attachment-1-rfp-nhjb-2026-04.pdf

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New Hampshire Family Treatment Courts

Internal Performance Measures, Data Entry Flow, DIMS Data Codebook

Developed in collaboration with the New Hampshire Judicial Branch by the National Center for State Courts

August 2025

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Contents Internal Performance Measures, FTC Stakeholders

Quarterly Performance Measures

Semi-Annual Performance Measures

Data Entry Flow

How to Use this Codebook

I. Parent Participant Information

A. Initial Screening

B. Review and Accept

C. Review and Reject

D. Case Referral Information

E. Participant Profile

F. Children

G. Program Assessment/Screener

H. Case Information

I. Mental Health History

J. Substance Use History

K. Assistance/Benefits

L. Medical Insurance

M. Medical History

N. Level of Care in Treatment

O. Therapeutic Response

P. Substance Use Testing

Q. Incentives

R. Sanctions

S. Ancillary Services and Treatment Groups

T. Employment Profile

U. Discharge: Type, …

V. Discharge: Financial, Substance Use, Children

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II. Child Case Activity

W. Child Placement (Child Activity)

X. Ancillary Services (Child Activity)

III. DIMS Measures Not Entered by FTC

Y. USED FOR CASE MANAGEMENT ONLY

Case Resolution (Child Activity)

ASFA Compliance (Child Activity)

Visitation/Family Time (Child Activity)

Education (Child Activity)

Medical (Child Activity)

Mental (Child Activity)

Review/Progress Notes (Child Activity)

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Internal Performance Measures, FTC Stakeholders Establish cohort or reporting period, based on referral date. Reporting figures are available in DIMS Analytics.

Quarterly Performance Measures

1. Total Newly Enrolled, Discharged, and Current Parents (Total Served, OJJDP PM

1, 46)

2. Key Case Processing Times

a. Average Length of Time from Identification to Screening and Assessment (FTC

PM 5);

b. Average Length of Time Until Treatment Admission (FTC PM 5)

c. Average Length of Time in Each Phase; Identify Parents Outside of Average

Predicted Length in Each Phase

3. Number of Children (Total Served, OJJDP PM 1)

a. Number Who Returned Home from Placement (NCSC 8; OJJDP PM 50)

b. Number Who Moved Placements (NCSC 8; OJJDP PM 48, 49)

4. Therapeutic Responses (FTC PM 7)

Semi-Annual Performance Measures

5. Parent Characteristics (FTC PM 3)

a. Total Referred, Enrolled, and Discharged (NCSC P4; NCSC 6)

b. By Demographic Factors (FTC PM 3; NCSC 4)

6. Number of Referrals to Services and Supports for Families (FTC PM 6; NCSC 5) and Number of Completions (OJJDP PM 41), for each parent and child:

a. by Substance Use Service Type (OJJDP PM 5)

b. by Mental Health Service Type (OJJDP PM 15)

c. Therapeutic Family Services (OJJDP PM 10)

d. Medical/Dental Services (OJJDP PM 6)

e. Housing Support

f. Transportation Support (OJJDP PM 5)

g. Peer Support (OJJDP PM 14)

h. Education/Academic Services (OJJDP PM 7, 8, 38, 39, 40)

7. Case Outcomes (NCSC 8, 9)

a. Child Permanency (OJJDP PM 51); Average Length of Stay for Out-of-Home

Placements (OJJDP PM 47)

b. Reduction in Substance Use

c. Improvement in Employment or Education

d. Improvement in Housing

e. Stability in Mental Health Symptoms

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Data Entry Flow

Case Processing Data to Enter

Parent and Case and Referral Dates (to DCYF and to FTC), UNCOPE screening score of 2 or more, SUD, or score under 2; referred or not (or ineligible and reason).

Pre-Screening

Parent and Children Screening and Assessment (risk, needs, substance use, mental health, and other psychosocial needs), treatment history, criminal and child welfare history. Children Demographics, Admission & Assessment

Dates of Phase Change, Therapeutic Responses, Incentives, and Sanctions. Parent and Child Treatment and other services (start and end dates, and type). Children’s academic status and ongoing living situation.

In-Program

All remaining fields not entered or missed.

Discharge Date and Discharge Reason, including non-Admission Date and Reason (referred, not admitted). Post fields to compare data at admission.

Discharge

At Referral

After Intake

Weekly

After Discharge

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DIMS Codebook How to Use this Codebook The DIMS Codebook presents items in DIMS in order of data entry with information about when that data should be collected, how it is measured, a definition of the item, and how it will be used for evaluations of FTC. There are many items in DIMS and not all are relevant to the FTC;

some that are not relevant are even required to be filled out as indicated by an asterisk (*). For FTC purposes, yellow-colored rows signal items where data must be entered. Cells with “--” in them indicate measures that do not need to be collected.

I. Parent Participant Information

A. Initial Screening This is the pending screening table for individuals who have been referred but have not yet been screened for eligibility. The information from this table is auto populated to other tables in the CMS after the parent’s screening has been completed and the FTC has determined eligibility for

FTC.

DIMS

Variable When How Measured NH FTC Definition How Used

Date of Screening*

Referral;

Pre- Screening

Date

The date of first contact with DCYF. This date is identified in the petition for each parent-child(ren) dyad.

Case processing time

(FTC PM 5)

Creating a cohort (internal PMs)

Identifies all referrals to FTC (internal PMs)

Incident/ Arrest Date -- -- -- Not used by FTC

Court* Referral;

Pre- Screening

Dropdown:

- Sullivan

- Manchester

The specific FTC court the parent has been referred.

Distinguishes court programs from each other when cases are extracted for evaluation

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DIMS

Variable When How Measured NH FTC Definition How Used

Docket Referral;

Pre- Screening

Text:

Case Docket Number (JV)

The case docket number assigned to the referring case.

The docket number uniquely identifies each parent-child(ren) dyad.

Unique ID variable for linking court data to DIMs data

SID Number -- -- -- Not used by FTC

Address Referral;

Pre- Screening

Text The address of the referred parent. CM Only

Admission Type

Referral;

Pre- Screening

Dropdown:

Abuse-Neglect

The type of case referred to the court program.

Describes the underlying reason for the referral to the court program.

Optional; all responses are Abuse- Neglect for FTC

Offer Related to Court Parent

Not used by FTC;

court program has been required since April 2023

Defense Counsel -- -- -- Not used by FTC

Judge* Referral;

Pre- Screening

Dropdown:

Names of Judges

The name of the judge assigned to the docket of the referring case.

