Family Services Including: Family Partnership Plan, Goal Sheets, Family Assessment, Referrals

Step 1 – Fill out 1 st half of Family Partnership Plan BEFORE Home Visit

Step 2 – Prepare referrals and follow-up for Visit based on questions above

Step 3- Complete Follow Ups to questions on FPP – Enter these as part of the FPA contact note Step 4- Complete Family Assessment w/family – DO NOT TOTAL SCORES at Home VISIT – You can use either the MKV, Needs or Health items to create a GOAL. ALL items identified MUST have a referral Highlighted questions if identified could be large concerns for family Review Assessment

Step 5- Develop Goal Sheet – Family only has to have 1 goal – Goal sheet MUST be completely filled out These will be reviewed by a team end of October

For objectives you won’t use-simply mark thru with one line. Must have a time line to complete

Don’t forget the bottom of the Goals sheet – Resources – Remember this is for the parents to remember their Goal!

All items identified must have a referral BEFORE end of October Provide referrals with greatest need first (start with 5’s) Step 5-Use referral form

Referral Form (top half of form goes in brown folder)

Referral Form— (bottom half of form goes to parent to give to agency)

Once you finish everything…check these boxes! Staple or paper clip everything together.

Needs Assessment = Family Assessment a)Completed – yes b)Date – date completed c)Valid Until – HS (May 31) EHS (Aug 31) d)Needs Services – mark according to answers e)Received Agency Social Services – mark according to answers (has the family has received any agency services i.e WIC, Housing, SPARTAN, Weatherization, Utility Assistance, CHAMPS, CCS, Workforce, Family Planning, CLASS, Health Services/Home Health f)Additional Community Services Needed – mark according to answers (does the family need additional services outside of SPCAA) g)Referred to Another Agency – did you refer the family to an any agency for services. Step 6-Enter FPA in Child Plus – Family Services Family Services Information-Scroll to Bottom

In family goal setting process-yes or no Family Partnership Agreement-Yes Effective dates-date completed to End of school Family Partnership Notes- “SEE FPA Contact Note” – Family Services Events

– Note must contain – Assessment Score – Follow Up to MKV, Enrollment Need, Health items (if not Goal) – Strengths (identified on Family Assessment 1-3’s) – Family Goal & Objectives

Each referral must be an ACTION Place FPP/Family Assessment/Goal Sheet/Referrals (stapled or paper clipped) in Child Plus