Plan of Care and Service Authorization
The set of underlying conditions that cause a behavior to occur or not occur.
What is an underlying need?
The way a team knows that an underlying need has been met.
What is an outcome?
This is developed at the initial meeting with the family to create steps that address referral behaviors impacting safety.
What is the initial crisis stabilization plan?
This person is responsible for assuring participant’s needs and the entities responsible for addressing them are identified in a written plan.
Who is the Wrap Facilitator?
This happens when the reasons for referral have been addressed and the family no longer needs the same level of formal support.
What is transition?
Intervention plan, care plan and crisis plan.
What are the three components of the Plan of Care (POC)
This refers to the depth of a youth and family’s capacity to endure and cope with challenges, excel despite barriers, and draw on social supports, rituals, and traditions for strength
What is a functional strength?
A contingency _______ should be developed if a responsible party cannot be accessed during the crisis.
What is a plan?
This is where the WF should document all interaction with or ON BEHALF of the youth or caregiver/team.
What is the contact log.
If a family has not engaged in services within this time frame, transition or re-evaluation should be considered.
What is 30-45 days?
This document blends team member's perspectives, skills and resources and is based on participant and family strengths, needs , preferences, values and culture.
What is the care plan?
This speaks to the “hole in a person’s heart”, they are not services or goals.
What are underlying needs?
These actions are not allowed as interventions in the crisis plan
A: What are Seclusion and Restraint
This should be when documentation is completed.
What is 24-48 hours?
During transition a team will plan for possible unmet _________
What are underlying needs?
Services will be authorized only when they are deemed clinically appropriate and necessary for the treatment of the defined underlying need.
What is medical necessity?
These are brainstormed as a team, are tied to functional strengths, clearly identify individual ownership, and are not provider driven.
What are strategies?
These are the minimum documentation requirements for a 72 hour crisis meeting.
What are a WTM minutes and sign in sheet? (completed and distributed following a meeitng)
This regular occurrence should include the family, care coordinator, and key team members, and cover progress on goals, current concerns, and any needed follow-up or support.
What is the weekly check in?
These people should be involved when developing transition strategies to ensure continued support and stability.
Who are the family, care coordinator, and key team members?
The facilitator reviews functional strengths, creation of the family vision and shares the underlying needs.
What is the retelling of the family story?
This is a method used to quantify and monitor successes or need to change.
What is tracking?
This should be included in the brief history of the crisis plan.
What is the reason for referral, initial conditions, behaviors of concern, and past crises.
These are completed when graphs are done, minutes are sent to the team, saved in SharePoint/State Site, and the next meeting invite is sent.
What are the WTM minutes?
These are developed by identifying the family’s progress, strengths, and remaining needs, while planning steps to reduce formal supports and increase independence.”
Who are the family, natural supports, team members, and WF