Auto populates later in Case Information

CMS

Track any programmatic changes to the program via changes in judicial assignment

Date of Arraignment -- -- -- Not used by FTC;

criminal cases

Referral Date*

Referral;

Screening Date

Date of the Petition (ex parte)

Auto populates to Referral Date on Case Referral Information Table.

Case processing time

(FTC PM 5)

Creating a cohort (internal PMs)

Identifies all referrals to FTC (internal PMs)

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B. Review and Accept Following screening, the parent’s admission status is completed as either “Reject” or “Accept” and the Date of the Admission/Rejection.

DIMS

Variable When

How Measured NH FTC Definition How Used

Acceptance Date*

Following Pre- Screening Date

Date person was accepted to FTC (same as Date of Adjudication Order)

CM Only

Risk and Need Level*

Following Pre- Screening

Not Applicable to FTC, but enter “High Risk, High Need”

C. Review and Reject If a parent is “Rejected”, the reason for non-admission is entered and the case is terminated.

DIMS

Variable When How Measured NH FTC Definition How Used

Rejection Date*

Following Pre- Screening

Date

Date person was not accepted to FTC (also Date of Adjudication for non-accepted)

CM Only

Reason for Rejection*

Following Pre- Screening

Dropdown:

- Case is

Dismissed

- Does Not

Meet Risk/Needs Criteria

After pre-screening, the reason the parent was not admitted to the court program.

Not Applicable to FTC

Ineligibility: No SUD, History of Confirmed Child Sex Abuse, History of Violence (based criminal history and team discretion and judge)

Primary Drug of Choice -- Dropdown:

List of Drugs The parent’s most frequent drug of use. NCSC P4, P5

Gender Following Pre- Screening

Dropdown:

- Female

- Male

- Non-binary

- Prefer not to answer

- Prefer to self-describe

Parent’s self-identified gender

Identifies characteristics of the parents not admitted

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- Trans male

- Trans woman

Race

Following Pre- Screening Admission

Dropdown:

16 categories, as well as multiracial, prefer not to answer, Unknown, Some Other Race or Origin

Parent’s identification with one or more social groups

Identifies characteristics of the parents not admitted

Ethnicity Following Pre- Screening

Dropdown:

- Hispanic

- Non-Hispanic

- Prefer Not to

Answer

- Unknown/

Unreported

Parent’s identification with an ethnicity

Identifies characteristics of the parent’s not admitted

Notes Following Pre- Screening

Text

Could use for case notes unique to this case and rejection reason

D. Case Referral Information This is the table that includes specific referral information for each parent referred to the court program. Some of the fields are auto populated from the Pending Screening table and others are completed at the time of the referral/pre-screening.

DIMS

Variable When How Measured NH FTC Definition How Used

Referral Date*

Auto Populated from Pending Screening

Date of the Ex Parte Order (if you don’t have this, request from court staff)

Case processing time

(FTC PM 5)

Creating a cohort (internal PMs)

Identifies all referrals to FTC (internal PMs)

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Referral Source*

Referral;

Pre- Screening

Dropdown:

- Judge

- CASA

- Social

Worker/CPS Worker

- Treatment Provider

- Defense Attorney

The source or agency that referred the person to the program. Select Social Worker/CPS Worker; DCYF is the only referral source.

CM Only

Referral Name*

Referral;

Pre- Screening

Text Name of person who referred the parent to

FTC.

CM Only

Referral Email; Phone;

Address

Referral;

Pre- Screening

Text Contact information for the person who referred the parent to FTC.

CM Only

Defense Counsel -- -- -- Not used by FTC

Teleservices* Referral;

Pre- Screening

Yes/No Indication of whether the parent will be receiving teleservices.

CM Only

E. Participant Profile For individuals who are admitted to the court program, this table includes each parent’s demographic information. The information to complete this table comes from pre-screening information and during intake to the court program.

DIMS

Variable When How Measured NH FTC Definition Data Use

DIMS ID* DIMs Auto Creates Text

Automatically generated DIMs ID value to represent each unique parent referred.

ID Variable for each Unique Person

Links parent across DIMs tables

Alias Referral;

Pre- Screening

Text Alias used by the parent, including maiden name CM Only

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Variable When How Measured NH FTC Definition Data Use

First Name* Referral;

Pre- Screening

Text Person’s First Name Total Served

OJJDP PM 1

Middle Name Referral;

Pre- Screening

Text Middle Name

Last Name* Referral;

Pre- Screening

Text Person’s Last Name Total Served

OJJDP PM 1

DOB*

Referral;

Pre- Screening

Date Person’s Date of Birth Calculate age

Birth Place Referral;

Pre- Screening

Text Person’s place of birth

Marital Status* Admission

Dropdown:

- Cohabitating

- Divorced

- Engaged

- Married

- Separated

- Single

- Unknown

- Widowed

Person’s legal partnership status NCSC 4

Spouse or Partner Name Admission Text Name of parent’s spouse or partner

SSN#*

Admission Numerical Text Person’s social security number CM Only

Tribal Affiliation Admission Text Person’s membership or affiliation with a Tribe CM Only

Phone (cell/primary);

Phone (other)

Admission Numerical Text Person’s phone number CM Only

Participant’s Age

Auto Calculate from Date of Birth

Numerical Text Person’s current age in years at the time of the extract.

Deceased Date Discharge Date If person is deceased before program

Page | 9 discharge, indicate the date of death.

Email Pre-screening;

Admission

Text Parent’s email address

Participant’s Age at Admission to Court Program*

Admission Numerical Texts Auto-populated

Parent’s age in years at time of admission

FTC PM 3

NCSC 4

Identifying Marks Admission Text

Gender* Pre-screening;

Admission

Dropdown:

- Female

- Male

- Non-binary

- Prefer not to answer

- Prefer to self-describe

- Trans male

- Trans woman

Parent’s self-identified gender

FTC PM 3

NCSC 4

Height (feet), Height (inches), Weight

Admission Numerical Text Parent’s height and weight

Race* Pre-screening;

Admission

Dropdown:

16 categories, as well as multiracial, prefer not to answer, Unknown, Some Other Race or Origin

Parent’s identification with one or more social groups

FTC PM 3

NCSC 4

Eyes, Hair Admission Dropdown Parent’s eye and hair color

Ethnicity* Pre-screening;

Admission

Dropdown:

- Hispanic

- Non-Hispanic

Parent’s identification with an ethnicity

FTC PM 3

NCSC 4

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- Prefer Not to Answer

- Unknown/ Unreported

Sexual Orientation

Pre-screening;

Admission

Dropdown:

- Asexual

- Bisexual

- Heterosexual

- Homosexual

- Prefer not to answer

Parent’s identified sexual orientation

FTC PM 3

NCSC 4

Pronouns Pre-screening;

