Post on 16-Jan-2016
Xxxxxxx’s person centred transition plan
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Sections
my person centred plan (school year 9 and onwards)
my person centred transition plan (the last two years before I leave school)
my transition plan (completed by my social worker)
A
BC
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my person centred plan (school year 9 and onwards)
section A
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things that make me happy
A
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what people like and admire about me
A
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my hopes and dreams
A
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what is important to me now
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A
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what is important for me now
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A
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what is important to me for the future
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A
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what is important for me in the future
write here
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A
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good days and bad days
What’s a good day like?
What’s a bad day like?
What makes a difference?
A
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what’s working
for me from my parent’s point of view
from others’ point of view
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A
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what’s not working
for me from my parent’s point of view
from others’ point of view
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A
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communication chart – understanding me
what is happening
(environmental context)
when I do this… it means… and you should…
A
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communication chart – how to communicate with me
you want to tell me to do this you… helped/supported by…
A
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the people in my life
A
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professionals who support me
who? their job responsibilities / help given
A
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staying safe
what is the risk? how to manage / minimise the risk?
support needed and who is responsible for this
A
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making choices
what do you want to do? what stops you doing it? how can we help you to do this?
A
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my average week (term time)morning afternoon evening
A
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my average week (holidays)morning afternoon evening
A
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people that support me (staff matching)
support wanted and needed
skills needed personality characteristics needed
shared common interests
A
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my person centred transition plan (the last 2 years before I leave school)
section B
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where will I live?
can I continue to live at home?
would I need to move in the future?
do I want to live with other people?
what’s out there for me?
who could support me?
B
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my health
what are my main health needs?
what medication or equipment do I need?
who could support me?
what could help?
(for example check-ups, other things people could do)
B
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my education
what courses or training do I want to do?
who could support me?
what else would I need to help me?
B
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employment
where could I work?
who could support me?
what else would I need to help me?
B
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my activities
what activities would I like to do?
who could support me?
what else would I need to help me?
B
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transport and travel
how do I get around?
what are my main journeys?
what or who could help?
B
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support and communication
what support do I need to do the things I need to do?
what equipment could help?
what helps me communicate?
who can help me communicate?
B
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my transition plan (completed by my transition social worker)
section C
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Accommodation Summary: Key Needs, Available Resources and Solutions
Accommodation Key Needs Available Resources or Actions Needed
Possible Solutions
Continue to live in current accommodation (if not possible then Supported Living (incl. extra support), nursing homes etc…)
Independent living and support considerations (staff ratio, specialist skills/training needed).
Skills or traits that might affect their housing?
Live with who?
Where could they live? Where do family and friends live?
Mobility issues or concerns?
C
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Health Summary: Key Needs, Available Resources and Solutions
Health Key Needs Available Resources or Actions Needed
Possible Solutions
Support considerations: staff ratio, specialist skills/training needed e.g. Nursing, Epilepsy or Mental Health (holiday and non-holiday requirements).
Prevention check-ups or appointments (GP/Dentist etc…)
Medication, specialist equipment or specialist supplies (e.g. hoist, pads).
Healthy eating (without causing distress).
Exercise and mobility.
C
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Education Summary: Key Needs, Available Resources and Solutions
Education Key Needs Available Resources or Actions Needed
Possible Solutions
Future studies or training (including specialist courses)
Support considerations: staff ratio, specialist skills/training needed, peer/student compatibility
Specialist equipment and reasonable adjustments
C
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Employment Summary: Key Needs, Available Resources and Solutions
Employment Key Needs Available Resources or Actions Needed
Possible Solutions
Potential areas of employment (i.e. interests, skills and qualities)
Support considerations: support ratio, specialist skills/training needed.
An outline of peer/work colleague compatibility needs (how many people & kinds of people etc).
Specialist equipment and reasonable adjustments
C
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Social and Community Opportunities Summary: Key Needs, Available Resources and Solutions
Social and Community Opportunities
Key Needs Available Resources or Actions Needed
Possible Solutions
Social opportunities
Support considerations (support ratio and skills/experience/ training required)
Peer compatibility needs (how many people & kinds of people etc)
C
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Transport and Travel Summary: Key Needs, Available Resources and Solutions
Transport and Travel Key Needs Available Resources or Actions Needed
Possible Solutions
Young persons mobility
Key travelling undertaken
Support considerations: staff ratio, specialist skills/training needed and peer/student compatibility
C
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General Support (including communication) Summary: Key Needs, Available Resources and Solutions
General Support (including communication)
Key Needs Available Resources or Actions Needed
Possible Solutions
Support considerations: should include staff ratio and specialist skills/training needed e.g. Peg-feeding, ASD or Challenging Behaviour
Specialist equipment/ resources
Communication aids
C
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Transition Outcomes for the Next Year (outcomes that will support the transition plan, growth of independence and positive risk taking)
Start and End Date
Outcomes Lead or task owner
Accommodation
Health
Education
Employment
Social and Community opportunities
Transport and Travel
General Support (including communication)
C
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Care and Support Plan for the next year
Start and End Date Personal Budget
Description and provider name Hours and Rates
Cost My Contributions
Day time activities (that are not at weekends or part of a holiday)
Late afternoon or evening provision (including home-based care)
Overnight provision/care
Weekend Provision
Holiday Provision
Transport
Personal Care
Carers Support
Total Cost
C
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Action Plan
What needs to happen
Name of the person who will do this
By when Name of ‘Action Chaser’
Comments/Progress
C