LEARNING EXPERIENCES	Month/Year
Client
Staff
Service Provided
Use this form with the Learning Experiences - Instructions. At least once a month, choose one topic and provide a pre-planned learning experience, including discussions and activities, to the client about one sub-topic. Document the client's pre-planned learning experience on this form. Also document any unexpected learning experiences throughout the month. Write the Topic and Sub-Topic and then describe the client's learning experience and his view of the learning experience (use his own words when possible in quotation marks). This documentation is due at the end of the month with your end of month service log.
Rights & Responsibilities Topics

Bill of Rights for Individuals with Developmental Disabilities

Supported Living Client Rights

Supported Living Client Responsibilities

Us Constitution Rights

Interests & Expectations

Personal Interests, Expectations of Self & Others	General Topics

HIPAA	Making Choices	Dignity

Decision-Making	Social Inclusion	Respect

Security	Social Roles	Health Care

Abuse, Neglect, Exploitation	Conflicts	Safety
DATE	TOPIC/SUB-TOPIC	CLIENT LEARNING EXPERIENCE/PERSPECTIVE
STAFF COMMENTS