Admission

Dropdown:

- He

- She

- They

- Ze

Parent’s preferred pronouns CM Only

English Primary Language

Pre-screening;

Admission

Dropdown:

Yes/No

If parent’s primary language is English

CM Only

NCSC 4

Primary Source of Support*

Pre-screening;

Admission

Dropdown: 20 options

Parent’s primary source of financial support CM Only

Gross Income Pre-screening;

Admission

Numerical Text Parent’s gross income

FTC PM 3

NCSC 4

Income Frequency

Pre-screening;

Admission

Dropdown:

- Bi-weekly

- Hourly

- Monthly

- Weekly

- Yearly

Parent’s income frequency

Officer Safety Warning

Pre-screening;

Admission

Dropdown:

Yes/No

Currently on Probation*

Pre-screening;

Admission

Dropdown:

Yes/No

If the parent is currently on probation CM Only

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Supervision Level

Pre-screening;

Admission

Text

Currently on Parole

Pre-screening;

Admission

Dropdown:

Yes/ No

If the parent is currently on parole CM Only

History of Probation Violation

Pre-screening;

Admission

Text Parent’s history of probation violation

F. Children Referral received from DCYF; meet with parents to gather information; At the time of the Preliminary Hearing (goal is to gather data within 2 weeks of the preliminary hearing)

For individuals who are admitted to the court program, this table includes each of the children connected to the parent’s case. The table collects demographic and placement information for each child (under 18).

To add a new child to the DIMs case, click “ADD CHILDREN” and complete one for each of the children.

DIMS Variable When Data Type and

Labels NH FTC Definition How Used

First Name* Pre-screening;

Admission Text Child’s First Name

Creates drop downs

Total number of children

Middle Name Pre-screening;

Admission Text Child’s Middle Name

Last Name* Pre-screening;

Admission Text Child’s Last Name

Creates drop downs

Total number of children

Race* Pre-screening;

Admission

16 categories including multiracial, prefer not to answer, Unknown, Some

Child’s identification with one or more social groups

NCSC 4

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DIMS Variable When Data Type and

Labels NH FTC Definition How Used Other Race or Origin

Date of Birth* Pre-screening;

Admission Date Child’s Date of Birth

Calculates Age Inclusion for Under 18

Living Situation*

Pre-screening;

Admission

Dropdown:

- Parent in drug court

- Non-participating Parent

- Relative

- Foster care

- Deceased

- Other

Define for FTC:

The child’s living situation at the date of the Preliminary Hearing (if there is more than one preliminary hearing for a case, the earliest hearing date should be used).

Pre/Post: with Child Placement table

Relationship to Court Parent*

Pre-screening;

Admission

Dropdown:

- Son

- Daughter

- Stepson

- Stepdaughter care

- Other

Define for FTC:

Child’s legal relationship to the individual at the date of the Preliminary Hearing

Generates “Sex” field

CFS Child Number*

Pre-screening;

Admission Text

DCYF unique case number for connecting data

Unique Identifier

Used to link to DCYF data

Prenatal Substance Use

Pre-screening;

Admission

Dropdown:

Yes/No

Indication of substance use while the parent was pregnant with this child

G. Program Assessment/Screener For individuals who are pre-screened and admitted to the court program, this table includes each screening and/or assessment tool completed for this individual. Currently the DIMs case management system does not allow for different types of data to be entered for assessments.

The following data business rules shall apply for customizing DIMs data collection to meet the needs of FTCs. For each screening and assessment tool, complete the information below.

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Variable When How Measured NH FTC Definition Why/How Used

Assessment Date*

Pre-screening;

Admission

Date Date of Screening or Assessment

Case Processing Verification of Assessment

FTC PM 4

Assessment Tool*

Pre-screening;

Admission

Dropdown:

- Substance Use

- Mental Health

- Parenting

- Neuropsychological

Name of screening or assessment tool administered to the parent. Tools should be empirically based and validated to this population.

Verification of Assessment

FTC PM 4

Assessment Timing

Pre-screening;

Admission

Dropdown:

- Prior to Admission

- At Admission

- In Program

- Post Program

The program stage when the assessment was administered to the parent.

Useful if court program assesses individuals at multiple times during the program

Risk Level* Pre-screening;

Admission

Dropdown:

- High

- Medium

- Low

- Unknown

FTC definition for Assessed Level of Risk:

The level of risk identified for risk assessment tools only. If the tool is not a risk assessment, then enter “unknown”

For Substance Use tool, enter “unknown” For Mental Health tool, enter “unknown”

For Parenting tool, enter “unknown”

For Neuro tool, enter “unknown”

Determining treatment recommendation and level of care.

Need Level* Pre-screening;

Admission

Dropdown:

- High (Severe)

- Medium (Moderate)

- Low (Mild)

FTC definition for Assessed Level of Need or Severity: The level of need or

Determining treatment recommendation and level of care.

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- Unknown severity that is identified by the assessment tool.

If the tool is not a needs assessment, then enter the following:

For Substance Use tool, enter the following replacements: “severe SUD” = high, “moderate SUD” = medium, “mild SUB” = low.

For Mental Health tool, enter “unknown”

For Parenting tool, enter “unknown”

For Neuro tool, enter “unknown”

PMs

Score* Pre-screening;

Admission

Text

FTC definition of Score: The score (if applicable) or outcome of the assessment.

For risk/needs tools, enter the total score.

For Substance Use, Mental Health, and Neuro tools, see Notes

Appears when Assessment Tool – Neuropsychological is selected

Determining treatment recommendation

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For the Parenting tool, see Notes

Notes Pre-screening;

Admission

Text

FTC definition for Notes: Enter the recommended treatment or services identified by the assessment tool. This should include an indicator of the type of service (e.g., SUD treatment) and level of care (e.g., residential) for that service, if applicable.

For Substance Use, Mental Health, and Neuro tools, enter the following: The diagnosis and severity indicator.

Diagnosis information should be entered as the broad diagnosis and not the diagnostic code value.

For the Parenting tool, enter "No Recommendations Provided" or "Recommendations Provided".

Determining treatment recommendation

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H. Case Information The FTC case information, including dates for case processing time, level of risk and need, previous criminal legal system involvement, current living situation, military history, number of children under 18 and their current placement, parental rights status, and child support status.

Each of these is measured at Pre-Screening or Admission and reflects the parent’s indicators at the time they are admitted into the program.

