Policy and Procedure Manual - Greene County, Missouri

Evening Reporting Center
Policy and Procedure Manual
Table of Contents
I. Youth Eligibility………………………………………..2
II. Referral Process and Paperwork…………………….. 2-3
- Referral Checklist
III. Admission Process…………………………………….. 4
- Staff Checklist
- Orientation Process
- Admission Paperwork
IV. Parent Orientation……………………………………..4-5
V. Youth Orientation…………………………………….. 5
VI. Behavioral Expectations ………………………………5-10
A. Dress Code
B. Observation Sheets
C. Behavior Management
D. Grievance Procedures
1. Informal Resolution
2. Formal Grievance Process
3. Administrative Review
VII.
Release………………………………………………….10-11
A. Release Criteria
- Successful Release
- Unsuccessful Release
- Possible Discharge
B. Release Procedure
VIII. Health & Medical………………………………………11-12
A. Illness and/or Communicable Disease
B. Medical Log
- Medication Distribution
- Missed Dosage
- Medication Refusal
IX. Transport……………………………………………… 12-16
A. Pick-Up and Drop-Off Policy
B. Residence Transportation Guidelines
C. Transport for Field Trip
D. Transport for Secure Detention
E. General Transportation Guidelines
F. Safety Procedures
X. Staff Roles & Responsibilities…………………………16-21
A. Staff Expectations
B. Schedule for Daily Operations
C. Inventory Checklist
D. Restroom Guidelines
E. Duty Areas
F. Job Descriptions
- Coordinator
- Youth Specialist
- PT Youth Specialist
XI.
XII.
Appendix
Volunteer/Facilitator Roles & Responsibilities………21
A. Volunteer/Facilitator Expectations
B. Volunteer Forms
Evaluation……………………………………………....21-22
A. Admission Log
B. Program Evaluations
C. Policy and Procedures Manual
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I. YOUTH ELIGIBILITY
1. Eligible youth must be referred by DJO, P.O., or the Court, to include JDC.
2. Eligible youth must be post-filing/pre-adjudication or post-adjudication status or motion to
modify. There are three sets of conditions that make a youth eligible and applicable forms
must be filed:
□ Conditional Release to the ERC (Appendix Ia)
□ Pending Hearing with ERC conditions (Appendix Ib)
□ Conditions of Formal Probation (Appendix Ic)
3. As determined by the JDTA form (Appendix Id), eligible youth may not:
□ Be a danger to themselves or others
□ Be a danger to the property of others
□ Be a flight risk
*If youth are determined appropriate via override with appropriate signature, then a reason
for placement needs to be provided.
4. Eligible youth will be over the age of 12 and fall under the jurisdiction of the court.
5. Eligible youth will be accepted on a space-available basis. Maximum capacity for the
Evening Reporting Center is 12 youth. In the event of reaching maximum capacity, priority
will be given to those youth scoring for placement on the JDTA form and/or youth pending
hearing.
6. To be eligible, a youth must be medically and mentally fit to participate in the ERC. This
includes being free of known communicable disease.
7. Eligible youth who meet expectations will participate in the program for a period not to
exceed 20 program days (actual days of operation).
8. Youth can be referred to the ERC program more than once on a case by case basis.
Based on the youth’s success, the youth may continue on community supervision through the
probation department, be placed in residential/substance abuse treatment, or return to the Greene
County Detention facility for further judicial review.
II.
REFERRAL PROCESS AND PAPERWORK
If a youth has been referred/accepted to the ERC, the youth and their
parents/guardians/custodians must report to the ERC by 2:30 p.m. the day of referral. The final
decision regarding admission to the program will be made by the ERC Coordinator at that time.
ERC staff will meet with the youth and his or her parents/guardians/custodians regarding the policies,
procedures and rules of the ERC. Agreement on all policies and procedures by youth and his or her
parent/guardian is required for ERC participation.
At the initial meeting, ERC staff will review, with the youth and their parents/guardian/custodian, the
following:
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-Attendance and transportation policy guidelines
-Behavior guidelines and discipline procedures
-Search policy and procedures
-Release, Waiver, and Medical Forms
Upon written agreement by the youth of the above-described policies, procedures, and releases,
the youth shall immediately be accepted into the ERC program.
Referral Checklist for ERC
Copies of the following:
□ Notice of Supervision Form (Appendix IIa)-This form MUST be signed by the youth
and their guardian if they have NOT been court ordered to the ERC
□ Rules of Conduct Pending Disposition (Appendix IIb), Conditional Release from
Detention with participation in the ERC (Appendix Ia), or JDC Conditions of
Supervision(Appendix IIc)
□ Copy of petition/Motion to Modify (Appendix IId/IIe)
□ Mini Social History form (Appendix IIf)
□ JDTA Form (Appendix Id)-Already scored despite if youth was previously placed in
detention.
□ JIS Juvenile Summary page (Appendix IIg)
□ If or when available provide pertinent case notes, court summary, and/or
psychological evaluation.
IMMEDIATELY UPON KNOWLEDGE OF A REFERRAL CALL ERC MOBILE
PHONE WITH YOUTH NAME AND DATE OF ANTICIPATED ADMISSION AT
417-818-7558
ALL REFERRALS AND APPROPRIATE FORMS NEED TO BE PLACED IN
ERC’S MAILBOX BY 2:00 P.M. FOR YOUTH TO BE ASSESSED THE SAME DAY
PARENTS & YOUTH REFERRED BEFORE 2:00 P.M. NEED TO BE AT THE ERC
FOR ORIENTATION NO LATER THAN 2:30 P.M. THE SAME DAY
IF REFERRAL IS MADE AFTER 2:00 P.M. PARENTS & YOUTH NEED TO BE AT
THE ERC THE FOLLOWING DAY BY 2:30 P.M. FOR ORIENTATION
ALL INFORMATION WILL BE RETURNED TO THE APPROPRIATE OFFICER
UPON THE YOUTH’S COMPLETION OF THE ERC
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III.
ADMISSION PROCESS
A) STAFF CHECKLIST
□ Orientation Process
□ Youth File-Ensure that all paperwork is present from referral and orientation process
□ Admissions Log (Refer to Staff Orientation Manual Appendix XIIa)
B) ORIENTATION PROCESS
Admission to the ERC will take place on the day of referral if received by 2:00 p.m., if
referral is received after 2:00 p.m. the admission will take place on the following day. At
the orientation meeting with the youth and his/her family the parent and the youth will agree
to and sign the appropriate documentation to ensure the safety and welfare of the youth,
parents, and staff.
C) ADMISSION PAPERWORK
The following are documents that the parent must complete and sign at orientation
separately from the parent/youth orientation signature pages.
1. Agreement, Waiver and Release (Appendix IIIa)
2. Parent Approval for Medication (Appendix IIIb)
3. Medical Insurance Information (Appendix IIIc)
4. Search Policy and Safe Handling of Items Taken (Appendix IIId)
5. Authorization for Pick up (Appendix IIIe)
□
It is the expectation of the Evening Reporting Center that all youth will
arrive and be picked-up from the ERC by their parent or a designated
authorized person. At admission the parent will be asked to designate up
to 4 people, other than themselves, that are authorized to pick-up and
obtain information regarding the youth from the ERC. The youth will not
be released to anyone not on the list and each person will be verified at
the time of the pick-up by photo identification. Additionally, individuals
on the pick-up list must not be registered Sex Offenders. It is the
responsibility of the parent/guardian and ERC staff to ensure that
individuals on the pick-up list, to include parent/guardian, are not
registered Sex Offenders for the safety and concern of ERC participants.
IV.
PARENT ORIENTATION
□ Parent Orientation Handbook (Appendix IVa)
□ Parents/legal guardians will be required to participate in parent/youth communication
workshop on a designated evening once per week from 6:45 p.m. to 8:00 p.m. and
sign a confidentiality agreement at the start of each group (Appendix IVb). A
minimum of one parent/legal guardian are expected to be in attendance to the
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workshops; however, exception would be made for a designated person on a case by
case basis.
*Note: Youth’s successful release may be suspended until the parent/youth communication
group requirements have been met satisfactorily; this can be determined on a case by case
basis.
The ERC Coordinator or another ERC staff will inform parent of their responsibilities while
their child is participating in the ERC. An acknowledgement of this orientation, included on the
final page of the parent orientation handbook, will be signed and kept in the participant’s file.
The handbook is for the parent to keep.
V. YOUTH ORIENTATION
□ Youth Orientation Handbook (Appendix Va)
□ All youth will be required to participate in a minimum of 1 community service
project on a Saturday (community service projects usually last three to five (3-5)
hours). Youth are allowed to complete community service on a Saturday, on their
own volition and in accordance with applicable rules, in an effort to receive extra
ERC participation points. Youth are only allowed to earn up to 10 extra participation
points at 5 points for two hours of community service, and a maximum of two
community service opportunities; verifiable documentation of completed community
service is required for acceptance. Youth are expected to follow ERC expectations
during community service.
*Note: Youth’s successful release may be suspended until the community service requirements
have been met satisfactorily; this can be determined on a case by case basis.
The ERC Coordinator or another ERC staff will inform participants of expectations and their
responsibilities while at the ERC. An acknowledgement of this orientation, included on the
final page of the youth orientation handbook, will be signed and kept in the participant’s file.
The handbook is for the youth to keep.
VI.
BEHAVIOR EXPECTATIONS
1. All participants of the ERC program are expected to follow staff directives at all
times.
2. Participants are to arrive at the ERC Program no later than 3:15 each day. Driving
distances will be taken in consideration as necessary and case by case needs will be
considered, but with only fifteen (15) minute leeway.
3. Participants of the ERC are expected to respect the property of the facility and others
at all times.
4. No drugs, drug paraphernalia, alcohol, weapons, tobacco, lighters, pens, pencils or
sharp instruments are allowed into the ERC facility. Youth will be provided with
necessary materials for program success.
5. ALL participants (youth and parents) of the ERC will be subject to a search of
person and property upon entry to the facility, as well as random searches throughout
the evening.
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6. While participating in the ERC program, it is expected that participants will treat
others with respect at all times. Behaviors that are considered disrespectful include
but not limited to; cursing, gang-related behavior, side-talking, etc. If someone is
disrespectful to the participant, staff needs to be informed immediately so the
problem solving process can begin.
7. Aggressive behavior such as fighting or threats WILL NOT be tolerated. Sexual
contact is strictly prohibited at the ERC facility. Touching is not allowed. Touching
includes but not limited to horseplay, holding hands, hugging, etc.
8. Discussion or bragging about criminal behavior is not allowed.
9. All personal items, including electronic devices, such as cell phones, pagers,
computer games, radios, MP3 players, etc., will be placed in a locker prior to
entering the ERC program and returned to the participant at the end of the evening
unless it is a contraband item.
10. No food or drink items from outside of the facility are allowed.
11. If participants of the ERC have knowledge of incidents or activities that may threaten
or disrupt the ERC program and fail to inform staff they may be held responsible for
the results of the incident.
12. No inappropriate nicknames or slang words are allowed while at the ERC.
13. Participants of the ERC must ask permission to get out of their seat during groups.
14. Participation is required in all program activities.
15. All visible tattoos must be covered prior to entering the ERC.
16. Participants need to be respectful during groups and refrain from distracting
behaviors.
17. Participants of the ERC are required to bring homework or a book to read every day
while participating in the program.
18. Participants are expected to sign a confidentiality agreement at the start of each day
(Appendix VIa) and at each parent workshop (Appendix IVb)
A) Dress Code
1. Participants may not wear clothing that is deemed distracting by ERC staff. This
includes but is not limited to clothing with offensive language or slogans, drug or
alcohol advertisements, racist or sexist messages, etc.
2. No revealing clothing, such as belly shirts, hip huggers, tube tops, cut off sleeves,
tank tops, etc.
3. No head coverings such as hats, hairnets, bandanas, beanies, doo rags, etc.
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4. No sloppy dress attire such as house shoes, slippers, pajamas, etc.
5. No open toed shoes.
6. No clothing that is ripped or has holes.
7. No sagging pants or shorts.
8. No jewelry such as necklaces, earrings, facial piercings, belly rings, etc.
9. The ERC does not allow clothing or jewelry that may identify you with a GANG.
Such items will be removed upon admission and given to the DJO/PO and
documented in the court report.
B) Daily Observation Sheet (Appendix VIb) and Community Service Observation
Sheet (Appendix VIc)
ERC staff will make a daily record, to include required community service project, of youth
behavior in two ways:
□ written documentation
□
daily point log
C) Behavior Management
1. Effective behavior management starts with an effective participant orientation.
Participants must know and understand the behavior expectations and have a Youth
Orientation handbook from the start.
2. Youth will complete urinalysis testing as determined by the ERC staff or DJO/PO.
Results will be provided to the parent.
3. Once participants know the rules, it is the responsibility of ERC staff to consistently
enforce the behavior expectations.
4. Verbal warnings may be used to consequence minor rule violations. A minor
program rule is one that does not interrupt the program, cause any harm to others,
and can be easily redirected with a verbal warning. Parents will be advised of
participant behavior (positive and redirected) at the end of the day as outlined in the
Pick Up and Drop off Policy under IX Transport. All verbal warnings and verbal
notice to parents must be documented in the daily points/observation notes.
5. The ERC operates with a point system that rewards participants with positive points
when they meet behavior and program expectations. The accumulated points may
allow the youth to exit the program more quickly. When a participant violates any
rule they may be subject to reduced point accumulation. Points are documented on
the daily points/ observation notes.
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6. If a participant repeatedly violates a minor rule or engages in disruptive or attention
seeking behavior they will be removed from the group, sit for a refocus period, and
meet with an ERC staff member until the behavior can be resolved.
7. Notice of Behavior Form (Appendix VId)
When a participant is involved in behavior that required a thinking report (Appendix
VIe), a Notice of Behavior form will be filled out and signed by the parents or
authorized pick up person to ensure that parents or designee are aware of the
behavior issues and can be supportive of the ERC process. The signed notice will be
filed with the point/observation sheet and a copy provided to the parent or authorized
pick up person. The DJO/PO must be notified of incident via copy of the Notice of
Behavior form (Appendix VId) and/or phone.
8. Incident reports (Appendix VIf) will be completed as needed for contraband,
assaults, self-harm, and/or any behavior listed below in point #9.
9. Certain behaviors will not be tolerated in the ERC program. When these behaviors
occur, the youth will be transported to secure detention (refer to IX Transport:
Transportation to Secure Detention). These behaviors are:
D) Grievance Procedures
a. Sexual contact within the program
b. Noticeably and/or verifiably under the influence or in possession of drugs
and/or alcohol
c. Possession of a concealed or illegal weapon
d. Physical fighting or aggressive threatening behavior
Upon orientation, participants shall be informed of their right to grieve any behavior or
disciplinary action of staff or other juveniles. Grievances that have not been resolved
informally shall be filed according to the procedures outlined below. All grievances shall be
handled in a timely manner and without threat of consequences against the juvenile.
Definition:
Grievance:- A circumstance or action considered to be unjust and grounds for complaint
or resentment.
1. Informal Resolution
Grievance against a staff member: the participant/parent should first try to politely
resolve a grievance against a staff member informally by requesting a conversation
with that staff member without the presence of other participants. The staff member
shall promptly inform the ERC Coordinator of the conversation and the outcome.
Grievance against another participant: the participant should first attempt to resolve
a grievance against another participant informally by requesting a consultation with a
staff member without the presence of other participants, and engage in a mediation
process with the other participant if appropriate. The staff member shall promptly
inform the ERC Coordinator of the conversation and the outcome.
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Grievance against a facilitator: the participant/parent should first try to politely
resolve a grievance against a facilitator informally by requesting a conversation with
that facilitator and an ERC staff member without the presence of other participants.
The facilitator and ERC staff member shall promptly inform the ERC Coordinator of
the conversation and outcome.
Grievance against the ERC Coordinator: the participant/parent should first try to
politely resolve a grievance against the ERC Coordinator by requesting a
conversation with them without the presence of other participants. The ERC
Coordinator shall promptly inform the Probation Supervisor of the conversation and
outcome.
2. Formal Grievance Process
a. If an informal resolution cannot be made with a staff member, participant, or
facilitator the participant should complete a grievance form (Appendix VIg) and
submit it to a staff member in a sealed envelope, with the participant’s signature
across the seal, addressed to the ERC coordinator. If an informal resolution
cannot be made with the ERC Coordinator, then the participant/parent should
complete a grievance form and submit the form in a sealed envelope, with the
participant’s signature across the seal, addressed to the Probation Supervisor c/o
Greene County Juvenile Office.
b. When a participant/parent requests a grievance form staff shall provide the form,
as well as, assistance (if required) and allow the participant a reasonable amount
of time to complete.
c. If the grievance is against a staff member or the ERC Coordinator the
participant/parent should request the grievance form from another staff member.
Threatening a staff member with the grievance process will be considered
inappropriate conduct.
d. Staff shall deliver all grievances against a staff member, participant, facilitator,
or the facility conditions directly to the ERC coordinator. All grievances against
the ERC Coordinator must be delivered directly to the Probation Supervisor.
e. Participants will not receive adverse consequences for using this process in an
appropriate manner.
f. Staff needs to notify the parents and DJO/PO of a grievance being submitted by
participant. If a parent is submitting a grievance, the DJO/PO and Probation
Supervisor should be notified.
3. Administrative Review
a. The ERC Coordinator or Probation Supervisor shall review the grievance and
respond to the participant/parent’s grievance by the next working day.
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. The ERC Coordinator or Probation Supervisor may respond to a grievance in
writing or in person.
c. All responses to grievances must be documented.
d. If the ERC Coordinator or Probation Supervisor finds that a grievance has merit
corrective actions will be taken as soon as possible.
4. No participant shall be informed of disciplinary action taken against a staff member,
facilitator, other participant, or the ERC Coordinator.
VII.
RELEASE
A) Release Criteria
Successful Release
Participating successfully in the program until the scheduled hearing.
Participating actively for the required length of stay.
After earning 90% of the required total points to include a maximum of 20 points
awarded each program day and 10 points for community service project, youth may
be considered for early release from the ERC.
Unsuccessful Release
Automatic discharge from the program
Any new law violation.
Sexual contact within the facility.
Noticeably and/or verifiably under the influence or in possession of drugs and/or
alcohol.
Possession of a concealed or illegal weapon.
Any unexcused absence.
Possible discharge from the program
Inappropriate physical contact within the facility.
Possession of tobacco.
Gang related behavior.
Disruptive behavior.
Any violation of the conditional release.
Tardiness-Youth is late by 15 minutes or more, with no verifiable reason, on more
than two program days within the expected days of attendance.
Failure to follow any of the rules of the Evening Reporting Center may result in suspension,
termination or no credit for participation. If any law violation is committed while at the ERC,
local law enforcement will be notified and additional charges may be filed.
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B) Release Procedure
1. A juvenile will be released from the ERC program pursuant to one of the three
following types of completion:
a. Unsuccessful Completion: The juvenile has been terminated from the program
having been discharged due to the juvenile’s failure to comply with the
program’s rules and procedures.
b. Successful Completion: The juvenile has completed the program by complying
with minimum program requirements and with minimal discipline issues.
c. Early Completion: The juvenile has completed the program by complying with
all of the rules and policies of the program and by having accumulated at least
ninety percent (90%) of the points available to the juvenile during the juvenile’s
participation in the program.
2. Upon the release of the juvenile from the ERC program, the ERC Coordinator or
his/her designee shall do the following:
a. Ensure Parent Evaluation (Appendix VIIa) and Particpant Evaluation (Appendix
VIIb) is completed.
b. Prepare a summary regarding the juvenile’s participation in the ERC program to
be presented at Court during the juvenile’s jurisdictional-dispositional/motion to
modify hearing (Appendix VIIc).
c. Transmit to the responsible DJO/PO, the files and records maintained at the ERC
pertaining to the juvenile. Those records shall be retained in the juvenile’s file
maintained at the Greene County Juvenile Office. Those records shall continue
to be subject to the confidentiality provisions of Section 211.321 RSMo., as
amended to date.
d. As needed, staff will be available to be present during the juvenile’s court
hearing.
VIII. HEALTH & MEDICAL
A) Illness and/or Communicable Disease
1. If participant has a communicable disease to include but not limited to head lice and
influenza, they need a doctor’s note that clears them before they can return to the
program.
2. If participant misses program days due to illness and/or communicable disease then
the participant needs to make-up the missed days once cleared from a doctor.
B) Medical Log (Appendix VIIIa)
The medication log will be used to record the distribution of all medication to the
participants of the Evening Reporting Center in the following manner:
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1. Each participant needing medication will have a medication log filled out and placed
in Medication Log Book.
2. Each blank of the medication log will be filled out in full to accurately record youth
name and Date of Birth (DOB).
3. Record all prescribed medication on this sheet to include name of the medication,
dosage amount, dosage time, and the date. Additional sheets may be used if
necessary.
4. Each staff that administers medication needs to sign the bottom of the page.
Instructions for missed dosage:
1. If a dosage is missed for any reason (a youth is absent, forgets, or refuses) staff will
check the appropriate box indicating the medication was missed.
2. Staff will then record the date, medication missed, reason for the missed dose, and
signature.
If a youth refuses to take medication authorized by their parent the following steps will be
taken:
1. Refusal to take is documented on the medication log (Appendix VIIIa) and the daily
observation sheet (Appendix VIb).
2. Parent is notified every time a youth refuses to take medication staff is responsible
for administering.
3. If refusal is ongoing (more than two days in a row) the responsibility to administer
medication is returned to the parent to be given either immediately before or after
their daily participation in the ERC.
4. This refusal will not result in disciplinary action and staff will respond only to
behavior that is either directly or indirectly related to failure to take medication as
prescribed. This behavior, as any inappropriate behavior, may result in the failure of
the ERC program and/or placement in the secure detention facility.
IX.
TRANSPORT
A) Pick-up and Drop-off Policy
Drop-off:
1. Youth will exit vehicle at the designated drop-off point identified at orientation.
If mode of arrival is other than vehicle, the youth will secure bicycle in the
designated area and/or proceed to the entrance as stated in step two.
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2. Youth will enter the facility at the designated area and enter the security waiting
area. When summoned they will enter the security check area and follow Search
Policy and Procedures on Safe Handling of Item Taken (Appendix IIId).
Pick-up:
1. At least one staff will remain with the youth in the security waiting area. During
pick-up there will be at least one staff member at the designated pick-up point.
As staff to participant ratio permits, two staff should be with the youth and two
staff at the designated pick-up point; with the priority being youth supervision.
2. Staff providing parent updates will verify authorization of pick-up persons per
the Authorization for Pick-Up Form (Appendix IIIe).
3. Staff in the outside position will have a conversation with parents about the
participant’s behavior, changes in schedule, and/or updates on home behavior.
4. Once outside staff has completed all updates to authorized pick-up persons, they
will join youth and additional staff in the security waiting area.
5. Staff in security waiting area will aide youth in retrieving their personal items,
retrieve the lock key, and secure the locker from access.
6. Participants will then be released one at a time while at least one staff observes to
ensure they are leaving with the appropriate pick-up person.
B) Residence Transportation Guidelines
1. Efforts will be made to contact the parent/guardian prior to transport in order to
ensure youth will be supervised accordingly at the residence. If found upon
contact that parent/guardian was negligent about picking up participant, then
parent/guardian need to transport.
2. The transportation of participant to the parent/guardian is only on a need to
basis. Transportation of this nature is a result of failure of parent/guardian or
designee to pick-up or inability to pick-up due to extreme circumstances.
3. If a transport occurs due to failure to appear, a parent conference will be
scheduled the following day. The Child Abuse/Neglect hotline will be called by
the ERC Coordinator or designee if necessary.
4. If a need for a 2 nd transport occurs due to failure to appear, it will be to the
Greene County Detention facility; follow guidelines in section D) Transport to
Secure Detention.
5. All applicable procedures must be followed per sections E) General
Transportation Guidelines and F) Safety Procedures; refer below.
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C) Transport for Field Trip
1. A scheduled departure time, destination, and arrival time must be determined and
relayed to detention.
2. Staff ratio must be one staff to every four participants; with a minimum of two
staff.
3. If participant absconds from outing, immediately notify 911, detention, DJO/PO,
and parent/guardian; in respective order.
4. All applicable procedures must be followed per sections E) General
Transportation Guidelines and F) Safety Procedures; refer below.
D) Transport to Secure Detention
1. Once it has been determined that a participant will be transported to secure
detention, efforts should be made to segregate the participant from the general
population immediately. Staff should be constantly supervising the participant.
2. Place the participant in handcuffs and shackles, double locked, and checked for
tightness.
3. Notification must be made to detention as soon as it is known that participant
will be transported. If the participant is uncooperative or staff to youth ratio is
low, resulting in an unsafe situation for transportation, law enforcement needs to
be called for transporting assistance.
4. Provide detention with proper paperwork for processing prior to transport: JDTA
form (Appendix Id) and Juvenile Report (Appendix IXa).
5. Notify parents as soon as possible after transport has been completed. Retrieve
participant’s belongings from locker and make efforts to return belongings to
parent/guardian.
6. All applicable procedures must be followed per sections E) General
Transportation Guidelines and F) Safety Procedures; refer below.
E) General Transportation Guidelines
1. Two staff members must be present for the transportation to take place. At least
one of the staff needs to be the same gender as the youth being transported.
2. Only a caged vehicle will be used for transporting participants to secure
detention or home. Participant must ride in the back passenger seat.
3. Staff must carry some method of communication with them during the transport
(i.e. cell phone).
4. When a transport situation arises the transporting staff will complete the transport
log (Appendix IXb) when transporting a participant.
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F) Safety Procedures
5. Any incidents that occur during transportation shall be documented by
transporting staff.
6. All participants and staff must follow Missouri Law regarding seat belt
requirements.
7. Retrieve ERC handcuffs and shackles if used to transport participant to secure
detention.
Transporting a participant that poses a security risk, including but not limited to: any
participant that is in violation of probation; any participant that is a candidate for admission
to secure confinement; any participant being transported on a conditional release from
detention; any participant that is being transported from detention to a treatment facility,
doctors appointment, field trip, or DYS placement.
How to transport a participant in a safe manner for the staff and participant
1. Select a car that has a cage.
If this is a transport that is planned:
□ Reserve the vehicle on the dry erase board in the reception area
□ The staff arranging the transport is responsible for preparing the vehicle
for the transport (security, gas, etc) and is also responsible for detail of
the vehicle upon return (security, gas, vacuum, wash)
2. If this is a transport that is not planned OR on the day of the transport:
□ Insure the vehicle has a full tank of gas (or amount necessary for
transport)
□ If designated ERC caged vehicle is not available sign vehicle out on the
vehicle utilization log by the reception area. If no caged car is available,
the second staff member sits behind the driver in the backseat with the
youth in the back passenger side seat.
3. Search the vehicle for contraband
□ Run your hand around the creases of the back seat
□ Lift the floor mats
□ Ensure items are inaccessible under or around the cage frame
4. If transporting from detention
□ Drive car to the sally port area of detention
□ Notify detention to allow entry into detention sally port by the intercom
in the front parking lot (accessible by drive up)
5. If transporting into detention
□ Notify detention of the pending arrival and approximate time
□ Bring participant through sally port and make sure it is closed before
removing youth from vehicle
□ Provide detention with proper paperwork JDTA (Appendix Id) and
Juvenile Report (Appendix IXa) for processing as soon as possible
15

