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Section 1 of 6
Iowa Pre-Charge Diversion Survey
In advance of our visit to your County, CJJP and our technical assistance provider, the Center for Children's Law and Policy, are requesting some basic information regarding existing policies and practices regarding your pre-charge diversion efforts. This information will help us prepare for the site visit to your county and will help inform conversations with local stakeholders.

Please complete the brief survey below by August 31, 2018. Thank you for your participation in this initiative!
Section 2 of 6
Background Information
County Name is
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Name and Title of Individual Completing This Survey
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If any of the following items exist, please check below and email an electronic copy of each to jszanyi@cclp.org.
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Current membership lists of any active juvenile justice improvement collaboratives, including names and affiliations of members and any identified subcommittees
Current juvenile justice reform or improvement workplans that include pre-charge diversion efforts (including any Capstone Proposals and workplans from Georgetown University's Certificate Programs at the Center for Juvenile Justice Reform)
Current MOUs or contracts between school districts and law enforcement
Current MOUs, contracts, or scopes of works focused on diversion efforts (e.g., agreements between schools and private service providers, agreements between JCS and private providers)
Current MOUs or agreements regarding crossover (child welfare) youth
Student handbook, parent handbook, and school discipline code from the largest public school system(s)
Any other relevant reports or analyses of the juvenile justice system or racial and ethnic disparities regarding other child-serving systems
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add "Other"
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Section 3 of 6
General Information about Pre-Charge Diversion
Do you have any written policies or procedures regarding pre-charge diversion in your county?
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Yes (If yes, please email a copy of policies and procedures to jszanyi@cclp.org)
No
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add "Other"
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If the answer to the question above is "No," please describe the current process for pre-charge diversion in your county in a few sentences.
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What are the programs currently used for pre-charge diversion in your county? Please list each program below.
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Do you currently collect information about the effectiveness of pre-charge diversion efforts?
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Yes
No
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If the answer to the question above was "yes," who is responsible for the data collection?
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If data are collected, what data are collected? (Check all that apply)
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Race and ethnicity of youth referred
Age of youth referred
Gender of youth referred
Category of offense/reason for referral
Source of referral
Whether youth were deemed to be eligible
Reason(s) for ineligibility
Length of program involvement
Successful vs. unsuccessful completions
Reason(s) for unsuccessful completions
Program outcomes (e.g., completion of program without re-arrest; no subsequent arrests or referrals for 12 months following program completion)
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If data are collected, are case-level data files (e.g., Excel, SharePoint) available for CJJP analysis?
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No
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If data are collected, how has the information been used to evaluate or improve pre-charge diversion efforts in your county?
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Section 4 of 6
Pre-Charge Diversion Program Details
For each pre-charge diversion program that you listed above, please complete the series of questions below. If more than one pre-charge diversion program is used in your County, please use the following sections to answer the questions for each of those programs. Once you have entered information for each program, please click "Submit Form" at the bottom of the page.
What is the name of the program?
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Who operates the program?
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Please describe the program in a few sentences, including the services and interventions employed by the program.
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What is the target population for the program? (e.g., youth involved in school-based altercations)
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How many youth can the program serve at any given time?
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Which youth are eligible for the program?
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Is there a fee to participate in the program?
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Who determines eligibility for the program?
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Who can refer youth to the program? (list all referral sources)
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