DDDS - Therapy Supported Employment Daily Documentation

DDDS - Pre-Vocational Daily Documentation
Client Name*

First NameLast Name
Date Service Provided*

MonthDayYear
Date
DSP providing support*
Start time of service*
End time of service*
Did individual receive assistance with time tracking?*

YesNo
Type of Service Provided:*

Pre-Vocational
Who provided transportation*

Transportation providedDSPParatransitResidential ProviderNatural SupportClient drove their own vehicle
Task Score*
(Enter client specific service goal here) *
Capture how the goal was met in this box.
Task Score*
Communication skills *Did the client communicate effectively with others?*
Task Score*
Problem solving *Develop skills and strategies to effectively navigate and resolve problems**
Task Score*
Focus on tasks/activities -related tasks*Attention to task, Follow directions**
Task Score*
Environment safety *Did client follow general environment safety*
Task Score*
Integration into the community setting *Display generally accepted community/social conduct and dress code*
Task Score*
Community setting safety*Follow general environment safety*
Task Score*
Mobility training/Travel training *Develop the skills necessary to travel independently and safely Task Score-Place drop down here *
Comments (Note for transportation gets entered here)*
Should be Empty:

DDDS - Pre-Vocational Daily Documentation