Form Soc 154 - Agency - Group Home Agreement - Child Placed By Agency In Group Home Page 2

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Initial diagnostic summary shall include:
A. Medical and dental needs
B. Psychological/psychiatric evaluations obtained
C. Staffing review summaries
D. Educational assessment
E. Peer adjustment
F. Relationship to staff
G. Involvement in recreation program
H. Behavioral problems
I. Short-term treatment objectives (goals established for next 3 months)
J. Long-range goals including anticipated length of placement
K. Tasks planned to reach objectives and goals and staff who will be performing these tasks, including agency
service activity
L. Identification of unmet needs
M. Involvement of child and his parents in the treament program
Quarterly evaluations shall include:
A. Current status of child’s physical and psychological health
B. Reassessment of child’s adjustment to the group home, program, peers, school, and staff
C. Progress toward short-term objectives and long-range goals including tasks which have been performed
to reach these objectives and goals
D. Reassessment of unmet needs and efforts made to meet these needs
E. Modification of treatment plan, tasks to be performed and anticipated length of placement
F. Involvement of child and his parents in treatment program

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