Department for Community Based Services

Standards of Practice Online Manual

1.4 Documentation

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter:
Chapter 1-Fundamentals of Practice
Effective:
1/22/2014
Section:
1.4 Documentation
Version:
2

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Legal Authority/Introduction

LEGAL AUTHORITY:

Once the decision is made to open an in home or out of home care case, registration paperwork is completed with the family.  The timeframes for face to face contact with the family as well as development of the case plan are different for different types of cases however the following policy applies to all cases.

Procedure

Opening a Case

The SSW completes the following tasks when opening a case:

  1. Obtains hard copy versions of the DCBS-1 Informed Consent and Release of Information and Records, DCBS-1A Informed Consent and Release of Information and Records Supplement and DCBS-1B Application for Services from the client; 1
  2. Provides the family or client a copy of the DPP-154 Protection and Permanency Service Appeal to inform them of their right to appeal;
  3. Ensures the assessment is current;
  4. Completes a case plan with the family or client using the following timeframes:
    1. Five (5) days for out of home care cases;
    2. Fifteen (15) days for in home cases; and
    3. Thirty (30) days for adult protective services.

Ongoing Documentation

The SSW:

  1. Maintains supportive documentation of all visits, ongoing casework and contacts with clients, community partners and service providers in the hard copy case file and in the appropriate TWIST screens;
  2. Enters contacts into TWIST during the calendar month the contact was made unless the contact is made in the last week of the month; 
  3. Enters the contact no later than the fifth (5th) day of the following calendar month, if the contact was made the last week of the month.
 

Footnotes

  1. The DCBS-1B is designed to inform clients of their rights and to list categories of services to be provided. 

Communicate

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