Individualized Continuum of Care Plan

• Client-Developed Continuum of Care Plan - Timeliness: Clients shall be assisted in initiating an individualized Continuum of Care Plan within Twenty-four (24) hours of the completion of their comprehensive assessment of their current social, health and education/employment conditions and needs.
• Client Contract: The Continuum of Care Plan is an individualized contract based upon the participant's current state, capabilities and personal goals. The Continuum of Care Plan shall describe the participant's needs for supportive services and outline the steps that the participant must take in order to begin the personal process towards residential and financial stability and self-sufficiency. The client's signature on the Continuum of Care Plan signifies his or her commitment to obtaining residential, financial and personal stability and self-sufficiency.
• Basis of Individualized Continuum of Care Plan: The individualized Continuum of Care Plan shall be based on the comprehensive assessment of client's conditions and needs, as well as case management recommendations, and the client's personal goals and objectives. Goals and/or services sought by the client should be consistent with those articulated by the client during initial engagement and assessment by the Trust-coordinated Outreach, Assessment and Placement Program.
• Potential Needs to be reflected in Client's Goals and Objectives: The individualized Continuum of Care Plan should address the following goals and objectives that respond to the following potential needs: health (physical and mental health, including substance abuse).