2. Support Plans
PURPOSE OF THE ISP
• ISP includes:
– Describes the person’s goals and plans what works for the
person.
– Likes and dislikes.
– Abilities and special needs of the person in areas like daily living
skills.
– Medical issues, communication and movement issues.
– Social and family supports.
– Medication assistance needs, potential health and safety risks.
– Services and supports a person will receive.
3. Support Plans
PURPOSE OF THE ISP
• ISP includes:
– Ensure that everyone is working together to achieve the goals
identified by the individual being supported.
– The planning document becomes the roadmap for how services
and supports are delivered.
4. Support Plans
PURPOSE OF THE ISP
• Two ways a caregiver is involved in the team approach in plan
development:
– Prepare to discuss progress, challenges, and changes since the
last team meeting.
– Speak up and share what you have learned about the person.
5. Support Plans
PARTS OF THE ISP THAT HELP INFORM THE caregiver
ABOUT THE CONSUMER
• Team Assessment Summary:
– Provides the caregiver with an overview of the individual’s
strengths and support needs in areas of
health, learning, communication, social
skills, self‐care, family, etc..
– Support Information, includes medication, adaptive
equipment, and behavioral health needs.
6. Support Plans
PARTS OF THE ISP THAT HELP INFORM THE caregiver
ABOUT THE CONSUMER
• Risk Assessment:
– Identifies areas of health and safety the direct care worker needs
to be aware of.
– Some examples include history of seizures, self‐abuse, dietary
needs, choking, etc..
• Back‐up Plan:
– List names and contact numbers if a caregiver is unable to
provide a contracted support, and timeframes for filling the need.
7. Support Plans
DETERMINING THE LEVEL OF ASSISTANCE A
CONSUMER NEEDS
• Ways to determine the level of assistance a person
needs with daily living skills:
– Reviewing the support plan for instructions.
– Check to see if the person is independent or needs minimum or
total assistance for tasks.
– Asking the consumer/family to determine what they can do.
– Assist but don’t take over the task.
– Observing what the person can do and what he/she can learn.
– Continuing to communicate with the consumer and family.
– Needs and abilities may change, sometimes daily.