6. Prepare the participant for transport
□ Search the participant for transport by conducting pat down search to
ensure absence of all contraband
□ Place the participant in handcuffs and shackles following proper restraint
procedures. Ensure that the handcuffs are double locked and checked for
tightness.
7. Help the participant into the vehicle
□ With one hand on top of the participant’s head and the other supporting
the participant’s arm assist them into the vehicle. Remind them to watch
their head.
□ Request the participant to sit as close to the door edge of the seat as
possible. This will allow easy access to the safety restraint latch on the
seat and will alleviate any incidental contact that may be construed as
inappropriate.
□ Put the participant’s seat belt on.
8. During the transport
□ Sliding window (open or closed/depending on the security risk)
□ Conversation between staff and participant should be professional
□ Be mindful of confidentiality issues
□ Staff will respect the laws and regulations of the road (speed limits,
construction sites, etc.)
□ No stops will be made during the transport while the participant is in the
vehicle
□ Meals for staff during the transport time are not paid by the county
9. After the transport
□ Staff will search the vehicle to ensure the absence of contraband.
□ Handcuffs and shackles will be returned to the appropriate location.
□ If it is during regular business hours (7 am – 6pm) fill the vehicle with
gas at the highway department.
□ Remove all personal items from the vehicle (trash, supplies, paperwork,
etc)
X. STAFF ROLES & RESPONSIBILITIES
A) Staff Expectations
Primary roles of ERC staff are to ensure proper engaged supervision of participants at all
times. ERC Staff are to ensure safety, positive group process, and daily program functions
are completed. Further expectations are as follows:
1. Be punctual and flexible in scheduling to meet needs of ERC
2. Dispense medications as needed
3. Transport participants as needed
4. Transport evening meals as needed
16

5. Maintain a professional demeanor at all times
6. Maintain a professional appearance at all times
7. Conduct Urinalysis testing as needed (Staff Orientation Manual, Appendix XIIa)
8. Specific questions in regard to personnel policies need to be referred to Greene
County Personnel Manual
9. Specific questions in regard to ERC policies or procedures need to be addressed
with the ERC Coordinator
10. Be familiar with Staff Orientation Manual (Appendix XIIa) and complete a 90
day orientation process with the ERC Coordinator
11. All leave requests need to be turned in at the minimum two weeks prior to leave
date to the ERC Coordinator
12. All staff will be expected to present periods of instruction before large groups of
participants/community partners
13. Maintain daily log/folder/observation sheets for each participant in the ERC
14. Complete incident reports (Appendix VIf) as lined out on page 8 as well as any
incidents that threaten safety and security.
15. Ability to setup and breakdown meal preparation area in a timely manner
16. Inventory items on a daily basis, refer to section C) Inventory Checklist below
17. Maintain open lines of communication with community partners, ERC
Coordinator, and other Juvenile Office staff
18. Contact DJO/PO regarding youth tardiness if 15 minutes late. Wait for response
from DJO/PO, then contact parent if no response.
19. Document all phone communication with parents, youth, and DJO/PO in contact
log. Document DJO/PO visits with youth in contact log. Maintain contact log for
three years.
20. Ability to maintain a timeline and multitask in order to keep with the daily
operation schedule of the ERC
21. Maintain order and discipline with participants in the ERC
22. Maintain appropriate physical boundaries between participants as defined in the
Youth Orientation Handbook (Appendix Va).
23. Ability to lift items up to 50 pounds
17

24. Search persons/bags entering ERC other than staff and facilitators
25. Foster an awareness and education of diverse populations.
26. Maintain confidentiality of participants as outlined in the Staff Orientation
Manual (Appendix XIIa).
27. Staff will maintain appropriate boundaries as outlined in the Staff Orientation
Manual (Appendix XIIa)
B) Schedule of Daily Operations
2-2:30 Coordinator and Specialist will meet to discuss/plan day’s activities
2:30-3:00 Coordinator and/or Youth Specialist conduct orientations with newly referred
parents and youth
3-4:00 Part-Time staff arrives and are briefed about day’s activities and client
information.
□
□
□
Youth are searched by staff per procedure; refer to the Staff Orientation
Manual (Appendix XIIa)
Youth sign-out locker keys
Youth complete homework and request tutoring assistance
4-5:00 Staff supervision of Group 1*
4:45 ERC staff transports meals as needed
5-5:30 ERC staff facilitates pre-dinner group: Goal setting, gender responsive,
current events, recognition, etc.
5:15 1-2 Staff members prepare dinner; refer to Staff Orientation Manual
(Appendix XIIa)
□
□
□
Staff comply with DHSS standards related healthy portions when
preparing meals (Appendix Xa)
Staff ready eating utensils and trash can.
Ensure proper seating availability.
5:30-:35 Each youth washes hands and obtains their meal
5:35-5:55 Dinner/dinner supervision
5:55-6 Dinner clean-up
6-7:00 Staff supervision of Group 2*
7-7:45 Staff supervision of Group 3*
18

7:45-:50 On Fridays, participants complete weekly evaluations (Appendix Xb)
□
Staff helps/supervises Good Housekeeping
- Staff and Clients clean and organize ERC.
- Staff and Clients will arrange furniture in preparation of next day’s
activities.
- Staff will inventory items used. Staff will search for missing items.
- Once Good Housekeeping is complete, staff will direct clients to the
release area.
7:50 Staff release clients
□
□
□
□
Parent or authorized pick-up person will be required to provide stateissued
identification to verify their eligibility to pick up youth.
Staff will inform parents or authorized pick-up person about the
participant’s behavior, changes in schedule, and obtain updates on home
behavior.
On last day of program, parents and youth will complete participant and
parent evaluations (Appendix VIIa & VIIb respectively).
Youth will sign-in locker keys as they are released one at a time from the
program on a first come basis
8:00 Staff completes daily log and area safety check.
8-10:00 Coordinator and Specialist debrief day, update Master Admissions Log, send
daily population report, and write necessary court
reports.
*Each day needs to consist of a Life Skills, Self-Development, Psychoeducational
component to the program. These components should be presented during Group 1, 2,
or 3.
C) Inventory Checklist (Appendix Xc)
1. Visually check the inside of each locker after youth leaves for the day. Also
check the locks and keys to ensure they are accounted for and on the proper
locker.
2. Visually check the security area to make sure items are not left behind (i.e.
backpacks, coats).
3. Check youth bathrooms for contraband left behind and remove trash. Check
cupboards, under toilet tank lid, around sink, behind toilet, and behind door for
any contraband items. Ensure toilet paper is available, and ensure all pipes are
functional.
4. Check education room for items under chairs/tables or around chairs/tables and
throughout the room. Make sure locked cabinets are secure and unlocked
cabinets do not hold foreign objects. Verify that all video/TV equipment is
accounted for to include remotes.
19

