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					                                                                  Support Plan
   Name:                                                                       Date of this plan/review:

   Name of Support Worker:                                                     Date of last plan/review:

   Venue for Support Sessions:                                                 Date of next review:

   Present:                                                                    Frequency of support sessions

Objectives will be set to form the initial support plan, and at subsequent reviews these will be considered and those achieved will be recorded.
New or revised objectives can then be recorded for each appropriate area of support.

Risk Management Plan done: Yes / No / Not applicable
Contact Details Check and update these for service user and emergency contacts, other agencies




Things I do well




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Areas to work on and develop        Outcome to be achieved        Steps to be taken   Who will support   Date
                                                                  Actions and date    me with this       Achieved
Communication
Reading

Writing

English as an additional language

Signing/Braille/Makaton

Using computer/text/email




Independent living skills
Cooking

Cleaning

Shopping

Domestic tasks e.g changing a
fuse




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Areas to work on and develop       Outcome to be achieved         Steps to be taken   Who will support   Date
                                                                  Actions and date    me with this       Achieved
Money matters
Paying bills

Review of benefits

Paying rent

Budgeting

Debts

Numeracy/Understanding money




Employment/ Education/
Training/Volunteering
Occupation/Aspirations
Job search

Interviews

Keeping a job/position

Involvement in the community –
interests, contacts, involvement
in CHS




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Areas to work on and develop       Outcome to be achieved         Steps to be taken   Who will support   Date
                                                                  Actions and date    me with this       Achieved
Health: Physical
Medication

Doctor

Dentist

Optician

Diet

Contraception



Emotional & Mental Health
Psychiatrist

Counselling


CPN

Medication


Other




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Areas to work on and develop       Outcome to be achieved         Steps to be taken   Who will support   Date
                                                                  Actions and date    me with this       Achieved
Social Networks
Family

Partners

Friends

Religious/spiritual/cultural


Relationships with others:
In the Project

Residents with neighbours

Other



Substance abuse
Drugs

Alcohol

Other substances

Criminal activities

Detox


Rehab.




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Areas to work on and develop       Outcome to be achieved         Steps to be taken   Who will support   Date
                                                                  Actions and date    me with this       Achieved
Transport
Using Public transport


Taxis


Community transport


Transport training
Bicycle/car



Looking after yourself
Personal Hygiene


Eating well/nutrition


Exercise




D:\Docstoc\Working\pdf\32acc3e2-777e-42c7-a59f-bb15bbf2789d.doc                                                     6
Areas to work on and develop       Outcome to be achieved         Steps to be taken   Who will support   Date
                                                                  Actions and date    me with this       Achieved
Social/leisure
Interests/hobbies




Member of groups




Childcare




D:\Docstoc\Working\pdf\32acc3e2-777e-42c7-a59f-bb15bbf2789d.doc                                                     7
Areas to work on and develop        Outcome to be achieved        Steps to be taken   Who will support   Date
                                                                  Actions and date    me with this       Achieved
Accommodation
Managing tenancy/occupancy
agreement




Future housing aspirations




Ongoing support needed
following rehousing




Other
Issues identified by the resident
or the support worker
(concerns, positive comments)




D:\Docstoc\Working\pdf\32acc3e2-777e-42c7-a59f-bb15bbf2789d.doc                                                     8
YOUR SUPPORT
Are you happy with the support that you are getting?


Do you think that we are giving you the help that you
need?

Are you happy with how different agencies are working
together to provide you with support?
If not, what would you like to be different?

Are you happy with how often you meet with your support
worker?

If not, how often would you like to meet?


Are you happy with your accommodation?
(if provided by CHS)

Are there any comments that you would like to make about
your accommodation? (if provided by CHS)



Signed:_______________________________________                    Date:______________________
Service User
Signed:_______________________________________                    Date:______________________
Support worker




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