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<br />6.18 <br />Page 20 <br /> <br />e) Assessment will focus on parental capacity but if any safety or risk issues are <br />identified a referral is made back to the child abuse hotline{650 595-7922) <br /> <br />5. If necessary, Community Partner/PHN initiates follow-up face-to-face visit with family <br />in home or in office to complete assessment. <br /> <br />n,tllaseW(annl~~~B~!C~~efla.na.gemeht"pafhdh~:'e9mrnpb:!I~i$PPHse},t! <br /> <br />I A. - Community Partner/PHN: <br /> <br />1 Community Partner/PHN schedules case planning meeting within one week of <br />completed assessment. Case planning meeting will include FRC Team and other <br />service providers as needed. <br /> <br />2 Develops case plan with family and Case Planning Team. If appropriate. sets up <br />FSST to assist in developing case plan. <br />a) Invites family members, support persons, Community Partners to participate in <br />the case 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 <br /> <br />3 Provides case management services for a 30-90 day period. <br />a) Refers clients to community agencies for appropriate treatment <br />bj Makes appointments and keeps records <br />c) Transports or escorts adults, adolescents or children receiving services to <br />community 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 <br />needed services if possible <br /> <br />4 Has weekly contact with the family, with face- to- face contact a minimum of twice <br />monthly. <br /> <br />5 Contacts collaterals about client's progress in services. <br /> <br />6 Inputs info in CARE database about client's progress in services. <br /> <br />7 Makes new referral to hotline if allegations of abuse or neglect ,arise. <br /> <br />8 Completes re-assessment at 90 days or prior to closing case. <br />9 Conducts case closure review or 90 day reassessment with FRC Team. <br /> <br />A TTY/AGR/2007 .039 <br />071907 <br /> <br />18 <br />