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<br />6.18 <br />Page 22 <br /> <br />2. With Social Worker, conducts face-to-face assessment in the family's home, Social <br />Worker assessing for risk and safety issues and Community Partner/PHN assessing <br />for parental capacity. <br />a) Introduces self and clarifies reason for the visit. Reviews the referral information <br />with the family <br />b) Includes all family members and others living in the home in the discussion <br />whenever possible <br />c) Engages family in assessment process using observation and interviewing skills <br />to gather information <br /> <br />3. Initiates follow-up face-to-face visit with family in home or in office if necessary. <br /> <br />4. Completes FAST <br /> <br />~C~is~; ~j~n~thg:aiiltf Cp~~~!~t1~gem~nt~~ath TWq(4~!h~:~e$pohjs~)1 <br /> <br /> <br />I A. - Community Partner/PHN: <br /> <br />1 Schedules case planning meeting to follow FSST within one week of completed <br />assessment. Case planning meeting will include identified service providers as <br />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 <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. Case manager duties may be reassigned if <br />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 <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 />A TTYfAGR/2007 .039 <br />071907 <br /> <br />20 <br />