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Policy Manual
HEALTH CARE
Standards Regarding the Delivery of Health Care

44-5-6.1
Placement Portfolio:  Health Content General Provisions

Policy

Each child in an out-of-home placement, regardless of the child’s legal status or Medicaid eligibility, shall have a Placement Portfolio which has information necessary for the care of the child including the child’s health history, current health status, and medical alert. 

The Portfolio shall be provided to the caretaker at the time of placement. 

Health history that is not available at the time of placement shall be provided to the caretaker within thirty (30) days of the date of placement. 

Cross-Reference:  For the entire contents of the Placement Portfolio and procedures for its use, see Policy 36-50-2, “To Request and Make a Placement.”

Purpose of Health Content

The purpose of maintaining health information in the Placement Portfolio is to assist in the care, coordination and management of a child’s health care needs. 

The health content of the Placement Portfolio is not intended as a substitute for the child’s comprehensive health record.

Who Completes the Portfolio

The child’s Social Worker shall complete and update the Placement Portfolio with the cooperation of the foster or adoptive parents, relatives, the Social Work Supervisor, unit clerks, facility workers, regional nurses and health care providers. 

The Regional Resource Group (RRG) nurse shall provide consultation in preparing and maintaining the health information in the Portfolio. The nurse shall be named on the letter to health care providers to be included in the Portfolio. (See Attachment B to 44-5-6.1.) 

Cross-Reference:  38-5, “RRG Staff Duties.”

Health Contentof the Placement Portfolio

The health contents of the Placement Portfolio include: 

·          an alert to current health care issues contained on the “Medical Alert” (DCF-741) 

·          the child’s health history and current status as summarized on the “Child Placement Document” (DCF-469) 

·          documentation of any ongoing health care as detailed on the “Report of Health Care Visit” (DCF-742) along with five blank copies for future use 

·          the “Caretaker’s Log of Visits to Provider” (DCF-2127) 

·          the child’s Medical Identification Card 

·          instructions to caretakers (Attachment A to 44-5-6.1) 

·          instructions for health care providers (Attachment B to 44-5-6.1).

Confidentiality The medical/health records of children are confidential and may only be shared with caretakers, health providers, school personnel and Department personnel on an as-needed basis.

The Social Worker shall explain to the caretaker that no information found on these forms or records shall be shared with anyone without the consent of the Department.

HIV/AIDS Status Information concerning a child's HIV and AIDS status may be released on an as-needed basis if the Department has guardianship. When the Department does not have guardianship, a written release for disclosure of information from the parent or guardian must be obtained prior to any disclosure.

Cross-Reference: See HIV Testing, 44-5-5.1 through 44-5-5.5.

Connecticut Department of Children and Families              Effective Date:   October 1, 2002  (Revised)