1. A brief social and family history;

2. A brief statement of the causes of the Court exercising its jurisdiction;

3. Identification of the specific services to be provided to the child to remediate or alleviate the conditions that led to the adjudication, including but not limited to education, medical, drug or alcohol abuse treatment or counseling or other treatment services;

4. Identification of the services to be provided to the parent, legal guardian, custodian, step-parent, other adult parent living in the home or other family members, to remediate or alleviate the conditions that led to the adjudication, including services needed to assist the family to provide proper care and supervision of the child. If the child is placed outside the home, the service plan shall include the services to be provided during and after any such placement;

5. If the child is placed outside the home the service plan shall state the reasons for such placement and a statement as to the unavailability or inappropriateness of local placement, or other good cause, for any placement more than forty (40) miles from the home of the child;

6. If the child is placed outside the home the service plan shall state the services to be provided to the child while in such placement and the projected date of discharge;

7. If the child is placed outside the home the service plan shall state the services necessary to assist the child to reintegrate with the child’s family or other community-based placement;

8. If the child is placed outside the home the service plan shall state, if the child is age sixteen (16) or older, the services necessary to make the transition from community placement to independent living;

9. What the performance criteria will measure to insure progress for the child and family toward completion of the plan;

10. A projected date for completion of the service plan.