Elements and Performance Criteria
- Elements define the essential outcomes.
- Undertake planning to address identified client needs and goals
- Collaborate with the client to identify realistic and relevant goals as a basis for planning
- Plan with the client preferences for addressing identified goals and needs and document in line with organisation requirements
- Build on client’s strengths and abilities to address the needs identified in the plan
- 1.4 Recognise and respect the client's right to self-determination within legal parameters
- Support the client to make informed decisions regarding their plan that reflect understanding of their current situation, likely future situation and ensuing needs
- Investigate range of options available to address client-identified needs and achieve their goals
- In conjunction with client, structure a range of services in a manner that builds on and strengthens natural supports
- Devise alternative strategies to meet identified client needs when specific services are not available
- Provide the client with cost details and work with them to ensure plan is sustainable in relation to costs, access and availability
- Identify work health and safety (WHS) risks and plan for their management
- Write plan in the client’s own words that clearly identify all tasks and who is responsible for performing them
- Collaborate with others to develop and communicate plan
- 2.1 Work in collaboration with appropriate professionals and organisations to provide services to maximise the client's potential for achieving their goals and needs
- Explain roles, rights and responsibilities of client and service providers and ensure they are clearly written into the plan
- Maximise involvement of the client and other relevant people in planning processes and decision making
- Consult and coordinate with other service providers to plan for complex situations
- Establish and maintain communication strategy and processes to ensure effective implementation of the plan
- Share information between organisations and support maintenance of updated information to all organisations involved
- Respond appropriately to diversity
- Confirm planning for culturally and linguistically diverse (CALD) and Aboriginal and/or Torres Strait Islander clients is culturally sensitive and appropriate
- Provide appropriate interpreter support in line with organisation protocols
- Work in conjunction with ethno-specific and multicultural organisations and Aboriginal and/or Torres Strait Islander communities and organisations by involving representatives in the planning processes, according to client’s needs
- Respond appropriately to clients with different levels of need including those with complex needs
- Facilitate access to planning for clients in complex situations or with different levels of need
- Maintain and promote inter-organisation relationships and agreements to address the client, their family and/or carer needs
- 4.3 Include in the plan opportunities to build on the client's strengths and motivation to improve their quality of life
- Monitor implementation of client plan
- Regularly monitor planned services, support and resources against client-identified goals to ensure effective implementation of their plan
- Communicate with client to support disclosure of information in regard to delivery of services and resources in line with their plan
- Maintain collaborative relationships with clients, carers, their natural supports and other service providers
- 5.4 Identify any problems with plan implementation promptly and make adjustment as necessary to best meet the client's needs and preferences
- Adjust the plan as necessary following reassessment of risks and needs
- Document and report any variations to the plan in line with organisation requirements and communication strategy