DDDS - Therapy Supported Employment Daily Documentation

DDDS - Supported Employment 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:*

Supported Employment
Who provided transportation*

Transportation providedDSPParatransitResidential ProviderNatural SupportClient drove their own vehicle
Task Score*
(Enter client specific service goal below) *
Capture how the goal was met in this box.
Task Score*
Training- Employment-related skills training - Train the individual on: specific work behaviors to the satisfaction of the employer, work schedule, time management, work place communication skills *
Task Score*
Soft Skills - Maintenance of appropriate work and interpersonal behaviors - develop and implement fading plan, develop and implement a plan that encourages appropriate work place behaviors to the satisfaction of the employer, support to relearn job tasks, follow–up as needed with the individual to determine needs and offer encouragement and/or advice via intermittent or long term follow along services*
Was transportation provided by us*

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

DDDS - Supported Employment Daily Documentation