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State of Kansas Department for Children and Families Prevention and Protection Services PPS 9100 REV 7/2013 STATEMENT OF CASE MANAGER / CPC POTENTIAL PLACEMENT CHILD s NAME: (list all children) DOB:
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How to fill out statement of case manager
How to fill out a statement of case manager:
01
First, gather all the necessary information related to the case. This may include the client's personal information, such as their name, contact details, and any identification numbers.
02
Next, provide a detailed description of the case. Include relevant dates, events, and any supporting documentation. This should give a clear understanding of the background and nature of the case.
03
Identify the goals and objectives of the case management process. This could involve outlining the client's needs, desired outcomes, and any specific challenges or barriers that may need to be addressed.
04
Describe the interventions and services that will be provided to the client. This may involve listing referral organizations, resources, or other support systems that will be utilized.
05
Include a plan for regular monitoring and evaluation of the case. This could include scheduled check-ins, progress reports, and any necessary adjustments to the case management plan.
06
Finally, obtain the necessary signatures from the client, case manager, and any other relevant parties involved in the case.
Who needs a statement of case manager?
01
Clients requiring assistance or support in managing their case.
02
Case managers who are responsible for coordinating services and interventions for clients.
03
Organizations or agencies involved in providing case management services, in order to document and track the progress of each case.
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