DIMS Variable When How Measured NH FTC Definition How Used

Instant Offense -- -- -- Not used in FTC;

criminal cases

Current Criminal Case Number / File Identifier

Not used in FTC;

criminal cases

Related Case Number/File Identifier

Screening;

Referral Text If applicable, any related court cases. CM Only

Date of Screening*

Auto Populate from Pre- Screening

Date

The date of first contact with DCYF.

This date is identified in the petition for each parent-child(ren) dyad.

Admission Type*

Auto Populate from Pre- Screening

Not needed for FTCs Abuse/neglect is the only response for FTC

Offer Related to Court Participation

Auto Populate from Pre- Screening

-- -- Not Needed for FTCs

Date of Acceptance*

Auto Populate from Review and Accept

Date Date person was accepted to FTC.

Case processing measures (FTC PM 5)

Case Number*

Auto Populate from Pre- Screening

Text File, Multiple Case Numbers separated by comma

Parent’s case number

Connect to court data

CM

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DIMS Variable When How Measured NH FTC Definition How Used

Judge*

Auto Populate from Pre- Screening

Drop Down Judge assigned to FTC case CM Only

Risk and Need Level*

Auto Populate from Pre- Screening

Dropdown:

- Currently unavailable

- High Risk, High

Need

- High Risk, Low

Need

- Low Risk, High

Need

- Low Risk, Low

Need

- Unknown

The person’s assessed levels of risk and needs.

Not Needed for FTCs

Readmission* Screening/R eferral Yes/No

Indication of whether the person has been enrolled in FTC before and is returning to the FTC.

Date of Arraignment/ Plea Date

Auto Populate from Pre- Screening

Date

Number of Law Enforcement Contacts

-- -- -- Not Needed for FTC; criminal cases

Age at First Arrest -- -- -- Not Needed for

FTC; criminal cases

Incarcerated* -- -- -- Not Needed for FTC; criminal cases

Incident/ Arrest Date -- -- -- Not Needed for

FTC; criminal cases

Current Living Arrangement*

Auto-populate from Admission

Dropdown:

- Homeless/ Shelter

- Hotel/ motel

- Independent -own

Parent’s current living situation

NCSC 1

OJJDP 2

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- Independent -rent

- 5= Jail

- Residential Tx

- Transition - rent

- Friends/ Relative/

Significant Other

Pre/Post: with Living Arrangement in Discharge table

Have you served in the United States armed forces or military

Admission Yes/ No

Indication of whether the individual is/currently has served in the armed forces

CM Only

Participant or significant other pregnant at time of admission*

Admission

Dropdown:

- Yes, Participant

- No

- Yes, significant other

- Unknown

If parent (or partner) is pregnant NCSC 2

Number of babies born prior to Drug court admission*

Admission Text Number (Total) Total number of babies before FTC admission

NCSC 2

OJJDP 1

How many children under the age of 18 do you have ?*

Admission Text Number Parent’s total number of children under 18

OJJDP 1

Total Children under 18 (should be total of next 4 rows)

How many children under 18 live with the participant*

Admission Text Number Parent’s number of children under 18, living with the parent

NCSC 2

OJJDP 1

OJJDP 3

How many children under 18 live with other relative*

Admission Text Number Parent’s number of children under 18 OJJDP 1

How many children under Admission Text Number Parent’s number of children under 18 in NCSC 2

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18 are in foster care or a residential home* foster care or residential home

How many children under 18 live independently

Admission Text Number

Parent’s number of children under 18 – who live independently

NCSC 2

How many children under the age of 18 have you had your parental rights terminated or relinquished before admission to drug court?*

Admission Text Number

Parent’s number of children under 18 – parental rights terminated or relinquished

NCSC 1

NCSC 2

Participant making child support payments as ordered at admission*

Admission

Dropdown:

- Current

- Not Applicable

- Not current but paying

- Not paying at all

- Unknown

Indication of whether the parent is making child support payments as ordered by the court.

NCSC 1

I. Mental Health History Self-report during intake (within first 3 months); no fields are required in DIMs

DIMS Variable When How

Measured NH FTC Definition How Used Ever received mental health eval

Admission Yes/ No Has participant ever received a mental health evaluation (self-report)

NCSC P4, P5

Is Client Competent

-- Yes/ No Not required Not used by FTC

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How

Measured NH FTC Definition How Used

History of Mental Illness

Admission Yes/ No If the parent has a history of mental illness (self-report)

NCSC P4, P5

Ever had any suicidal thoughts / made any suicidal attempts

Admission Yes/ No If the parent has had suicidality or suicidal attempts (self-report)

NCSC P4, P5

Ever been a victim of violence

Admission Yes/ No If the parent is a victim of violence (self-report)

NCSC P4, P5

Ever been a victim of Physical and / or Sexual abuse ?

Admission Yes/ No If the parent has history of physical or sexual abuse (self-report)

NCSC P4, P5

Notes related to Abuse, Violence or Suicidal ideations.

Admission Text Notes on abuse, violence, and suicidal ideation (self-report)

CM Only

Date Competency Evaluation Ordered

-- Date -- Not used by FTC

Date Competency Evaluation Received

-- Date -- Not used by FTC

Was there a Psychiatric Diagnosis ?

Admission Yes/ No

Not used, reported elsewhere

Whether parent has self-reported psychiatric diagnosis (self-report)

NCSC P4, P5

Primary Diagnosis Admission Dropdown:

Diagnosis

If yes to psychiatric diagnosis, report parent’s

NCSC P4, P5

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How

Measured NH FTC Definition How Used Codes and Names primary diagnostic code and names (self-report)

Diagnosis Codes 2 - 6

Admission

Dropdown:

Diagnosis Codes and Names

Parent’s additional diagnostic code(s) and name(s) (self-report)

Trauma Exposed Admission Yes/ No If the parent reported being exposed to trauma (self-report)

NCSC P4, P5

Mental Health Diagnosis Connected with Military Service

Admission Yes/No If parent’s mental health diagnosis is related to military service (self-report)

Not used by FTC

J. Substance Use History Self-report during intake

DIMS Variable When How Measured NH FTC Definition How Used

Prior Substance Use

Admission Yes/ No If the parent reported prior substance use (self-report)

NCSC P4, P5

FTC PM 5

Prior Drug Court Participation

Admission Yes/ No If the parent participated in drug prior to FTC

NCSC P4, P5

Treatment Service Prior to Admission*

Admission Yes/ No If the parent had treatment services prior to FTC admission

NCSC P4, P5

FTC PM 5

Detoxification from alcohol/drug

Admission Yes/ No If parent has detoxed from alcohol or drugs

NCSC P4, P5

FTC PM 5

In-Patient alcohol/drug use treatment

Admission Yes/ No If parent has attended inpatient treatment for alcohol/substance use