5. Check the waiting area for contraband under or around chairs and around the
room, even the rug.
6. Visually check additional areas youth occupied during the program day for any
contraband.
7. Verify that all offices, equipment, doors, and outside gates are secured or locked.
8. Ensure all writing utensils are returned to their assigned appropriate slot and
sharpened for the next day.
9. Ensure all keys are accounted for (doors, file cabinets).
10. Ensure all hand cuffs, leg shackles, & keys are accounted for.
11. On assigned cleaning days, before each juvenile leaves, the areas the juvenile
was assigned to clean are checked.
D) Restroom Guidelines
1. ONLY ONE YOUTH ALLOWED IN THE BATHROOM AT A TIME
2. Bathroom breaks WILL BE DESIGNATED BY STAFF
3. All youth are to ONLY USE THE YOUTH DESIGNATED BATHROOM
4. Toilets will be flushed after every use
5. Hands will be washed with SOAP & WATER after every use
6. Excessive bathroom requests and/or not following the bathroom rules will be
considered DISRUPTIVE BEHAVIOR which could result in the youth being
placed into SECURE DETENTION.
E) Duty Areas-youth are assigned an area to clean on scheduled cleaning days. On nonscheduled
cleaning days, staff are to clean areas as needed.
1. Kitchen
□ sweep floors
□ disinfect food preparation area
□ dispose of trash
□ mop floor
2. Education Room
□ disinfect tables & chairs
□ organize chairs & tables
□ disinfect & organize countertops
□ clean off white board & chalkboard
20

3. Bathroom
□ disinfect toilets & sink
□ clean mirror
□ mop floor
□ fill paper towels, toilet paper, & soap as needed
4. Vacuum all areas as needed
5. Trash
□ Empty all trash cans
F) Job Descriptions
□ Coordinator (Appendix Xd)
□ Youth Specialist (Appendix Xe)
□ PT Youth Specialist (Appendix Xf)
XI. VOLUNTEER/FACILITATOR ROLES & RESPONSIBILITIES
A) Volunteer/Facilitator Expectations
Volunteer’s/Facilitator’s primary role is to be a positive role model from the community that
provide applicable information to the youth population. Volunteers/Facilitators need to be
free and clear of criminal history which would prevent them from serving as a positive role
model. Collaborate and cooperate with ERC staff to implement program components.
Complete Facilitator Surveys (Appendix XIa) on at least a quarterly basis.
B) Volunteer Forms
Volunteers at the ERC will be expected to complete the necessary forms below:
□ Confidential Information (Appendix XIb)
□ Waiver of liability (Appendix XIc)
□ Volunteer Memorandum of Understanding (Appendix XId)
□ Applicant Statement and Authorization for Release of Information (Appendix XIe)
□ Request for Child Abuse or Neglect/Criminal Record (Appendix XIf)
□ Intern/Volunteer Application (Appendix XIg)
□ Consent to Photograph, Film or Videotape a Facilitator (Appendix XIh)
XII.
EVALUATION
A) Admission Log, refer to Staff Orientation Manual (Appendix XIIa)
Effectiveness is based on whether or not the participants who attend the Evening Reporting
Center appear for scheduled court hearings and are arrest-free pending the
adjudication/disposition of their cases in juvenile court. The data needed to evaluate
effectiveness includes:
21

□ Who is admitted, and why? Are they the participants the program was designed for?
What is the participant’s gender and ethnicity? What is the Average Daily Population
(ADP); this requires keeping a daily population report and a current admissions log
that includes the Missouri Juvenile Detention Assessment Form (JDTA) score.
□ How long does each youth stay in the program and what is the average length of stay
(ALOS)?
□ Why do they exit from the program?
B) Program Evaluations
The ERC staff needs to evaluate the data gathered for each year, as well as since
the onset of the program, on a quarterly basis to assess strengths and needs of the
program. The purpose of the data evaluation is to look carefully at the
population in the Evening Reporting Center and disaggregate the information by
race, gender, JDTA score, and offense to determine areas of improvement.
Furthermore, the data gathered will assist in determining who completed the
program successfully by appearing for court and remaining arrest-free without a
new law violation. Releases from the program due to reasons aside from a new
law violation need to be recorded and evaluated for program improvement.
ERC staff will compile input provided from the Facilitator Survey (Appendix XIa), Weekly
Participant Evaluation Form (Appendix Xb), and the Parent and Participant Evaluations
(Appendix VIIa and VIIb, respectively). The compiled data will be reviewed on a quarterly
basis alongside the evaluation of data gathered from the Master Admissions Log. The
information obtained from these sources will serve as a guide for program staff and the ERC
Executive Committee to determine needed changes for the programming schedule and
effectiveness of programming components.
C) Policy and Procedures Manual
The ERC staff in coordination with other Juvenile Office staff and interested community
partners will review the Policy and Procedures Manual annually.
22

Appendix
I. Youth Elibility
Ia- Conditional Release to ERC
Ib- Pending Hearing with ERC
Conditions
Ic- Conditions of Formal Probation
Id- JDTA Form
II. Referral Process and Paperwork
IIa- Notice of Supervision Form
IIb- Rules of Conduct Pending
Disposition
IIc- JDC Conditions of Supervision
IId- Petition
IIe- Motion to Modify
IIf- Mini Social History
IIg- JIS Juvenile Summary-OSCA
Reports
III. Admissions Process
IIIa- Agreement, Waiver, and Release
IIIb- Parent Approval for Medication
IIIc- Medical Insurance Information
IIId- Search Policy and Safe Handling
of Items Taken
IIIe- Authorization for Pick up
IV. Parent Orientation
IVa- Parent Orientation Handbook
IVb- Parent Communication
Confidentiality Agreement &
Sign-in
V. Youth Orientation
Va- Youth Orientation Handbook
VI. Behavior Expectations
VIa- Participant Daily Confidentiality
Agreement
VIb- Daily Observation Sheet
VIc- Community Service Observation
Sheet
VId- Notice of Behavior Form
VIe- Thinking Report
VIf- Incident Report
VIg-Grievance Form
VII. Release
VIIa- Parent Evaluation
VIIb- Participant Evaluation
VIIc- Court Summary
VIII. Health & Medical
IX.
VIIIa- Medical Log
Transport
IXa- Juvenile Report
IXb- Transport Log
X. Staff Roles & Responsibilities
Xa- Missouri DHSS Food Chart-At
Risk After School
Xb- Weekly Evaluations
Xc- Inventory Checklist
Xd- Coordinator
Xe- Youth Specialist
Xf- PT Youth Specialist
XI.
XII.
Volunteer/Facilitator Roles &
Responsibilities
XIa- Facilitator Survey
XIb- Confidential Information
XIc- Waiver of Liability
XId- Volunteer Memorandum of
Understanding
XIe- Applicant Statement and
Authorization for Release of
Information
XIf- Request for Child Abuse or
Neglect/Criminal Record
XIg- Intern/Volunteer Application
Evaluation
XIIa- Staff Orientation Manual
23

APPENDIX Ia
IN THE INTERST OF:
«WI_GENERAL_JUVENILE_NAME»
(dob: «WI_GENERAL_FIRST_D_DOB»)
IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
JUVENILE DIVISION
A child under seventeen
years of age.
Case «WI_GENERAL_CASE_ID»
CONDITIONAL RELEASE FROM DETENTION
I, «WI_GENERAL_JUVENILE_NAME», knowing that I have a Delinquent Jurisdictional
Dispositional/Motion to Modify Previous Order of Disposition hearing scheduled, do agree to the following
conditions per my release from the Greene County Juvenile Detention facility pending my hearing at the Greene
County Juvenile Court, 1111 North Robberson, Springfield, Missouri.
1. I will attend school, G.E.D. classes, or work (which ever is appropriate) each day. I will also act in a
cooperative, responsible, manner while in attendance there.
2. I will report to my Probation Officer and make all probation contacts as prescribed by that officer.
3. I will remain at home, on House Arrest, unless in the company of my parent(s), or with a responsible
adult approved by my parent(s) and by my Probation Officer until a curfew is established.
4. I will obey all Federal and State laws, municipal and county ordinances.
5. I will not associate with anyone of a negative influence as determined by my parent/guardian,
Juvenile/Probation Officer and myself.
6. I will not use, possess, or distribute any controlled substance including drugs, alcohol, and tobacco.
7. I agree to cooperate with drug and alcohol screening and submit to random urine sample testing when
requested by my Juvenile/Probation Officer. I understand that failure to do so, or tampering with the
urine sample will be considered a positive test.
8. I agree to attend, cooperate with, and successfully complete any counseling or treatment program
required by the Court.
9. I will notify my Juvenile/Probation Officer immediately of any change of address or phone number.
10. I agree to wear and to cooperate with any and all aspects of the house arrest surveillance equipment. I
understand that any tampering or damage done to the equipment will be grounds for revocation of my
probation and I will be held financially responsible for that damage. I further understand that there may
be a daily assessed fee for the use of this equipment.
11. I agree to participate and successfully complete the Evening Reporting Center as an alternative to secure
detention and understand that failing to complete this program may result in secure detention until my court
hearing.
24

APPENDIX Ia
PARENT/GUARDIAN: I know that the Juvenile Office, Juvenile/Probation Officer and/or the Court can
help my son or daughter, only if I also help by doing my best as parent. I will, therefore, continue this
responsibility and agree to do the following:
1. I will cooperate with the Juvenile Office, Probation Officer and/or Court.
2. I will make every effort to see that my child attends school or G.E.D. classes each day or maintains
employment, if withdrawn from school
3. I understand that the role of the Juvenile Office and Probation Officer and/or Court is for assistance
only; that I agree to continue my responsibility of parenting my child.
4. I agree to sign authorization for release of requested information.
5. I will attend all counseling sessions and therapy groups I am referred to.
6. I understand that I am financially responsible for any lost, stolen, or damaged piece of electronic
monitoring system my son/daughter is placed on and that there may be a daily assessed fee for the
use of this equipment.
I understand that if I violate one (1) or more of the above conditions, alternate levels of supervision may be
utilized in attempt to keep me in the community. I further understand if these alternatives do not exist I may be
brought back to the Juvenile Detention Facility and held until my scheduled hearing and that if it is necessary to
revoke this Conditional Release; I will be afforded a detention hearing as provided in the Missouri Supreme
Court Rules.
I understand the conditions.
___________________________
«WI_GENERAL_JUVENILE_NAME»
Juvenile
_____________________________
«WI_GENERAL_JUDG_NAME»
Circuit Court Judge
Greene County Juvenile Court
_____________________________
Date
I understand the conditions and I will report all violations to the Juvenile Office.
____________________________
Parent/Guardian
25

APPENDIX Ib
IN THE INTEREST OF:
«WI_GENERAL_JUVENILE_NAME»
(dob: «WI_GENERAL_FIRST_D_DOB»)
IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
JUVENILE DIVISION
A child under seventeen
years of age.
Case «WI_GENERAL_CASE_ID»
PENDING HEARING CONDITIONS WITH FORMAL SUPERVISION
THIS IS AN AGREEMENT BETWEEN THE JUVENILE OFFICE AND/OR THE COURT AND THE
JUVENILE AND PARENT/GUARDIAN.
1. I will attend school, G.E.D. classes, or work (which ever is appropriate) each day. I will also act in a
cooperative, responsible manner while in attendance there.
2. I will cooperate fully with my Probation Officer and make all probation contacts as prescribed by that
Officer.
3. I will keep my parent/guardian(s) informed of my whereabouts at all times, and will not run away from
home. I will also follow a curfew as set by my parents/guardian(s) and my Probation Officer. I will be in
my home by ______ pm during the week and ______ pm on the weekend.
4. I will obey all Federal and State laws, municipal and county ordinances.
5. I will not associate with anyone of a negative influence as determined by my parent/guardian, Probation
Officer and myself.
6. I will not use, possess or distribute any controlled substance including drugs, alcohol or tobacco.
7. I agree to cooperate with drug and alcohol screening and to submit to random urine sample testing when
requested by my Probation Officer. I understand that failure to do so or tampering with a urine sample
will be considered a positive test.
8. I agree to attend, cooperate with and successfully complete any counseling or treatment program I am
referred to.
9. I will notify my Probation Officer immediately of any change of address or phone number.
10. I agree to report for and cooperate with probation sanctions and/or detention periods as assigned by the
Probation Officer.
11. I agree to wear and to cooperate with any and all aspects of the house arrest surveillance equipment. I
understand that if there is any tampering or damage done to the equipment, I will be held financially
responsible for that damage. I further understand that I may be assessed a daily fee for the use of this
equipment.
26

APPENDIX Ib
JUVENILE: I know that the Juvenile Officer and/or Court has placed me under supervision because my
behavior has been harmful to myself and others. I, therefore, accept this responsibility of helping myself, my
family, and my community by meeting the terms listed above.
PARENT/GUARDIAN: I know that the Juvenile/Probation Officer and/or Court can help my son or daughter,
only if I also help by doing my best as a parent. I will, therefore, continue this responsibility and agree to do the
following:
1. I will cooperate with the Juvenile Officer and Probation Officer and/or Court.
2. I will make every effort to see that my child attends school or G.E.D. classes each day, or maintains
employment, if withdrawn from school.
3. I understand that the role of the Juvenile Officer and Probation Officer and/or Court is for assistance
only; that I agree to continue my responsibility of parenting my child.
4. I agree to sign authorization for release of requested information.
5. I will attend all counseling sessions and therapy groups that I am referred to.
6. I understand that I am financially responsible for any lost, stolen or damaged electronic monitoring
equipment my son/daughter is placed on. I further understand that I may be assessed a daily fee for the
use of this equipment.
I fully understand and accept the terms of this agreement.
I HAVE READ THE ABOVE RULES AND UNDERSTAND THE TERMS OF MY PROBATION. I
REALIZE THAT A VIOLATION OF THESE RULES MY RESULT IN THE REVOCATION OF MY
PROBATION AND AN OUT OF HOME PLACEMENT IN A SECURE DETETION OR STATE RUN
FACILITY.
______________________________
«WI_GENERAL_JUVENILE_NAME»
________________________________
Parent/Guardian
________________________________
Date
27

APPENDIX Ic
IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
JUVENILE DIVISION
IN THE INTEREST OF: )
)
«WI_GENERAL_JUVENILE_NAME» )
(dob: «WI_GENERAL_FIRST_D_DOB») )
)
A child under seventeen )
years of age. ) Case «WI_GENERAL_CASE_ID»
CONDITIONS OF FORMAL PROBATION
THIS IS AN AGREEMENT BETWEEN THE JUVENILE OFFICE AND/OR COURT AND THE JUVENILE
AND PARENT/GUARDIAN.
1. I will attend school, G.E.D. classes, or work (which ever is appropriate) each day. I will also act in a
cooperative, responsible manner while in attendance there.
2. I will cooperate fully with my Probation Officer and make all probation contacts as prescribed by that
Officer.
3. I will keep my parent/guardian(s) informed of my whereabouts at all times, and will not run away from
home. I will also follow a curfew as set by my parent/guardian(s) and my Probation Officer. I will be in my
home by pm during the week and pm on the weekend.
4. I will obey all Federal and State laws, municipal and county ordinances.
5. I will not associate with anyone of a negative influence as determined by my parent/guardian, Probation
Officer and myself.
6. I will not use, possess, or distribute any controlled substance including drugs, alcohol or tobacco.
7. I agree to cooperate with drug and alcohol screening and to submit to random urine sample testing when
requested by my Probation Officer. I understand failure to do so, or tampering with a urine sample will be
considered a positive test.
8. I agree to attend, cooperate with and successfully complete any counseling or treatment program I am
referred to.
9. I will notify my Probation Officer immediately of any change of address or phone number.
10. I will satisfactorily complete ( ) LEAP credits by (INSERT DUE DATE). Location for community service
hours must be approved by my Probation Officer.
11. Juvenile will be responsible for paying restitution in the amount of $ . I will comply with all terms
of my Restitution Agreement. I will not be eligible for successful release from probation until the full
restitution is paid.
12. I agree to report for and cooperate with probation sanctions as assigned by the Probation Officer.
13. I understand that electronic monitoring equipment may be used as an additional level of supervision if
violation/s occur and agree to wear and to cooperate with any and all aspects of the house arrest surveillance
28

equipment. I understand that any tampering or damage done to the equipment will be grounds for revocation
of my probation and I will be held financially responsible for that damage. I further understand that a daily
fee may be assessed for the use of this equipment.
14. I ALSO AGREE TO:
JUVENILE: I know that the Juvenile Officer and/or Court has placed me under supervision because my
behavior has been harmful to myself and others. I, therefore, accept this responsibility of helping myself, my
family, and my community by meeting the terms listed above.
PARENT/GUARDIAN: I know that the Juvenile/Probation Officer and/or the
Court can help my son or daughter, only if I also help by doing my best as a parent. I will, therefore, continue
this responsibility and agree to do the following:
1. I will cooperate with the Probation Officer and/or Court.
2. I will make every effort to see that my child attends school or G.E.D. classes each day or maintains
employment, if withdrawn from school.
3. I understand that the role of the Probation Officer and/or Court is for assistance only; that I agree to
continue my responsibility of parenting my child.
4. I agree to sign authorization for release of requested information.
5. I will attend all counseling sessions and therapy groups that I am referred to.
6. I understand that I am financially responsible for any lost, stolen, or damaged piece of electronic monitoring
equipment my son/daughter is place on. I further understand that a daily fee may be assessed for the use of
this equipment.
7. I ALSO AGREE:
I fully understand and accept the terms of this agreement.
I HAVE READ THE ABOVE RULES AND UNDERSTAND THE TERMS OF MY PROBATION. I
REALIZE THAT A VIOLATION OF THESE RULES MAY RESULT IN THE REVOCATION OF MY
PROBATION AND AN OUT OF HOME PLACEMENT IN A SECURE DETENTION OR A STATE RUN
FACILITY.
____________________________
SO ORDERED:
Juvenile
____________________________
Date
____________________________
Parent/Guardian
____________________________
Date
on this ____ day of ________, 20__.
______________________________
Circuit Court Judge
Springfield, Missouri
APPENDIX Ic
29

