ࡱ> ]_\#` ;bjbj\.\. @N>D>D +8:D~!g#l8dffffff$ huQggddd` @oԟ*+dx0!,wd!D   Comprehensive Assessment (Complete as you develop the IPE and move to a service status) To Determine Vocational Goal and the Nature and Scope of Rehabilitation Services Designed to Compensate, Accommodate, and or Remediate Barriers to Employment for the Client.Client Name: FORMTEXT      Case Number: FORMTEXT  Date: FORMTEXT      Counselor Name: FORMTEXT      The case record contains information that the vocational goal of FORMTEXT      is consistent and appropriate given the client's:Abilities and Strengths: (Abilities and strengths are generally, what an individual has done successfully in the past: Intelligence quotient, educational accomplishments, occupational accomplishments, mobility skills, adjustment to disability, interpersonal skills, etc.)  FORMTEXT       Aptitudes and Capacities: (An aptitude is an innate, inborn capability to do a certain kind of work. An aptitude may be physical or mental, tested or manifest. Examples of aptitudes that can be tested are general learning ability, verbal skill, numerical skill, mechanical comprehension. Aptitudes are specific capabilities, somewhat independent of each other.)  FORMTEXT       Interests: (tested or manifest, likes/dislikes, data/people/things)  FORMTEXT       Resources: (current income,XYZ       ! ĺzlbNl@ljh_OJQJU^J'jlh<h<OJQJU^Jh<OJQJ^Jjh<OJQJU^Jh5 hx-OJQJ^Jhx-h5 hx-5OJQJ^Jh'LOJQJ^JhOJQJ^Jh5 h5 OJQJ^Jh{}<OJQJ^Jh q6h{}<OJQJ^Jh q6OJQJ^JhA5OJQJ^Jh q65OJQJ^Jh5 h5 5OJQJ^JY    yy $Ifgdx-kkd$$Ifs0*) t0)44 sa ytA $Ifgd5 $IfgdA:;    * , @ B D F H J L T V X Z n p r | ~ ʧxdVR؂xh%hjh_OJQJU^J'jh(=eh#tOJQJU^Jh(=eOJQJ^Jjh(=eOJQJU^Jh{}<OJQJ^Jh5 h%hOJQJ^Jh OJQJ^JmHnHu'jhhnOJQJU^JjhOJQJU^Jh5 hx-OJQJ^JhOJQJ^Jhx-h$*hx-OJQJ^J  * J xx $Ifgdx-~kd$$Ifs0 0*G < t0)44 sa ytAJ L X xx $Ifgdx-~kdd$$Ifs0 0*G < t0)44 sa ytA xx $Ifgdx-~kd$$Ifs0 0*G < t0)44 sa ytA L N P R f h j t v x z  ¾wϕmcUJhH5OJQJ^Jhu#hu#5OJQJ^Jhu#OJQJ^JhOJQJ^J'jh<h<OJQJU^Jh<OJQJ^Jjh<OJQJU^Jh.h5 h.OJQJ^Jh.OJQJ^Jhx-h5 hx-OJQJ^Jjh_OJQJU^Jjh(=eOJQJU^J'j2h(=eh#tOJQJU^J N x $Ifgdx-~kd$$Ifs0 0*G < t0)44 sa ytAN P x z kkd$$Ifs0*) t0)44 sa ytA $Ifgdx-kkd$$Ifs0*) t0)44 sa ytAz  }7Ekd$IfK$L$l\(\( t\(44 laytA & F$Ifgd{}<K$kkd8$$Ifs0*) t0)44 sa ytA $Ifgdx-     BD*,ù×щ~ùj×щ_UùhA?OJQJ^JhA?5OJQJ^J'jl h hDOJQJU^Jh/s5OJQJ^Jhu#hu#5OJQJ^Jjh_OJQJU^J'jD h hDOJQJU^Jh OJQJ^Jjh OJQJU^Jh$*h$*OJQJ^Jhu#h$*5OJQJ^Jh/sOJQJ^JhHOJQJ^J ZEkd $IfK$L$l\(\( t\(44 laytA & F$Ifgd{}<K$Ekd8 $IfK$L$l\(\( t\(44 laytA $Ifgd{}<K$eZ $Ifgd{}<K$Ekd$IfK$L$l\(\( t\(44 laytA & F$Ifgd{}<K$EkdJ$IfK$L$l\(\( t\(44 laytA242J2p23333333 3*3,303`3d3´tjVtt´IhHhA?OJQJ^J'jZhDhDOJQJU^JhDOJQJ^JjhDOJQJU^Jhu#h$*5OJQJ^JhC9OJQJ^JUhA?hA?OJQJ^JhA?5OJQJ^Jhu#hu#5OJQJ^Jh$*h$*OJQJ^Jjh_OJQJU^Jjh OJQJU^J'jph hDOJQJU^J33.3eZ $Ifgd{}<K$Ekd$IfK$L$l\(\( t\(44 laytA & F$Ifgd{}<K$Ekd4$IfK$L$l\(\( t\(44 laytA supports from family and community, comparable benefits, transportation, incentives, availability to work variety of schedules))  FORMTEXT       Priorities and Concerns: (childcare, geographic location and/or transportation, salary, loss of disability benefits, health insurance, work hours)  FORMTEXT       Limitations: (functional capacities, vocational aptitudes, medical, psychiatric or psychological