DDDS - Therapy Supported Employment Daily Documentation

DDDS - Community Participation Daily Documentation
Client Name*

First NameLast Name
Date Service Provided*

MonthDayYear
Date
DSP providing support*
Start time of service*

Hour Minutes

AM/PM Option
End time of service*

Hour Minutes

AM/PM Option
Did individual receive assistance with time tracking?*

YesNo
Type of Service Provided:*

Community Participation
Who provided transportation*

Transportation providedDSPParatransitResidential ProviderNatural SupportClient drove their own vehicle
Task Score*
(Below enter client specific community participation goal)*
Capture how the goal was met in this box.
(In this box enter the clients community participation goal note )*
Capture how the goal was met in this box.
Task Score*
Communication skills *Did the client communicate effectively with others?*
Task Score*
Explore and/or discover individuals interest through community-based assessments (non- employment related), conversations with the individual and/or family to connect with interested activities in the individual's community.*
Task Score*
Maintenance of appropriate community interpersonal behaviors. Focusing on the skills already learned to build natural supports in the community. Follow-up as needed. Develop and implement fading plan, so that the individual can become an active member in the community.*
Task Score*
Identify community resources that are based on the individuals interests and skills. This can include networking with community resources, attending community events, and community mapping. *
Task Score*
Other training needs identified by assessment and the individualized plan. This may include some of the following: basic money management, coordinate natural supports, use and training of public transportation, on- going community participation goals.*
Was Transportation provided by AFPS?*

YesNo
Comments (Note for transportation gets entered here)
Should be Empty:

DDDS - Community Participation Daily Documentation