MISSOURI’S JUVENILE DETENTION ASSESSMENT (JDTA) FORM 7/1/11
Juvenile Name: _________________________________ Race: ________________ Gender:___________
Juvenile ID (JIS, if available): _____________________
SSN: _________________________________________
DOB: _________________________________________
30
Assessment Staff: ________________________
Assessment Date: ________________________
Assessment Time: ________________________
Presenting Offense: _____________________________ Case Number: ___________________________
1. Reporting Reason Code for Detention
A. JDACO Court Ordered Detention at Hearing
B. JDAWD Warrant – DYS
C. JDAWF Warrant – FTA
D. JDBTC Technical Supervision/Probation Violation by Warrant, JO Authorization, or Court Order
E. JDCPA Pre-Adjudication Placement or Program Failure
F. JDCSX Sex Offense
G. JDDFP Felony – Person
H. JDDMP Misdemeanor – Person
I. JDDWE Weapons Offense
J. JDEDR Drug Offense
K. JDEFP Felony – Property
L. JDEMP Misdemeanor – Property
M. JDFFO Felony – Other
N. JDFMO Misdemeanor – Other
O. JDFOR Municipal Ordinance
P. JDFST Status Offense
Q. JDRAR Pre-Adjudication – New Offense Referral (Can not be selected by itself)
FACTOR SCORE FACTOR SCORE
2. Capias, Court Order or Warrant
A. Capias for secure detention .......................... 15
B. Court order for secure detention .................. 15
C. DYS warrant ................................................ 15
D. None ............................................................... 0
3. Most Serious Presented Offense
A. A or B felony, felony sex offense, or
unlawful felony possession or use of a
firearm or explosive device .......................... 15
B. Other felony offense against person ............ 12
C. Other felony ................................................. 11
D. Misdemeanor sex offense, with prior sex
offense referral, or easy access to a victim .. 10
E. Other misdemeanor sex offense ..................... 5
F. Misdemeanor against person
involving injury .............................................. 4
G. Other misdemeanor ........................................ 3
H. Infraction or municipal offense ...................... 1
I. Probation violation ......................................... 1
J. Status Offense ................................................ 0
K. None ............................................................... 0
4. Additional Presenting Offenses
A. Two or more unrelated felonies ..................... 3
B. One unrelated felony ...................................... 2
C. One or more unrelated misdemeanors ........... 1
D. None ............................................................... 0
APPENDIX Id
5. Prior Juvenile Referrals
A. 5 or more sufficient law violation referrals .. 10
B. 3-4 sufficient law violation referrals .............. 8
C. 1-2 sufficient law violation referrals .............. 6
D. None ............................................................... 0
6. Current Legal Status
A. Alternative to secure detention failed ............ 5
B. Currently in DYS custody .............................. 4
C. Felony or misdemeanor petition pending ....... 3
D. Current formal or informal supervision
for a law violation .......................................... 2
E. None ............................................................... 0
7. Flight Risk
A. Prior escape from secure detention facility .... 5
B. Prior failure to appear for court hearing ......... 4
C. Prior escape from custody (DJO or law
enforcement) .................................................. 3
D. Out-of-state resident/runaway ........................ 2
E. None ............................................................... 0
Assessment Score .................................. ___________
Indicated Decision: 1 – 9 = Release
10 – 14 = Detention Alternative
15 & above = Detention

Reason for Override:
APPENDIX Id
O11DET No suitable custodian, parent, guardian or other suitable person to assume custody
O12DET Serious or credible threat to a witness
O13DET Serious or credible threat to the victim
O14DET Serious or credible threat to the community
O15DET No non-secure alternative is immediately accessible
O16DET No non-secure appropriate alternative exists
O17DET Out-of-state runaway/missing person (no capias)
____ O18DET Other (provide separate explanation)
O21ALT Mental health placement obtained
O22ALT Does not meet local age guidelines
O23ALT Medical condition
O24ALT Pregnancy
O25ALT Non-secure alternative utilized
O26ALT Other (provide separate explanation)
O31REL Does not meet local age guidelines
O32REL Medical condition
O33REL Pregnancy
O34REL Referral insufficient-Released
O35REL Other (provide separate explanation)-Released
Explanation for “Other” override: __________________________________
(Unable to add this to JIS at this time)
Supervisory override authorized by:_____________________________
(Unable to add this to JIS at this time)
CZAPROG code based on Assessment Decision:
____
DET – Detention
ALTCR – Conditional Release
ALTDT – Day Treatment
ALTEM – Electronic Monitoring
ALTERC – Evening Reporting Center
ALTDRUGTR – Drug/Alcohol Treatment
ALTGPS – Global Positioning System
ALTHP – Health Placement
ALTIHD – In Home Detention
ALTMHP – Mental Health Placement
ALTREP – Respite Care
ALTRES – Residential Placement
ALTSHE – Shelter Care
ALTTRK – Assigned Tracker
RELJDTA – Released on JDTA
(CZAPROG Supervising Agency) Alternative @ / with: _________________________________
FINAL DECISION: ______ Release ______ Detention Alternative ______ Detain
31

STATE OF MISSOURI
FAMILY COURT, 31 ST JUDICIAL CIRCUIT
II. JUVENILE DIVISION
1111 North Robberson
Springfield, MO 65802
Phone: 417-868-4008 Fax: 417-829-6160
APPENDIX IIa
Juvenile Name:
SS#
Party ID:
Notice of Supervision/Referral
Referring DJO/PO:
DOB:
Case No.
This is an acknowledgement of my continued responsibility to the Greene County Juvenile Court. I understand that regarding referral
dated
, the Deputy Juvenile Officer in this case is recommending
o Informal Adjustment
o Teen Court
o Informal Probation Informal Probation will not extend beyond this date (unless ordered by the court)
o Supervision Pending Jurisdictional/Dispositional Hearing (check anticipated recommendation)
□ Home on regular pending hearing supervision
□ Evening Reporting Center
□ Greene County Youth Academy
Check anticipated court recommendation
□ Formal Probation
□ RADAR
□ Greene County Youth Academy
□ DYS
I understand this recommendation may change based on my success while on supervision. I further understand that as a requirement
of my supervision with this office I will be meeting with an officer to discuss my Conditions of Probation. Below are
recommendations that the Deputy Juvenile Officer or Probation Officer is making as part of those conditions.
o Victim Offender Mediation
o Victim Impact Panel
o Burn busters (Juvenile fire setters program)
o LEAP (Life Experience and Accountability Program)
o Restitution in the amount of $
(if unknown) Date it will be assessed
o Other ________________________________
o D/A Assessment Date:___________________
Recommendation:___________________
o Gender Responsive Services
o Family Group Conferencing
o Girl’s Network
o LUV – Carol Jones
Please complete if this referral is formal or if there is a J/D hearing pending:
o Attorney notified Date
Name
o Psychosocial Assessment Scheduled Date
I understand that a report will be prepared at the end of my probation period. This report will include a statement of the successful
progress made while under supervision and summary of violations. This report will also include a recommendation to either
successfully terminate supervision or pursue further court involvement.
Juvenile
Date
As the parent/guardian of
, I understand that I too will be expected to cooperate fully with the Juvenile Office and
participate in the supervision of my child. I understand that I need to be present at the initial conference and at any subsequent
appointments as needed. I further agree to assist my child in making arrangements for payment of restitution and other fees related to
their supervision or referral to the Greene County Juvenile Court.
Parent
Date
32

IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
JUVENILE DIVISION
APPENDIX IIb
IN THE INTEREST OF:
«WI_GENERAL_JUVENILE_NAME»
(dob: «WI_GENERAL_FIRST_D_DOB»)
A child under seventeen
years of age.
Case «WI_GENERAL_CASE_ID»
RULES OF CONDUCT PENDING DISPOSITION
THIS IS AN AGREEMENT BETWEEN THE JUVENILE OFFICE AND/OR THE COURT AND THE
JUVENILE AND PARENT/GUARDIAN.
12. I will attend school, G.E.D. classes, or work (which ever is appropriate) each day. I will also act in a
cooperative, responsible manner while in attendance there.
13. I will cooperate fully with my Probation Officer and make all probation contacts as prescribed by that
Officer.
14. I will keep my parent/guardian(s) informed of my whereabouts at all times, and will not run away from
home. I will also follow a curfew as set by my parents/guardian(s) and my Probation Officer. I will be in
my home by ______ pm during the week and ______ pm on the weekend.
15. I will obey all Federal and State laws, municipal and county ordinances.
16. I will not associate with anyone of a negative influence as determined by my parent/guardian, Probation
Officer and myself.
17. I will not use, possess or distribute any controlled substance including drugs, alcohol or tobacco.
18. I agree to cooperate with drug and alcohol screening and to submit to random urine sample testing when
requested by my Probation Officer. I understand that failure to do so or tampering with a urine sample
will be considered a positive test.
19. I agree to attend, cooperate with and successfully complete any counseling or treatment program I am
referred to.
20. I will notify my Probation Officer immediately of any change of address or phone number.
21. I agree to report for and cooperate with probation sanctions and/or detention periods as assigned by the
Probation Officer.
22. I agree to wear and to cooperate with any and all aspects of the house arrest surveillance equipment. I
understand that if there is any tampering or damage done to the equipment, I will be held financially
responsible for that damage. I further understand that I may be assessed a daily fee for the use of this
equipment.
33

JUVENILE: I know that the Juvenile Officer and/or Court has placed me under supervision because my
behavior has been harmful to myself and others. I, therefore, accept this responsibility of helping myself, my
family, and my community by meeting the terms listed above.
PARENT/GUARDIAN: I know that the Juvenile/Probation Officer and/or Court can help my son or daughter,
only if I also help by doing my best as a parent. I will, therefore, continue this responsibility and agree to do the
following:
7. I will cooperate with the Juvenile Officer and Probation Officer and/or Court.
8. I will make every effort to see that my child attends school or G.E.D. classes each day, or maintains
employment, if withdrawn from school.
9. I understand that the role of the Juvenile Officer and Probation Officer and/or Court is for assistance
only; that I agree to continue my responsibility of parenting my child.
10. I agree to sign authorization for release of requested information.
11. I will attend all counseling sessions and therapy groups that I am referred to.
12. I understand that I am financially responsible for any lost, stolen or damaged electronic monitoring
equipment my son/daughter is placed on. I further understand that I may be assessed a daily fee for the
use of this equipment.
I fully understand and accept the terms of this agreement.
APPENDIX IIb
I HAVE READ THE ABOVE RULES AND UNDERSTAND THE TERMS OF MY PROBATION. I
REALIZE THAT A VIOLATION OF THESE RULES MY RESULT IN THE REVOCATION OF MY
PROBATION AND AN OUT OF HOME PLACEMENT IN A SECURE DETETION OR STATE RUN
FACILITY.
______________________________
«WI_GENERAL_JUVENILE_NAME»
________________________________
Parent/Guardian
________________________________
Date
34

IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
JUVENILE DIVISION
APPENDIX IIc
IN THE INTEREST OF:
«WI_GENERAL_JUVENILE_NAME»
(dob: «WI_GENERAL_FIRST_D_DOB»)
A child under seventeen
years of age.
Case «WI_GENERAL_CASE_ID»
JUVENILE DRUG COURT CONDITIONS WITH FORMAL SUPERVISION
THIS IS AN AGREEMENT BETWEEN THE JUVENILE OFFICE AND/OR THE COURT AND THE
JUVENILE AND PARENT/GUARDIAN.
23. I will attend school, G.E.D. classes, or work (which ever is appropriate) each day. I will also act in a
cooperative, responsible manner while in attendance there.
24. I will cooperate fully with my Probation Officer and make all probation contacts as prescribed by that
Officer.
25. I will keep my parent/guardian(s) informed of my whereabouts at all times, and will not run away from
home. I will also follow a curfew as set by my parents/guardian(s) and my Probation Officer. I will be in
my home by ______ pm during the week and ______ pm on the weekend.
26. I will obey all Federal and State laws, municipal and county ordinances.
27. I will not associate with anyone of a negative influence as determined by my parent/guardian, Probation
Officer and myself.
28. I will not use, possess or distribute any controlled substance including drugs, alcohol or tobacco.
29. I agree to cooperate with drug and alcohol screening and to submit to random urine sample testing when
requested by my Probation Officer. I understand that failure to do so or tampering with a urine sample
will be considered a positive test.
30. I agree to attend, cooperate with and successfully complete any counseling or treatment program I am
referred to.
31. I will notify my Probation Officer immediately of any change of address or phone number.
32. I agree to report for and cooperate with probation sanctions and/or detention periods as assigned by the
Probation Officer.
33. I agree to wear and to cooperate with any and all aspects of the house arrest surveillance equipment. I
understand that if there is any tampering or damage done to the equipment, I will be held financially
responsible for that damage. I further understand that I may be assessed a daily fee for the use of this
equipment.
35

JUVENILE: I know that the Juvenile Officer and/or Court has placed me under supervision because my
behavior has been harmful to myself and others. I, therefore, accept this responsibility of helping myself, my
family, and my community by meeting the terms listed above.
PARENT/GUARDIAN: I know that the Juvenile/Probation Officer and/or Court can help my son or daughter,
only if I also help by doing my best as a parent. I will, therefore, continue this responsibility and agree to do the
following:
13. I will cooperate with the Juvenile Officer and Probation Officer and/or Court.
14. I will make every effort to see that my child attends school or G.E.D. classes each day, or maintains
employment, if withdrawn from school.
15. I understand that the role of the Juvenile Officer and Probation Officer and/or Court is for assistance
only; that I agree to continue my responsibility of parenting my child.
16. I agree to sign authorization for release of requested information.
17. I will attend all counseling sessions and therapy groups that I am referred to.
18. I understand that I am financially responsible for any lost, stolen or damaged electronic monitoring
equipment my son/daughter is placed on. I further understand that I may be assessed a daily fee for the
use of this equipment.
I fully understand and accept the terms of this agreement.
APPENDIX IIc
I HAVE READ THE ABOVE RULES AND UNDERSTAND THE TERMS OF MY PROBATION. I
REALIZE THAT A VIOLATION OF THESE RULES MY RESULT IN THE REVOCATION OF MY
PROBATION AND AN OUT OF HOME PLACEMENT IN A SECURE DETETION OR STATE RUN
FACILITY.
______________________________
«WI_GENERAL_JUVENILE_NAME»
________________________________
Parent/Guardian
________________________________
Date
36

APPENDIX IId
IN THE 31ST JUDICIAL CIRCUIT COURT OF GREENE COUNTY, MISSOURI
FAMILY COURT, JUVENILE DIVISION
IN THE INTEREST OF:
Name: «WI_GENERAL_JUVENILE_NAME» )
Age: «WI_GENERAL_AGE» ) Case No. «WI_GENERAL_CASE_ID»
Sex: «WI_GENERAL_FIRST_D_SEX» )
DOB: «WI_GENERAL_FIRST_D_DOB» )
III.
PETITION
«Wi_General_Jo_Djo_Name», Deputy Juvenile Officer of and for Greene County, states to the Court:
1. This petition is filed in the interest of:
Name: «Wi_General_Juvenile_Name»
Street Address: «Wi_General_First_D_Strt_Addr»
City, State: «Wi_General_First_D_Cty_St_Zp»
DOB: «WI_GENERAL_FIRST_D_DOB»
2. The name and address of the juvenile’s father is:
Name: «Wi_General_Father»
Street Address: «Wi_General_Father_Strt_Addr»
City, State: «Wi_General_Father_City_St_Zip»
3. The name and address of the juvenile’s legal father is:
Name: «Wi_General_Lfat_Name»
Street Address:
City, State:
4. The name and address of the juvenile’s mother is:
Name: «Wi_General_Mother»
Street Address: «Wi_General_Mother_Strt_Addr»
City, State: «Wi_General_Mother_City_St_Zip»
5. The juvenile is in the custody of:
Name: «Wi_General_Mother» and/or «Wi_General_Father»
Street Address: «Wi_General_First_D_Strt_Addr»
City, State: «Wi_General_First_D_Cty_St_Zp»
6. The juvenile is subject to the jurisdiction of this Court because said juvenile:
is a resident of Greene County, Missouri,
was found in Greene County, Missouri, and/or
committed the alleged law violation(s) in Greene County, Missouri.
37

Pursuant to Section 211.031.1 RSMo., said juvenile is in need of the care and treatment of this Court in
that:
A. allegations
B. allegations
7. The juvenile is in judicial custody at the time of filing.
APPENDIX IId
Wherefore, Petitioner prays that the Court make and enter such judgment as the Court shall find to be
necessary in the best interests of the juvenile and the best interests of the state.
Respectfully submitted,
__________________________________________
«WI_GENERAL_JO_DJO_NAME», Deputy Juvenile Officer
__________________________________________
BILL PRINCE #31384
Attorney for Juvenile Officer
1111 North Robberson
Springfield, MO 65802
Phone: (417) 868-4008
Fax: (417) 868-4119
38

IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
FAMILY COURT, JUVENILE DIVISION
APPENDIX IIe
IN RE THE INTEREST OF:
«WI_GENERAL_JUVENILE_NAME»
(dob: «WI_GENERAL_FIRST_D_DOB»)
CASE NO. «WI_GENERAL_CASE_ID»
A CHILD UNDER SEVENTEEN
YEARS OF AGE.
MOTION TO MODIFY PREVIOUS ORDER OF DISPOSITION
Comes Now, «WI_GENERAL_JO_DJO_NAME», Probation Officer, by and through his attorney of
record, and for his Motion to Modify Previous Order of Dispositions states to the Court as follows:
1. On xxxxxxxx xx, 201___, the juvenile, «WI_GENERAL_JUVENILE_NAME», was found to be
within the jurisdiction of the Court pursuant to Section 211.031.1(3), and the Court on that date entered an order
of disposition that said juvenile was given a suspended commitment to the Missouri Division of Youth Services
and placed on conditions of formal probation supervised by the Juvenile Office for an indeterminate period of
time.
2. The aforesaid order of disposition should now be modified for the following reasons:
A. Said juvenile violated Condition of Probation __ by
B.
WHEREFORE, Movant prays that the Court order that a hearing be held herein and that upon receipt of
evidence at said hearing, this Court modify its previous order of disposition by revoking the conditions of
formal probation, imposing the commitment to the Division of Youth Services and for such other and further
orders as it shall find to be in the welfare and best interests of the State.
______________________________
«WI_GENERAL_JO_DJO_NAME»
Probation Officer
Greene County Juvenile Office
______________________________
Attorney’ Name & Bar #
1111 North Robberson
Springfield, MO 65802
417-829-xxxx
Attorney for Greene County
Juvenile Office
39

GREENE COUNTY JUVENILE SOCIAL HISTORY Date / /
PLEASE PRINT – GUARDIAN must complete
IDENTIFYING INFORMATION
Juvenile Info: First Name: M.I. Last Name:
SS#: DOB: Age: School: Grade:
Gender: M / F Ethnicity: Eye Color: Hair Color: Height: Weight:
Mother Info: First Name: M.I. Last Name:
St Address: City: State: Zip
Phone: Other#: DOB: Deceased (put year)
SS# Employer: Work Hours:
Father Info: First Name: M.I. Last Name:
St Address: City: State: Zip
Phone: Other#: DOB: Deceased (put year)
SS# Employer: Work Hours:
Guardian/Step- First Name: M.I. Last Name:
Parent Info:
St Address: City: State: Zip
Phone: Other#: DOB: Deceased (put year)
SS# Employer: Work Hours:
Other than the reason you are here today, what problems are you having with your child?
APPENDIX IIf
What has been tried to correct the problem?
What do you think needs to happen to help change things?
Medical History
Has the child ever had surgery, any RECENT or CURRENT physical health problems OR problem with sleeping or eating?
CURRENT Medication Prescribing Physician Began Month/Year
Behavioral Health History
Circle NONE or list previous or current counseling, hospitalizations for behavior problems or OUT of home placements:
Location or Counselors Name Month/Year Admitted/Began Counseling Length of Treatment
40

APPENDIX IIf
List any substances the child is suspected of abusing or known to have used or circle NONE:
Name of substance Suspected Known Age Started How Often Amount used Last Use
Has the child ever talked about self-harm or suicide OR purposefully harmed themselves in any way? Complete if YES or circle NO
Approximate Mo/Yr What did you hear/see the child say or do? Or what did someone tell you the child said or did?
Has the child instigated harm or threats to another person or animal or been destructive to property? Complete if YES or circle NO
Approximate Mo/Yr What was observed? And by whom?
Any history of abuse, neglect, or traumatic experiences? Circle one: NONE / PHYSICAL / SEXUAL / EMOTIONAL / TRAUMATIC EVENT
Explain:
Recent Stresstors:
Other then the problem that you are here for today, has the family had any other stressors over the last year? YES NO
Explain:
How many in school suspensions has the child had this year? Reasons?
How many out of school suspensions has the child had this year? Reasons?
Have there been any deaths in the child’s family or circle of friends, over the last three years?
Has the family moved over the last 2 years? YES / NO How many times?
Other State Juvenile Court History Month and Year Reason for Involvement
Resource System
Names of those living in the home with the child Age Relationship
If parents are divorced/separated, what is the custody agreement?
If parents are divorced/separated, how often does the child have visitation?
Check those that apply: Alcohol Abuse Drug Abuse Mental delays/disabilities Suicide or Attempts Depression Anxiety Incarcerated (30days)
Bio Mother
Bio Father
How well does your child make friends? Good/Fair/Poor Maintain friendships? Good/Fair/Poor Choice of friends? Good/Fair/Poor
List any agencies/organizations/church/hobbies, gang involvement, or in/out of school activities that your child is involved in.
Circle if your child had MEDICAID or PRIVATE INSURANCE
Policy/Medicaid Number:
Is your provider ST JOHNS or COX HEALTH
Is your child attending school? YES/NO Child’s grades? GOOD/FAIR/POOR
Is child in REGULAR CLASSES / SPECIAL ED
What things does your child do well?
41

JIS Juvenile Summary
See hard copy
APPENDIX IIg
42

EVENING REPORTING CENTER
AGREEMENT, WAIVER, AND RELEASE
APPENDIX IIIa
PARTICIPANT’S NAME:________________________
DATE OF BIRTH:_______________________________
ADDRESS:__________________________CITY__________________
STATE:______________ZIP CODE:____________________________
GENDER M F (CIRCLE ONE) GRADE________ SCHOOL___________
HOME PHONE:_______________WORK PHONE:___________________
CELL PHONE:________________ EMERGENCY PHONE:________________
DOCTOR’S NAME:_____________PHONE NUMBER:____________________
INSURANCE/MEDICAID NUMBER:___________________________________
SPECIAL MEDICAL
CONDITIONS:____________________________________________________________________________________
ALLERGIES:___________________________________________________________
AGREEMENT, WAIVER & RELEASE
In consideration for being permitted by Greene County Missouri to participate in the Evening Reporting Center
Program (ERC) and its activities, I hereby waive, release and discharge any and all claims for damage for personal
injury, death or property damage which I may have, or which may hereafter accrue to me as a result of
participation in the ERC. This release is intended to discharge in advance the above entity (its officers, employees
and agents) from any and all liability arising out of or connected in any way with my participation in said activity
even though the liability may arise out of negligence or carelessness on the part of the persons or entities mentioned
above. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and
assigns. I agree to indemnify and to hold the above persons or entities free and harmless from any loss, liability,
damage, cost or expense which they may incur as a result of my death or injury or property damage that I may
sustain while participating in said activity.
Name:_________________________
Date:_________________________
Participant Signature:__________________________
PARENTAL CONSENT
I hereby consent that _____________________________participates in the ERC and I hereby execute the
Agreement, Waiver and Release on his/her behalf. I state that the minor is able to participate in the ERC, and I
agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability,
damage, cost or expense that they may incur as a result of the death or any injury or property damage that said
minor may sustain while participating in said activity.
I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND
ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT
BETWEEN MYSELF AND THE ABOVE ENTITTY AND I SIGN IT OF MY FREE WILL.
Print Name:___________________________________________
Relationship:__________________________________________
Signature:___________________________________________
Date:________________________________________________
43

EVENING REPORTING CENTER
PARENTAL APPROVAL FOR MEDICATION
APPENDIX IIIb
If youth takes meds, youth will be required to take them at home before or after the
program.
Meds must be in original bottle and given to staff.
If youth takes no meds, parents cross out page and initial.
I/We, the parent(s)/guardian(s) of ______________________________, request and
authorize that the above-named minor child be administered medication in the following
manner during his/her involvement with the Greene County Juvenile Office-Evening
Reporting Center.
_________:
(Initial)
My child may receive the medication listed below
as described. All prescription medication must include the original
label from the pharmacy or written instructions by the physician.
Medication Dosage Parent/Guardian Initials
_______________ __________ __________
_______________ __________ __________
_______________ __________ __________
Other instructions or comments:_______________________________
_____________________________________________________________
_____________________________________________________________.
Any know allergies:____________________________________________.
Health problems:: ADD_____ Asthma_____ Seizures_____ Heart Problems_____
Diabetes_____ Other__________________________
44

APPENDIX IIIc
Medical Insurance Information
Dental Insurance
Employers:_______________
Ins. Co.____________
Insurance Co.:________________
Policy No.__________
Policy Number:_________________
Policy Holder SSN:______________
Medicare/Medicaid Recipient No.:_______________
Name of child’s personal physician:______________
Physician Phone No.:__________________________
In the event that an employee of the Greene County Juvenile Office is exposed to blood or
body fluids from the above said juvenile, I hereby give permission for the above-named
juvenile to be tested for the Human Immunodeficiency Virus (HIV), and for the Hepatitis
Virus, and for the release of such tests as permitted by law.
In case of an emergency, parents will be the first to be notified.
Insurance info is not required.
If parent chooses not to disclose information, parent cross out page and initial.
__________________________
ERC Representative
_________________________
Parent/Guardian
_________________________
Date
_________________________
45

Policy
HOGAN BUILDING
SEARCH POLICY AND SAFE HANDLING OF ITEMS TAKEN
The program staff search client and parents to control contraband. A staff member shall conduct pat down and/or wand search daily
upon arrival at programming in the Hogan Building. Unannounced and randomly timed searches may also be conducted as need
arises.
Definitions
Contraband: Any item or article that has not been authorized by the program staff. Or any item that secretly or negligently remains in
the youth’s possession after the security search.
Nuisance Contraband: Any item that has not previously been authorized for possession by the order of the court or by program rules .
Examples include: cell phones, mp-3 players, etc
Hazardous Contraband: Any item which poses a serious threat to the security or safety of the staff and participants of any program
located at the Hogan Building. Examples include weapons of any kind, medication of any kind, illegal substances, etc.
PROCEDURE
At the beginning of each day and at random unannounced times the program staff will conduct pat-down searches of all youth. Staff
member conducting the pat down will be of the same gender as the youth. The procedure is as follows:
1. Youth will enter the security check area and remove any coat or other unnecessary clothing items. Additionally, youth will
remove shoes and socks, and stand on sanitation barrier.
2. Youth is asked to empty the contents of his/her pockets (pants, shirts, jackets, etc) and place all personal items in a locker
that is assigned to them for the duration of their stay. School work materials will be placed on a table for search and
release to the designated program.
3. All personal property will be searched for contraband and cleared for designated program.
a. Coats will remain in the security area in a designated location
b. Remaining personal items will be secured in the youth’s locker for the remainder of the day.
c. A metal detector wand will be used to search youth for contraband as well as a visual mouth cavity check.
d. School work materials, to include backpacks, will be searched if taken into program areas. Items needed for
homework and tutoring assistance will be placed in the designated program area.
4. Once a youth is searched they will be directed to designated program area and remain under staff supervision for the day.
Procedure for dealing with Contraband:
APPENDIX IIId
1. Contraband items will be confiscated for review by the Facility Manager, Program Coordinators, Referring DJO or PO and
Court.
2. An incident report of all hazardous contraband that is discovered will be prepared and signed by the staff member
completing the search. This report will be submitted to the respective Program Coordinator and Probation and Field
Services Director for review. Probation and Field Services Director, DJO or PO, and Staff Attorney will determine if
criminal charges should be filed.
3. Youth caught with hazardous contraband may be removed from the program and transported to the detention facility.
Program Coordinator will provide the DJO/PO necessary communication.
4. Springfield Police Department will be contacted to complete a chain of custody on all hazardous contraband in the. All
other contraband may be destroyed or returned to the youth’s parents at the discretion of the Program Coordinator.
5. All youth caught with nuisance contraband are subject to disciplinary action and may result in termination from the
program.
6. IT IS IMPERATIVE TO KNOW THAT CONTRABAND CAN RESULT IN REMOVAL FROM ALL
PROGRAMMING AT THE HOGAN BUILDING AND MAY RESULT IN SECURE DETENTION.
I have read and understand all of the above search policies and procedures for participation in programming at the Hogan
Building.
Date
Youth Signature
Date
Parent Signature
46

APPENDIX IIIe
Evening Reporting Center
Authorization for Pick-up
I hereby give the following list of people authorization to pick up my son or daughter __________________if
I’m unable to do so. The following individuals are authorized to obtain information on my son or daughter’s
status. Additionally, I certify that the individuals listed, including myself, are not registered Sex Offenders.
Name Address DOB Parent completing form
Name Address DOB Relation
Name Address DOB Relation
Name Address DOB Relation
Name Address DOB Relation
The above listed individuals MUST SUBMIT PROPER PICTURE ID when picking up your child, so that a
cross-check can be done with this form.
It shall be noted that the Evening Reporting Center will not release a child to anyone that appears to be under
the influence of drugs or alcohol.
Parent Signature
Date
47

ERC #= 417-818-7558
Evening Reporting Center
Parent Orientation Handbook
APPENDIX IVa
The Evening Reporting Center is designed to assist your son/daughter with remaining in the community until
their court hearing and to impact their lives in a positive way. This placement is a privilege and parental
involvement is a critical part of your child’s success, and is a required part of this community supervision
program. This booklet contains all of the information you will need to know to help your child be successful in
this program, and eligible for consideration of long term community supervision programs.
5 Basic Needs
1. Respect and be respected: Sharing the same basic goal of your child’s success we agree to work with
you as a team to accomplish this goal
2. Direction and Discipline: We will make every effort to inform you of the disciplinary decisions that
have been made regarding your child so that you may offer support to the ERC and continued guidance
to your child.
3. Support: We will make every effort to provide you with the services and support you need to be
effective in parenting your child
4. Freedom: Continuing your responsibility of parenting your child will increase the probability that your
child will be able to remain in the community until their court hearing.
5. Fun: While the primary goal of this program is to maintain community safety and ensure that your child
appears for court, we will attempt to provide programming and information in a fun, friendly way.
Expectations
1. Parents are expected to attend the parent workshop once a week on _____________________________.
In addition, you are invited to bring other members of your family who have a parental role with your
child (for example: grandparents, an older adult sibling, etc). Parents are expected to sign a
confidentiality agreement at each parent workshop.
2. Parents are expected to sign all necessary forms for participation in the ERC including but not limited
to: release of information, medication, transportation, physical searches, authorization for pick up,
acknowledgement of disciplinary issues.
3. It is the responsibility of the parents to ensure the punctual arrival (3:00 p.m. - 3:15 p.m.) and pick up
(7:45 p.m. - 8:00 p.m.) of their child and contact staff regarding absences, meetings, appointments, etc.;
the DJO/PO will be contacted if the youth is absent or late.
4. Parents will not interrupt the program schedule by arriving at the ERC unannounced.
5. Parents are expected to assist facility staff in ensuring their youth is complying with the rules and
expectations of the ERC.
6. Youth will not be called by any inappropriate nicknames.
7. To maintain the safety and security of the evening reporting center, parents are subject to our search
policy. To aid in maintaining a safe environment, parents are asked to leave all personal items
(excluding a car key) locked in their vehicle or at home.
Drop off and Pick up
Parents need to be aware that adult sex offender status must be disclosed and no adult sex offenders can drop off
or pick up a youth. Additionally, if parents are unable to meet the expected drop off or pick up times, as stated
above in under Expectations #3, due to extenuating circumstances, then staff needs to be made aware in an
effort to discuss possible options.
48

Drop off:
APPENDIX IVa
1. For your child’s safety, please pull into the parking lot at the North side of the building to allow youth
safe exit from the vehicle.
*If mode of arrival is other than vehicle, the youth will bring their bicycle into the ERC where staff will
secure it in the storage room.
2. Youth will ensure staff is aware of their arrival by either ringing the doorbell and/or knocking. Youth
will wait at the door for staff. After entrance into the ERC, youth will sit in the waiting area.
3. When summoned they will enter the security check area and follow Search Policy and Procedures.
Pick up:
Youth will be released from the ERC from 7:45 p.m. - 8:00 p.m. Parents and/or authorized representative
need to arrive at the ERC at approximately 7:45 p.m., and wait in their vehicle until youth are released. For
the parent workshops, families are dismissed one at a time and youth will be released with parent after an
update is provided.
Parent or Authorized pick up person will be expected to provide license identification to verify their
eligibility to pick up youth.
Be prepared to have a conversation with staff about behavior, changes in schedule, or updates on home
behavior.
Youth will be released from the program one at a time on a first come basis. Please be patient with the ERC
Staff.
Regardless of how the youth arrives at the ERC, it is an expectation that the youth will be picked up by a
parent or authorized person. Youth will arrive 3:00 p.m. - 3:15 p.m. Monday through Friday, and will be
picked up between 7:45 p.m. - 8:00 pm by the parent or designated, authorized persons. Alternate
arrangements may be made on a case by case basis and will need approval of the DJO/PO.
Behavior Management
1. Each youth and parent will complete an orientation process to understand their respective
responsibilities and expectations from the start.
2. Youth will complete urinalysis testing as determined by the ERC staff or DJO/PO. Results will be
provided to the parent.
3. Once youth and parents know the rules, ERC staff will consistently enforce the behavior expectations.
4. Verbal warnings may be used to consequence minor rule violations. A minor program rule is one that
does not interrupt the program, does not cause any harm to others, and can be easily redirected with a
verbal warning. Parents will receive verbal notification, at the end of the day of any behavior that
required a verbal warning. All verbal warnings and notice to parents will be documented in the daily
points/observation notes.
49

