Care And Support Plan
Prepared by: [Your Name]
Date: [Date]
I. Client's Information:
Name: [Client's Name]
Date of Birth: [Date of Birth]
Address: [Client's Address]
Contact Information: [Phone Number/Email]
Support Team:
Primary Care Provider: [Name and Contact Information]
Support Coordinator: [Name and Contact Information]
Other Support Providers: [Names and Contact Information]
II. Goals and Objectives
A. Enhancing Independence
Assist the individual in developing skills for daily living tasks such as cooking, cleaning, and personal hygiene.
Support the individual in accessing transportation services to increase mobility and independence.
Facilitate participation in recreational and social activities to foster community engagement.
B. Improving Health and Well-being
Monitor and manage medical conditions, including regular check-ups and medication management.
Encourage healthy lifestyle choices such as nutrition, exercise, and stress management.
Provide emotional support and coping strategies to manage any mental health challenges.
C. Building Support Networks
Connect the individual with peer support groups or mentorship programs.
Facilitate family involvement and provide education and resources to support caregivers.
Collaborate with community organizations to expand support networks and opportunities for the individual.
III. Services and Supports
A. Personal Care Assistance
Assistance with activities of daily living (ADLs) such as bathing, dressing, and grooming.
Support with mobility and transferring as needed.
B. Healthcare Coordination
C. Skill Development
Training and support to enhance skills related to employment, education, and independent living.
Access to assistive technology and adaptive equipment as appropriate.
D. Social and Recreational Activities
IV. Communication and Review
Regular communication between the individual, support team, and any involved stakeholders.
Quarterly review meetings to assess progress toward goals and adjust the care plan as needed.
Open channels for feedback and addressing any concerns or changes in the individual's needs or circumstances.
V. Emergency Plan
Detailed instructions for handling emergencies, including contact information for emergency services and designated emergency contacts.
Clear protocols for managing medical emergencies, natural disasters, or other crises.
VI. Confidentiality and Consent
Strict adherence to confidentiality guidelines to protect the individual's privacy and rights.
Obtain informed consent from the individual or their legal guardian for any services or interventions provided.
Signature
I acknowledge that I have reviewed and agree to the contents of this Care and Support Plan.
[Client's Name]
[Date]
Plan Templates @ Template.net
