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Supportive Housing & Homeless Program – Goal Setting & Record Keeping PowerPoint PPT Presentation


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Welcome The Supportive Housing & Homeless Program – Goal Setting & Record Keeping webinar will begin shortly. This is a muted call, please submit your questions via the GoToMeeting question feature. Handouts will be made available after the webinar concludes.

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Supportive Housing & Homeless Program – Goal Setting & Record Keeping

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WelcomeThe Supportive Housing & Homeless Program – Goal Setting & Record Keeping webinar will begin shortly.This is a muted call, please submit your questions via the GoToMeeting question feature.Handouts will be made available after the webinar concludes.


Supportive Housing & Homeless Program – Goal Setting & Record Keeping

Jonda Clemings, MSEd, LSW


Reasons for Documentation


Clinical

  • Planning & monitoring progress

  • Documentation of accomplishments

  • Quick access

  • Support staff work


Clinical

  • Identify patterns

  • Continuity of service

  • History of crisis situation/pattern


Compliance

  • Monitoring

  • Regulatory requirements


Legal

  • Behavior description

  • Data assessment & treatment plan

  • Data for evaluation

  • Funding source record

  • Justification for staff action


Legal Aspects of Documentation

  • Direct planning & coordination

  • Response to services

  • Team member communication

  • Regulatory compliance


Legal Aspects of Documentation

  • Necessity for services

  • Maximize reimbursement

  • Provide data for staff decisions

  • Legal record


Legal Parameters

  • Confidentiality & privileged

  • Accuracy

  • Objectivity


Legal Parameters


Goal Setting

  • Consumer centric

  • Help reach goals

  • Celebrate success

  • Problem goal vs. problem person

  • Inform choices


Goal Setting Skills


Goal Setting Skills


SMART Objectives

Specific

Measurable/observable

Attainable within time & conditions

Results-oriented

Targeted to the identified need & impact


Targeted Objectives


Goals & Objectives

Identify various issues, functions, etc. that a person may need to set a goal/objective around to improve their housing stability. List as many of these as you can for each letter in the alphabet.


Bloom’s Taxonomy


Housing Services Plan


Intention

  • What is it that you want to achieve?


Specific

  • Who

  • What

  • Why

  • Where

  • When


Measurable

  • How much?

  • How often?

  • How many?


Attainable

  • Achievable?


Relevant

  • Is it important to what you want to achieve ultimately?


Time Based

  • When?


Sample Goal

  • Goal: Housing search

  • Objective: Submit application to MHA, apartment complex

  • Target date: by May 15, 2014


Amy is a new participant in your homeless shelter. When asked about her housing goals, she tells you that she doesn't have any housing goals. Amy states that she has received Medicaid in the past, but is not currently receiving it. She has no other income/benefits at this time. Amy is not interested in working nor is she interested in signing up for Medicaid, SNAPS, other housing, etc.

  • Goals:

  • Objectives:


Bill has been residing in your rapid re-housing program for six months now. He became homeless due to a layoff at the plant and has been having much difficulty finding other employment with comparable pay. Initially, Bill was sad about the loss of his housing, however he was very good at following up on possible job leads. During the past couple of months, Bill has become cool and distant. He appears disinterested and indifferent about finding a job.

Goal:

Objective :


What Should We Document?

Functional limitations & abilities

Barriers that led to homelessness

Program adherence

General observation


Record Maintenance

  • Locked

  • Organized

  • Sequential

  • Participant identification

  • No other consumer names

  • Individualized

  • Black/blue ink


Record Maintenance

  • Avoid backdating

  • No blank spaces

  • Streamline charting

  • Follow agency policy

  • Sign entry with name & title/ credentials


Record Maintenance

  • Specific

  • Don’t label, characterize, use cliches

  • Use quotes

  • Approved abbreviations

  • Legible, grammatically correct


Documentation Methods

  • SOAP – Subjective, Objective, Assessment, & Plan

  • DAP – Data, Assessment & Plan


Documenting Appearance


Documenting Mobility


Documenting Communication


Documenting Cognitive Functions


Building a Case FileWhat Should Be Included


Face Sheet


Identifying Information & Picture ID

Drivers license

State ID

Birth certificate

Ohio State ID


Social Security Cards


Homeless Status


Chronic Homeless Status

Unaccompanied individual or adult household member

Disabling condition

Living on streets or emergency shelter

1 continuous year homeless or 4 episodes of homelessness in 3 years


Housing History

Why moved

Type of housing

Difficulties maintaining housing

Barriers

Housing needs


Disability Status

Long-term, indefinite duration

Impedes ability to live independently

Disability could be improved with suitable housing


Disability Status

Physical, mental or emotional impairment - including impairment solely due to alcohol or drug use

Written documentation must come from credentialed professional


Disability Documentation

  • 3rd Party Written Verification

    • Disability verification form by state licensed professional

  • Social Security Administration

  • Receipt of disability check

  • Oral third-party and self-certification is not appropriate


Consent Forms

Basic elements of consent

Informed choice

Overall experience

Voluntary participation


Educational & Vocational Assessment

Abilities

Interests

Personality


Employment History

Gaps in employment

Positions held

Frequency of job changes

Skills

Strengths


Criminal Background

Criminal history as it impacts housing & employment


Psychosocial Assessment

Mood & affect

Cognitive functioning

Memory

Communication

Appearance

Mobility


Health Assessment

Medications

Medication log

Allergies

Illnesses


Service Plan

Goals/objectives while in program

Drives service planning


Income Verification

Amount of income

Sources of income

Proof of income


Incident Reports

What happened

When it happened

Others involved

Follow-up


Discharge Summaries

Reason for discharge

Income sources

Income amounts

Destination

Progress made

Referrals made


Rent Reasonableness


Charting Legally Sensitive Situations

Objectivity

Nonjudgmental description

Accuracy

Completeness

Legibility

Justify actions taken


Dissatisfied Consumer

Utilize “quotes”

Don’t label - describe

History or crisis patterns

Attempts to satisfy

Choices provided made

Never characterize


Noncompliance

How person refused to comply

Failure to provide information

Attempts to remedy

Review of procedures


Confidentiality

HIPAA

Minimal access - need to know

Privileged communications


Peer Review

Impartial review

Share expertise

Diversity of opinion

Provide suggestions


Quality Monitoring

Look at process and outcomes

Drive improvement

Accountability

Refine service delivery

Track integrity and effectiveness


Coalition on Homelessness and Housing in OhioJonda Clemings175 S. Third St. - Suite 250Columbus, Ohio 43215Phone 614-280-1984Fax [email protected]


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