STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
READINESS ASSESSMENT SUMMARY
Based on the readiness indicators, the social worker/probation officer should determine which of the following
statements best describes the NMD’s current level of functioning and situation. It is essential for the NMD
to have an income that covers their expenses and to possess a reasonable level of knowledge and skills in
readiness items, numbers 1-11. However, for other readiness indicators, a SILP can be approved with a plan
for the NMD to continue developing those skills.
NMD is ready for a fully independent SILP: the NMD has a stable income and can afford the
identified housing. Their knowledge and skills indicate readiness for this type of SILP.
NMD is ready for a supportive SILP where they will live with an adult who can provide assistance
and support to help the NMD further develop the indicated areas where they need to work on fully
developing their knowledge and skills.
The NMD is approved to receive the SILP payment directly:
yes
no
NMD is not ready for a SILP at this time. The readiness assessment indicates the following
(check all that apply):
Income will not cover expenses.
Readiness indicators show that their knowledge and skills are not at the level needed to
successfully live independently.
Identify item numbers from the assessment that indicate a lack of readiness:
Section 1: ___________________________________________________________________
Section 2: ___________________________________________________________________
The identified areas where the NMD lacks readiness for independent living, should be incorporated
into the NMD’s TILP goals as soon as possible or, at the latest, at the next TILP review.
The NMD has been informed of their right to appeal this decision and has been provided a copy of
the appeal procedures.
If the NMD is not ready for a SILP at this time, identify where the NMD is currently placed and what other
placement options are available to the youth. NOTE: Placement determinations should be made based
on the youth’s needs, preferences and access to permanent connections.
Current placement: ____________________________________________________________________
Other placement options: _______________________________________________________________
Date of assessment: ________________________________
Name of Social Worker/Probation Officer: __________________________________________________
Social Worker/Probation Officer signature: __________________________________________________
SOC 157C (7/17) (Optional)
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