Individual Goal Plans

Revised January 2018

Relevant Legislation

Not Applicable

Intent

LOFT is committed to the needs of clients by ensuring that an individual goal plan is created every 6 months.  This individual goal plan will build on identified strengths, abilities, needs and preferences.

Definitions

Not applicable

Policy

Entering the program

As part of the intake process, information is gathered from the client about his or her desired outcomes from the services.  The client is given information about the program, their role in setting individual goals, how planning the supports/services will be conducted, and the requirement of their continued participation in services.

Plan components

Goals  should be specific, measurable, attainable, realistic and time limited.  How the goals are to be attained, who is responsible for implementation and how and when progress will be reviewed should be outlined.

An individual plan is developed based on the person’s strengths, abilities, preferences, desired outcomes and other issues identified by the client.  As appropriate to the client and services provided, relevant information that should be considered includes:  relevant medical, psychologofical and social information, available information on previous direct services and supports and other relevant assessments.

At each goal setting, every 6 months, the clients participate in decision making, directing and planning that affects his or her life.  Efforts to include the person served in the delivery of those services or supports should be evident in writing.  The staff or agency’s purposes and ability to address desired outcomes are explored with the client.

Other people or services that support the individual, including substitute decision makers should be encouraged to take part.  If goals are determined by an outside case management provider, LOFT staff should communicate with that outside organization to determine client goals so that the may support the client in achieving them.  This should be documented.

Procedure

See program manual