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Interchange Inc – Commercial-in-Confidence
Individual Service Plan / I-OPS-2010-0011
11/11/2011 - Version 4.0
1
Individual Service Plan
Customer Name: Billy West DOB: 22/01/1985
Address: 18 Eastern Terrace
Myaree, WA 6154
Ph: 9200 2020
Ph: 0422 200 222
Key Worker: Reg Caremore
Date of Plan: 18/08/2011
Review Date: 10/07/2012
PART ONE: INDIVIDUAL SERVICE CONSIDERATIONS
Customer Family/Group Home Interchange
• Unsteady on feet
• Requires healthy food
• Lives with parents
• No transport issues
• Billy lives within 15 minutes from Myaree
office.
• Selective pairing with other clients.
PART TWO: INDIVIDUAL SERVICE OBJECTIVES
OBJECTIVES
WHAT are my goals?
STRATEGIES
HOW will the goals be reached?
WHEN
will the
goals be reached?
WHO
will
be involved?
OUTCOME
Were the goals reached?
Participation:
• Improve social etiquette especially
around meal times.
• Prompt Billy to breathe
through his nose as
much as he can so he can
close his mouth when
eating.
• Prompt and assist Billy to
hold and use cutlery
properly when having
lunch.
18/01/12
18/06/12
Reg
Caremore
& co-
ordinators
as
required.