Phases and Activities of the Wraparound Process - Los Angeles ...
Phases and Activities of the Wraparound Process - Los Angeles ...
Phases and Activities of the Wraparound Process - Los Angeles ...
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<strong>Wraparound</strong> Phase<br />
Engagement &<br />
Planning<br />
Implementation<br />
Transition<br />
DRAFT<br />
<strong>Wraparound</strong> Child <strong>and</strong> Family Team<br />
PLAN OF CARE<br />
Child’s Name: DOB: Enrollment Date:<br />
Current<br />
Address: Current Living<br />
Arrangement:<br />
Family/Relative Home<br />
Foster Home<br />
Group Home/Residential Care<br />
Hospital<br />
First POC Date:<br />
Juvenile Detention Facility<br />
Current POC<br />
O<strong>the</strong>r:<br />
period:<br />
Facilitator: Referring Agency/<br />
to<br />
Parent Partner:<br />
County Worker:<br />
Strengths<br />
Needs<br />
Mission Statement:<br />
Strategies<br />
Note if <strong>the</strong> Strategy is<br />
Formal (F) or Informal (I)<br />
Life Domain #1-- Safety<br />
Life Domain #2--Family<br />
Life Domain #3--Legal<br />
Life Domain #4--Emotional/Behavioral<br />
Life Domain #5--School/Educational<br />
Life Domain #6--Money Matters<br />
Person<br />
Responsible/<br />
Due Date or<br />
Timeframe<br />
Cost, Budget,<br />
<strong>and</strong>/or<br />
Resource<br />
EXHIBIT A-2<br />
Supervisor Review:<br />
Initials ___ Date: ________<br />
Date submitted to ISC:<br />
_____________<br />
Prior POC<br />
Outcome/<br />
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