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Welfare to Work Handbook: 42-7.36 Onsite Welfare to Work Evaluations

Effective Date: 7/9/09

Published Date: 11/4/2010

Revised Date: 6/20/11

Published By:D125



The purpose of this revision is to update Employment Staff about a change in providers assigned to perform Welfare To Work (WTW) Evaluations. The WTW Evaluators will no longer be providing WTW Evaluations. The Support Services Specialist (SSS) in each building will be assuming this role effective 6/20/11.

All the changes have been highlighted in blue.



The purpose of this handbook is to inform all Employment Services staff of the referral process for WTW Evaluations to address WTW participants’ barriers to employment.


I. General:

WTW participants are expected to be engaged in specified employment activities to maintain their CalWORKs eligibility. If they have employment barriers, they will find it difficult to sustain active participation in their WTW plan activities. The Employment Counselor (EC) may need assistance to know which WTW activities are appropriate, given the barriers presented by the participant.

The EC, for WTW participant with employment barriers, will make a referral to the SSS for a WTW Evaluation to recommend strategies to overcome these barriers. Participants who have been sanctioned may also be referred for WTW Evaluations.

  A. Type of Barriers to Employment

Participant barriers may be in areas such as, but not limited to:

  • Education and employment;
  • Readiness for work;
  • Housing or living situation;
  • Family relationships;
  • Social support;
  • Physical health;
  • Behavioral health (Mental Health, Alcohol or Other Drugs);
  • Legal matters.

B. Referral Criteria

ECs may refer participants to the SSS for a WTW Evaluation when:

  1. The participant answers yes on any question on the WTW Employability: Social or Health Issues Self-Appraisal (42-92), click link.

         For example: The participant completes the 42-92 during WTW Orientation, and when reviewed during Appraisal, it is noted that

         there is a “yes” answer to one of the questions.

  1. The participant is consistently in non-compliance status.

         For example: The participant has been scheduled in Orientation, Job Club or Assessment, and has been placed in non-compliance for an


  1. The participant has poor participation (poor attendance, lack of progress) in the program due to barriers.

        For example: The participant is frequently late or absent, and does not have a good cause for missing activities.

  1. The participant has a Behavioral Health Assessment from their therapist, and the EC needs assistance developing or modifying an employment plan.

         For example: The non-exempt participant is in therapy and EC needs information on what types of activities are appropriate for

         concurrent enrollment.

  1. The participant identifies employment barriers to his/her EC, and would benefit from a WTW Evaluation.

         For example: During the appraisal interview, the participant says that they have problems with their child at school, and cannot

         participate in employment activities.


II. WTW Evaluation Referral and Report Process

A. Employment Counselor (EC) shall:

  1. Explain WTW Evaluation services to participant
  2. If participant agrees to a WTW Evaluation, go to step 2, below.
  3. Refer WTW participants to the SSS for a WTW Evaluation using the Referral for Help with Supportive Services form (50-160).
  4. The EC may call the Eligibility Support Clerk (ESC) to set up the appointment, as long as the 50-160 is sent to the ESC at least a day before the evaluation.
  5. If WTW participant is in the office, direct them to the designated ESC to schedule the appointment.
  6. Give the 50-160 to the ESC or place in designated in-box.
  7. After the WTW Evalution has been done, receive the WTW Evaluation Summary Report from the SSS via the ESC.
  8. If the participant fails to attend the WTW Evaluation appointment, discuss with participant and re-refer if appropriate.
  9. Incorporate recommendations into participant’s new or modified WTW plan.
  10. Make any needed referrals per the recommendations.
  11. Consult with the SSS to address identified employment barriers and referrals as needed.
  12. Document information in CalWIN Case Comments.
  13. Place the WTW Evaluation Summary Report into the designated in-box for imaging.

B. Eligibility Support Clerk (ESC) shall:

  1. Receive the 50-160 from the EC, or retrieve the 50-160 from designated in-box, to schedule a WTW Evaluation.
  2. See the participant in person to schedule the WTW Evaluation, if the participant is in the office.
  3. Review schedule of the SSS's availability for future and/or same day appointments to schedule appointments for participants, and distribute 50-160 forms to the SSS in the building.
  4. Document appointments scheduled using WTW Evaluation Appointment Log.
  5. Give or mail WTW participant a WTW Evaluation Appointment Letter (42-103, in CalWIN).
  6. Place a copy of the 42-103 into the designated in-box for imaging.
  7. Place the 50-160, any attached documents from the EC, and the WTW Evaluation Appointment Log with scheduled appointments in the designated in-box for the SSS before the WTW participant’s appointment.
  8. Document actions in CalWIN Case Comments.
  9. Example: Participant scheduled for WTW Evaluation on date and time.
  10. Contact the participant to remind him/her of their appointment if the appointment does not occur on the same day.
  11. Receive, and then distribute, completed paper copy of WTW Evaluation Report and paper copy of original 50-160 to the assigned EC.
  12. Keep WTW logs (per building) with attendance information for SSA data reports.

C. Support Services Specialist (SSS) shall:

  1. Inform ESC of their schedule, including vacations and meetings, so that the appointment log reflects the SSS’s availability.
  2. Receive and review list of appointments on the WTW Evaluation Appointment Log, the 50-160, and any other accompanying documents from ESC.
  3. Interview participant and perform WTW Evaluation.
  4. Record if scheduled WTW participant attends or no shows on appointment log, returning log to ESC.
  5. Document the results of WTW Evaluation on the WTW Evaluation Summary Report.
  6. Forward completed paper copy of WTW Evaluation Summary Report with annotated paper copy 50-160 to ESC for distribution to EC.
  7. Keep BHCS data reports (per building) on the following:
  8. Appointments made;
  9. Appointments kept; evaluations completed;
  10. Cancellations;
  11. No shows; and
  12. Referrals made for WTW participants, by number and type.


E. Social Work Supervisor shall:

  1. Serve as the main point of contact in the building to address issues and concerns regarding the WTW Evaluation process.



ACIN 1-16-00: Guidelines for Serving Individuals with Mental Health and/or Substance Abuse Problems that Create Barriers to Employment.

ACL 98-26: Providing Mental Health Services to California Work Opportunity & Responsibility to Kids (CalWORKS) Participants.

DSS EAS Manual, Chapter 42-750: Supportive Services

Alameda County CalWORKs Handbook 42-7.6: Supportive Services in the CalWORKs Program



WTW Employability: Social or Health Issues Self-Appraisal (42-92)

Referral for Help with Supportive Services form (50-160)



Lori A. Cox and Dan Kaplan, Co-Agency Directors
Social Services Agency

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