• Kinship Navigator Care Plan

  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Start Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • End Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • When developing goals, use the SMART model. Goals should be specific, measurable, attainable, relevant, and time-bound (able to be completed in six months or less).

    Please enter the date set for each goal. Identify the category or each goal using the table below. The Essential Tasks section is available to give more detailed description of the goal. When a goal is completed, be sure to check the box in the goal status field and enter the date completed.
    During touchpoints: Review goals set, if goals have been completed indicate this in the goal status. If goals are still in progress, provide notes on next steps. If new goals are created, enter new goals.

     

    Goal Categories

    • Financial support for necessities
    • Financial education support
    • Help finding/ maintaining housing
    • Support obtaining durable goods
    • Help getting enough daily food for your family
    • Getting and keeping public assistance
    • Help with transportation
    • School related supports
    • Help accessing primary care, other medical care or resources
    • Help accessing dental care services
    • Childcare support
    • Respite
    • Referral to aging and disability resource center
    • Personal and emotional support about your circumstance, someone to talk to 
    • Someone to talk to regarding your kinship child(ren)
    • Behavioral health/ counseling
    • Kinship care support groups/ networking
    • Training for kinship caregivers
    • Language services
    • Access to legal services and advice
    • In home family services
    • Other
  • Date Goal #1 Set
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date Goal Completed:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Goal Status
  • Date Goal #2 Set
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date Goal Completed:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Goal Status
  • Date Goal #3 Set
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date Goal Completed:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Goal Status
  • Should be Empty: