS Case Manager mother father guardian CASA DJS DSS child’s attorney mother’s attorney father’s attorney custodian other DHMH recommended permanency plan is: The Court finds that the child’s permanency plan is: (Choose one or you may choose concurrent plans.) Reunification with parent or guardian Placement with a Relative Adoption by a non-relative Guardianship by a non-relative APPLA- Another planned permanent living arrangement (Must state specifically why this is the best plan and show compelling reasons.) That the report prepared by the Court-Appointed Special Advocates (CASAs) dated ______________ , 20 ___ , was considered by the Court. That the efforts to achieve the permanency plan made by the Department of Juvenile Services were reasonable. were not reasonable. The Court found that during the last 12 months (if 1st PP hearing) six months (if PP review hearing) the Department of Juveniles Services made reasonable efforts to achieve the permanency plan for the following reasons. (Must be case specific.) A. The Department provided services in the community to the Respondent. Those Page 1 of 6 JO 54 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com services included the following: 1. substance abuse treatment 2. individual counseling 3. family counseling 4. supervision by a probation officer 5. wrap around services by a private provider (name) _________________ 6. 7. community detention other community services: _____________________________________ (describe/name of provider) B. The Department provided services outside of the community in ________________ (name of provider) to the Respondent to meet his or her special needs. 1. mental health needs 2. substance abuse treatment needs 3. behavior modification 4. educational services 5. medical services 6. life skills training 7. other (please specify): _______________________________________ _____________________________________________________________________ C. The Department worked with the Respondent and the Respondent’s family to enable the Respondent’s return to the community. 1. provided family visitation 2. helped family develop skills to meet the Respondent’s needs 3. assisted with housing 4. arranged for services in the community when the Respondent returns a. substance abuse treatment b. individual counseling c. family counseling d. supervision by a probation officer e. wrap around services by a private provider (name) _________________ f. other community services: ____________________________________ D. Please specify: 5. arranged for job interviews 6. arranged for vocational training/career counseling: (specify) __________________________________________________________ 7. arranged individualized educational plan (IEP) meetings 8. other ________________________________ (specify) And, if applicable, Page 2 of 6 JO 54 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com 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______________. The Court finds that the child has been in an out-of-home placement for 15 of the most recent 22 months. The Court further finds that although one of the above reasons for filing a petition to terminate parental rights exists: It is not in the best interest of the child for DSS to file a petition to terminate parental rights because  the child is being cared for by a relative; or  the State _________________ has not provided necessary and/or appropriate services to help reunify and safely return the child to his/her home; or  the State _________________ has documented the following compelling reason why termination of parental rights would not be in the child’s best interests: (detailed case specific information) Page 3 of 6 JO 54 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com In light of the above-stated factual findings, on this ________ day of _______________ , 200 ___ , it is therefore, ORDERED, that the Respondent  remain  be placed in the custody of ________________________ (name of parent/relative/other); or ORDERED, that the Respondent be placed in the custody of the DJS pending further disposition before this Court on the above-captioned matter; and it is further, or ORDERED, that the  DJS  DSS  DHMH  relative be awarded temporary 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 or ORDERED, that visitation between the Respondent and _______________ be ___________________________________________________________________________ ORDERED, that the DJS provide or make referrals for the following services: family counseling substance abuse evaluation psychological evaluation parent 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: Page 4 of 6 JO 54 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com by the therapist when deemed appropriate. 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 support be paid to ___________________________ under case number ____________ at a rate of ___________ per _________ beginning _______________ , 20 ___ . ORDERED, that a Writ of Attachment be issued for _______________________ 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. or ORDERED, that the interest of the DJS DSS DHMH and the Court’s jurisdiction be terminated for the following reason: the child is over age 18  the child is over age 21  continuing jurisdiction is contrary to the best interests of the child  the child is emancipated by the child’s actions and or desires. ORDERED, that the appearance of _________________________ as attorney for _________________________ be stricken due to closure of agency interest at the request of ________________________ . 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 Juvenile Services apprised of their current address. 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 Page 5 of 6 JO 54 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com 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 6 of 6 JO 54 – Revised 21 November 2005 American LegalNet, Inc. www.FormsWorkflow.com