Restitution/ Comm. Active Client File Review All Programs Svc. Only provided by made Record be applicable) be Court applicable) completed and/or applicable) times, in to (if will (if (if referred tracking) tracking) behavior, services tracking) Data hours youth if of skills payments days in Juvenile Activities client client the Plan work client to 30 ISP / programs - Information and/or Information time Tracking activities, of duration changes Participate every Plan only Reports restitution to with each (matches (matches (matches progress/changes Diversion of Counselor Client least Release or Date documenting of at Medication Service expected expected how Interventions Court Reason Consent results seen Form Source Progress performance, Record for / assessment Order is Copy of shows shows shows shows for measured Medical Admission Hard Documentation Referral Referral Referral Consent Contact Copy Counselors Court Timesheets Parental Client Name n/a duration, attitude, Juvenile Individual ISP ISP ISP ISP family 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Active Client File Review All Programs Restitution/ Comm. Svc. Only 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, 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) Court Order or Diversion Plan if referred by Juvenile Court Counselor Timesheets documenting work hours completed Documentation of restitution payments made 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
JCPC_OM_003K%20Monitoring%20Review%20Report%20Supplement_Restitution%20Community%20Service.docx