IMPLEMENTATION PLAN: GOAL/ACTION PLAN	Implementation Plan Date
Individual	Meeting Date with WSC
When you receive the Support Plan, use the Person-Centered Planning to go over the goals with the client. If the goals on the SP are the same as the projected goals in the 3rd Quarter, use the 3rd Quarter Person-Centered Planning to write the IP. If the goals are not the same as the goals on the Support Plan, discuss the goals with the client, make changes as necessary on the Support Plan Update and complete the IP. Obtain and updated copy of the SP from the WSC.
1. Ensure you have completed the Support Plan Update. State the Goal by number and show the service that will help with the goal (from the SP Update Person-Centered Goal). If more than 1 service will help with the same goal, number each differently (1a, 1b, 1c, etc) and specify distinct tasks for each service in the Action Plan.

2. Write the Supports and Services associated with working on the goal.

3. Check the Circle of Support that will assist the client with his goal.

4. State any Other Supports/Services not related to the goals needed to ensure the health, safety, and well-being of the client from the Support Plan Update that are not on the SP.

5. Write the individual's Current Status with regard to the chosen goal. State what the client can do independently and/or with assistance and areas the individual needs/wants to work on to accomplish the goal.

6. Show in the Action Plan:

Performance - what the client will do (activities, tasks, etc) to work on the goal

Strategies/Assistance - what staff will do to help the client to achieve the goal

Training Method(s) - most appropriate for the client and the goal (demonstrate, verbal prompts, physical prompts, repetition, explanation, pictures)

Frequency - how often staff will provide help/support the client

Time Limit - how long the client wants to work on the goal/when he should be finished

7. Show in the Assessment how progress will be measured, including how the client will know he is making progress on the goal, his satisfaction with the goal, and the projected results of the training.
PERSON-CENTERED GOAL: Write the goal, numbering the goal and showing the support service responsible for the goal.
SUPPORTS/SERVICES NEEDED: Write the supports and services related to the goal.
CIRCLE OF SUPPORT: Check the support(s) that will assist the client with working on the goal. Include natural supports.
SLC	PS-Day	PS-Qtr	LSD1	Other (specify)
OTHER SUPPORTS/SERVICES NEEDED: Write any supports or services needed to ensure the client's health, safety, and well-being that are not specified on the Support Plan. Areas include health, safety, household tasks, meal preparation, community inclusion, self care, personal growth, financial, leisure time, shopping, etc.
CURRENT STATUS: Briefly describe the client's current status with regard to the goal. State what the individual can do with help and/or independently and areas the individual needs/wants to work on to accomplish the goal.
ACTION PLAN: By goal #, describe the client's plan of action for accomplishing his goal. Include Performance (what the client will do to accomplish the goal), Strategies and Training Methods (what staff will do to help the client accomplish the goal), Frequency (how often to work on the goal), and Time Limit (how long to work on the goal) from the Person-Centered Planning.
ASSESSMENT: In a brief statement, describe how goal progress will be measured. State how the client will know he is making progress on the goal, his satisfaction with his goal and his progress, and what the projected results of the training should be.