concerns, work attitude, habits and tolerance, social and behavior patterns, mobility, self-care/hygiene, safety, travel, limited perception, cognitive issues, work environment, reception or transmission of information, family members, lacks ADL skill, results of supported employment assessment, results of situational assessment)  FORMTEXT       Informed Choice: (The individual has all the information they need to make effective personal decisions in the selection of their career and employment goals, services and supports, and providers, client signature on the IPE.)  FORMTEXT       Date IPE was completed, agreed upon and signed by client and counselor: FORMTEXT           Form revision date 12/1/2006 .303V4X44eZ $Ifgd{}<K$EkdB$IfK$L$l\(\( t\(44 laytA & F$Ifgd{}<K$Ekd$IfK$L$l\(\( t\(44 laytAd3T4V4X4Z4n4p4r4|4~44447777777888(8*8,8.89999999ï͡ۓt͡ۓj`hC9OJQJ^Jh/sOJQJ^J'jhDhDOJQJU^JhH5OJQJ^Jhu#hu#5OJQJ^Jjh_OJQJU^J'jhDhDOJQJU^JhDOJQJ^JjhDOJQJU^Jh$*h$*OJQJ^Jhu#h$*5OJQJ^JhHOJQJ^J!44778eZ $Ifgd{}<K$Ekd6$IfK$L$l\(\( t\(44 laytA & F$Ifgd{}<K$Ekd$IfK$L$l\(\( t\(44 laytA88999eZ $Ifgd{}<K$EkdJ$IfK$L$l\(\( t\(44 laytA & F$Ifgd{}<K$Ekd$IfK$L$l\(\( t\(44 laytA99999999b:n:::::::::::::::::::::: ;¸݈tݪmeaeaeaeaSh'LCJOJQJ^JaJhAjhAU h\FhhC'j"$hDhDOJQJU^JhDOJQJ^JhIh{}<OJQJ^JhOJQJ^JhIOJQJ^Jh.hHcOJQJ^Jh$*h$*OJQJ^Jjh_OJQJU^JjhDOJQJU^J'jhDhDOJQJU^J9999:E< $Ifgd{}<kkdD#$$Ifs0*) t0)44 sa ytA $Ifgdu#Ekd"$IfK$L$l\(\( t\(44 laytA:::: kkd%$$Ifs0*) t0)44 sa ytA $Ifgd{}<kkd#$$IfsV0*) t0)44 sa ytA::::::::::;;;;$a$gd'Lgd?gdA ;;;;; h\FhhChAh? h'Lh'LCJOJQJ^JaJ>PP&P1h:p'L/ =!"#h$h%  j$$If !vh5)#v):Vs t)5)/ 4 sa ytADText32Consumer's nameConsumer's name$$If !vh5G 5<#vG #v<:Vs t),5G 5</ /  / 4 sa ytADText16 Case Number Case Number$$If !vh5G 5<#vG #v<:Vs t),5G 5</ / /  4 sa ytADText20DateDate$$If !vh5G 5<#vG #v<:Vs t),5G 5</ / /  4 sa ytADText22Counselor NameCounselor Name$$If !vh5G 5<#vG #v<:Vs t),5G 5</ / /  4 sa ytAp$$If !vh5)#v):Vs t),5)/ 4 sa ytADText23SEnter the vocational goal as documented by information contained in the case recordSEnter the vocational goal as documented by information contained in the case record~$$If !vh5)#v):Vs t),5)/  / 4 sa ytA~$$If !vh5)#v):Vs t),5)/ / 4 sa ytA$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(ytADText25Specify consumer's abilities & strengths which are generally what an individual has done successfully in the past, intelligence quotient, educational accomplishments, occupational accomplishments, mobility skills, adjustment to disability, etcLSpecify consumer's abilities and strengths. Press F1 Help key for specifics.$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(/ ytA$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(/ ytADText26Specify consumer's aptitudes & capacities: an innate, inborn capability to do a certain kind of work; physical, mental, tested or manifext, such as general learning ability, verbal skills, numerical skill, mechanical comprehension. JSpecify consumer's aptitudes and capacities. Press F1 Help key for details$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(/ ytA$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(ytADText27TSpecify consumer's interests; tested or manifest, likes/dislikes, data/people/thingsSSpecify consumer's interest; tested or manifest, likes/dislikes, data/people/things$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(/ ytA$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(ytANDText28Specify consumer's resources such as current income, support from family & community, transportation, incentives, availability to work variety of schedules, comparable benefits<Specify consumer's resources. Press F1 Help key for details.