C7.4 Initial Placement Considerations

Introduction

​​​​​​​​​​​​​​​​​​​​​​​​​​​​Out-of-home care (OOHC) is one of many protective services offered to children and families. It consists of the provision for children placed in the custody of the Cabinet for Health and Family Services (Cabinet/CHFS) to receive care from an approved caregiver or provider for a planned period of time when it is necessary for a child to be separated from his or her own parent(s) or relatives.

The Cabinet assesses and identifies the best care and service options for a child. The SSW plans for and prepares a child for initial placement with a caregiver, even when that placement is an emergency. Services are based on the family assessment and case consultation with the family team. Engaging family members is critical in the care placement process. The family team considers the following factors:

  • The noncustodial parent's ability and willingness to care for the child are evaluated before considering other care options; 
  • Care in the home of appropriate relatives before considering other more restrictive options; 
  • Care in the home of fictive kin before considering caregivers unknown to the child(ren); 
  • The least restrictive environment available to provide for the child’s individual needs, including considerations of the child's current early care and education provider or school; 
  • A caregiving environment that is in the closest proximity to the family’s home, and within a child’s community that allows a child to remain in the same school and with the same service providers when it is in the child's best interest;
  • Caregivers who are the most culturally competent available, including religious beliefs; 
  • Promotes continued contact with the child’s family, friends, and other primary connections; and 
  • A caregiving environment that accommodates siblings being cared for together unless there is a compelling reason that it would not be in the best interest of one or more of the children.​

Practice Guidance

Procedure

The SSW:

  1. Conducts an absent parent search to locate any noncustodial parents and relatives; 
  2. Makes a request during the temporary removal hearing, when the identity of a parent is unknown: 
    1. That the court order the family to reveal the identity of the noncustodial parent or absent parent; and 
    2. That the court order the family to complete the DPP-1275 Relative Exploration ​Form (please refer to SOP C6.13 Temporary Removal Hearin​g). 
  3. Assists the parent or relative in completing the DPP-1275 Relative Exploration F​orm
  4. Conducts background checks if a noncustodial parent is identified as a potential caretaker; 
  5.  Asks the family if the child is a member of or eligible for membership in a Native American Tribe and documents in the assessment (please refer to SOP C7.1 Consideration of Race and Ethnicity/Maintaining Cultural Connections); 
  6. Determines if the child is part of a sibling group who needs care and makes every effort to keep siblings together whenever possible. If siblings cannot remain together:
    1. Consults with the family services office supervisor (FSOS) and documents in the case record, legitimate reasons for not placing siblings together in time-sensitive situations, such as emergency removals, hospitalizations, etc.; 1
    2. ​If the siblings remain separated after forty-five (45) calendar days, further approval is required from the service region administrator (SRA) or designee. The sibling separation template should be used for approval.  
    3. Develops a sibling visitation plan, including input from all parties, if siblings will not be in the same home or care setting together initially;
    4. Documents, in-service recordings,  efforts to reunite siblings, who are separated, in the same foster/adoptive home unless exceptional reasons exist that prevent reunification (Please refer to Placement with Siblings​ Tip Sheet); and 
    5. When an additional sibling enters OOHC, assesses the possibility of placement with a birth sibling who is currently in foster care or has been previously adopted. The SSW shall explore the placement possibility with recruitment and certification (R&C) or the private child placing (PCP) provider. When seeking foster care placement, families caring for siblings of the child shall have priority for placement. 
  7. Ensures that all prospective caregivers are given information surrounding the child’s known needs, so that the caregiver can make an informed decision regarding their ability to provide ongoing care;
  8. Assesses the caregiving and service options to determine the most appropriate, least restrictive placement type if a child is initially unable to be cared for by a noncustodial parent or a relative; 
  9.  Selects the most appropriate caregiving environment for the child from the following options in order from least restrictive to most restrictive: 
    1. Relative placement with the relative obtaining temporary custody or relative placement with the relative pursuing approval as a foster home (please refer to SOP C7.7.3 Relative or Fictive Kin Pursuing Foster Home Approval); 
    2. Fictive kin with the fictive kin caregiver obtaining temporary custody or the fictive kin caregiver pursuing approval as a foster home (Please refer to SOP C7.7.3 Relative or Fictive Kin Pursuing Foster Home Approval​); 
    3. DCBS foster/adoptive home (Please refer to SOP C7.7 Placement in a DCBS Foster/Adoptive Home); 2 
    4. PCP foster home (please refer to SOP C7.8 Private Child Placing (PCP) or Child Caring (PCC) Agency);3 and
    5. Residential placement. 
  10. ​May also consider relatives residing out-of-state as caregivers, including a relative foster/adoptive home, following guidance to select the least restrictive care environment for the child. (Please refer to SOP Chapter C10 Interstate Compact on the Placement of Children​); 
  11. May consider an out-of-state congregate care provider if no in-state option will meet the child’s needs.  (Please refer to SOP C7.11 Out of State Placement​)  
  12. Prepares for the ten (10) day case planning conference as outlined in SOP C7.16 Preparation for and Completion of the Ten (10) Day Conference
  13. Continues to engage family members and evaluate potential relative placements utilizing the DPP-1275 Relative Exploration Form and interviews with the child and family members.​