Grievance Procedures
APPENDIX IVa
A parent or participant has the right to grieve any behavior or disciplinary action of staff or other participant.
The parent or participant will be allowed to complete a grievance form and submit accordingly to the ERC
Coordinator. If the grievance is in relation to the ERC Coordinator, then the grievance form must be provided
to the Director of Probation and Field Services at the Greene County Juvenile Office. The grievance procedure
is not to be used as a threat. The steps of the grievance procedure are as follows:
1. Speak directly to the staff member(s) regarding conflict with an attempt to resolve the issue.
2. Politely ask staff for an opportunity to complete a grievance form if informal resolution was not
satisfactory. Place the form in a sealed envelope with your signature across the seal.
3. The grievance form will be provided to the appropriate person as indicated above and necessary action
will be taken.
4. Parents will be provided a verbal report (documented in daily log) of any grievance their child files and
resolution to the matter
Important Information
If Springfield Public Schools are closed due to WEATHER, then ERC is also closed. If the participant
is not a Springfield Public School student, but their school is closed due to WEATHER and SPS is
open, you are expected to call the ERC.
Youth may be required to make up days missed, as determined by the PO/DJO, behavior, level of
participation, level of supervision needed, etc.
If your child is sick and misses a day of ERC, a doctor’s note is required, and the youth will make up the
missed day.
Neither the ERC nor its affiliates are responsible for any lost, damaged, or stolen items.
Confidentiality of parents and participants will be maintained during ERC programming as well as
outside of the ERC, to include interactions in the community.
Evaluation
In effort to provide the highest quality service to these youth, all participants will be expected to evaluate the
program on a weekly basis. Parents will have the opportunity to evaluate the value of the parent workshop at
the end of the ERC program and fill out an overall impression evaluation of the value of the program to their
child.
The ERC Coordinator or ERC staff has reviewed the Parent Orientation Manual with me and provided me a
copy for my future review. By signing below I agree to comply with the expectations of the Evening Reporting
Center, I understand that this requires my participation in the parent group and that my child’s success in the
community depends on my involvement.
ERC Staff Signature Parent Signature Date
51

APPENDIX IVb
ERC OATH OR AFFIRMATION
I SOLEMNLY SWEAR OR AFFIRM THAT I WILL NOT DISCLOSE, EITHER BY WORDS OR
DEEDS, ANY INFORMATION WHICH I LEARN IN THE COURSE OF A PARENT
COMMUNICATION GROUP, AND THAT I WILL KEEP CONFIDENTIAL ALL PERSONAL
INFORMATION DISCUSSED IN MY PRESENCE.
Date:
Signature (Youth & Parent Sign)
Print Your Name
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
52

ERC #= 417-818-7558
Evening Reporting Center
Youth Orientation Handbook
APPENDIX Va
The ERC is a program designed to assist participants with remaining in the community and influence
their lives in a positive way. Participants should consider placement in the ERC as a privilege and an
opportunity to make positive changes in their behavior. In this booklet you will receive the information that is
needed for you to succeed in the ERC program.
5 Basic Needs
We believe that everyone is driven by the desire to fulfill these 5 basic needs:
1. To Respect and be Respected: Showing that we care about and respect each other.
2. Direction and Discipline: Setting goals for our lives that move us in a positive direction and
developing the discipline to achieve those goals.
3. Self Esteem: Feeling good because we have set realistic standards for ourselves and are able
to evaluate our behavior and attitude. Having the ability and will to correct our behavior when
it is harmful to ourselves or others as well as have a sense of pride when we are helpful
towards others.
4. Freedom: Taking responsibility for our attitude and behavior so that we can increase our
choices in daily living.
5. Fun: Having a good time without hurting ourselves or others.
Expectations
1. All participants of the ERC program are expected to follow staff directives at all times.
2. Participants are to arrive at the ERC Program no later than 3:15 each day. Driving distances will
be taken in consideration as necessary and case by case needs will be considered, but with only
fifteen (15) minute leeway.
3. Participants of the ERC are expected to respect the property of the facility and others at all times.
4. No drugs, drug paraphernalia, alcohol, weapons, tobacco, lighters, pens, pencils or sharp
instruments are allowed into the ERC facility. Youth will be provided with necessary materials
for program success.
5. ALL participants (youth and parents) of the ERC will be subject to a search of person and
property upon entry to the facility, as well as random searches throughout the evening.
6. While participating in the ERC program, it is expected that participants will treat others with
respect at all times. Behaviors that are considered disrespectful include but not limited to;
cursing, gang-related behavior, side-talking, etc. If someone is disrespectful to the participant,
staff needs to be informed immediately so the problem solving process can begin.
7. Aggressive behavior such as fighting or threats WILL NOT be tolerated. Sexual contact is
strictly prohibited at the ERC facility. Touching is not allowed. Touching includes but not
limited to horseplay, holding hands, hugging, etc.
8. Discussion or bragging about criminal behavior is not allowed.
9. All personal items, including electronic devices, such as cell phones, pagers, computer games,
radios, MP3 players, etc., will be placed in a locker prior to entering the ERC program and
returned to the participant at the end of the evening unless it is a contraband item.
10. No food or drink items from outside of the facility are allowed.
53

11. If participants of the ERC have knowledge of incidents or activities that may threaten or disrupt
the ERC program and fail to inform staff they may be held responsible for the results of the
incident.
12. No inappropriate nicknames or slang words are allowed while at the ERC.
13. Participants of the ERC must ask permission to get out of their seat during groups.
14. Participation is required in all program activities
15. All visible tattoos must be covered prior to entering the ERC.
16. Participants need to be respectful during groups and refrain from distracting behaviors.
17. Participants of the ERC are required to bring homework or a book to read every day while
participating in the program.
18. Participants are expected to sign a confidentiality agreement at the start of each day and at each
parent workshop
Community Service
APPENDIX Va
All participants are required to actively participate in a minimum of 1community service project
on a Saturday (Community service projects usually last three to five (3-5) hours).
Youth are allowed to complete community service on a Saturday, on their own volition and in
accordance with applicable rules, in an effort to receive extra ERC participation points. Youth
are only allowed to earn up to 10 extra participation points at 5 points for two hours of
community service, and a maximum of two community service opportunities; verifiable
documentation of completed community service is required for acceptance. Youth are expected
to follow ERC expectations during community service.
*Note: Youth’s successful release may be suspended until the community service requirements have been met
satisfactorily; this can be determined on a case by case basis.
Behavior Management
ERC operates with a point system that rewards participants with positive points when they meet behavior and
program expectations. When a participant violates any rule they may be subject to reduced point accumulation.
Points, behaviors, and level of participation are documented on the Daily Observation Sheet and participants
can earn up to 20 points per day.
Youth will complete urinalysis testing as determined by the ERC staff or DJO/PO. Results will be provided to
the parent.
Discipline Procedure
1. Verbal Warning: When a participant violates a minor program rule staff will redirect him/her verbally
and document the violation.
2. Points: When a participant violates any rule they may be subject to reduced point accumulation.
3. 10 minute timeout: When a participant violates a more serious rule or has received a verbal warning
already he/she will be given a 10 minute timeout and will complete a Thinking Report.
4. Secure Detention: If a participant violates any of the criteria for unsuccessful release (refer to Release
Criteria on the following page) they may be subject to immediate transport to the secure detention
facility.
*Incident reports will be completed as needed and parents and DJO/PO will be notified
54

Release Criteria
APPENDIX Va
Successful Release
Participating successfully in the program until the scheduled hearing.
Participating actively for the required length of stay.
After earning 90% of the required total points to include a maximum of 20 points awarded each
program day and 10 points for community service project, as well as extra community service
points, youth may be considered for early release from the ERC.
Unsuccessful Release-Any of the following may result in transport to secure detention
Automatic discharge from the program
Any new law violation.
Sexual contact within the facility.
Noticeably and/or verifiably under the influence or in possession of drugs and/or alcohol.
Possession of a concealed or illegal weapon.
Any unexcused absence.
Possible discharge from the program
Inappropriate physical contact within the facility.
Possession of tobacco.
Gang related behavior.
Disruptive behavior.
Any violation of the conditional release, pending hearing rules, or conditions of formal
probation.
Tardiness-Youth is late by 15 minutes or more, with no verifiable reason, on more than two
program days within the expected days of attendance.
1. Upon release, ERC Staff will prepare a report for the court outlining all behaviors, successes and
challenges, that the youth and parents had while participating at the ERC.
2. Parent involvement is important in this program. Number of parent groups attended and nightly
punctuality will be included in the report for the court. Release may be suspended until the parent/youth
communication group requirements have been met.
3. If youth is eligible and is successfully released from the ERC at a date prior to their court date, it is a
condition of community supervision that the youth will continue under the supervision of the Formal
Probation Unit until the court orders otherwise.
4. If youth is released unsuccessfully and returned to the detention facility, they will not be eligible to
return to the ERC without a court order to attend.
5. Parents and youth are encouraged to complete a voluntary program evaluation.
Dress Code
1. Participants may not wear clothing that is deemed distracting by ERC staff. This includes but is
not limited to clothing with offensive language or slogans, drug or alcohol advertisements, racist
or sexist messages, etc.
2. No revealing clothing, such as belly shirts, short skirts/shorts, hip huggers, tube tops, cut off
sleeves, tank tops, etc.
3. No head coverings such as hats, hairnets, bandanas, beanies, doo rags, etc.
4. No sloppy dress attire such as house shoes, slippers, pajamas, etc.
5. No open toed shoes
55

6. No clothing that is ripped or has holes
7. No sagging pants or shorts
8. No jewelry such as necklaces, earnings, facial piercings, belly rings, etc.
9. The ERC does not allow clothing or jewelry that may identify you with a GANG. Such items
will be removed upon admission and given to the DJO/PO as well as documented in your court
report.
Grievance Procedure
APPENDIX Va
A participant has the right to grieve any behavior or disciplinary action of staff or other participant. The
participant will be allowed to complete a grievance form and submit accordingly to the ERC Coordinator. If the
grievance is in relation to the ERC Coordinator, then the grievance form must be provided to the Director of
Probation and Field Services at the Greene County Juvenile Office. The grievance procedure is not to be used
as a threat. The steps of the grievance procedure are as follows:
1. Speak directly to the staff member(s) regarding conflict with an attempt to resolve the issue.
2. Politely ask staff for an opportunity to complete a grievance form if informal resolution was not
satisfactory. Place the form in a sealed envelope with your signature across the seal.
3. The grievance form will be provided to the appropriate person as indicated above and necessary action
will be taken.
4. Parents will be provided a verbal report (documented in daily log) of any grievance filed and resolution
to the matter
Important Information
If Springfield Public Schools are closed due to WEATHER, then ERC is also closed. If the participant
is not a Springfield Public School student, but their school is closed due to WEATHER and SPS is
open, parents are expected to call the ERC.
Youth may be required to make up days missed, as determined by the PO/DJO, behavior, level of
participation, level of supervision needed, etc.
If a participant is sick and misses a day of ERC, a doctor’s note is required, and the youth will make up
the missed day.
Neither the ERC nor its affiliates are responsible for any lost, damaged, or stolen items.
Confidentiality of participants will be maintained during ERC programming as well as outside of the
ERC, to include interactions in the community.
If you fail to follow any of the above stated rules you may be suspended, terminated, or not receive credit for
participation, and may be placed in secure detention. If you commit a delinquent act while at the ERC, local law
enforcement will be notified and you could face additional charges and/or consequences.
I have read and understand all of the above rules for participation in the ERC. By signing this contract I agree to follow
all of the rules.
Date: _______________
Signature: _________________________________
Youth
Date: _______________
Signature: _________________________________
Parent
56

APPENDIX VIa
ERC OATH OR AFFIRMATION
I SOLEMNLY SWEAR OR AFFIRM THAT I WILL NOT DISCLOSE, EITHER BY WORDS OR DEEDS, ANY INFORMATION
WHICH I LEARN IN THE COURSE OF THE PROGRAM, AND THAT I WILL KEEP CONFIDENTIAL ALL PERSONAL
INFORMATION DISCUSSED IN MY PRESENCE.
Print Time Time Staff
Date Signature Name Locker # Key Out Key In Initials
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
_______ _______________ ______________ ____ _______ _______ _____
57

APPENDIX VIb
Daily Observation Sheet
Daily Point Group 1 Group 2 Group 3 Tutoring
Prompt Arrival- Behavior- Behavior- Behavior- Behavior-
Check-In Behavior- Interaction- Interaction- Interaction- Participation-
Contraband- Participation- Participation- Participation- Pre-Dinner Group
Dinner Behavior- Staff Observation- Staff Observation- Staff Observation- Behavior-
Participation-
Date: __________________
Locker: ________________
Arrival Time: ___________
Pick Up Time: __________
Juvenile Name: __________________________
Pencil #: _______________________________
Presenting Demeanor: ____________________
Person Picking Up: _______________________
Contraband Post Safety Check: Yes/No What: ________________________________________
Post Program Parent Update: ERC Staff: _____________________________________________
Group 1-__________Comments-___________________________________________________________
______________________________________________________________________________________
_____________________________________Staff Signature-____________________________________
Group 2-__________Comments-___________________________________________________________
______________________________________________________________________________________
_____________________________________Staff Signature-____________________________________
Group 3-__________Comments-___________________________________________________________
______________________________________________________________________________________
_____________________________________Staff Signature-____________________________________
Tutoring/Pre-Dinner-__________Comments__________________________________________________
______________________________________________________________________________________
_____________________________________Staff Signature-____________________________________
Overall Day Comments-__________________________________________________________________
_____________________________________Staff Signature-____________________________________
Other relevant information: _______________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
58

APPENDIX VIc
ERC Community Service Observation Sheet
Project: ________________________________
Prompt Arrival _____
No use of phone/electronics _____
Respecting facility property _____
Participation (1 st half) _____
Behavior (1 st half) _____
Following staff directives _____
Following community leader directives _____
Staff observation _____
Participation (2 nd half) _____
Behavior (2 nd half) _____
Date: ___________
Juvenile Name: _______________________
Arrival Time: ______________
Pick up Time: ______________
Person picking up: ____________________
Overall Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Staff Signature: _____________________________________
59

APPENDIX VId
Evening Reporting Center
Notice of Behavior
ERC participant , was involved in behavior today, _______which
did/did not (circle one) require a thinking report.
Briefly describe the behavior:
___
______
___
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
This matter was resolved, successfully/unsuccessfully (circle one)
□ Further behavior of this nature may result in unsuccessful release and placement in secure detention.
□ Due to non-compliance your child was transported to detention and is not eligible for return without a court order.
Staff Signature
Participant Signature
Parent Signature
60

APPENDIX VIe
Thinking Report
See hard copy
61

APPENDIX VIf
IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
Juvenile Justice Center
Greene County
1111 N. Robberson
Springfield, MO 65802
Re: (Participant Name)
(DOB:XX-XX-XXXX)
Case No. XXXXXXXX
(Month, day, year)
Statement of Supervision:
Evening Reporting Center
Incident Report
(Location and date of incident)
(Description of Incident)
Identify all parties involved; if any are additional youth, use their initials. Describe, in as much
detail as possible, the incident to include precipitating factors, ways staff tried to intervene, and the
outcome, to include time of transport to detention if applicable and notice to parents and DJO/PO.
Respectfully submitted,
Name
ERC (Position)
Type of restraint used:
Name
ERC Coordinator
FOR OFFICIAL USE ONLY
Physical restraint
Not applicable
Mechanical restraint
Not applicable
Time placed in restraint: _______________
Time restraint removed: _______________
Injuries:
Time placed in restraint: _______________
Time restraint removed: _______________
Yes No Not applicable
If Yes, explain to include applicable medical treatment: ________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
62

APPENDIX VIg
EVENING REPORTING CENTER
PARTICIPANT GRIEVANCE FORM
Complete all sections
Participant’s Name:__________________________
Today’s Date:____-____-20___
My grievance is aimed at whom or what’s the situation:___________________________
Date of Incident:____-____-20____ Time of Incident:_____:_____ ( am / pm )
Describe what happened:___________________________________________________
________________________________________________________________________
Explain why did you felt this was unfair to you:_________________________________
How do you feel it should have been handled differently according to Evening Reporting
Center Rules?____________________________________________________________
________________________________________________________________________
Have you read and understand the Youth Orientation Handbook? YES / NO
Who do you want to handle this grievance that is currently working?
(Staff’s name):__________________________________________
63

