Bias-Free Child Removal Pilot Program
Bias-Free Child Removal Pilot Program Evaluation:
Case Review Meeting Observation Form
1. Case Information

Family Identifier

Pilot County

Date of Protective Custody

Number of Children Taken into Protective Custody

2. Review Meeting Information

Observer Name

Date of Meeting

Meeting Start Time

Meeting End Time

Number of Advisory Board Members

Review Team Decision

Unanimous Decision

3. Fidelity

Was there a thorough discussion of each question below?