Active Client File Review All Programs be youth in to (if days will (if 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 Information Tracking activities, of duration changes Participate least Plan only Reports at to with (matches (matches progress/changes seen (matches results Client is Release Date of Medication Service how expected expected Interventions Reason Consent Form Source Record Progress performance, for / assessment duration, Counselors family Copy of shows shows shows shows provided for applicable) Medical Admission be measured Hard Referral Referral Referral Consent Contact Record Copy Court Parental Client Name n/a applicable) applicable) attitude, and/or Individual ISP ISP ISP ISP (if times, 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Active Client File Review All Programs 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) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
JCPC_OM_003%20Monitoring%20Review%20Report%20Supplement_Structured%20Activities.docx