APPENDIX VIg
STAFF NOTES
Describe the grievance outcome:_____________________________________________
________________________________________________________________________
________________________________________________________________________
Describe any further actions (if further actions were necessary):_____________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Did participant achieve what his/her original grievance goal(s)? Explain:_____________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Processing Staff’s Signature:_______________________________________
Date:________________
Coordinator’s Signature (follow up):_______________________________
Coordinator’s Follow-up Date:_____________________
Additional Coordinator’s Comments:_______________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
64

APPENDIX VIIa
Would you be interested in being contacted regarding volunteering?
If so, please contact the ERC Coordinator at 417.818.7558 or erc.greenecounty@gmail.com
Would you be interested in being contacted regarding volunteering?
If so, please contact the ERC Coordinator at 417.818.7558 or erc.greenecounty@gmail.com
Would you be interested in being contacted regarding volunteering?
If so, please contact the ERC Coordinator at 417.818.7558 or erc.greenecounty@gmail.com
Would you be interested in being contacted regarding volunteering?
If so, please contact the ERC Coordinator at 417.818.7558 or erc.greenecounty@gmail.com
Would you be interested in being contacted regarding volunteering?
If so, please contact the ERC Coordinator at 417.818.7558 or erc.greenecounty@gmail.com
Would you be interested in being contacted regarding volunteering?
If so, please contact the ERC Coordinator at 417.818.7558 or erc.greenecounty@gmail.com
Would you be interested in being contacted regarding volunteering?
If so, please contact the ERC Coordinator at 417.818.7558 or erc.greenecounty@gmail.com
Would you be interested in being contacted regarding volunteering?
If so, please contact the ERC Coordinator at 417.818.7558 or erc.greenecounty@gmail.com
66

APPENDIX VIIb
*DO NOT put your name on this form*
Age:______ Gender:______ Date Started ERC:_______ School:____________
Date completed form: _______
ERC Participant Exit Evaluation Form
1. I feel that orientation effectively prepared me for the ERC program.
Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
2. I feel ERC staff’s expectations of me were fair.
Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
3. I feel that I was treated with respect by ERC staff.
Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
4. I feel that I was given the tools to succeed in the community.
Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
5. What group do you feel you benefited from the most in the ERC program? And, why?
6. Please list three things you learned while attending the ERC that would be beneficial to you in the future.
7. If you could change three things about your experience with the ERC to make it better, what would you change?
8. Overall, was the ERC beneficial to you? If so, how?
67

APPENDIX VIIc
IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
Juvenile Justice Center
Greene County
1111 N. Robberson
Springfield, MO 65802
Re: (Participant Name)
(DOB:XX-XX-XXXX)
Case No. XXXXXXXX
(Month, day, year)
Evening Reporting Center
Notification of (Mid-Program Review or Successful Release or Unsuccessful Release)
Statement of Supervision:
(Admission):
Date of admission, reason for admission, and statement of understanding and compliance
with ERC expectations upon admission.
(Behavior):
Behavior exhibited while participating in the ERC program. Include group participation,
peer and staff/facilitator interactions, and program compliance to include accomplishments
and/or noncompliance. As necessary, include specific days notable behaviors were observed.
Efforts should be made in this section to format the behaviors as positive, negative, positive.
(Urinalysis Results):
Specify day test was administered, results, and ERC staff administering test.
(Parental Involvement):
Include level of parental participation in attendance to parent groups and daily program
participant updates.
(Program status):
Percent of points earned, days in program to include days off due to holidays, excused
absences, unexcused absences, and/or weather. Projected release date.
Respectfully submitted,
Name
ERC (Position)
Name
ERC Coordinator
68

APPENDIX VIIIa
Evening Reporting Center
Greene County
Phone # 417-818-7558 Fax # 417-868-4119
Personal Medication Record
Participant Name:_________________________________________________
DOB:___________________
Medications:
Medication Name:________________________________
Dose:___________________________________________
Date/Time: ______________________________________
Taken Missed: Explanation____________________________________
____________________________________
Staff Administering Medication: _______________________________________________
Medication Name:________________________________
Dose:___________________________________________
Date/Time: ______________________________________
Taken Missed: Explanation____________________________________
____________________________________
Staff Administering Medication: _______________________________________________
Medication Name:________________________________
Dose:___________________________________________
Date/Time: ______________________________________
Taken Missed: Explanation____________________________________
____________________________________
Staff Administering Medication: _______________________________________________
Medication Name:________________________________
Dose:___________________________________________
Date/Time: ______________________________________
Taken Missed: Explanation____________________________________
____________________________________
Staff Administering Medication: _______________________________________________
69

APPENDIX IXa
Juvenile Report
See hard copy
70

APPENDIX IXb
Evening Reporting Center
Transport Log
DATE Youth Name Driver Staff #2 Mileage
Departure
Time
Departure
Mileage
Return
Time
Return
Detention
Contact
Date of Parent
Conference
71

APPENDIX Xa
Missouri DHSS Food Chart-At Risk After School
See hard copy
72

APPENDIX Xb
ERC Weekly Participant Evaluation Form
How many days have you been in the ERC program? _______
Date: ______
Week:_____
Circle which of the following days you were in attendance this week:
Monday Tuesday Wednesday Thursday Friday
On a scale of one (1) to five (5), one being the lowest, and five the highest; answer the following questions.
GIFTS: Did this group provide you with academic support and higher academic understanding?
1 2 3 4 5
SUBSTANCE ABUSE: Did this group educate you on risks and consequences of Substance Abuse?
1 2 3 4 5
BALANCED AND RESTORITIVE JUSTICE: Did this group educate you on the victim/offender understanding?
1 2 3 4 5
YOGA: Did this group provide you with opportunity to learn and exercise understanding of stress management and
physical activity?
1 2 3 4 5
PARENT COMMUNICATION: Did this group encourage increased and improved family communication?
1 2 3 4 5
ANGER MANAGEMENT: Did this group educate you on the consequences of uncontrolled anger and how to manage
anger?
1 2 3 4 5
MORAL DESCION MAKING: Did this group encourage moral understanding and making of moral decisions?
1 2 3 4 5
COPING WITH ADDICTIONS: Did this group give an understanding of risks and consequences of substance use
and how to cope with addiction?
1 2 3 4 5
S.I.F.E-JOB SKILLS: Did this group assist with understanding the steps in applying, interviewing, and maintaining a
job?
1 2 3 4 5
Identify one of the previously mentioned groups that you benefited from: ________________________________
Why? ______________________________________________________________________________________
Identify one volunteer lead group not mentioned above that you benefited from: ___________________________
Why? ______________________________________________________________________________________
Identify one ERC lead group that you benefited from: ________________________________________________
Why? ______________________________________________________________________________________
Please write your favorite part of this week: _______________________________________________________
Please write your least favorite part of this week: ___________________________________________________
73

APPENDIX Xc
Inventory Checklist
See hard copy
74

APPENDIX Xd
Greene County
Position Description
Name: Department: Juvenile Court
Position Title: Supervisor – ERC Coordinator Pay Grade: 13 FLSA: E
Date: Reports To: Probation and Field Services
Supervisor
Purpose of Position
The purpose of this position is to lead, supervise, manage personnel, and provide community
supervision services at the Evening Reporting Center under the direction of the Probation and Field
Services Supervisor.
Essential Duties and Responsibilities
The following duties are normal for this position. These are not to be construed as exclusive or allinclusive.
Other duties may be required and assigned.
Supervises and coordinates services for youth participating in the Evening Reporting Center. Prepares
risk/need assessments as needed. Implements client contact schedules. Mediates client conflict between
clients and families. Prepares court reports for hearings. Makes necessary referrals for youth on
probation.
Coordinates efforts with schools, advisory boards, and other agencies.
Develops and maintains statistical information for the utilization of the ERC program.
Coordinates referrals and interaction between Deputy Juvenile Officers and probation personnel.
Develops and maintains a proficient knowledge in the use and application of urinalysis testing and
electronic monitoring equipment and maintains accurate statistical records for the use of both.
Maintains knowledge of counseling and mediation techniques and principles; personnel supervision
principles; juvenile justice law, court rules and probation rules and regulations.
Train new employees as needed and monitor on-going staff development and training needs for the
probation unit.
Participate and engage in ongoing strategic planning efforts with the leadership team and the probation
unit to design the future practices of this juvenile court.
Complete semiannual reviews of probation unit staff and design performance goals that meet the vision
of the probation unit.
Duties and responsibilities may be changed, expanded, reduced, or deleted to meet the business needs
of Greene County Family/Juvenile Court.
Additional Tasks and Responsibilities
While the following tasks are necessary for the work of the unit, they are not an essential part of the
purpose of this position and may also be performed by other unit members.
Writes and reviews probation and court reports.
75

Prepares memos to probation and other office staff.
APPENDIX Xd
Makes and answers phone calls.
Speaks to schools, media and other agencies.
Transportation of juveniles on probation as necessary.
Write and monitor grant and program development.
Monitor and alter established policies and procedures as needed for continued progress towards best
practices.
Minimum Training and Experience Required to Perform Essential Job Functions
Bachelor’s degree in Social Work, Criminal Justice, Sociology or related field, and four years juvenile
court experience, or any combination of education and experience that provides equivalent knowledge,
skills, and abilities. A valid Missouri Motor Vehicle Operator’s license is required.
Physical and Mental Abilities Required to Perform Essential Job Functions
Language Ability and Interpersonal Communication
Ability to analyze data and information using established criteria, in order to determine consequences
and to identify and select alternatives. Ability to compare, count, differentiate, measure and/or sort, as
well as assemble, copy, record and transcribe data and information. Ability to classify, compute,
tabulate, and categorize data.
Ability to mediate and/or provide first line supervision. Ability to persuade, convince, and train others.
Ability to advise and provide interpretation regarding the application of policies, procedures and
standards to specific situations.
Ability to utilize a variety of advisory and design data and information such as court summaries, time
sheets, drug test results, billing statements, statistical and narrative reports, probation assignments,
contact reports, risk/needs assessments, State statutes for juveniles, juvenile court charge book,
probation handbook, court rules, court records, policies, procedures and non-routine correspondence.
Ability to communicate orally and in writing with clients, client’s families, school personnel, attorneys,
mental health therapists, alcohol and drug abuse counselors, social service agency staff, news media
representatives, students and civic groups.
Mathematical Ability
Ability to calculate percentages, fractions, decimals and ratios. Ability to interpret basic descriptive
statistical reports.
Judgment and Situational Reasoning Ability
Ability to use functional reasoning in performing influence functions such as supervising, managing,
leading, teaching, directing, and controlling.
Ability to exercise the judgment, decisiveness, and creativity required in situations involving the
direction, control, and planning of an entire program or multiple programs.
76

Physical Requirements
APPENDIX Xd
Ability to operate a variety of equipment including computer terminal, camera, video camera, telephone,
fax machine, calculator/adding machine and photocopier.
Ability to coordinate eyes, hands, feet and limbs in performing slightly-skilled movements such as
cutting, painting and drilling.
Ability to exert moderate physical effort in light to moderate work, typically involving some
combination of climbing and balancing, stooping, kneeling, crouching, crawling, lifting, carrying,
pushing, and pulling and in the training and application of Pressure Point control Tactics.
Ability to recognize and identify degrees of similarities or differences between characteristics of odors
associated with job-related objects, materials and tasks.
Environmental Adaptability
Ability to work under generally safe and comfortable conditions where exposure to environmental
factors such as violence, irate individuals and intimidation may cause discomfort and poses some risk of
injury.
Greene County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities
Act, the County will provide reasonable accommodations to qualified individuals with disabilities and
encourages both prospective and current employees to discuss potential accommodations with the
employer.
Employee's Signature
Supervisor's Signature
Date
Date
77

APPENDIX Xe
Greene County
Position Description
Name: Department: Juvenile Court
Position Title: Youth Specialist- ERC Full-time Pay Grade: FLSA:
Date: Reports To: ERC Coordinator
Purpose of Position
The purpose of this position is to aid in providing community supervision of youth placed at the Evening Reporting
Center and assist in the program delivery under the direction of the Evening Reporting Center Coordinator.
Essential Duties and Responsibilities
The following duties are normal for this position. These are not to be construed as exclusive or all-inclusive. Other
duties may be required and assigned.
Supervises youth participating in the Evening Reporting Center. Supervise youth when in the community
to include field trips and community service projects.
Prepares court reports for hearings and attends court hearings for youth involved in the Evening Reporting
Center as needed.
Maintains statistical information for utilization of the Evening Reporting Center. Assists with proper
retrieval and record of evaluation results.
Assists with the coordination of referrals and interaction with the Deputy Juvenile Officer and Probation
Unit.
Develops and maintains a proficient knowledge in the use and application of urinalysis testing and
electronic monitoring equipment.
Assists with delivering and developing programming as necessary to include: facilitating groups, teaching,
and engaging youth.
Meet with parents, staff, volunteers, court personnel, and community partners as needed.
Provide support and assistance to the Evening Reporting Center Coordinator in the completion of daily
tasks and responsibilities.
Duties and responsibilities may be changed, expanded, reduced, or deleted to meet the business needs of
Greene County Family/Juvenile Court.
Additional Tasks and Responsibilities
While the following tasks are necessary for the work of the unit, they are not an essential part of the
purpose of this position and may also be performed by other unit members.
Mediates client conflict between youth and families.
78

Writes progress, incident, probation and court reports; allow for availability to testify if necessary.
Makes and answers phone calls.
Transportation of youth as necessary.
Enforce the rules and expectations of the program.
Facilitate at least one group of own interest that is appropriate for population and facilitate other groups as
needed.
Engage in training and learning opportunities. Maintain knowledge of best practices and encourage
personal professional growth.
Complete orientation of youth and families referred to the Evening Reporting Center.
Minimum Training and Experience Required to Perform Essential Job Functions
A minimum of sixty (60) college credit hours (Bachelor’s degree preferred) in Criminal Justice, Social
Work, Sociology, Psychology, or related Human Services area and strong written and verbal
communication skills. A valid Missouri Motor Vehicle Operator’s license is required.
Physical and Mental Abilities Required to Perform Essential Job Functions
Language Ability and Interpersonal Communication
Ability to analyze data and information using established criteria, in order to determine consequences and
to identify and select alternatives. Ability to compare, count, differentiate, measure and/or sort, as well as
assemble, copy, record and transcribe data and information. Ability to classify, compute, tabulate, and
categorize data.
Ability to mediate and/or provide first line supervision. Ability to train others. Ability to advise and
provide interpretation regarding the application of policies, procedures and standards to specific situations.
Ability to communicate orally and in writing with clients, client’s families, school personnel, attorneys,
mental health therapists, alcohol and drug abuse counselors, social service agency staff, news media
representatives, students and civic groups.
Mathematical Ability
Ability to calculate percentages, fractions, decimals and ratios. Ability to interpret basic descriptive
statistical reports.
Judgment and Situational Reasoning Ability
Ability to use functional reasoning in performing influence functions such as role modeling to youth,
communicating with parents, and advising coworkers.
Ability to exercise the judgment, decisiveness, and creativity required in situations involving youth
discipline, group development, and implementation of program components.
79
APPENDIX Xe

Physical Requirements
Ability to operate a variety of equipment including computer terminal, camera, video camera, telephone,
fax machine, calculator/adding machine and photocopier.
Ability to coordinate eyes, hands, feet and limbs in performing slightly-skilled movements such as cutting,
painting and drilling.
Ability to exert moderate physical effort in light to moderate work, typically involving some combination
of climbing and balancing, stooping, kneeling, crouching, crawling, lifting, carrying, pushing, and pulling
and in the training and application of Pressure Point control Tactics.
Ability to recognize and identify degrees of similarities or differences between characteristics of odors
associated with job-related objects, materials and tasks.
Environmental Adaptability
APPENDIX Xe
Ability to work under generally safe and comfortable conditions where exposure to environmental factors
such as violence, irate individuals and intimidation may cause discomfort and poses some risk of injury.
Greene County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities
Act, the County will provide reasonable accommodations to qualified individuals with disabilities and
encourages both prospective and current employees to discuss potential accommodations with the
employer.
Employee's Signature
Supervisor's Signature
Date
Date
80

APPENDIX Xf
Greene County
Position Description
Name: Department: Juvenile Court
Position Title: Youth Specialist- ERC Part-time Pay Grade: FLSA:
Date: Reports To: ERC Coordinator
Purpose of Position
The purpose of this position is to aid in providing community supervision of youth placed at the Evening Reporting
Center and assist in the program delivery under the direction of the Evening Reporting Center Coordinator.
Essential Duties and Responsibilities
The following duties are normal for this position. These are not to be construed as exclusive or all-inclusive. Other
duties may be required and assigned.
Supervises youth participating in the Evening Reporting Center. Supervise youth when in the community
to include field trips and community service projects.
Prepares court reports for hearings and attends court hearings for youth involved in the Evening Reporting
Center as needed.
Maintains statistical information for utilization of the Evening Reporting Center. Assists with proper
retrieval and record of evaluation results.
Develops and maintains a proficient knowledge in the use and application of urinalysis testing and
electronic monitoring equipment.
Meet with parents, staff, volunteers, court personnel, and community partners as needed.
Duties and responsibilities may be changed, expanded, reduced, or deleted to meet the business needs of
Greene County Family/Juvenile Court.
Additional Tasks and Responsibilities
While the following tasks are necessary for the work of the unit, they are not an essential part of the
purpose of this position and may also be performed by other unit members.
Mediates client conflict between youth and families.
Writes progress, incident, probation and court reports; allow for availability to testify if necessary.
Makes and answers phone calls.
Transportation of youth as necessary.
Enforce the rules and expectations of the program.
81

