Ips Supported Employment Fidelity Chart Review Form Page 5
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7IPS SUPPORTED EMPLOYMENT FIDELITY
CHART REVIEW FORM
Did the ES have face-to-face
contact within 1 week before
the job start and within 3 days
after the job start? Weekly
face-to-face for first month?
How often afterward?
Did case manager eventually
assume job supports? How long
had client been working? How
was the job going at the point?
Time-unlimited follow-along.
Pick a month and count the
Agency
Community
Agency
Community
Agency
Community
number of hours in the
community? Number of hours
in the office?
Community-based services.
Did this person begin missing
appointments at any time? How
did the ES work to try to re-
engage the person? Did the
mental health team help?
Engagement & outreach.
The IPS Employment Center at The Rockville Institute
March 2008; Revised April 2017
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