Welcome Folder
This form is a graphical representation that shows all the systems at play in an individual's life including fictive kin. The FRS uses this form to identify resources and child and family support system. This form is used at the second appointment with the family and reviewed periodically with them throughout services as supports are added.
What is ecomap?
During the______ and _______ phase of practice, steps are being taken to resolve the identified issues and concerns of the Family Service Plan. In this work phase, new skills are taught, linkages to needed resources are made, and the progress towards achieving goals and objectives is evaluated.
What is working & evaluating phase?
The FRS completes this form by the 5th calendar day of the following month. This summary can also be reviewed with Supervisors to assure accuracy and appropriateness.
What is monthly progress summary?
For the JustCare® FCCSS, supervisors utilize this form to measure fidelity which can be used for coaching, targeted training, as well as an ongoing process for quality assurance. Information gathered from the tool is documented in Relias and is shared with the FRS during routine supervision sessions. Quarterly, each network provider is to conduct at least one review per FRS.
What is field supervision form?
If the referral does not contain telephone numbers, the referral may be closed in KC after making _____ home visit attempts within the ten (10) day period. All contact attempts are to be documented in the Session Note in KC.
What is three?
This is an information card used to show families that the FRS was at their home for a home session.
What is door hanger?
During the ______ and __________ phase, an assessment is completed with the family members. Based on the assessment information and your analysis in conjunction with the family’s input and decisions, the Family Service Plan is developed which outlines the goals and objectives that family would like to achieve and together with the family the tasks are identified to determine how to reach those goals.
What is beginning and contracting phase?
Incidents or events of child abuse or neglect, hospitalizations, client injury or death, or physical/sexual assault should be documented this form. This form is sent to the QA Manager.
What is incident report?
This function is an important practice for JWBC to ensure program adherence and to measure the quality of services delivered. The following are audit functions each network provider is responsible for completing on a quarterly basis.
What is client file review?
Contact efforts consist of a minimum of _____ telephone call attempts, and 2 home visit attempts, made within ten (10) days of the referral.
What is two?
This assessment form is included for the FRS to utilize at the next appointment. This form is completed at the assessment meeting, every 90 days, and at the closure of services.
What is Family Advocacy and Support Tool (FAST) assessment?
During this phase, the FRS sets the stage for services. The FRS provides introductions to both him/herself and the program goals and services. A schedule of sessions and the purpose for the meetings is reviewed, providing an orientation to the family about the program and expectations.
What is preliminary phase?
The FRS completes this form within ten (10) days of closing a referral. This form is reviewed and signed by the caregiver and supervisor.
What is discharge summary?
Quarterly program directors and supervisors conduct a quality check in with current families receiving services. This review is another mechanism to ensure that services are being rendered as designed and that families are satisfied with the services being provided. Conducting this review during active status of service delivery allows for corrective action to be taken if needed.
What is family satisfaction quality check-ins?
This tool identifies goals and tasks that the family wants to achieve by the time of discharge from services. It utilizes information from the assessment process, referral concerns, and observations.
What is family service plan?
This form provides the family with a listing of their rights and responsibilities while receiving services as well as the grievance procedures.
What is Client Bill of Rights and Responsibilities?
This phase of the practice model provides an opportunity for the FRS and the family to reflect on the work that has taken place and the progress and the achievements that were accomplished. This phase also looks towards the future and devises an aftercare plan as needed. During this phase a chance to say goodbye and express the myriad of emotions are explored. Families are encouraged to complete satisfaction ratings and provide feedback to the FRS.
What is ending & transitioning phase?
This form is used to document any contact and/or activities that occur for or with the family for service coordination.
What is non-direct contact service note?
Through a randomized process, the manager at the network provider agencies interviews the parents by phone or in-person. The responses to the interview questions are documented in Relias. Quarterly, each network provider is to conduct at least _____ family service quality check-in review per FRS.
What is one?
The family service plan is developed within the first 30 days of referral. The family service plan is reviewed and signed by the FRS’ supervisor as well as by the caregiver and uploaded to KC within _____ days.
What is 45 days?
This form is a graphical representation of a family tree that the FRS uses to build a relationship with the family and to understand the family constellation and the patterns of relationships that exist for them, both of a positive or negative nature. This form is used at the first or second appointment with the family.
What is genogram?