A care plan is a documented agreement of a plan of action between the service user and service provider based on SMART* objectives.
Care plans should document and enable review of service user needs, goals and progress across four key domains: drug and alcohol use, health (physical and psychological), legal, social functioning (including housing, employment and relationships)
*SMART – Specific Measurable Achievable Realistic Timelined
Care plan template available here – Appendix 3 Care Plan
Full Case Management manual inclusive of screening tools and assessments and governing protocols available here Case Management Manual