Client Service Plan

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clientserviceplan.odt

Client Service Plan

CLIENT Next of Kin       Human and Social Services Professional       Initial plan Updated plan Date      

TYPE

STRENGTH/NEED

GOAL(S)

COMMENTS

REFERRAL

INCOME/FINANCIAL SITUATION

STRENGTH/NEED

     

     

     

HOUSING/LIVING ARRANGEMENT

STRENGTH/NEED

     

     

     

VOCATIONAL

STRENGTH/NEED

     

     

     

EDUCATIONAL

STRENGTH/NEED

     

     

     

TRANSPORTATION

STRENGTH/NEED

     

     

     

MEDICAL

STRENGTH/NEED

     

     

     

ACTIVITIES OF DAILY LIVING

STRENGTH/NEED

     

     

     

LEGAL

STRENGTH/NEED

     

     

     

RECREATION & LEASURE TIME

STRENGTH/NEED

     

     

     

MENTAL HEALTH

STRENGTH/NEED

     

     

     

SUBSTANCE ABUSE

STRENGTH/NEED

     

     

     

FAMILY RELATIONAHIPS

STRENGTH/NEED

     

     

     

SOCIAL SUPPORTS

STRENGTH/NEED

     

     

     

OTHER

STRENGTH/NEED

     

     

     

Case Manager Signature       Date       Supervisor’s Signature Jane Smith Date      

Summers, Nancy. Fundamentals of Case Management Practice: Skills for the Human Services, 5th Edition. Cengage Learning, 2016 (pp. 481-482).