What resources are available that you would recommend to ameliorate the identified needs of the family?
HSE 310Family Care Plan Template
Client Name: Human Services Practitioner Name:
Date Problem Statements
Proposed Interventions
What are the least restrictive and intrusive interventions that you recommend for this family?
Proposed Strategies
Which systemic family strategies best align with the identified needs and strengths of the family and their level of resilience?
Available Resources
What resources are available that you would recommend to ameliorate the identified needs of the family? Identify why each resource will assist in meeting the needs of the family. Resource
Available
In Community?
Yes/No Referrals Made?
Yes/No
Potential Outcomes
What potential outcomes do you expect to be derived from the interventions and resourcesabove? How could the applied interventions and resources alleviate the family’s needs?
Overall Assessment (Family)
1. What systemic family analysis instrument(s) did you use to determine what is appropriate for the family?
2. What information did you derive from your assessment of the family?
3. What are the strengths and needs of the family?
4. How did your selected assessment help to frame your approach to working with the family?
Note:All participants may not have participated in every area.
Client Signature/Date:
Human Services Practitioner Signature/Date:
Service Menu:
• Individual Counseling
• Psychoeducational Homework Given by Human Services Practitioner
• Reading
• Housing
• Utility Assistance
• Group Counseling
• School Counseling
• Couples Counseling
• Family Counseling
• Media (Watch Videos)
• Domestic Violence Treatment
• Advocacy for Missing Services
• Employment Assistance
• Drug Alcohol Treatment
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APA
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