Goal Service Plan

Treatment or Goal Service Plan
CLIENT Belinda Well
# WellsB1996
Next of Kin Eva Langloris (aunt)
Initial plan
Updated plan
Date 1/21/15
Review Date 6/21/15
Developed with Kevin May Eligiblity Worker
Level of case management Case Manger for Planned Parenthood
Case Manager Kevin May
Provisional DX: Axis I 311 (Depressive Disorder)
Axis II
Axis III
Axis IV 659.40(current pregnancy poor care)
Scondary diagnosis: Axis I
GOAL(S)

Axis IV
Axis II

TYPE

STRENGTH/NEED

INCOME/FINANCIAL
SITUATION

STRENGTH/
NEED

Utilize or apply for appropriate, available, and necessary entitlements

HOUSING/LIVING
ARRANGEMENT

STRENGTH/
NEED

Find living arrangements that Secure ancillary public and are either government private benefits or grants to supported or
testing to assess the level of psychtirist, depression and treatments

N/A

Rebuild important family relationships Describe the history of family Family counseling relationships individual counseling parenting classes

N/A

N/A

Latera Davis
Supervisor’s Signature

1/21/15
Date

From SUMMERS. Fundamentals of Case Management Practice, 4E. © 2012 Wadsworth, a part of Cengage Learning, Inc.
Reproduced by permission. www.cengage.com/permissions