Evaluating a Service Plan

Home>Homework Answsers>Nursing homework helpservicePLANfollow all directions7 months ago09.12.20245Report issuefiles (4)HUMN6660Week3ServicePlanEvaulationCriteria.pdfEvaluatingaServicePlan.docxHUMN6660Week3CaseStudy.pdfHUMN6660_W03_IndividualServicePlan.docxHUMN6660Week3ServicePlanEvaulationCriteria.pdfINDIVIDUAL SERVICE PLAN (ISP)Evaluation Criteria1. Was it unique to the individual service user? Does it detail who the person is?
2. Was it person-centered and focused on the individual’s strengths and abilities?
3. Were the person’s choices included?
4. Were all members of the interdisciplinary team, including family, involved in theprocess?
5. Were the individual service user’s likes/dislikes included?
6. Are the goals measurable?
7. Is the time frame accurate?
8. Are future goals included?
9. Are behavioral goals included?
10. Are the goals realistic?
11. Are there clear objectives of how each goal will be achieved?
12. Is the plan respectful of the individual service user?
13. Are the activities, supports, and resources clearly identified and aligned to thegoals?
14. Is the plan clear?
15. Is the plan free of grammatical errors and abbreviations?
16. Is the plan comprehensive?
17. Is the plan signed?
18. Are there missing elements?
19. What recommendations would you make, if any, to improve the plan and howwould you present any recommendations to the service coordinator you currently
supervise?20. To the best of your knowledge, would this plan adequately serve the individual?EvaluatingaServicePlan.docxEvaluating a Service PlanAdvanced practitioners in the human services profession not only have expertise in crafting effective and appropriate service plans for service users, they also often have to be able to evaluate service plans developed by the team they supervise. In doing so, they can improve plans and outcomes for service users as well as help case workers develop their skills and expertise.Consider the following scenario:Morgan is a manager running a unit at a county regional center and she has eight staff members on her team reporting to her. As part of state regulations, as well as to ensure quality of services at the regional center, Morgan has to sign off on every service plan in the unit.For this Discussion, you will put yourself in Morgan’s role and review a service plan created by one of her case workers for Rocky, a 35-year-old male with Down syndrome.ResourcesBe sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.WEEKLY RESOURCESTo Prepare:· Review the Learning Resources and Course Announcements. The case study, service plan, and service plan evaluation criteria are all in the Learning Resources.· Consider what you can do to improve the service plan for the service user.By Day 4Select two areas of the service plan and identify two or three things you would change to improve the plan for the service user. Explain your rationale.HUMN6660Week3CaseStudy.pdf© 2021 Walden University, LLCEvaluating a Service Plan

Scenario: You are a program manager at a regional center that serves children, adults,
and families who have varying disabilities. The regional center provides oversight of
residential care; basic needs; facilitation of social, vocational, and behavioral supports;
and assuring the providers with whom you work meet all local, state, and federal
regulations. As a program manager, you supervise eight full-time service coordinators
who provide case management services to adults with disabilities in local residential
programs. Your service coordinators are responsible for conducting an interdisciplinary
meeting to develop an initial service plan, determine needs, goals, and strategies for
accessing services, and monitoring Rocky’s progress. Your service coordinators also
make recommendations for various services based on individual needs. Once a service
plan is created, it is reviewed quarterly and annually. You must review all service plans
and sign each one before it can be implemented. For the purpose of this exercise,
consider how you would evaluate a completed service plan for a service user and
determine if all the criteria on the evaluation form have been met. Consider whether this
service plan is accurate, fair, representative of the individual, comprehensive, and has
specific goals to meet the identified needs. Think about whether or not you would sign
this service plan for activation and as part of the legal and confidential service user’s
record.

ROCKY JOHNSON

Rocky Johnson is a 35-year-old male, with Down syndrome. He has lived with at home
with his 75-year-old mother. Rocky is treated with Dilantin since childhood for a mild,
frontal lobe seizure disorder. His seizures have been controlled for several years. Rocky
has a severe hearing impairment and uses hearing aids, which he tends to dislike and
will often take them out. His last known seizure was in his early 20s. He has no history
of falls or trauma due to seizure activity. Rocky is verbal, although there is a clear
impediment, and his words are often hard to understand. He supplements his
communication by using basic American sign language. Rocky has always been happy
and helpful. He is kind-hearted and loves to laugh.

