PERSON-CENTERED STRENGTHS ASSESSMENT. Participant Case Manager date:

Similar documents
My Person Centred Statement.

Doctor K s Quick and Easy Goal Setting Plan

Creating a New Roadmap for Your Next Chapter

Health Coaching Questionnaire

Weight Challenges and Food Addiction

St. Luke s LifeWorks Person-Centered Assessment and Recovery Support Plan Form Revised As of 9/30/2008

Activity #9: Discovering Your Interests

Life Mapping WORKBOOK Design Your Ideal Life in 7 Key Areas

Where Does My Job End and My Purpose of session: To start you on a journey to help you take better care of your life and to find a balance between you

What is a good thing that happened to you today?

Couple Intake Interview

Recovery Capital Tool

Detailed Instructions for Success

I created this 10-Day E-Course in spired by one of my favorite books, The Gifts of Imperfection, by Dr. Brene Brown.

Created by Support Plus, 2017 Anxiety

Achieving Work-Life Balance Teleseminar. By: Brian Tracy. June 24 th, 2008

Post Traumatic Growth Questionnaire and Story Process

Creative Planning Pre-Retreat Workbook

Who Are You, Really And What Do You Really Want?

IELTS Speaking exams. Part 1 questions. Home (Your Accommodation) What kind of housing/accommodation do you live in? Do you live in a house or a flat?

My Person Centred Statement.

Explorative Relationship Questionnaire

7 Tips for Outsmarting Your Addiction

Step 1 - Setup. Use one of the below Wheels as a template, or simply draw your own on a piece of paper. Date:

Terms and Conditions

CHAPTER 5: FIVE ESSENTIAL NEEDS FOR FEELING GOOD WORKSHEET WHAT DRAINS YOUR GOOD ENERGY? ARE ANY OF THESE DRAINS UNNECESSARY? HOW CAN I AVOID THEM?

5 0 I N S I D E R T I P S T O G O F R O M M A K I N G A L I V I N G T O M A K I N G A L I F E

How / why / what / who / where / when...?

Personal Wellness Plan

TCU/PMES SCALES ON FAMILY, FRIENDS, AND SELF

Feng Shui Restaurant Consultation Questionnaire

TeamBuilding in the Office

Copyright Manifestation Miracle. Click Here To Learn the Number 1 Secret To Manifest Your Dream Life Page 1

Procrastination 15 Strategies to Overcome Procrastination Today!

Goals: Are the things or objectives that we would like to achieve in a given time frame. Goal Setting Key #1: Your Goals Must Be Clear

STEPS to GOAL SETTING SUCCESS FORMS PAM PALAGYI

The Non-Writer s Guide to Writing a Wellness Book In as few as 3 months!

Ask It Part 1: Question Everything

Things Learned. from. Writing. Gratitude. Lists. Follow this cheatsheet to discover gratitude and improve your health.

Self-Advocacy Workshop #4. Problem Solving Participant Workbook. 1 Green Mountain Self-Advocates 2002 ~

Developed by Mary Ellen Copeland PO Box 301, West Dummerston, VT

Happiness Quotient (HQ)

Getting involved means Tel-jeunes teljeunes.com

How to Have Your Best Year Every Year.

LIVE. life HAPPIER. Use this list of thoughts to bring more peace and serenity to your life.

Personal Inventory of Potential Changes

Who do you admire? Write down the name of person that you know and admire: Write down the name of a public person that you admire:

Replacing Stress with Peace

HOW TO CALCULATE YOUR PERSONAL YEAR NUMBER

The focus factor. Getting Focus, and Keeping Focus to Accelerate Your Progress. Special Report prepared by ThoughtElevators.com

Creating a Good Life in Community. A Guide on Person-Directed Planning Plain Language Version

Stand in Your Creative Power

Hello! Welcome to The 21 Days of Mindfulness program. This course was created for you to enjoy a more peaceful, balanced, and joyful way of living.

ALL ABOUT ME! (Immediate Needs Assessment)

HARAMBEE HOUSE OF WELLNESS

50 QUESTIONS FOR FINDING YOUR PASSION IN LIFE

DREAM LIFE VISION. Worksheet NOTESONBLISS.COM

Visual Arts What Every Child Should Know

The Journaling Club. A Journey in Writing

This is how I manage! My assessment of my need for help and support

If you are an action-oriented individual and you're ready to discover your Purpose as you fall in love with your life s Vision, this is for you

How Minimalism Brought Me Freedom and Joy

DiscovererFutureThinker esencerelatingachieving CaringCompetingConfiden pendabilitydiscovererfuture

"Your Vision And Goals"

Advice on How to Manage Your Relationships

I do a lot of skiing. I m really good because I take lessons. Afterwards I ski with my family and friends.

How would you describe your current levels of self-care?

Polar Award: Self Awareness

Purple Dawn Inc COPYRIGHT 2018 REPRODUCTION IS STRICTLY PROHIBITED WITHOUT THE EXPRESS WRITTEN CONSENT OF Purple Dawn, INC. Tools and Processes based

Safety Point: Handling Your Emotions

Planning for your future

100 POWERFUL QUESTIONS MINDYALTERMATT.COM

Work-Life Balance Quiz

21 Day Law of Attraction Mastery E-course to find Your Purpose

GOALS: LONG-TERM AND SHORT-TERM CRITERIA FOR SUCCESSFUL GOAL SETTING

Let Gratitude Grow SOMETHING PHYSICAL THAT YOU LIKE ABOUT YOURSELF. A SIMPLE talent that you have. Your favorite holiday and why

TIPS FOR DISSOCIATIVE DISORDER----

Self Help Balance Your Life. Life Is Short! BROUGHT TO YOU BY:

Health & Happiness Guide

Find Your Purpose Worksheet

VISION. Create a Compelling Vision of Your Future BLUEPRINTING GUIDE

Experimental Survey: Spring 2012

Art and You A planning guide. Written by and for people with disability and mental health issues

Session 3. WHOSE FUTURE GOAL 3: You will identify some of your own transition needs that are based on your preferences and interests.

