5.0 My Future Supports Core supports I need to manage my life Area How many hours per day How many days per week How many weeks per year Is this support on Saturdays? Is this support on Sundays? Is this support on Public Holidays? Transport Day service (centre group based activities) Day service (centre – amount of 1:1 support that is needed when in a group setting) Community, social and recreational activities (1:1) support Support at home (1:1) (self care activities) Short term accommodation (respite) House and/or yard maintenance
Other Other Other Other 5.1 MY FUTURE SUPPORTS Capacity building: Therapeutic supports that could improve my daily living about your current situation and things that could improve your daily living. There are some therapy supports you may wish to consider. Do you have any specific needs such as mealtime management guidelines, manual handling support, behaviour management support, social support etc.? overarching goal does this address What is required Reason for why this is needed Supports needed to attend this activity Transport required for this activity
Example: Safe mealtime participation Mealtime management guidelines To document how I eat my meals and how best to support me Allied Health Allied Health Professional will travel to my home 5.2 My future supports - capacity building are supports that I need to enable me to do things like: Improve my learning Improve my health and wellbeing Improve my relationships Finding and Keeping a Job Increased Social and Community Participation Support Coordination Plan Management Support area Things to consider Which goal does this address Supports need to attend this activity Transport needed for this activity Positive Behaviour Support Plan Do you already have a Positive Behaviour Support Plan in place? Will it need to be reviewed in the next 12 months? Yes No Behaviour support Do you feel that you would benefit from strategies or recommendations to support positive behaviours and your emotional wellbeing?
Yes No Assistance with medication Do you require assistance to take medications? Yes No Counselling or social work Do you need support to develop confidence and wellbeing or engage in school or the community? Do you currently engage at times with a Social Worker or counselling services? Yes No Increased health and wellbeing Do you need assistance for exercise or therapies that increase your physical capacity or general wellbeing? Yes No Improved learning Do you need help with the transition through school and to further education? Yes No Increased Social and Community Participation Do you need help to develop life skills to increase your independence? Is there a training program, short course, workshop, program that you wish to undertake? Yes No Do you need help with developing skills to allow you to participate in community, social and recreational activities? Yes No Do you need assistance with finding or keeping a job?
Finding and Keeping a Job Yes No Do you need support while working on your job? This may include training, personal care or workplace modifications. Yes No Coordination of Supports Do you need help to coordinate your supports, participate in the community and develop a strong network of supports? Yes No Training in Plan Management Do you need training in how to manage your plan? Yes No