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Mi Casa - Individual Service Strategy 1

This document outlines an individual service strategy for a participant, including personal and professional goals, a profile describing their family background, education, work history and referral source, barriers related to income, basic needs, housing, health care, child care, transportation, legal issues and counseling needs, existing supports and strengths, and signatures from the participant and case manager agreeing to the plan and its requirements for weekly contact and notifying the case manager of any changes.

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dcastillo_nclr
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331 views2 pages

Mi Casa - Individual Service Strategy 1

This document outlines an individual service strategy for a participant, including personal and professional goals, a profile describing their family background, education, work history and referral source, barriers related to income, basic needs, housing, health care, child care, transportation, legal issues and counseling needs, existing supports and strengths, and signatures from the participant and case manager agreeing to the plan and its requirements for weekly contact and notifying the case manager of any changes.

Uploaded by

dcastillo_nclr
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Individual Service Strategy

Participants Name: _____________________________________________________________________ GOALS Personal Professional

PROFIILE Description Family Background Education/Language/ Literacy Work History Referral Source Action Required

BARRIERS /SUPPORT SERVICES Description Income Basic Needs (Food, Clothing) Housing Action Required

Health Care Child Care Transportation Legal Issues Counseling/Mental Health Other (specify) SUPPORTS AND STRENGTHS Supports Strengths

I participated in the development of this plan and agree that this plan accurately reflects my current life goals, needs, strengths and supports. I agree to participate in the plan and goals set above, and I will maintain contact with my case manager at least once a weekly until employed. I understand the attendance and performance requirements expected of me throughout this entire program. I further understand that this plan may be modified. I will notify my case manager of any and all changes in circumstances.

Participant Signature ________________________________

date _______________________

Case Manager Signature ________________________________ date _______________________

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