RCA Pre/Post Meeting Report - Individualised Training
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NDIS Plan Managed
NDIS Self Managed
Booking Organisation (or school)
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Pre Visit Meeting Zoom (1 week prior to training)
Post Visit Meeting Zoom (4-6 weeks after training)
Organisation Name
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Primary Contact Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
Mobile Number
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Area Code
Phone Number
Email Address
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Client Details
Clients/Child Name
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First Name
Last Name
Parent or Guardian - Name
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First Name
Last Name
Parent or Guardian - Phone Number
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Area Code
Phone Number
Parent or Guardian - Email Address
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example@example.com
Pre Training Observations - 10 Questions (1 week prior to training )
Names of person (s) completing this pre report
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Site Visit Address (Face to Face)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Upload all relevant documents for Individualized training is required. (i.e. BSP, Incident reports, medications, previous assessments, photos of (house, day program, school class room), Audio recordings of client
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Date Pre Report completed
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Day
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Month
Year
Date
Q 1. Provide a positive description of the client. (Strengths, goals,likes etc) Brief overview.
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Q 2. What is the clients communication ability like (expressive & receptive)? Is the client verbal or non verbal ? What AAC aids does the clients use to assist communication ?
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Q 3. Any concerning behaviour with client you see ? Why ?
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Q 4. What’s working well with client ? Why ?
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Q 5. What’s not working well with client? Why ?
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Q 6. What do staff believe the reason for the behaviour is ?
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Q 7. What do you / staff want from this training ? What do you want the training to achieve ?
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Q 8. What other factors are impacting on client ? Why ?
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Q 9. What Restrictive Interventions are staff using with client that need to be looked at or addressed ? (Be specific)
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Q 10. What parent (S) / guardian want from training for their child/ client ?
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Post Training Zoom Follow Up - 10 Questions (4-6 weeks after training)
Names of person (s) completing this post report
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Additional info to upload - E.g incident reports, assessments since training was delivered (Optional)
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Date Post Report completed
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Day
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Month
Year
Date
Q 1. What changes have occurred at home since the training ? Why ?
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Q 2. What changes have occurred at day service since the training ? Why ? (If applicable)
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Q 3. What changes have occurred at school since the training ? Why ? (If applicable)
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Q 4. What changes have occurred out in the community since the training ? Why ?
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Q 5. What changed have you noticed in regards to the behaviour ? Increase or decrease ?
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Q 6. What are the reasons for the increase in behaviour? Why ?
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Q 7. What are the reasons for the decrease in behaviour? Why ?
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Q 8. What recommendation would you like to suggest for the environment ? Why?
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Q 9. What recommendation would you like to suggest for the client ? Why?
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Q 10. What recommendation would you like to suggest for the staffing group? Why?
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I hereby declare that the information provided is true and correct. I understand this information is for training purposes only and is strictly confidential. (Note a copy of this report goes to the primary contact only)
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