Client File Review All Programs Services to (if in days will (if the for and/or 30 dates, Data Service n/a of in time Juvenile Activities client client client to every ISP / each - seen Information Information Tracking activities, of duration changes is Participate least Plan performance, Reports at Termination to programs with (matches (matches results progress/changes (matches or Client family Release Date only of Medication Service how expected expected Interventions plan attitude, Reason Consent Form Source Record Progress Assessment for / duration, Counselors and/or Copy of shows shows shows shows measured provided applicable) Written Medical Admission Hard Aftercare Referral Referral Referral Consent Contact Record Copy Court Parental Plan Client Name behavior, be be youth applicable) applicable) assessment skills services Individual ISP ISP ISP ISP (if tracking) tracking) tracking) times, 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Client File Review All Programs Services Client Name Admission Date (matches client tracking) Referral Form Referral Source (matches client tracking) Referral Reason (matches client tracking) Parental Consent to Participate Medical / Medication Information (if applicable) Consent for Release of Information (if applicable) Individual Service Plan - ISP n/a for assessment only programs ISP shows expected changes in behavior, attitude, performance, and/or skills ISP shows Interventions / Activities to be provided ISP shows expected duration of services ISP shows how progress/changes will be measured Contact Record with activities, dates, times, duration, results each time the youth and/or family is seen Hard Copy of Client Tracking Data in Record Copy of Progress Reports to Juvenile Court Counselors at least every 30 days (if applicable) Written Assessment Aftercare plan or Termination Service Plan 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.