G1.4 Documentation

Introduction

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Accurate and timely documentation and entry of case-related data is necessary to meet all federal, state, and court requirements, as well as ensure continuity of quality services. 

Practice Guidance

  • Documentation of contacts and service provision should be professional, objective, and timely. 
  • The DCBS-1B is designed to inform clients of their rights and to list categories of services to be provided. 

Procedure

​​The SSW:

  1. 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; 
    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; and
    3. ​Ensures the assessment is current; 
  2. Completes a case plan with the family or client using the following timeframes:
    1. Ten (10) calendar days for OOHC cases;
    2. Fifteen (15) calendar days for in-home cases; and
    3. Fifteen (15) working days for adult protective services.
  3. Maintains supportive documentation of all visits, ongoing casework, and contacts with clients, community partners, and service providers  in the appropriate TWIST screens;
  4. Enters contacts into TWIST during the calendar month the contact was made, unless the contact is made in the last week of the month; and
  5. Enters the contact no later than the fifth (5th) calendar day of the following calendar month, if the contact was made the last week of the month.



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Revisions