Domestic Abuse (DA) - Individual Service Plan and Case Assessment

“CalWORKs Domestic Abuse Service Plan” (SCD 1555)

When an applicant or recipient has been identified as a victim/survivor of DA, the designated CalWORKs SW conducts an individual DA service plan to which the client has agreed. The plan is designed with confidentiality, as well as the health and safety of the family, as the primary considerations.

The purpose of the DA service plan is to identify:

• The services/activities the client will participate in to address the DA issues
• The exemption/waiver period
• When the exemption/waiver needs to be reviewed
• What the client must do in order to maintain their DA exemption

Services and counseling for the family may include, but are not limited to the following:

• MH
• Substance abuse
• Medical and public health
• Community DA services
• Immigration
• Parenting skills
• Independent living skills
• Financial planning
• Relocation activities
• Legal Assistance
• Education and training
• Services that address barriers to employment.

Services provided in the plan or those for which the client is otherwise referred must be available. If necessary services are not available, good cause to waive certain requirements may be established.

Below are sample services and time frames for child care payment:

Family Services

When the client agrees to participate in a FS Plan, the SCD 1555 and/or SCD 1554 are forwarded to the FS EC Specialist to incorporate into the plan.

Refer to Family Services (FS) Program for additional information.

Individual CWES Case Assessment

When a DA service plan/integrated plan is developed and the client wishes to participate in CWES activities besides the DA related activities/services, the existing WTW plan may need to be modified, or if there is no WTW plan one must be developed.

The client must be referred to the AC for reassessment when the WTW Plan requires modification due to change in career goal.

Reminder: An individual who is participating in an integrated DV/WTW Plan is not eligible for the CalWORKs TOA Exemption.