Client Service Plan
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 |
|
|
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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).