Supported Employment Fidelity Chart Review

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1 Supported Employment Fidelity Chart Review Client ID: Reviewer: VR Client: Employment Specialist: Client Status Job Search Engagement Assessment Working Center: Date: Fidelity Item: Indicator: Details: Is the employment specialist providing only vocational services (vs CM/groups)? If no, what is the % of time doing non-vocational services? There is evidence of communication between employment specialist and other MH staff regarding the client? If yes, how many progress notes and give dates: (Progress notes of communication with CM, therapist, Dr., etc.) 65% or more of the progress note contacts are contacts in the community rather than the office. % of progress notes that indicate contact was in the community: ASSERTIVE ENGAGEMENT & OUTREACH If a client is initially difficult to contact, or drops out of SES, outreach/engagement attempts are documented in the chart. Check if yes: does not terminate services based on missed appointments or fixed time limits. outreach made by all MH team members There are multiple home/community visits Outreach visits are coordinated between ES and team members Connects with family

2 Fidelity Item: Indicator: Details: VOCATIOL ASSESSMENT One of the following types of assessments was done: office-based, standardized tests, prevocational work units, sheltered work, temporary jobs, CBWA, Job Tryout A vocational profile is found that includes client s strengths, experiences, and preferences. If yes, what type of pre-employment assessment was used? Office-based standardized tests prevocational work units volunteer jobs sheltered work CBWA Job Tryout If yes, Date of Profile: VP has been updated: CLIENT IN JOB SEARCH Progress notes indicate discussion with the client about disclosure with an employer. If yes, is disclosure discussed multiple times? Benefits Planning: There is documentation that consumers have been provided with benefits planning or offered assistance in obtaining benefits planning prior to a job start. Rapid search for competitive employment: time between the first contact with the employment specialist and 1 st contact with an employer is one month or less. Referral Date: 1 st SE Contact Date: 1 st Employer Contact Date: Is there a documented job search plan (i.e. individual employment plan? The employment specialist makes/recommends employer contacts based on the consumer s stated preferences. Consumer s stated preference for work (from VP or progress notes) Jobs Applied for:

3 Fidelity Item: Indicator: Details: What is the primary mechanism for job search activities? Newspaper & Internet Search and Client hands in job apps. SES does job development contact with or w/o Cl. Combination of both Job Development: Employment Specialists make frequent employer contacts Does the employment specialist document job development contacts with employers? If yes, how many job development contacts were made during the review period? CLIENT WORKING FOLLOW-ALONG SUPPORTS Client is Working Place of Employment: Start Date: Position: Client is receiving types of support that coincide with their needs, preferences, and job situation. These supports are individualized to the specific needs of the client in terms of amount, location and types of support. Types of Support (check all that apply): crisis intervention job coaching on work site counseling off site transportation Accommodations Mediate workplace Issues Symptom Management Workplace skills/social skills Other The ES is having face-to-face contact with the employer and the employer is receiving individualized, time unlimited supports. Types of Support (check all that apply): Education Identifying barriers to job performance Reviewing client s performance Assisting with job supports Other The ES met with the client face-to-face within 1 week before starting a job. The ES met with the client within 3 days after starting a job. The ES met with the client weekly for the first month on the job

4 Fidelity Item: Indicator: Details: On average, the ES meets with the client face-to-face at least monthly for a year after the client starts working steadily. Benefits Planning: There is documentation that the ES has provided the consumer with information and assistance about reporting earnings to SSA, housing programs, etc. CLIENT JOB LOSS t Applicable The employment specialist contacts the client within three days of learning about the job loss. The employment specialist offers help to the client in obtaining another job when job loss occurs. tes Date MHC Comm Content

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