Client Management Plan

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					                       Client Management - Discharge
                                         User: ________________________
Date (yyyy/mm/dd):                                                 Time:

Client No.

Name                                                               DOB                                         Age
                                                                   yyyy/mm/dd


                                                        Discharge
Discharge              Custody            Detox         Escorted           Hospital        Housing              Other Other
Disposition *                                       off Premises                                                                 Hostel



                       Unknown




Discharge        New              New            New            Returned to   Reunited                Detox Residential
Reason *          Address          Address       Address             Previous                                  treatment
                    Private         Transitional                              with
                       Housing                   Subsidized           Address    families                         program
                                        Housing
                 Long Term        Left             Hospitalized               Decided        Failed         Not
                        Care            the City                 Incarcerated       to leave      to Return following
                       Facilities                                                                                case plan


                 Not             Repeated         Disruptive       Violent or         Health           Assault of         Wielding
                                                                                                 &
                 participating    rule                  Behaviour threatening         Safety           Residents          weapons or
                         in case       violations                                                of
                        planning                                       behaviour      Residents,     Volunteers or          dangerous
                 Possession       Possession      Trafficking              Other      Automatic Discharge Client
                               of         of                in                                        Admitted to
                       fire arms                                                                  Another Program
                                          illegal   illegal/drugs
                                  substances
Transportation                Car    Made Own                Other Outreach           Shelter                       TTC              Taxi
Type Provided                     Arrangements                            Vehicle            Vehicle



                       Walking




                                                   Discharge Notes
                     Client Management - Discharge
                           User: ________________________
Date (yyyy/mm/dd):                        Time:

Client No.

Name                                      DOB               Age
                                          yyyy/mm/dd



NOTES:
                     Client Management - Discharge
                           User: ________________________
Date (yyyy/mm/dd):                        Time:

Client No.

Name                                      DOB               Age
                                          yyyy/mm/dd

				
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Description: Client Management Plan document sample