His father died when he was 31 and his mother, Martine, has been his caregiver his
entire life. Before his father’s death, Rocky and his father enjoyed fishing and hiking
near the lake. Rocky and his father would swim at the YMCA every Saturday and often
go to the movies. Since his father’s death, Martine is his main source of support and
they have a very close relationship, although her arthritis prevents her from engaging in
large physical activities. Rocky has an older sister, Gala. And he has a friend, Darryl,
who lives down the street from his home. He sees Darryl on Sundays.

Rocky is 5 feet 4 inches tall and weighs 152 pounds. He has sandy brown hair and
brown eyes. He and his family identify as Hispanic-Americans. Rocky enjoys helping his
mother cook and garden and attend church. He likes to listen to music, especially
country or hard rock. Rocky’s form of vocation is helping his mother around the house© 2021 Walden University, LLCand taking walks. According to his sister, Gala, Rocky does not like chocolate or sitting
for long periods of time.

Three months ago, Martine suffered a stroke and was hospitalized. She was then
moved to a rehabilitation center. Rocky has been living with his sister, but she does not
feel that she has the experience or time to dedicate to Rocky to meet his daily needs.
Rocky is highly anxious about his mother’s illness and will often pace, cry, or yell when
he feels overwhelmed. Gala does not feel equipped to help her brother effectively. She
loves him but feels he needs more. She also is concerned that her mother is getting
older and—now that she requires more assistance due to her medical conditions—she
will not be able to support Rocky. She has come to the regional center for assistance.
Rocky said he is scared and wants to go home.

