Form Soc 157c - Standardized Silp Readiness Assessment Tool Page 5
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8STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
Subject
Description
SW/PO Notes
11.
Responsible
Can the NMD explain strategies for responsible drinking
Yes
No
Substance Use
(e.g. using a designated driver, drinking in moderation,
Skills to be developed
not drinking with strangers, staying hydrated and eating
_______________________
food along with alcohol)?
_______________________
_______________________
Does the NMD understand the risks to personal safety
_______________________
when drinking or using drugs (e.g. can be sexually
assaulted, robbed)?
Does the NMD understand the consequences of drinking
and smoking cigarettes or marijuana while underage?
12.
Problem Solving
Can NMD successfully manage anger when
Yes
No
experiencing conflict?
Skills to be developed
_______________________
Can the NMD describe how they calm themselves down
_______________________
when they are angry or upset (e.g. taking a walk, listening
_______________________
to music, talking to a friend)?
_______________________
How they would deal with a conflict in the home (e.g. how
would they handle a disagreement with their landlord, a
roommate or a neighbor)?
Can the NMD name someone they could reach out to if
they are involved in a conflict they cannot resolve on
their own?
Ability to Handle Household Tasks (Note: NMD can develop these skills in the SILP so a willingness
to learn is enough to approve the placement).
Subject
Description
SW/PO Notes
13.
Food Preparation
Can NMD shop for food and prepare meals?
Yes
No
Skills to be developed
_______________________
_______________________
Have NMD name a few items or meals that they can
_______________________
make and describe how to shop for food.
_______________________
14.
Laundry
Does the NMD know how to do laundry?
Yes
No
Skills to be developed
_______________________
Have the NMD explain the process of doing laundry at
_______________________
home and at a laundromat.
_______________________
_______________________
SOC 157C (7/17) (Optional)
PAGE 5 OF 8
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