NCSC P4, P5

FTC PM 5

Intensive outpatient

Admission Yes/ No If parent has attended intensive inpatient

Page | 22 alcohol/ substance use treatment * treatment for alcohol/substance use

FTC PM 5

Outpatient alcohol/ substance use treatment *

Admission Yes/ No

If parent has attended outpatient treatment for alcohol/substance use

NCSC P4, P5

FTC PM 5

Jail-based alcohol/ substance use treatment

Admission Yes/ No If parent attended jail-based alcohol/ substance use

NCSC P4, P5

FTC PM 5

Individual alcohol/ substance use counseling

Admission Yes/ No

If parent received alcohol and/or substance use counseling

NCSC P4, P5

FTC PM 5

Co-occurring (alcohol/drug abuse/mental health) treatment

Admission Yes/ No

If parent received co-occurring alcohol and/or substance use counseling

NCSC P4, P5

FTC PM 5

Inpatient psychiatric treatment*

Admission Yes/ No If parent has attended inpatient psychiatric treatment

NCSC P4, P5

FTC PM 5

Outpatient psychiatric treatment*

Admission Yes/ No If parent attended outpatient psychiatric treatment

NCSC P4, P5

FTC PM 5

Date of Self- Reported Sobriety

Admission Date Date of parent’s self-reported sobriety

NCSC P4, P5

History of Overdose *

Admission Yes/ No If parent has a history of overdose

NCSC P4, P5

FTC PM 5

Primary Drug Used *

Admission

Dropdown:

- Alcohol

- Amphetamine

- Barbiturate

- Benzodiazepine

- Buprenorphine

Parent’s primary drug NCSC P4, P5

Page | 23

- Club Drugs

- Cocaine

- Crack Cocaine

- Data not entered

- Ecstasy

- Fentanyl

- GHB

- Hallucinogens

- Heroin

- Inhalants

- Ketamine

- Kratom

- LSD

- Marijuana

- Methadone

- Methamphetamine

- None

- Opiate

- Opioids (Other)

- Opioids

(Unspecified)

- Other

- Over-the-counter

Drugs

- Oxy Contin

- PCP

- Poly Drug

- Powder Cocaine

- Rohypnol

- Sedative/Hypnotics

- Steroids

- THC

Primary Drug Used: Frequency use in last 30 days

Admission Text Frequency of parent’s primary drug use

Page | 24

Primary Drug Used: Age of first use

Admission Text Parent’s age at first use of primary drug

Not used

Primary Drug Used: Method of Use

Admission

Dropdown:

- Inhaling

- Injecting

- Nasal

- Smoking

- Snorting

- Suppositories

- Swallowing

Parent’s method of using primary drug

Primary Drug Used: Date of last used

Admission Date Self-reported last date parent used primary drug

NCSC P4, P5

Secondary Drug Used*

Admission Dropdown of drugs Parent’s second most frequently used drug

NCSC P4, P5

Tertiary Drug Used*

Admission Dropdown of drugs

Parent’s third most frequently used drug *If no tertiary drug is identified, but parent has used opioids in the past, mark Opiate

NCSC P4, P5

IV Drug User* Admission

Dropdown:

- Currently

- Not Currently

- Unknown

If parent is an IV Drug User

NCSC P4, P5

Age first used alcohol

Admission Text Self-reported age that parent first used alcohol

Not used

Age first used any drug

Admission Text Self-reported age that parent first used any drug

Not used

History of IV Drug Use*

Admission

Dropdown:

- History

- No History

- Unknown

If parent has a history of IV Drug Use

Page | 25

Primary Diagnosis Code

Do not enter; First diagnosis of the parent, primary diagnosis

Not used

Secondary Diagnosis Code

Do not enter; Second diagnosis of the parent

Not used

Global Assessment of Function (GAF) Score

-- Text

Do not enter; Level of Substance Use – from clinician

Not used

ASAM Placement Criteria

Dropdown with Level of Substance Use Services

- .5 = early intervention

- I = outpatient

- II = IOP/partial hospital

- III =

Inpatient/residential

- IV = Medically managed intensive inpatient

Do not enter; Level of Substance Use – from clinician

Not used

Recommended Treatment Modality/ Service

Dropdown of Substance Use specific treatment types

Do not enter;

Recommended treatment for the parent

Not used at this phase

Currently in substance abuse treatment program?

Admission Yes/ No If parent is currently in substance abuse treatment program

NCSC E4, E5

FTC PM 5

K. Assistance/Benefits Parent’s access to assistance and benefits at the time of referral for benefits (after admission).

Page | 26

Receiving benefits/ assistance*

Admission

Dropdown:

Check all that apply

- WIC

- TANF

- VA

- LIEAP (Low-income energy assistance)

- No Services/Benefits received

- Child Support

- SSI SSD

- Voc(ational) Rehab

- Unemployment

- Food Stamps

- Medicaid

- Housing

- Other

Type of benefits received by parent

Pre/Post

CM Only

Referral Date (for benefits)

-- Date Do not enter Not used

Current Status Ongoing In Program

Dropdown:

- Eligible

- Not Eligible

Parent’s status of eligibility for receiving assistance and benefits

CM Only

L. Medical Insurance This information is also captured in Medical History at intake. Entry is optional throughout the life of the case.

DIMS

Variable When How Measured NH FTC Definition How Used

Is Current Admission Checked = yes If parent’s medical insurance is current

CM Only

Medical Insurance Type*

Admission

Dropdown:

- Data not entered

- Federal

- Medicaid

- Medicare

- Private

Parent’s type of medical insurance, if applicable

Page | 27

- State

- Uninsured

- VA Medical

Medical Insurance Number

Admission Text Number of parent’s medical insurance

CM Only

Date Eligible for Medical Insurance

Admission Date Date parent become eligible for medical insurance

NCSC E5

Expiry Date Admission Date Expiry date of insurance Not used Note Admission Text

M. Medical History Captures medical information in screening process. This information is also captured in Medical Insurance at intake. Entry is optional throughout the life of the case.

DIMS Variable When How Measured NH FTC Definition How Used Medical Condition at Screening?

-- Text Not used in FTC; screening is done prior to admission

CM only

Current Medical Condition?