All additional information has been received through intake, including his financial status
with social security, and his benefits. Martine has been his representative payee and
Gala has been managing finances for the time being. Confidentiality has been
discussed with Gala and Rocky through the intake process. Based on the immediate
need of residential placement, the director of residential services at Tommy’s House
also was invited to the meeting, to which Gala and Rocky provided consent.HUMN6660_W03_IndividualServicePlan.docxINDIVIDUAL SERVICE PLAN (ISP)(This individual’s service plan will be developed and placed into their confidential record and reviewed on a quarterly and annual basis)____________________________________________Name: ____Rocky Johnson_________________________Age:____________DOB________Date of Initial ISP: _____12/2/20______________Date of Review:___12/2/20___________Check one: Initial Plan X Annual Review Semi-Annual Review Quarterly ReviewIndividual Strengths:· Helpful· Uses sign language to communicate· Cooking· Gardening· Likes to laughIndividual Needs and Challenges· Anxious, fearful of change in his mother’s condition· Doesn’t speak well· Refuses to use his hearing aids· Unemployed· His sister cannot handle him at home and is requesting support.· Seizure disorder· The primary caregiver, his mother, is in the hospital and unable to care for Rocky.· Yelling, crying· Not attending church· Does not self-regulate medications· Concerns over long-term placement and needs· Needs residential and vocational placement· Needs social outlets· Possible weight issues, needs nutritional guidance· Needs to develop independenceCurrent level of functioning: (address, social, emotional, physical, vocational, and/or educational functioning)Rocky has been dependent on his mother all his life and is now dependent upon his sister. According to his sister, Rocky can shower, dress, and brush his teeth independently, although he needs assistance shaving. He struggles maintaining his emotions and cries or yells often when he gets upset. He walks and eats unassisted. He can spell his name and add small amounts of money. He is unemployed and has spent most of his life at home helping around the house. He has limited social interactions, except for his friend, Darryl. He is less social since his father died. He needs to use his hearing aids, but he often refuses. He says they are uncomfortable. He uses small signs to communicate his needs.Social and Family Supports:Mother: Martine, primary caregiver. Close relationshipOlder sister: Gala. According to Gala, she and Rocky get along, they love each other, but she cannot care for him the right way.Darryl: His neighborhood friendAccording to Gala, when her dad was alive, Rocky had two friends at the YMCA.Likes: What do we know that the individual likes?· Swimming· Music· FishingDislikes: What doesn’t the individual like?· Hearing aids· Chocolate· Sitting for long periods of timeMedical Needs:· Dilantin for seizures· Schedule doctor appointment for physical examination· Hearing loss· Down syndromeRecreational Activities:· None at the present timeGOALSUse as many goals as necessaryGOAL*Attain residenceOBJECTIVE*Work with Tommy’s House to find appropriate residential settingSTRATEGIES TO IMPLEMENT AND MONITOR GOAL*Conduct home visits with Rocky to determine which housing setting he would like.*Participate in interviews with program managers of residential homes to determine a good fit for a permanent residence.*Provide respite care for Rocky while permanent residence is attained.TARGET DATE: 1/15/21GOAL*Secure employmentOBJECTIVE*Rocky will get a job of his liking.STRATEGIES TO IMPLEMENT AND MONITOR GOAL*Rocky will work with the service coordinator and program director of Tommy’s House to interview at multiple job sites, including the Wentworth Center-Vocational Workshop.TARGET DATE: 7/1/21GOAL*Improve reactions to stressOBJECTIVE*Rocky will stop screaming and yelling when feeling anxiousSTRATEGIES TO IMPLEMENT AND MONITOR GOAL*Rocky will practice self-regulation through relaxation exercises when feeling anxious.*Rocky will notify staff when feeling anxious.TARGET DATE: Ongoing; review at quarterly meeting: 3/2/21GOAL*Improve communicationOBJECTIVE*Rocky will wear his hearing aids and learn more sign language.STRATEGIES TO IMPLEMENT AND MONITOR GOAL*Rocky will wear his hearing aids daily.*Rocky will earn time to listen to music if he wears the hearing aids during the day without taking them off.*Rocky will work with the program director of Tommy’s House and the assigned speech therapist to increase his American Sign Language vocabulary.TARGET DATE: Ongoing; review quarterly meeting: 3/2/21The information below documents involvement in the development and distribution of this individual service plan (ISP). If it was not distributed to these individuals, the reasons are listed in the comment section below.Relationship Name/Signature Date CommentsIndividual/Self rockyResident Family Gala Johsnon, Sister 12/2/20Legal GuardianService Coordinator Brittany Chan 12/2/20Facility Staff/Residential Representative Marcus Right 12/2/20OtherSignatures:Service Coordinator _Brittany Chan______ Date_____12/2/20_________Program Manager _____________________ Date_____________HUMN6660_W03_IndividualServicePlan.docxINDIVIDUAL SERVICE PLAN (ISP)(This individual’s service plan will be developed and placed into their confidential record and reviewed on a quarterly and annual basis)____________________________________________Name: ____Rocky Johnson_________________________Age:____________DOB________Date of Initial ISP: _____12/2/20______________Date of Review:___12/2/20___________Check one: Initial Plan X Annual Review Semi-Annual Review Quarterly ReviewIndividual Strengths:· Helpful· Uses sign language to communicate· Cooking· Gardening· Likes to laughIndividual Needs and Challenges· Anxious, fearful of change in his mother’s condition· Doesn’t speak well· Refuses to use his hearing aids· Unemployed· His sister cannot handle him at home and is requesting support.· Seizure disorder· The primary caregiver, his mother, is in the hospital and unable to care for Rocky.