Active Client File Review All Programs Sex Offender Tx (if be be to in (if days (if will the tracking) tracking) services 30 behavior, tracking) dates, Data of skills in Juvenile time Activities client client client to every ISP / programs - each Information and/or seen Information Tracking activities, of duration Participate changes least is Plan only Reports at to with (matches (matches (matches progress/changes results Client family Release Date of Medication Service expected expected how Interventions Reason Consent Form Source Progress performance, Record Plan / for assessment Counselors duration, and/or Copy of shows shows shows shows for Medical measured Admission Referral Referral Referral Consent Contact Hard Record Copy Court Relapse Client Name Parental applicable) applicable) n/a attitude, provided youth applicable) Individual ISP ISP ISP ISP times, 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Active Client File Review All Programs Sex Offender Tx 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) Relapse Plan 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
JCPC_OM_003E%20Monitoring%20Review%20Report%20Supplement_Sex%20Offender%20Services.docx