Runaway and Homeless Youth Management Information System (RHYMIS) 3.0 Data Collection Instrument This instrument is for recording and reporting the profiles of youth, their critical issues, and the services received through the Runaway and Homeless Youth (RHY) programs as authorized by the Runaway and Homeless Youth Act (P.L. 108-96). [To replace RHYMIS 2.2 OMB Control No: 0970-0123 ] U.S. Department of Health and Human Services (HHS), Administration for Children and Families (ACF), Administration on Children, Youth and Families (ACYF), Family and Youth Services Bureau (FYSB). RHYMIS 3.0 Data Collection Instrument This data collection instrument is for recording and reporting information about service providers and the needs, critical issues and support received by the runaway and homeless youth who they are tasked to serve. These outreach, emergency and transitional shelter programs are authorized by the Runaway and Homeless Youth Act (P.L. 108-96) which was reauthorized in 2008. The Statute also governs the basic requirements for this collection effort as follows: “(7) shall keep adequate statistical records profiling the youth and family members whom it serves (including youth who are not referred to out-of-home shelter services), except that records maintained on individual runaway and homeless youth shall not be disclosed without the consent of the individual youth and parent or legal guardian to anyone other than another agency compiling statistical records or a government agency involved in the disposition of criminal charges against an individual runaway and homeless youth, and reports or other documents based on such statistical records shall not disclose the identity of individual runaway and homeless youth;” Version 3.0 of this collection instrument represents a new frontier as HHS stands in support of the Opening Doors: Federal Strategic Plan to End Homelessness. This Presidential Initiative is being implemented by the US Interagency Council on Homelessness (USICH) through the collaboration of several federal partners. One important strategy involves integrating federal homeless services data into one primary data collection system. For the purposes of this effort, federal agencies will be using the US Department of Housing and Urban Development (HUD) administered Homeless Management Information System (HMIS). Not only does this integration ease the burden for many local service providers who are required to report data to multiple federal funding sources through multiple data systems, it also allows stakeholders to capture and assess the national landscape of need, services and outcomes for homeless individuals, unaccompanied youth and families. In preparation for the transition, the RHY program has seized the opportunity to improve RHYMIS data elements which will continue to be collected in HMIS. Many of these modifications involve minor changes such as how questions or response categories are worded and organized. In other instances new data elements have been added, while a few data elements have been eliminated. Data are collected from RHY grantees on a semi-annual basis and are categorized in two parts: Universal Data Elements and RHY Program Specific Elements. Universal Data Elements are data required to be collected by all federal programs participating in HMIS, regardless of funding agency. The Universal Data Elements serve as the basis for producing unduplicated estimates of the number of people experiencing homelessness, accessing 3.0 (RHYMIS) System Information Youth Management Homeless and Runaway services from homeless services providers, basic demographic characteristics of people experiencing homeless, and patterns of service use, including information on shelter stays and homelessness over time. RHY Program Specific Elements allow us to continue to capture critical information about the employment and educational status, critical issues, services and outcomes that are unique to the unaccompanied youth who we have served for the past 40 years. Additional guidance regarding instructions and interpretation regarding this collection effort will 1 be available to grantees as a part of transition training and technical assistance. Universal Data Elements ..................................................................................... 3 3.1 Name .................................................................................................................................................. 3 3.2 Social Security Number ...................................................................................................................... 4 3.3 Date of Birth ....................................................................................................................................... 5 3.4 Race .................................................................................................................................................... 6 3.5 Ethnicity ............................................................................................................................................. 7 3.6 Gender ............................................................................................................................................... 8 3.7 Veteran Status ................................................................................................................................... 9 3.8 Disabling Condition ............................................................................................................................ 9 3.9 Residence Prior to Project Entry ...................................................................................................... 10 3.10 Project Entry Date ............................................................................................................................ 12 3.11 Project Exit Date .............................................................................................................................. 13 3.12 Destination ....................................................................................................................................... 14 3.13 Personal ID ....................................................................................................................................... 16 3.14 Household ID .................................................................................................................................... 16 3.15 Relationship to Head of Household ................................................................................................. 17 3.16 Client Location ................................................................................................................................. 18 3.17 Length of Time on Street, in an Emergency Shelter, or Safe Haven ................................................ 19 HHS: RHY Program Specific ............................................................................. 20 4.14B Services Provided: RHY ................................................................................................................... 22 4.16B Referrals Provided: RHY .................................................................................................................. 25 4.22 RHY - BCP Status .............................................................................................................................. 26 Runaway and Homeless Youth Management Information System (RHYMIS) 3.0 (RHYMIS) System Information Youth Management Homeless and Runaway 4.23 Sexual Orientation ........................................................................................................................... 26 4.24 Last Grade Completed ..................................................................................................................... 27 4.25 School Status .................................................................................................................................... 28 4.26 Employment Status .......................................................................................................................... 28 4.27 General Health Status ...................................................................................................................... 29 2 4.28 Dental Health Status ........................................................................................................................ 30 4.29 Mental Health Status ....................................................................................................................... 31 4.30 Pregnancy Status ............................................................................................................................. 31 4.31 Formerly a Ward of Child Welfare/Foster Care Agency............................................................. 32 4.32 Formerly a Ward of Juvenile Justice System ............................................................................. 33 4.33 Young Person’s Critical Issues ..................................................................................................... 33 4.34 Referral Source ........................................................................................................................... 35 4.35 Commercial Sexual Exploitation ................................................................................................. 36 4.36 Transitional, Exit-care, or Aftercare Plans and Actions .............................................................