Footnotes

  1. Reasons for separation in time-sensitive situations may include,​ but are not limited to:
    1. An appropriate relative is available to take custody of their own relative;
    2. Exhaustive search for relatives;
    3. DCBS and PCP foster homes that can accommodate the sibling group; and
    4. Reunification of siblings will disrupt a placement in which one of the siblings has formed a significant attachment with the caregiver or safety issues.  
  2. Collaborates with the child's school utilizing the Ensuring School Stability Best Interest Determination Tip Sheet​​ ​to ensure educational stability. 
  3. DCBS foster/adoptive homes must be utilized before seeking placement in a PCP foster home. Exception requests and regional approval are required for PCP placements for children with a level of care (LOC) assignment of one (1). 
  4. The selected placement shall be the best alternative for the child that is in closest proximity to the child's home county.



Revisions

​​7/25/22 Change to footnote #2 to remove LOC two (2). 

7/25/22  Addition: 

  • B. If the siblings remain separated after forty-five (45) calendar days, further approval is required from the service region administrator (SRA) or designee. The sibling separation template should be used for approval.   
  • ​Footnote #1​

4/22/2025

Out-of-home care (OOHC) is one of many protective services offered to children and families. It consists of the provision for children placed in the custody of the Cabinet for Health and Family Services (Cabinet/CHFS) to receive supplemental care in an approved placement from an approved caregiver or provider for a planned period of time when it is necessary for a child to be separated from his or her own parent(s) or relatives.


The Cabinet assesses and identifies the best placement care and service options for a child. The SSW plans for and prepares a child for initial placement with a caregiver even when that placement is an emergency. Services are based on the family assessment and case consultation with the family team. Engaging family members is critical in the care placement process. The family team considers the following factors:

  • The noncustodial parent's ability and willingness to care for the child is evaluated before considering other placement care options; 
  • Care in the home of Placement with appropriate relatives before considering other placement more restrictive care options; 
  • Care in the home of Placement with fictive kin before considering caregivers unknown to the child(ren)
  • The least restrictive environment available to provide for the child’s individual needs, including considerations of the child's current early care and education provider or school; 
  • A caregiving environment Placement that is in the closest proximity to the family’s home, and within a child’s community that allows a child to remain in the same school district and with the same service providers when it is in the child's best interest; 
  • Caregivers Placement that is are the most culturally competent available, including religious beliefs; 
  • Promotes continued contact with the child’s family, friends, and other primary connections; and 
  • A placement caregiving environment that accommodates siblings being placed cared for together unless there is a compelling reason that it would not be in the best interest of one or more of the children.​
​6.  Determines if the child is part of a sibling group that needs placement who need care and makes every effort to keep siblings together whenever possible. If siblings cannot remain together: 
C.  Develops a sibling visitation plan, including input from all parties, if siblings will not be placed in the same home or care setting together initially;
D.  Documents, in service recordings,  efforts to reunite siblings, who are separated during the initial placement, in the same foster/adoptive home unless exceptional reasons exist that prevent reunification (Please refer to Placement with Siblings Tip Sheet); and 
​7.  Ensures that all prospective placements caregivers are given information surrounding the child’s known needs, so that the placement caregiver can make an informed decision regarding their ability to provide ongoing care. 
8.  Assesses the placement caregiving and service options to determine the most appropriate, least restrictive placement type if a child is initially unable to be placed with cared for by a noncustodial parent or a relative;  
9.  Selects the most appropriate placement type caregiving environment for the child from the following options in order from least restrictive to most restrictive:

​E.  Residential placement. 
F.  Out-of-state placement (relative, relative foster/adoptive home, or residential placement) (Please refer to SOP 4.12 Out of State Placement); 3​ 

​​10.  May also consider relatives residing out of state as caregivers, including as a relative foster/adoptive home following guidance to select the least restrictive care environment for the child. (Please refer to SOP Chapter C10, Interstate Compact on the Placement of Children); 
11.  May consider out-of-state congregate care provider if no in-state option will meet the child’s needs.  (Please refer to SOP C7.11 Out of State Placement)