Screening;

Referral

Text Parent’s medical condition at intake

CM only

Medical Compliance Screening;

Referral

Dropdown:

- Compliant

- Marginal

- NA

- Noncompliant

Whether parent is in compliance with medical recommendations

NCSC E5

Pharmacological Intervention for Substance Use

Screening;

Referral

Yes/ No The pharmacological intervention used for parent’s substance use

NCSC E5

FTC PM 5

Allergies -- Yes/ No Not used in FTC, do not enter

CM Only

Have you been prescribed medication in last (12 months)*

Screening;

Referral

Yes/ No Whether medication was prescribed for the parent

NCSC E5

Are you currently taking medication as prescribed?*

Screening;

Referral

Yes/ No Whether parent is taking meds as prescribed

Page | 28

Prescribed medication (enter per type): Psychiatric*

Screening;

Referral

Numerical Number of parent’s prescribed psychiatric medications

NCSC E5

Prescribed medication (enter per type): Other*

Screening;

Referral

Numerical Number of parent’s prescribed non-psychiatric medications

NCSC E5

Medical Insurance Status*

Screening;

Referral

Dropdown:

- Data not entered

- Federal insurance

- Medicaid

- Medicare

- Private insurance

- State insurance

- Uninsured

- VA Medical

Parent’s medical insurance status at intake

CM only

Medical Insurance Information

Screening;

Referral

Text Name of parent’s specific medical insurance program

CM only

Previous Significant Medical History

Screening;

Referral

Yes/ No Entry is optional CM only

Last Medical Exam Date

Screening;

Referral

Date Date of parent’s last medical exam

CM only

Last Medical Exam Location

Screening;

Referral

Text Location of last medical exam

CM only

Has received Communicative Disease Education

Screening;

Referral

Yes/ No

Entry is optional SAMHSA is concerned about any intravenous drug use

SAMHSA

HIV Testing Done -- Yes/ No Do not enter; collected elsewhere

Not used

Does client know result

Screening;

Referral

Yes/ No If parent knows result of HIV testing

CM only

Page | 29

Summary Screening;

Referral

Text

Use to enter information about family planning, whether parent is on birth control or wants to be Entry is optional

CM only

N. Level of Care in Treatment For tracking treatment: Admit Date, Provider, Service Category, Discharge Date, Discharge Reason

DIMS

Variable When How Measured NH FTC Definition How Used

Provider Ongoing In Program

Dropdown of providers based on location

Treatment Provider

NCSC E5

FTC PM 5

Level of Care/ Placement

Ongoing in Program

Dropdown:

- Long-Term Remission

Monitoring

- Outpatient Services

- 1.5 Outpatient Therapy

- 1.7 Medically Managed

Outpatient Treatment

- 2.1 Intensive Outpatient

Services

- 2.1 Intensive Outpatient

Treatment

- 2.5 High Intensity Outpatient

Treatment

- 2.5 Partial Hospitalization

Services

- 3.1 Clinically Managed Low-

Intensity Residential Services

- 3.1 Clinically Managed Low-

Intensity Residential Treatment

- 3.3 Clinically Managed Population-Specific High- Intensity Residential Services

Parent’s level of care or placement in treatment

NCSC E5

FTC PM 5

Page | 30

- 3.5 Clinically Managed High-intensity Residential Services

- 3.5 Clinically Managed High- Intensity Residential Treatment

- 4.0 Medically Managed Inpatient Treatment

- 4.0 Medically Managed Intensive Inpatient Services

Admit Date Ongoing In Program

Date Data parent enters treatment

NCSC E5

FTC PM 5

Expected Discharge Date

Ongoing in Program

Date

Expected date that parent will be discharged from treatment

NCSC E5

FTC PM 5

Discharge Date

Ongoing In Program

Date Parent’s discharge date

NCSC E5

FTC PM 5

Discharge Reason

Ongoing In Program

Dropdown

- Successfully completed

- Not completed/unsuccessful

- Death

- Other

Reason for parent’s treatment discharge

NCSC E5

FTC PM 5

Number of hours per week*

Ongoing In Program

Number

Number of hours per week that parent is in treatment

Goals -- Text Entry is optional -- Objectives -- Text Entry is optional -- Methods -- Text Entry is optional --

O. Therapeutic Response For tracking therapeutic responses.

Page | 31

Service Type*

Ongoing In Program

Dropdown:

- Behavior Chain

- Increase contact with FTC team

- Increase Court

Appearances

- Increase drug screening

- Increased Recovery

Support

- Letter/Written Response

- Reassess Treatment Level of Care

- Recommitment to

Recovery Phase

- Treatment Adjustment

- Work on organization skills

Type of service provided to parent – drug testing, family therapy, parenting supervision, MRT

FTC PM 7

Provider* Ongoing In Program

Dropdown of provider names

Parent’s therapeutic treatment service provider

FTC PM 7

Funding Source

Ongoing in program

Dropdown:

- BJA Grant

- Drug Court Budget

- Insurance

- Medicaid

- Other

- SAMHSA Grant

- State General Fund

- State Grant

Funding source for therapeutic response

FTC PM 7

Date Begin Ongoing In Program

Date Date parent began therapeutic treatment

FTC PM 7

Date Ended Ongoing In Program

Date

Date parent ended therapeutic treatment

FTC PM 7

Page | 32

Status Ongoing In Program

Completed/ Not Completed

Status of parent’s completion of therapeutic treatment

FTC PM 7

P. Substance Use Testing Each substance use test is entered with the Test Name, Test Date, and Test Type. Negative results are not entered, blanks are assumed negative. The dashboard Substance Use Test summarizes the total number of positive and negative tests for each parent.

DIMS

Variable When How Measured NH FTC Definition How Used

Test Name Ongoing in Program

Text

Include both the testing agency and type of test (e.g., FTC - DNA, DCYF – Oral, Treatment Provider – POC) DNA = substance use UA test that also matches sample to client (unobserved).

POC = point-of-care test completed by service provider

FTC PM 5

FTC PM 7

Collection Date*

Ongoing In Program

Date Date of substance use test sample collection.

FTC PM 5

FTC PM 7

(Test) Type* Ongoing In Program

Dropdown:

- Admitted Use

- Alcohol Enzyme

- BA – Breath

Alcohol

- Hair Follicle

- Oral Swab

- Other

- Sweat Patch

- Tether

- UA

- UA -

Confirmation

The method for testing substances used.

If the test matches for client’s DNA, then select UA- Confirmation as the method of testing.

Page | 33

Test Time -- -- Time of day the sample was collected

Not Required in FTC

Drug Results Comment

Ongoing in Program

Dropdown of Panel Types and Substances Tested Select one of these dropdown options for substances with a positive result:

- Positive

- Positive for Rx –

Excused

- Positive for Rx –

Not Excused

For each substance that is positive or positive presumed (e.g., dilute, tamper), indicate the positive or positive presumed result for that substance.

Any substances with negative results are presumed to be negative and not entered to

DIMS.

FTC PM 5

FTC PM 7

Previously the agency collecting the sample was indicated in the comments.

