Care And Support Plan

Prepared by: [Your Name]

Date: [Date]

I. Client's Information:

• Name: [Client's Name]

• Date of Birth: [Date of Birth]

• Address: [Client's Address]

• Contact Information: [Phone Number/Email]

Support Team:

• Primary Care Provider: [Name and Contact Information]

• Support Coordinator: [Name and Contact Information]

• Other Support Providers: [Names and Contact Information]

II. Goals and Objectives

A. Enhancing Independence

• Assist the individual in developing skills for daily living tasks such as cooking, cleaning, and personal hygiene.

• Support the individual in accessing transportation services to increase mobility and independence.

• Facilitate participation in recreational and social activities to foster community engagement.

B. Improving Health and Well-being

• Monitor and manage medical conditions, including regular check-ups and medication management.

• Encourage healthy lifestyle choices such as nutrition, exercise, and stress management.

• Provide emotional support and coping strategies to manage any mental health challenges.

C. Building Support Networks

• Connect the individual with peer support groups or mentorship programs.

• Facilitate family involvement and provide education and resources to support caregivers.

• Collaborate with community organizations to expand support networks and opportunities for the individual.

III. Services and Supports

A. Personal Care Assistance

• Assistance with activities of daily living (ADLs) such as bathing, dressing, and grooming.

• Support with mobility and transferring as needed.

B. Healthcare Coordination

• Coordination of medical appointments and follow-up care.

• Advocacy for the individual's healthcare needs within the healthcare system.

C. Skill Development

• Training and support to enhance skills related to employment, education, and independent living.

• Access to assistive technology and adaptive equipment as appropriate.

D. Social and Recreational Activities

• Assistance in identifying and participating in social and recreational opportunities.

• Support for building social skills and fostering meaningful relationships.

IV. Communication and Review

• Regular communication between the individual, support team, and any involved stakeholders.

• Quarterly review meetings to assess progress toward goals and adjust the care plan as needed.

• Open channels for feedback and addressing any concerns or changes in the individual's needs or circumstances.

V. Emergency Plan

• Detailed instructions for handling emergencies, including contact information for emergency services and designated emergency contacts.

• Clear protocols for managing medical emergencies, natural disasters, or other crises.

VI. Confidentiality and Consent

• Strict adherence to confidentiality guidelines to protect the individual's privacy and rights.

• Obtain informed consent from the individual or their legal guardian for any services or interventions provided.

Signature

I acknowledge that I have reviewed and agree to the contents of this Care and Support Plan.

[Client's Name]

[Date]

Plan Templates @ Template.net