Facilitate at least one group of own interest that is appropriate for population and facilitate other groups as
needed.
Engage in training and learning opportunities. Maintain knowledge of best practices and encourage
personal professional growth.
Complete orientation of youth and families referred to the Evening Reporting Center as needed.
Minimum Training and Experience Required to Perform Essential Job Functions
A minimum of sixty (60) college credit hours (Bachelor’s degree preferred) in Criminal Justice, Social
Work, Sociology, Psychology, or related Human Services area and strong written and verbal
communication skills. A valid Missouri Motor Vehicle Operator’s license is required.
Physical and Mental Abilities Required to Perform Essential Job Functions
Language Ability and Interpersonal Communication
Ability to analyze data and information using established criteria, in order to determine consequences and
to identify and select alternatives. Ability to compare, count, differentiate, measure and/or sort, as well as
assemble, copy, record and transcribe data and information. Ability to classify, compute, tabulate, and
categorize data.
Ability to mediate and/or provide first line supervision. Ability to provide interpretation regarding the
application of policies, procedures, and standards to specific situations.
Ability to communicate orally and in writing with clients, client’s families, school personnel, attorneys,
mental health therapists, alcohol and drug abuse counselors, social service agency staff, news media
representatives, students and civic groups.
Mathematical Ability
Ability to calculate percentages, fractions, decimals and ratios. Ability to interpret basic descriptive
statistical reports.
Judgment and Situational Reasoning Ability
Ability to use functional reasoning in performing influence functions such as role modeling to youth and
communicating with parents.
Ability to exercise the judgment, decisiveness and creativity required in situations involving youth
discipline, group development, and implementation of program components.
Physical Requirements
APPENDIX Xf
Ability to operate a variety of equipment including computer terminal, camera, video camera, telephone,
fax machine, calculator/adding machine and photocopier.
Ability to coordinate eyes, hands, feet and limbs in performing slightly-skilled movements such as cutting,
painting and drilling.
82

Ability to exert moderate physical effort in light to moderate work, typically involving some combination
of climbing and balancing, stooping, kneeling, crouching, crawling, lifting, carrying, pushing, and pulling
and in the training and application of Pressure Point control Tactics.
Ability to recognize and identify degrees of similarities or differences between characteristics of odors
associated with job-related objects, materials and tasks.
Environmental Adaptability
APPENDIX Xf
Ability to work under generally safe and comfortable conditions where exposure to environmental factors
such as violence, irate individuals and intimidation may cause discomfort and poses some risk of injury.
Greene County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities
Act, the County will provide reasonable accommodations to qualified individuals with disabilities and
encourages both prospective and current employees to discuss potential accommodations with the
employer.
Employee's Signature
Supervisor's Signature
Date
Date
83

APPENDIX XIa
Facilitator Survey
Group facilitating: ______________________
Date: _____________
The ERC is interested in better understanding your perspective regarding the group you facilitate as well as your
overall opinion of the ERC program. Community volunteers are a vital component of the program’s functioning,
making your opinion important to its continued success.
How well do you feel that the group you facilitate provides the necessary services to the youth served through the
ERC program? Are there any changes to your group that you think would enhance its impact on the youth?
_____________________________________________________________________________________
_____________________________________________________________________________________
In what ways could ERC staff better assist and support you during the facilitation of your group?
_____________________________________________________________________________________
_____________________________________________________________________________________
Do you feel that ERC staff has worked with you to improve upon any areas of concern you have verbalized or
expressed in previous facilitator surveys? Please explain.
_____________________________________________________________________________________
_____________________________________________________________________________________
The ERC’s youth population has specific needs that differ from youth in the general population. Given the
population of youth at the ERC, what other groups or topics of discussion do you feel would be beneficial to further
enhance current functioning?
_____________________________________________________________________________________
_____________________________________________________________________________________
Additional comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
Thank you for your dedication to the ERC and your willingness to provide services to the youth within this
program. Your time and energy is greatly appreciated!
84

APPENDIX XIb
Confidential Information
Pursuant to RSMo 211.321, records of juvenile court proceedings as well as all
information obtained and social records prepared in the discharge of official duty
for the court shall not be open to inspection or their contents disclosed, except by
order of the court.
Interns/volunteers working with the Juvenile Court assume an obligation to
maintain this confidentiality even after their internship/volunteer position ceases.
Any violation of confidentiality seriously blemishes the reputation and effectiveness
of the juvenile justice system. Therefore, interns/volunteers should not discuss
juvenile court matters with anyone who does not have a need to know. Even
casual remarks can be misinterpreted and repeated. Interns/volunteers should
develop the personal discipline necessary to maintain confidentiality.
If an intern/volunteer is questioned by someone outside of the juvenile justice
system and is concerned about the appropriateness of giving out certain
information, they are not required to answer and the Juvenile Court prefers that
they do not. Interns/volunteers having questions relating to these matters should
consult with their Juvenile Office supervisor.
No one is permitted to remove or make copies of any Juvenile Court records,
reports or documents without the prior approval of their Juvenile Office supervisor.
I have read these policies and understand my obligation to adhere to these
policies as a condition of my internship/volunteer position with the Juvenile Court.
Signature of Intern/Volunteer
Date
Evening Reporting Center Coordinator
Date
85

APPENDIX XIc
STATE OF MISSOURI
FAMILY COURT, 31 ST JUDICIAL CIRCUIT
JUVENILE DIVISION
1111 North Robberson
Springfield, MO 65802
Phone: 417-868-4008 Fax: 417-829-6160
Waiver of Liability
I
and swear as follows:
, being eighteen (18) years of age or older, do hereby affirm
I willfully, freely and voluntarily selected my volunteer/intern site and assume complete
responsibility for any injuries, physical or mental, which I might sustain by participating in the program. I
understand the potential risks associated with a placement in a criminal justice agency.
I have made provision (either myself or through my parent) to have medical insurance sufficient to
cover any medical obligations.
I acknowledge that if driving is a part of this assignment, I will maintain a current driver’s license
and insurance.
I understand that a background investigation and /or criminal record check will be required of me
prior to acceptance as an intern/volunteer with the 31 st Judicial Circuit Family Court, Juvenile Division.
I will hold Greene County and the 31 st Judicial Circuit Family Court, Juvenile Division harmless and
not liable for any injury which may befall me as a result of my participation in the intern/ volunteer program.
Signature of Intern/Volunteer
Date
State of Missouri
County of Greene
__________________________________ personally appeared before me, A Notary Public in and for said county,
and acknowledged the execution of the above.
__________________________________
Notary Public
My Commission Expires:______________
86

APPENDIX XId
Volunteer Name (print):
Organization:
Contact Info:
VOLUNTEER MEMORANDUM OF UNDERSTANDING
1. All Evening Reporting Center (ERC) volunteers will be required to pass a background check and
sign a confidentiality agreement prior to participation in activities at the ERC.
2. All ERC volunteers will notify ERC staff of reasonable presentation needs at least two business
days prior to presentation (reasonable presentation needs include: power point projector,
TV/VHS/DVD player, pens or pencils for youth, tables or chairs in a group circle).
3. Writing utensils will be provided by ERC.
4. Handouts and other stationary items will be provided by the volunteer.
5. Every three months the volunteer presentation will be reviewed to ensure the needs of the youth
are being met.
6. The ERC asks all volunteers to participate for a minimum of 3 months (3 cycles) and to notify
ERC coordinator at least one month in advance if they are no longer able to volunteer.
_____________________________
Volunteer
_____________________________
Date
_____________________________
ERC Coordinator
___________________________
Date
87

APPENDIX XIe
APPLICANT STATEMENT AND AUTHORIZATION FOR RELEASE OF INFORMATION
Please read the statements below carefully. Your response indicates that you understand and agree to the
provisions of each statement.
Name: _________________________________________________________________
Social Security Number:___________________________________________________
D.O.B:_________________________________________________________________
Previous Last Names: _____________________________________________________
Current Address:_________________________________________________________
Driver’s License State:_____________________________________________________
Driver’s License Number:___________________________________________________
As a volunteer for the Greene County Juvenile Office, I agree to conform to the policies, procedures, and
regulations of Greene County and the Juvenile Office.
Pursuant Missouri Statute, records of juvenile court proceedings as well as all information obtained and
social records prepared in the discharge of official duty for the court shall not be open to inspection or
their contents disclosed, except by order of the court. Volunteers assume an obligation to maintain this
confidentiality, even after their volunteer work ceases. No one is permitted to remove or make copies of
any Juvenile court records, report or document without prior approval.
I do hereby authorize the release of any information which pertains to records of convictions for law
violations, including felony, misdemeanor and traffic violations and give permission for Greene County to
do a criminal and police background check.
I further authorize the release of any information which pertains to records of substantiated allegations of
abuse or neglect and give permission for Greene County to do a background check with the Missouri
Department of Social Services, Children’s Division.
I understand that my volunteer position at the Greene County Juvenile Office is conditioned upon the
results of a criminal and police back grounds check, as well as the results of a background check with the
Missouri Department of Social Services, Children’s Division.
___________________________
Signature
___________________________
Witness
________________
Date
________________
Date
88

APPENDIX XIf
Request for Child Abuse or Neglect/Criminal Record
See hard copy
89

STATE OF MISSOURI
FAMILY COURT, 31ST JUDICIAL CIRCUIT
IV. JUVENILE DIVISION
1111 North Robberson
Springfield, MO 65802
Phone: 417-868-4008 Fax:417-868-4119
Thank you for your interest in volunteering with
The Greene County Family Courts
Domestic Relations & Juvenile Division
The Greene County Family Court offers many opportunities for college students to give their time and talents for the
benefit of our youth. Students can earn course credits, and can add to their professional experience, and field exposure
through student internships. Students are able to work in a variety of settings with individual youth or groups monitored
by an employee.
APPLICATION & REVIEW PROCESS
APPLICATION
On the next page, you will find an application that needs to be completely filled out. Applications may be returned by fax,
mail or delivered in person. Once we have received your application, you will be contacted to provide additional
information and to schedule an interview to determine suitability and placement of your internship position.
FACILITY OR OFFICE TOUR
At any time during the application process, if you want to tour a particular office or facility, this can be arranged. This
can also occur at the time of your assignment interview (see below).
REFERENCE CHECK
The Greene County Family Court will contact your references. Please be sure all contact information is correct for
individuals listed.
ASSIGNMENT INTERVIEW
The staff assigned to supervising you in your position will contact you to set up an interview where hours, location, duties,
and Department rules, regulations and protocols will be discussed.
WAIVERS AND OTHER DOCUMENTATION
Prior to accepting a volunteer or internship position, The Greene County Family Court requires that you review and sign
documentation that ensures you will protect the confidentiality of the youth and families we serve, and that you attest
that all information that has been provided in the application and interview is true and accurate to the best of your
knowledge. A photocopy of your driver’s license, ID card, or other appropriate identification will be needed.
90

APPENDIX XIg
Instructions:
INTERN/VOLUNTEER APPLICATION
Print out and either fax or send a completed application to Perry Epperly at The Greene County Juvenile Office.
TODAY’S DATE: __________________
REFERRAL SOURCE: Please check one:
□
□
□
□
□
Family/Friend
Job/ Volunteer Fair
Greene County Website
Greene County Employee/ Name__________________
Other/List
PERSONAL INFORMATION
Name: _____________________________________________ E-mail: ___________________________
Street Address:_______________________________________________________________________
City/ State & Zip Code: _________________________________________________________________
Home Phone: __________________ Cell Phone: __________________ Work Phone: _________________
Date of Birth: ______/______/_______ Soc.Sec.#: _______________ Gender: □Male
□Female
Please list language fluency and level (conversational, fluent): _____________________________________
EMERGENCY CONTACT
Name: ____________________________________ Relationship: _______________________________
Home Telephone: ___________________________ Cell/ Work Telephone: _________________________
TRAVEL
Please check if applicable: □ I have a valid driver’s license
□ I have a vehicle for transportation
EDUCATION and TRAINING
□ I will be using public transportation or ride sharing
High School Diploma or GED? □Yes □ No If no, highest grade completed: _____________
High School/ City and State: ____________________________________________________________
College/ University /Trade/ Technical Graduate? □Yes □ No
If no, give total credits earned ______________and/ or expected graduation:_________________
Name of Institution & State:_______________________________________________________
Major(s)/ Course of Study: ________________________________________________________
POSITION APPLYING FOR
□Student Intern □Volunteer Internship Application
91

APPENDIX XIg
INTERNSHIPS: If applying for an internship, please indicate the following:
College, University or other sponsor: ________________________________________________
College/University Field Internship Supervisor: ________________________________________
Number of hours to be completed: _________________ Completion date: ___________________
□Fall Semester □Spring Semester □Summer
Hours of availability: (Weekdays & Weekends) ________________________________________
AREAS OF INTEREST – Please review the website for more information about specific departments in the Juvenile
Office.
Juvenile Office
□Child Abuse/Neglect
□ Office Assistant
□Detention
□ Probation
□Delinquency/Law Status
□Teen Court
□Evening Reporting Center
□Victim Offender Services
□Juvenile Drug Court
□Youth Academy
Family Court
□Domestic Relations Cases (Divorce, Paternity, Family Access Motions)
□Domestic Violence Cases
□Common Ground Supervised Access Program
□Mediation
Please list top 3 preferences: 1st) __________________________, 2nd) ________________________,
3rd) ____________________________
PLEASE USE ADDITIONAL PAGES OR SPACE TO ANSWER THE FOLLOWING QUESTIONS
Please tell us how being a volunteer or intern fits into your career, educational or personal goals.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Please briefly explain your specific interest in interning with The Greene County Family Courts.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
List any professional, recreational hobbies, or skills which you feel are applicable to your internship.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Please explain any medical condition, or disability for which you may need special accommodations.
__________________________________________________________________________________________
__________________________________________________________________________________________
Please list and explain the charge and circumstances of any adult convictions (other than a minor traffic violation) for
which you were convicted, pled guilty or nolo contendere.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
92

APPENDIX XIg
PERSONAL REFERENCE:
Name: ________________________________
Preferred Telephone:_____________________
E-mail:________________________________
Relationship: ___________________________
Address: ______________________________
City: ______________________ State: _____
PROFESSIONAL REFERENCE:
Name:________________________________
Preferred Telephone: ____________________
E-mail:________________________________
Relationship: ___________________________
Address: ______________________________
City: ______________________ State: _____
EMPLOYMENT REFERENCE:
Employer:_________________________________________________________________________________
Street Address:____________________________________________________________________________
City/ State/ Zip Code: _______________________________________________________________________
Telephone:_____________________________
E-mail:________________________________
Dates of Employment:_____________________ Position Held:___________________________
Reason for Leaving: __________________________________________________________________________
RESUME
A resume is not required, but is helpful in the review of your application. If you have a resume, please send it
electronically with your application, or if using US Postal service, please include it with your application. You may also
personally deliver this application along with the resume to the Greene County Juvenile Office.
CERTIFICATION OF APPLICANT AND AUTHORIZATION FOR RELEASE OF INFORMATION
Please read the statement below carefully. Your signature indicates that you fully understand and agree to the provisions
of each statement.
I certify that all statements made on this application are true and correct to the best of my knowledge. I understand
that any false or inaccurate information could result in disqualification of this application and/or termination of
internship/volunteer status with Greene County.
In consideration of being an intern/volunteer, I agree to conform to the policies, procedures, and regulations of Greene
County.
I, the undersigned, do hereby authorize Greene County to conduct an investigation in respect to my application and
release the county, my college/university, my former employers, and personal references from any liability for damage
caused by giving and receiving information or opinions as to my employment or character. Any information obtained
through former employers and/or personal references will become the property of Greene County.
I, the undersigned, do hereby authorize the release of any information which pertains to records of convictions for law
violations, including felony, misdemeanor and traffic violations, and agree to hold Greene County harmless and in no event
shall the county be liable to me for special, indirect or consequential damages for the refusal of acceptance of obtaining
an internship.
I further understand that any offer for an internship is conditioned upon the results of reference checks, and, if a
requirement of the position, police record checks, and background checks.
Applicant Signature: ______________________________________________ Date: ______________
93

APPENDIX XIh
CONSENT TO PHOTOGRAPH, FILM OR VIDEOTAPE A FACILITATOR REGARDING THE
EVENING REPORTING CENTER (ERC) PROGRAM
AND ORDER APPROVING SAME
Name of facilitator: ____________________________________
I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs,
movies or video-tapes of the above-named facilitator by the Greene County Juvenile Office or
individuals/organizations designated by the Greene County Juvenile Office to take such photographs,
movies or video-tapes.
I also grant to the Greene County Juvenile Office or individuals/organizations designated by the Greene
County Juvenile Office the right to edit, use, and reuse said images for non-profit purposes including use
in print, on the internet and all other forms of media. I also release the Greene County Juvenile Office, its
agents and employees from all claims, demands and liabilities whatsoever in connection with the above.
Signature of Facilitator:___________________________ Date:_________________
Address of Facilitator:___________________________________________________
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APPENDIX XIIa
Staff Orientation Manual
See hard copy
95