The agency name is now reflected in Test Name.

Overall Test Results

Ongoing In Program

Dropdown:

- Positive

- Positive for Rx –

Not Excused

- Dilute

- Tampered

- No Show –

Positive

- Unable to

Provide

- Missed Call –

Positive

- Insufficient

Donation

- Unacceptable

- Abnormal

- Negative

Summary of substance use test results.

DNA Test Specific Options:

Select Negative, if the submitted urine DOES match the reference DNA profile (i.e., Consistent) Select Tampering, if the submitted urine sample DOES NOT match the reference DNA profile (i.e., Inconsistent) Select Insufficient, if the submitted urine sample does not yield enough "snips" to make a determination for consistent or inconsistent results (i.e., Indeterminate) POC Test Specific Options:

Page | 34

- Excused

- Positive for Rx –

Excused

- No Show –

Negative

- Pending

- Acceptable

- Not Applicable

- Rejected

Normal

Select Unable to Provide, if the urine sample does not yield enough for testing.

Select Tampering, if the urine sample was altered.

Q. Incentives For tracking incentives: Type, Reason, Date, and Notes.

DIMS

Variable When How Measured

NH FTC

Definition

How Used

Type Ongoing In Program

Dropdown:

- Applause

- Certificate/Kudos Card

- Fishbowl Draw

- Individualized Reward

- Judge High-five/ Fist Bump (note from judge)

- Judicial Praise/Accolades (courtroom recognition)

- Nominal Tangible (candy, less than $5)

- Other

- “Rocked It” Docket

- Tangible (books, gift card/certificate)

- Team Verbal Praise

Type of incentive used

FTC PM

Reason Ongoing In Program

Dropdown:

- Treatment progress

- Substance use

- Recovery capital

- Parenting

- Attitude

Reason that the incentive was awarded

FTC PM

Page | 35

Variable When How Measured

NH FTC

Definition

How Used

- Time management (court, work)

- Interpersonal relationships

- Socioeconomic

Date Awarded

Ongoing In Program

Date Date Incentive Given

FTC PM

Notes -- Not used Notes on Incentive

CM

R. Sanctions For tracking sanctions, the type of sanction, why it was assigned, and whether the sanction was completed.

DIMS

Variable When How Measured NH FTC Definition

How Used

Sanction Type*

Ongoing In Program

Dropdown:

- Judicial verbal reprimand

- Other

Type of sanction given

FTC PM 7

Reason* Ongoing In Program

Dropdown:

- Treatment progress

- Substance use

- Recovery capital

- Parenting

- Attitude

- Time management (court, work)

- Interpersonal relationships

- Socioeconomic

Reason sanction was given

FTC PM 7

Date Sanctioned*

Ongoing In Program

Date Date sanction was given

FTC PM 7

Notes Ongoing In Program

Text Notes on sanction given

FTC PM 7

Status* Ongoing In Program

Dropdown:

- Completed

- Failed To Complete

- In Progress

- Never Attended

- Ongoing

Status of the sanction, if applicable (Ongoing, completed, failed to complete, etc.)

Page | 36

S. Ancillary Services and Treatment Groups

Variable When How Measured NH FTC Definition How Used

Classification Ongoing In Program

Dropdown:

- Ancillary Services

- Treatment Services

- Both

Classification as ancillary service or treatment or both

FTC PM 6

Service Type Ongoing In Program

Dropdown:

- 12 Step Program

- Anger Management Classes

- Art Therapy

- Assertive Community Treatment

(ACT)

- Community Based Services

- Cultural/Traditional practices

- DBT

- Domestic Violence Classes

- Education Services

- Employment Services

- Financial Assistance

- Group Therapy

- Housing Assistance

- Individual Counseling

- MAT Support Groups

- Medical/Health Services

- Mental Health Services

- MRT

Type of ancillary services and treatment groups

FTC PM 6

Provider Name

Ongoing In Program

Dropdown:

List of provider names and Other

Name of treatment or service provider List may not be inclusive; use ”Other" if name is missing

FTC PM 6

Number Ordered

-- Numerical Not used FTC PM 6

Number Attended

Ongoing In Program

Numerical Number/Hours of services and groups attended

FTC PM 6

Page | 37

Begin Date Ongoing In Program

Date Date parent begins ancillary service and treatment groups

FTC PM 6

Date Ended Ongoing In Program

Date Date parent ends ancillary service and treatment groups

FTC PM 6

Notes Ongoing In Program

Date Use to enter dates for ongoing sessions

Status Ongoing In Program

Completed/Not Completed Status of completion for services and groups

FTC PM 6

T. Employment Profile For tracking current employment status, start and end date.

DIMS

Variable When How Measured NH FTC Definition How Used

Employer Name

Ongoing In Program

Text Name/Company of parent’s employer

NCSC P5 and E5

Employment Status

Ongoing In Program

Dropdown:

- Employed – part time

- Employed – full time

- Unemployed

Parent’s employment status during program

NCSC P5 and E5

Start Date Ongoing In Program

Date Parent’s employment start date

NCSC P5 and E5

End Date Ongoing In Program

Date Parent’s employment end date

NCSC P5 and E5

U. Discharge: Type, … Date and type of discharge from FTC. Parent program outcomes and measures that can be compared to information at admission (Case Information table) for pre-and-post measures of parent, child, family, or case changes.

Page | 38

Discharge Date* Discharge Date Parent’s date of discharge from program

NCSC P4

and E4

Discharge Reason*

Discharge

Dropdown:

- Neutral – Death

- Neutral – Medical necessity

- Neutral – Mistaken Case

(not eligible, etc.)

- Neutral – Probation expired

- Neutral – Transferred to another jurisdiction or program

- Neutral – Voluntarily withdrew

- Other

- Successful Graduation

- Unsuccessful for another reason

- Unsuccessful Termination

(Absconded)

- Unsuccessful Termination

(Expelled, Noncompliant)

- Unsuccessful/new offense

Reason for parent’s discharge from program

NCSC P4

and E4

Offer Related to Participation*

Discharge

Dropdown:

- Both charge and Sentence

Reduction

- Case Dismissal

- Charge Reduction

- Data Not Available

Currently

- Expunction

- In lieu of incarceration

- None

- Sentence Reduction

Offer Related to Court Participation (Expungement, Case dismissal, etc.)

