PA-KC 3: Service Planning and Monitoring
Families participate in the development and ongoing review of a service plan
that is the basis for delivery of appropriate services and support.
When the case
involves an Indian child
, resources available through the tribe or local Indian organization
should be considered when developing the service plan.
A service plan is developed within an appropriate timeframe, and expedited service-planning
is available when crisis or urgent need is identified.
Service planning includes the child, family and others, as appropriate and with the consent of the family, and participants are advised of ongoing progress.
Interpretation: Service planning is to be conducted so that family members retain as much personal responsibility and self-determination as possible and desired. Generally children age 6 and older are to be included in service planning, unless there are clinical justifications for not doing so. The agency facilitates participation by, for example, helping arrange transportation or including family in scheduling decisions.
While the efficacy of involving people who can play an effective, informal support role has not been established formally, an approach known as family group conferencing is sometimes used to positive effect in child welfare programs
During service planning the agency and the family explore:
- available options;
- how the agency can support the achievement of desired outcomes; and
- benefits and cultural relevance of planned services.
The service plan is based on the assessment, and includes:
- agreed upon goals, desired outcomes, and timeframes for achieving them;
- services and supports to be provided, and by whom; and
- the parents’ signature and that of the child when appropriate.
The agency should recognize the value of incorporating culturally-grounded interventions into the service plan, and include traditional practices
or customs of the child’s culture, tribe, or faith-based community
to the greatest extent possible and appropriate.
The service plan addresses, as appropriate:
- unmet service and support needs that impact safety, permanency, and well-being;
- maintaining and strengthening family relationships; and
- the need for support of the family’s informal social network.
The worker and a supervisor, or a clinical, service, or peer team, review the case quarterly to assess:
- service plan implementation;
- progress toward achieving goals and desired outcomes; and
- the continuing appropriateness of the agreed upon service goals.
Interpretation: Timeframes for service plan review should be adjusted depending upon the issues and needs of the family and the frequency and intensity of services provided.
Interpretation: Experienced workers may conduct reviews of their own cases. In such instances, the worker's supervisor reviews a sample of the worker's evaluations as per the requirements of the standard.
When the case involves an Indian child, a representative from the tribe or a local Indian organization should receive timely notification of case reviews
, be given an opportunity to participate, and be informed of any changes made to the plan. The case review should include an assessment for compliance with the Indian Child Welfare Act.
The worker and the family regularly review progress toward achievement of agreed upon goals, and sign revisions to the service goals and plans.