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Report Writing and DocumentationFamily Preservation, Outcomes Based Service DeliveryPresented by: Jacqueline Dagneau
Paperwork to Have With You
Introduction LetterService PlansContact NotesFAF ScalesSuicide Risk Assessment
Suicide History Inventory
Critical Incident Form
Genogram/Ecomap/ Resiliency Map
Relationship Rating Scale
Internal Referral Forms
Consent Forms
Contact Note Writing
Video andDiscussion
Groups of Four http://www.youtube.com/watch?v=7A
-2xD3ILrs&feature=related
What information should have been gathered from the clip?
Flip Chart Exercise.
Important to Note:
The date, time, names and roles of persons at the meeting, the name of the person completing the contact note (also if it was a telephone or face-to-face meeting);
The pertinent information* shared; concerns and strengths;
List the work that was completed during your visit.
*Note: What we consider pertinent is influenced by our world view.
World Views
It is important to be self-aware in terms of our world views.
Our world view is the lens through which we understand events/experiences; it is influenced by our collection of previous experiences, social location, culture, values, and etcetera.
Chris Boyle (a Senior Practitioner in Australia) refers to a Munro (2002) publication when speaking to the influences over our assessments. The following is outlined:- “Formal knowledge: Professional training, policy, legislation;
- Practice wisdom: Understanding through experience (self and peers);
- Emotional wisdom: Self awareness, empathy;
- Reasoning skills: Critically reflect on practice;
- Values: Own ethics/values.”
Contact Notes
Why are contact notes important?A means to monitor our purpose and practice of work.Credibility (we provide a service that we are paid to do).To facilitate communication between workers.Highlights the needs/progress/concerns of our families.Assist us in report writing.Contact notes are legal documents that could be called in
court. When?These should be completed after each visit/conversation (no
more than 24 hours after contact).
What?In point form or sentence: describe the work you did in the
home, including any significant observations (language, behaviour, home condition, etc.) should be reported in your notes.
Observations vs. Judgements
Observations
What are Observations? Observable, measurable
activities
Verbal or Non-Verbal
Include any significant quotes that are relevant and necessary
Judgements
What are Judgements? Assumptions about
what occurred or the intent
Avoid making absolute statements
Completing Contact Notes Objectively
State facts.
Use your senses, for instance what you saw or heard.
Do not make generalizations.
List the work that was completed during your visit.
Avoid these pitfalls.- Labelling: Susan is depressed
- Using absolutes or slang: always, never, very
- Setting client/family up to fail: documenting only negative behaviours or concerning information—important to present a balanced picture
Examples of Problem Sentences
Erin’s family is refusing to support her during this time.
Katie’s home is a disaster.
Sheila was angry at the Caseworker.
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Exercise
Examples of Appropriate
Wording
Flip Chart Exercise
Report Writing
FormatFamily Assessment Functioning (FAF) (must be completed 40 days after referral)
Summary of Service Team Meeting/Progress Reports
Interim Letters/ Termination Letters
Termination Report
Deadlines
Who, what, when, where, who?
Professional language (do not use the first person)
Reviewing reports (Supervisor, Caseworker & Family)
The importance of…
Report Samples
Reviewing well written and poorly written reports. Please see handouts.
We would be happy to help.
Do You Have Any Questions?