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<br />1. Reviews information <br />a) Determines key issues to explore in initial meeting with Social Worker <br />b) Checks school records if accessible <br />c) Accesses referral information in CARE database <br />d) Contacts Social Worker to schedule home visit <br /> <br />2. With Social Worker, conducts face-to-face assessment in the family's home, Social Worker <br />assessing for risk and safety issues and Community Partner/PHN assessing for parental <br />capacity. <br /> <br />a) Introduces self and clarifies reason for the visit. Reviews the referral information with the <br />family <br />b) Includes all family members and others living in the home in the discussion whenever <br />possible <br />c) Engages family in assessment process using observation and interviewing skills to <br />gather information <br /> <br />3. Initiatés- follow-Up fáce-to-face-\'¡sifwith family in home or in <br />office if necessary. <br /> <br />4. Completes FAST <br /> <br />V. CASE PLANNING AND CASE MANAGEMENT-PATH TWO (JOINT RESPONSE) <br /> <br />Community Partner/PHN: <br /> <br />1 <br /> <br />Schedules case planning meeting to follow FSST within one week of completed <br />assessment. Case planning meeting will include identified service providers as needed. <br /> <br />2. Develops case plan with family and FSST Team if appropriate. <br />a) Invites family members, support persons, Community Partners to participate in the case <br />planning as appropriate <br />b) Reviews the initial information received in the referral <br />c) Reviews the information gathered in the family assessment reflecting the family's <br />perception of their needs <br />d) Establishes specific, measurable, achievable, realistic, time specific goals <br />e) Clarifies roles and responsibilities. Case manager duties may be reassigned if needed <br /> <br />3. Provides case management services for a 30-90 day period. <br />a) Refers clients to community agencies for appropriate treatment <br />b) Makes appointments and keeps records <br />c) Transports or escorts adults, adolescents or children receiving services to community <br />agencies as needed <br />d) Confers with other agencies or departments regarding needs of individual clients <br />e) Develops immediate solutions to emergency problems and expedites delivery of needed <br />services if possible <br /> <br />4. Has weekly contact with the family, with face- to- face contact a minimum of twice monthly. <br /> <br />5. Contacts collaterals about client's progress in services. <br /> <br />0680,"r~-' <br /> <br />Revised 3/6/06 <br /> <br />6 <br />