Know Thyself Pocket Guide to Figuring Yourself Out

Welcome Packet for Brand your Passions

2019 Edited Year Life Goals Planner PREVIEW

Created by Support Plus, 2017 Anger

WholeLife Aspirations and Goals CONNECTING YOUR LIFE PURPOSE TO YOUR LIFE CHOICES

REKINDLE. The ROMANCE

THE A.S.K & RECEIVE WORKSHEET The 3-Step Method to Overflowing Abundance Living a Life You Love. By Lisa Natoli

DESIGN YOUR LIFE YOUR PERSONAL GOAL SETTING KIT 2016 isucceed Pty Ltd

How would you describe your current levels of self-care?

Mental Health in Times of Crisis

FINDING YOUR PURPOSE WORKBOOK. Fanele Moyo THE NAVIGATIONAL GUIDE PROGRAM

Your calling is found in the sweet spot at the intersection of your passions, your gifts & experiences, and where there is a need.

The Intromercial Elevator Speech

Useful Links. Organisations on the Isle of Man. Putting Your House in Order MH MF

Your Money Relationship. Quiz. If money was a person, what would your relationship with them look like?

Winning The Inner Game Of Money

Transcription:

PERSON-CENTERED STRENGTHS ASSESSMENT Participant Case Manager date: Housing/ A Sense of Home :Where are you living now? What do you like about your current living situation? What things don t you like about where you are living now? For now, do you want to remain where you are, or would you like to move? Describe the housing situation you have had in the past that has been the most satisfying for you. Transportation/getting around: What are all the different ways you get to where you want or need to go? Would you like to expand your transportation options? What are some of the ways you have used in the past to get from place to place? If you could travel anywhere in the world, where would you go? Why? (use back to elaborate)

Page 2. PERSON-CENTERED STRENGTHS ASSESSMENT Financial/Insurance: What are your current sources of income, and how much money do you have each month to work with? What are your monthly financial obligations? Do you have a guardian, conservator, or payee to help you with your finances? What do you want to happen regarding your financial situation? What was the most satisfying time in your life regarding your financial circumstances? Vocational/Educational: Are you employed full or part time currently? If so describe where you work and What you do at your job. What does your job mean to you? If you do not have a job now, would you like to get one? Describe why you would or would not like to get a job at this time. What activities are you currently involved in where you use your gifts and talents to help others? What kinds of things do you do that make you happy, and give you a sense of joy and personal satisfaction?

Page 3. PERSON-CENTERED STRENGTHS ASSESSMENT If you could design the perfect job for yourself what would it be? Indoors or outdoors? Night or day? Travel or no travel? Alone or with others? Where there is smoking or no smoking? Where it is quiet or noisy? What was the most satisfying job you ever had? Is it harder for you to get a job, or harder for you to keep a job? Why do you think this is so? Are you currently taking classes that will lead to a degree or taking classes to expand your knowledge and skills? What would you like to learn more about? How far did you go in school? What was your experience with formal education? What are your thoughts and feelings about returning to school to finish a degree, learn new skills, or take a Course for the sheer joy of learning new things? Do you like to teach others to do things? Would you like to be a coach or mentor for someone who needs Some specialized assistance?

Page 4. PERSON CENTERED STRENGTHS ASSESSMENT Social Supports, Intimacy, Spirituality: Describe your family. What are the ways that members of your family provide social and emotional support for you, and help To make you feel happy and good about yourself? Is there anything about your relationships with family that make you feel angry or upset? What would you like to see happen regarding your relationships with family? Where do you like to hang out and spend time? Why do you like it there? What do you do when you feel lonely? Do you have a friend that you can call to talk to or do things with? If not, would you like to make such a friend? Do you have the desire to be close to another in a intimate way? Would you like to have this type of relationship? What meaning, if any, does spirituality play in your life? If this area in important to you, how do you Experience and express your spiritual self?

Page 5. PERSON-CENTERED STRENGTHS ASSESSMENT What are your thoughts and feelings about nature? Do you like animals? Do you have a pet? If not, would you like one? (if so, describe) Have you ever had a pet? (elaborate) Health: How would you describe your health these days? Is being in good health important to you? Why or why not? What kinds of things do you do to take care of your health? What are your patterns regarding smoking? Using alcohol? Using caffeine? What effect do these drugs have On your health? What prescription medications are you currently taking? How do these medications help you? How do you know when you re not doing too well? What is most calming and helpful for you during These times? What limitations do you experience as a result of health circumstances?

Page 6. PERSON CENTERED STRENGTHS ASSESSMENT What do you want and believe that you need in the area of health? Leisure time, Talents, Skills: What are the activities that you enjoy and give you a sense of satisfaction, peace, accomplishment, and personal fulfillment? Would you like the opportunity to engage more frequently in these activities? What are the skills, abilities, and talents that you possess? These may be tangible skills such as playing a musical instrument, writing poetry, dancing, singing, painting, etc. or intangible gifts such as sense of humor, compassion for others, kindness, etc. What are the sources of pride in your life? Are there things you used to do regularly that gave you a sense of joy that you have not done in recent years? Which of these activities would you consider re-discovering at this time in your life? Prioritizing: After thinking about all of these areas of your life, what are the two personal DESIRES that are most meaningful for you at this time? C2006 Walter E. Kisthardt, Ph.D. MSW Associate Professor Chair/Director Dept. of Social Work, Park University wkisthardt@park.edu 816-584-6586