Oklahoma Systems of Care Service Event Form

Oklahoma Systems of Care Service Event Form

07/30/2019

Host Agency/Site:

Event Date:

/

/

Client's Legal Name: ______

_Client's Preferred Name: _____________________SOC ID:

SOC Staff Present at Event (if more than 2, enter as Event Participant under `Formal / Other'):

Staff #1:

Staff #2:

This was a Child & Family Team meeting This was a DHS Treatment Team meeting

This was a Navigate Team meeting This was an OJA Treatment Team meeting

Advocacy with Child Serving Agencies Care Review Coaching Youth on New Ways to Interact with Adults Developing Age Appropriate Plan with Youth Engagement Facilitating Peer Social Support Groups Family Team Meeting Prep w/Parent, Youth, Natural

&/or Formal Support Functional Assessment Health Care Provider Contact Health Risk Appraisal IEP/504 Meeting Immediate Crisis Stabilization Independent Living Skills Job Coaching Link Participating in Classroom with Youth Plan: Crisis Plan: Integrated Care Plan: Respite Plan: Safety Plan: Service Coordination Plan: Transition Plan: Wrap Plan Redirecting Inappropriate Behavior Refer

SNCD (Strengths Needs, Cultural Discovery / Family Story / Strengths Based Assessment)

Supporting Adults to Learn New Behavioral Management Techniques

Teaching Alternatives to Problem Behaviors Teaching Caregiver Advocacy Skills Teaching Communication Skills Teaching Coping Skills/Strategies Teaching Parenting Skills Teaching Problem-Solving Skills Teaching Social Skills Wellness: Emotional Wellness: Environmental Wellness: Financial Wellness: Intellectual Wellness: Mindfulness (Breathing, Meditation, etc.) Wellness: Nutrition Wellness: Occupational Wellness: Physical Wellness: Screen Time Reduction Wellness: Sleep Hygiene (Promoting good quality

sleep) Wellness: Social Wellness: Spiritual Wellness: Stress Management Wellness: Tobacco Cessation Working w/School on Behavior Plan

Event Participants (Please enter number of participants of each type.) Informal Supports

Formal Supports

Client (Youth/ Young Adult) Caregiver Household Members Other Family Members Friends/Community Supports Other (Please specify.)

Behavioral Health Aide Case Manager Child Welfare Worker Develop. Disability Worker Education Worker Family Program Clinician

Juvenile Justice Worker Mental Health Worker Physical Healthcare Worker Psychiatrist/Prescriber PRSS Other (Please specify.)

Enter data at: systemsofcare.ou.edu. If you have questions, please email the E-TEAM YIS Help Desk at yis.eteam@ou.edu.

07/30/2019

The Service Events below are for special projects. Please do not select them without confirming with your OKSOC Project Director.

DRS (Please check all services that apply.) DRS Discovery DRS Training Employment Svc

DRS Integrated Employment Svc.

DRS Positive Employment Svc.

Transition to Independence--TIP (Please check all services that apply.)

Future Planning

In Vivo Teaching Session

Rationales

SCORA

SODAS

Solutions Review

Strengths Discovery Whats Up

Adolescent Community Reinforcement Approach ? A-CRA (Please check all services that apply.)

Anger Management

Caregiver Alone

Communication Skills

Couples Relationship Therapy

Drink/Drug Refusal Skills

Family Session

Functional Analysis for Pro-Social

Functional Analysis of Substance Use Happiness Scale

Homework

Increasing Prosocial Recreation

Job Finding Skills

Medication Adherence & Monitoring Overview of A-CRA

Problem Solving Skills

Relapse Prevention

Sobriety Sampling

Systematic Encouragement

Treatment Plan/Goals of Counseling

Navigate (Please check all services that apply.) Case Management Session Medication Management Navigate Treatment Plan

Family Program Navigate Engagement PRSS Session

IRT Session Navigate Preliminary Plan SEE Session

Enter data at: systemsofcare.ou.edu. If you have questions, please email the E-TEAM YIS Help Desk at yis.eteam@ou.edu.

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