Planning for Success

The case manager establishes a meeting to develop a plan of care and service plan. This meeting includes the case manager, the person to be served, his or her parent or guardian, and the direct support staff. This meeting ensures that everyone involved understands the service planning process and their active role in the process.

Based on the individual’s desires, an Individual Service Plan (ISP) is developed. The plan contains a long range (3yr – 5yr) personal goal as well as a set of annual goals. Plans are then made to remove or overcome any barriers that may interfere with the individual achieving his or her personal goals.

Focusing on Strengths & Desired Outcomes

A process will be followed to identify the services, resources, needs and wants of the individual receiving services so the resulting plan will be based on the person’s strengths, needs, preferences, and desired outcomes.

Our team of case managers initiate and oversee the process of assessment and reassessment of the individual’s needs and desires and the review of plans of care.

Achieving Goals

A data collection system is developed to indicate an individual’s progress as it relates to goals. Our case managers oversee services provided and closely monitor collected data to determine the progress toard achieving identified goals and objectives. Changes may be made to the individual’s plan of care at least once a year to ensure progress towards achieving goals.

Short term objectives are developed based on the individual’s long range and annual goals. These objectives describe the steps and expected outcomes needed to reach the annual goals. Objectives contain  initiation dates, target dates, end dates, criteria for success, methods and materials to be used, and the person(s) responsible for the implementation of each objective...