$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(/ ytA$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(ytADText29Specify consumer's priorities and concerns; childcare, geographic location and/or transportation, salary, loss of disability benefits, health insurance, work hours, etc.Specify consumer's priorities & concerns; childcare, geographic location, transportation, salary, loss of disability benefits, etc.$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(/ ytA$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(ytADText30Specify consumer's limitations; functional capacities, vocational aptitudes, medical, psychiatric or psychological concerns, work attitude, habits & tolerance, social & behavior patterns, mobility, self-care/hygeine, safety, travel, limited perception etc=Specify consumer's limitations. Press F1 Help key for details$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(/ ytA$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(ytADText31Specify consumer's informed choice. The individual has all the information they need to make effective personal decisions in the selection of their career and employment goals, services and supports and providers, client signature on IPE.ASpecify consumer's informed choice. Press F1 help key for details$IfK$L$l!vh5\(#v\(:Vl t0\(,5\(/ ytAj$$If !vh5)#v):Vs t)5)/ 4 sa ytAp$$If !vh5)#v):VsV t),5)/ 4 sa ytADText24HDate IPE was completed, agreed upon and signed by consumer and counselorHDate IPE was completed, agreed upon and signed by consumer and counselor~$$If !vh5)#v):Vs t),5)/  / 4 sa ytA@@@ x-NormalCJ_HaJmH sH tH DAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No Listj@j x- Table Grid7:V04@4 'LHeader  !4 @4 'LFooter  !H@"H K? 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Text32Text16Text20Text22Text23Text25Text26Text27Text28Text29Text30Text31Text247Ns#\ x  (Fa6o2+ x x "'[`05 in,1% * x qh hh^h`o(hH.h 88^8`hH.h L^`LhH.h   ^ `hH.h   ^ `hH.h xLx^x`LhH.h HH^H`hH.h ^`hH.h L^`LhH.qx4        98u#T;K)D.D$U%[^($*J1v4 q6w<{}< >A?\F_(=eg%h/s2w{xs@5 IhCoEOK?( Hca ?<#tAAx-P_ /G [C9.Hn'Lxd)*7GHNbcs"#78[\pq34  , - . / w x @  P7 L""000 P@P P@PPP2UnknownGz Times New Roman5Symbol3& z Arial5& zaTahoma"1hF⬆⬆m!m!"h4d CN| 2QHX ?x-2Progress Report TemplateSharon SchumanSCHR845 Oh+'0@ P\ |   Progress Report TemplateSharon Schuman8Narrative Header Comprehensive Assessment Template.dotSCHR84526Microsoft Office Word@<@*@@*m!՜.+,D՜.+,h$ hp  (Missouri Department of Social Services  Progress Report Template Title @ TypistRecorded dateTelephone numberOwnerOfficeSharon SchumanOctober 17, 2006573-751-4694Sharon Schuman RSB Mid MO  !"#$%&')*+,-./0123456789:;=>?@ABCDEFGHIJKMNOPQRSUVWXYZ[^Root Entry Fڟ*`Data (8&1Table< WordDocument@NSummaryInformation(LDocumentSummaryInformation8TCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q