NCSC P4

and E4

Page | 39

- Supervised to unsupervised probation

- VTC Program

Employment Status at Discharge*

Discharge

Dropdown:

- Disabled

- Employed Full Time > Or

= 35 Hours/Week

- Employed Part Time < 35

Hours/ Week

- Not in Labor Force

(Disable)

- Not in Labor Force

(Others)

- Not in Labor Force

(Retired)

- Not in Labor Force

(Retired, Disable, Other)

- Not in Labor Force (Stay at home parent)

- Not in Labor Force

(Student Full Entry)

- Other

- Retired

- Self-Employed

- Student Full Time

- Unemployed

- Volunteer

Parent’s employment type at discharge

Pre/Post:

Employment Profile

Education Level at Discharge*

Discharge

Dropdown:

- Advanced

Degree (Masters/PhD Completed)

- College Grad – 4 year

- College Grad – 2 year

- High School (Did not complete)

- High School, Alternative

School or GED Completed

Parent’s highest education level at discharge

Pre/Post:

Education

Page | 40

- Some College or Trade

School or Technical School or Vocational Training

Does client have a valid drivers license at discharge:*

Discharge Yes/No Whether parent has a valid driver’s license

Pre/post

Probation Status at Discharge*

Discharge

Dropdown:

- Continued on Probation

- Discharged From The

Court’s Jurisdiction

- N/A

- Never on Probation

- Other

Parent’s probation status at discharge

Pre/post

Custody Status at Discharge*

Discharge

Dropdown:

- Custody/Guardianship

- Never Lost Custody

- Not Applicable

- Parental Rights

Terminated

- Regained Custody

- Temporarily Lost Custody

Parent’s custody status

Pre/post

Received Driver license while in court*

Discharge Yes/ No/ N/A

Whether parent received driver’s license while in court

Pre/post

Were babies born during the program ?*

Discharge Yes/No If parent had any children born while in the program

Pre/Post:

Case Information

Pregnant while in court*

Discharge

Dropdown:

- No

- Yes, participant

- Yes, significant other

If parent (or partner) is pregnant at discharge

Pre/Post:

Case Information

Participant made child support

Discharge

Dropdown:

- Current

- Not Applicable

- Not current but paying

Status of parent’s case filed to maintain minor

Pre/Post:

Case Information

Page | 41 payments as ordered*

- Not paying at all child with financial support

Notes Discharge Text Notes on discharge type

Number of Community Service Hours completed*

-- Number Not used; enter “0” Not used

Number of Community Service Hours remaining*

-- Number Not used; enter “0” Not used

Enrolled in veterans services while in court*

Discharge Yes/ No/ N/A

Whether parent enrolled in VA services while in program

CM Only

Received veterans services while in court*

Discharge Yes/ No If parent received VA services while in program

CM Only

Received State Identification Card while in court*

Discharge Yes/ No/ N/A If parent obtained a state ID while in program

NCSC 6

Number of jail days served during court*

Discharge Number Parent’s number of days in jail

NCSC 6, 8

In-program new arrests (enter statute and literal)*

Discharge Number Parent’s number of in-program arrest

NCSC 6, 8

In-program new convictions (enter statute and literal)*

Discharge Number Parent’s number of in-program conviction

NCSC 6, 8

Page | 42

Prior criminal charges resolved during court*

Discharge Yes/ No/ N/A If parent had prior criminal charges resolved

NCSC 6, 8

Housing/ Homeless - What is your current living arrangement*

Discharge

Dropdown:

- Homeless (Including residence at homeless shelter)

- Homeless (Unsheltered)

- Hotel/Motel

- Independent/Permanent

Housing – OWN

- Independent/Permanent

Housing – RENTING

- JAIL

- Recovery Housing/Sober

Housing

- Residential Treatment

- Transitional Housing

Dependent – RENTING

- With friend relative/significant other (not my own home)

Parent’s current living arrangement

Pre/post:

Case Information

NCSC 5, 9

Psychiatric Diagnosis*

Discharge Text Parent’s psychiatric diagnosis at discharge

NCSC 9

Prescribed medication*

Discharge Yes/ No Was medication prescribed for parent

NCSC 9

Are you taking prescribed medication Currently*

Discharge Yes/ No

Whether parent is taking prescribed medication at discharge

NCSC 9

Participant receiving the following benefits at

Discharge

Dropdown:

Check all that apply

- WIC

- TANF

Parent’s assistance/benefits received at discharge

NCSC 9

Page | 43

Discharge (Check all that apply) *

- VA Assistance

- LIEAP

- Child Support

- SSI SSD

- Voc Rehab

- Unemployment

- Food Stamps

- Medicaid

- Housing

- Other

- No Services/Benefits received

Participant received the following other services while in court (Check all that apply) *

Discharge

Dropdown:

Check all that Apply

- Mental Health

- Vocational

- Public Assistance

- Family Counseling

- Transportation

- No Services Received

- Peer Support

- Medical/Dental/Vision

- Educational

- Housing

- Parenting Classes

- Life Skills (budgeting, housekeeping, nutrition, etc.)

- MAT

All services received by parent while in program

NCSC 9

V. Discharge: Financial, Substance Use, Children DIMS Variable When How Measured NH FTC Definition How Used

Fines* Discharge Text Fines paid by parent Not used by

FTC

Fees* Discharge Text Fees paid by parent Not used by

FTC

Page | 44

Restitution* Discharge Text Restitution paid by parent while in program

Not used by

FTC

Child Support* Discharge Text Child Support paid by parent

Not used by

FTC

Primary drug used during program*

Discharge Dropdown:

List of drugs

Auto-populates Primary drug used by parent while in court program

NCSC P4, P5

Frequency in last 30 days*

Discharge Text Parent’s frequency of use in last 30 days

NCSC P4, P5

Secondary drug used during program*

Discharge Dropdown:

List of drugs

Auto-populates Secondary drug used by parent while in court program

NCSC P4, P5

Tertiary drug used during program*

Discharge

List of drugs

Auto-populates Tertiary drug used by parent while in court program

NCSC P4, P5

Number of negative drug screens while in program for discharged client*

Discharge Numerical

Auto-populates Total number of parent’s negative substance use screens at discharge

NCSC P4, P5

Number of positive drug screens while in program for discharged client*

Discharge Numerical

Auto-populates Total number of parent’s positive substance use screens at discharge

NCSC P4, P5

Number of days sober prior to discharge for discharged client*

Discharge Numerical

Auto-populates Number of days terminated parent had a clean substance use screening

NCSC P4, P5

Attending self-help groups at time of court discharge*

Discharge Yes/No If parent is attending self-help groups at time of discharge

Page | 45 children of school age attending school regularly at discharge*

Discharge Numerical Number of school age children attending school regularly

OJJDP PM 53

children of school age not attending school regularly at discharge*

Discharge Numerical

Number of school age children NOT attending school regularly

OJJDP PM 53

FTC PM 3

Current Services Received by Children

Di…