Home Thrive Scale™

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Note: The online version of this form is linked to Miracle Foundation's FormAssembly account, so any responses will be available to Miracle team members. To avoid confidentiality risks for your organization and beneficiaries, please only use this as a reference, or use the offline versions offered in the case management guidelines instead.

For the safety of the children and families being assessed, data submitted will only be available to associated parties who need the information to protect and make decisions regarding the child and family. Data and personal information will not be disclosed to any other third party who is not directly involved.
Home Thrive Scale Guidelines
The purpose of the Home Thrive Scale is to assess the possibility of a child staying with or returning to their family and to identify services needed to make reintegration possible.

Families will be assessed in five domains. For each domain (eg, Family and Social Relationships, Household Economy, etc.), you will mark the appropriate statement for each concern. 
  • In-crisis (1): Needs immediate attention - Concern is not addressed at all and requires urgent attention and intervention before child can be placed in the home
  • Vulnerable (2): Needs attention, but not urgent - Concern requires attention; resources have been identified but may be insufficient to fulfill concern
  • Safe (3): Attention helpful, but not necessary - Concern is fully addressed but family may require occasional support to fulfill this concern
  • Thriving (4): No attention needed - Concern is fully addressed and family is completely self-sufficient in fulfilling this concern without support
Complete details on the guidelines can be found here.



Write N/A if not applicable

Format MM/DD/YYYY


Format MM/DD/YYYY




Biographical Information





























































How does the child feel about overall reintegration (child wants to move to or continue to stay in the placement, doesn’t want to be in placement, happy, upset, etc). Check the child's routine and how they interact with others - how does the child spend time, any exciting news or sad event which impacts him/her, relationship with family and friends, future aspiration and how the placement supports the same. Can observe or ask about any challenges, concerns, or coping issues they have.

Focus on how they feel that child is going to/is placed as well as any challenges they might have, coping issues, any concerns regarding child’s or family safety, any impact of placement of child. (Assessor’s role is not just limited to observation but, if required, acknowledging and addressing the concerns and challenges to ensure family feels supported).

Family and Social Relations

Consider the impact of important events such as recent death of parent/caregiver, recent separation/ divorce, change in caregiver, etc.

Must rate In-Crisis (1) if child/ family is still victim of abuse & or abuser still has access to the child. Rate Vulnerable (2) if there is history of abuse.

Must rate In-Crisis (1) if child/ family is still victim of abuse & or abuser still has access to the child. Rate Vulnerable (2) if there is history of abuse.


Can include financial or emotional support, childcare, etc.

Support network, safety of neighborhood

Positive discipline, attachment behaviors, listening skills, or irresponsible parenting, discipline issues

Positive discipline, attachment behaviors, listening skills, or irresponsible parenting, discipline issues

Positive discipline, attachment behaviors, listening skills, or irresponsible parenting, discipline issues


(eg. right to privacy, be heard and participate in decisions that affect them, equal opportunities, lack of child labour/working child resulting in violation of child’s rights, etc.)



Household Economy 

Consider the impact of important events such as recent death of parent/caregiver, recent separation/ divorce, change in caregiver, etc.

Risk factor: Migratory workers, wage earners, farm laborer etc that is impacting the child’s rights







Illness in family, pandemic situation, natural disaster, lean period, etc.


Living Conditions

Consider the impact of important events such as recent death of parent/caregiver, recent separation/ divorce, change in caregiver, etc.

(Risk factors: high crime, alcoholism/substance abuse common in the community, parent or community engages as commercial sex workers, community trauma such as pandemic, flood)

Risk factors: displacement of family/child - migration, frequent shifting family, risk of eviction

Safe water, sanitation, cooking facilities, food storage, sleeping arrangements


Education

Consider the impact of important events such as recent death of parent/caregiver, recent separation/ divorce, change in caregiver, etc.

Remote education where applicable

Remote education where applicable



e.g. coaching teachers, testing and support for learning issues

e.g. sports, dance, music, clubs

Health and Mental Health 

Consider the impact of important events such as recent death of parent/caregiver, recent separation/ divorce, change in caregiver, etc.



eg. high blood pressure, diabetes, anemia, epilepsy, cancer, etc.




For emotional issues, diagnosed illness, addiction, etc.








Status Summary

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Red Flag Milestones

The following milestones are ones for which either "In-crisis" or "Vulnerable" were marked and need to be addressed.

Red flag milestones are those that, if in-crisis, will prevent reintegration at this time.  Each milestone is followed by its corresponding intervention that can be recommended to the family to prepare them for reintegration.

Please select which interventions will be planned and include details of plan for each in the box provided.
The following milestones have been marked in-crisis and reintegration should not take place at this time.





















The following milestone have been marked as "vulnerable". Reintegration can take place but these must be resolved as soon as possible.





















Areas Needing Immediate Intervention - Statements marked as In-Crisis or Vulnerable will show up here.


The following milestones are ones for which either "In-crisis" or "Vulnerable" were marked and need to be addressed.  Each domain includes possible interventions.

Please select which interventions will be planned and include details of plan for each in the box provided.
Family and Social Relationships
No crisis level concerns
- Relationships with extended family
- Relationships with neighbors/community
- Parenting skills/parental guidance and support
- Parent/caregiver(s) capable of providing support to children requiring extra support such as teens, infants, children with behavioral/ emotional/ physical issues
- Primary caregiver(s) young person (21 years or less) or elderly person capable of supporting the child/children
- Child protection training and awareness of child protection risks and reporting procedure
- Support for children's rights
- For Foster Care: Contact with birth family




Household Economy
No crisis level concerns
- Adults have education/skills for employment
- Ability to purchase supplies/tools for job
- Access to transportation for job
- Access to child care during working hours
- Ability to provide food, clothing, and household supplies for family
- Ability to pay rent and bills regularly
- Ability to cope with contingency/emergency expenses
- Claiming all entitled benefits




Living Conditions
No crisis level concerns
- Need more secure, stable housing
- Basic amenities
- Need more or better furnishings




Education
No crisis level concerns
- Children attend higher education or vocational training if desired
- Children need appropriate school supplies/educational toys
- Children's transportation to school
- Children's educational support
- Children's involvement in extra-curricular activities




Health and Mental Health
No crisis level concerns
- Access to health care facilities
- Recent or chronic health issues of child or family members
- Access to dental/vision care
Depression, anxiety, ADHD of child or family member
- Diagnosis of mental illness
- Access to mental health services
- Access to medications/medical equipment
- Access to services for impairments/disabilities/ developmental delays
- Personal hygiene/self-care skills
- Nutritional deficiency
- Access to nutritious food
- Health insurance
- Transportation for medical care/emergencies








Post-Reintegration follow up visits should be completed after the 1st month, 3rd month, 6th month, 1st year, 1.5 years, up to 2 years minimum, and the Home Thrive ScaleTM should be completed after each follow up visit.

Please add any additional notes or comments that you have regarding this visit that you have not had the opportunity to mention.