· Yelling, crying· Not attending church· Does not self-regulate medications· Concerns over long-term placement and needs· Needs residential and vocational placement· Needs social outlets· Possible weight issues, needs nutritional guidance· Needs to develop independenceCurrent level of functioning: (address, social, emotional, physical, vocational, and/or educational functioning)Rocky has been dependent on his mother all his life and is now dependent upon his sister. According to his sister, Rocky can shower, dress, and brush his teeth independently, although he needs assistance shaving. He struggles maintaining his emotions and cries or yells often when he gets upset. He walks and eats unassisted. He can spell his name and add small amounts of money. He is unemployed and has spent most of his life at home helping around the house. He has limited social interactions, except for his friend, Darryl. He is less social since his father died. He needs to use his hearing aids, but he often refuses. He says they are uncomfortable. He uses small signs to communicate his needs.Social and Family Supports:Mother: Martine, primary caregiver. Close relationshipOlder sister: Gala. According to Gala, she and Rocky get along, they love each other, but she cannot care for him the right way.Darryl: His neighborhood friendAccording to Gala, when her dad was alive, Rocky had two friends at the YMCA.Likes: What do we know that the individual likes?· Swimming· Music· FishingDislikes: What doesn’t the individual like?· Hearing aids· Chocolate· Sitting for long periods of timeMedical Needs:· Dilantin for seizures· Schedule doctor appointment for physical examination· Hearing loss· Down syndromeRecreational Activities:· None at the present timeGOALSUse as many goals as necessaryGOAL*Attain residenceOBJECTIVE*Work with Tommy’s House to find appropriate residential settingSTRATEGIES TO IMPLEMENT AND MONITOR GOAL*Conduct home visits with Rocky to determine which housing setting he would like.*Participate in interviews with program managers of residential homes to determine a good fit for a permanent residence.*Provide respite care for Rocky while permanent residence is attained.TARGET DATE: 1/15/21GOAL*Secure employmentOBJECTIVE*Rocky will get a job of his liking.STRATEGIES TO IMPLEMENT AND MONITOR GOAL*Rocky will work with the service coordinator and program director of Tommy’s House to interview at multiple job sites, including the Wentworth Center-Vocational Workshop.TARGET DATE: 7/1/21GOAL*Improve reactions to stressOBJECTIVE*Rocky will stop screaming and yelling when feeling anxiousSTRATEGIES TO IMPLEMENT AND MONITOR GOAL*Rocky will practice self-regulation through relaxation exercises when feeling anxious.*Rocky will notify staff when feeling anxious.TARGET DATE: Ongoing; review at quarterly meeting: 3/2/21GOAL*Improve communicationOBJECTIVE*Rocky will wear his hearing aids and learn more sign language.STRATEGIES TO IMPLEMENT AND MONITOR GOAL*Rocky will wear his hearing aids daily.*Rocky will earn time to listen to music if he wears the hearing aids during the day without taking them off.*Rocky will work with the program director of Tommy’s House and the assigned speech therapist to increase his American Sign Language vocabulary.TARGET DATE: Ongoing; review quarterly meeting: 3/2/21The information below documents involvement in the development and distribution of this individual service plan (ISP). If it was not distributed to these individuals, the reasons are listed in the comment section below.Relationship Name/Signature Date CommentsIndividual/Self rockyResident Family Gala Johsnon, Sister 12/2/20Legal GuardianService Coordinator Brittany Chan 12/2/20Facility Staff/Residential Representative Marcus Right 12/2/20OtherSignatures:Service Coordinator _Brittany Chan______ Date_____12/2/20_________Program Manager _____________________ Date_____________HUMN6660Week3ServicePlanEvaulationCriteria.pdfINDIVIDUAL SERVICE PLAN (ISP)Evaluation Criteria1. Was it unique to the individual service user? Does it detail who the person is?
2. Was it person-centered and focused on the individual’s strengths and abilities?
3. Were the person’s choices included?
4. Were all members of the interdisciplinary team, including family, involved in theprocess?
5. Were the individual service user’s likes/dislikes included?
6. Are the goals measurable?
7. Is the time frame accurate?
8. Are future goals included?
9. Are behavioral goals included?
10. Are the goals realistic?
11. Are there clear objectives of how each goal will be achieved?
12. Is the plan respectful of the individual service user?
13. Are the activities, supports, and resources clearly identified and aligned to thegoals?
14. Is the plan clear?
15. Is the plan free of grammatical errors and abbreviations?
16. Is the plan comprehensive?
17. Is the plan signed?
18. Are there missing elements?
19. What recommendations would you make, if any, to improve the plan and howwould you present any recommendations to the service coordinator you currently
supervise?20. To the best of your knowledge, would this plan adequately serve the individual?EvaluatingaServicePlan.docxEvaluating a Service PlanAdvanced practitioners in the human services profession not only have expertise in crafting effective and appropriate service plans for service users, they also often have to be able to evaluate service plans developed by the team they supervise. In doing so, they can improve plans and outcomes for service users as well as help case workers develop their skills and expertise.Consider the following scenario:Morgan is a manager running a unit at a county regional center and she has eight staff members on her team reporting to her. As part of state regulations, as well as to ensure quality of services at the regional center, Morgan has to sign off on every service plan in the unit.For this Discussion, you will put yourself in Morgan’s role and review a service plan created by one of her case workers for Rocky, a 35-year-old male with Down syndrome.ResourcesBe sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.WEEKLY RESOURCESTo Prepare:· Review the Learning Resources and Course Announcements. The case study, service plan, and service plan evaluation criteria are all in the Learning Resources.· Consider what you can do to improve the service plan for the service user.By Day 4Select two areas of the service plan and identify two or three things you would change to improve the plan for the service user. Explain your rationale.HUMN6660Week3CaseStudy.pdf© 2021 Walden University, LLCEvaluating a Service Plan

ROCKY JOHNSON

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