Table 3 Scoring grid used for individual care plans (Note: SMART – Specific, measurable, achievable, realistic and timely)
Partner in Health | |||||
No. of questions answered | 0 (no questions) | 1 (1–11) | 2 (all questions) | ||
Cue and Response | |||||
Scored by health practitioner | 0 (none) | 1 (some) | 2 (all) | ||
Scored by client | 0 (none) | 1 (some) | 2 (all) | ||
Notes provided around scores < 4 or discrepancy > 3 | 0 (none) | 1 (some) | 2 (all) | ||
Enough notes on discussion of scores | 0 (no notes) | 1 | 2 (limited notes) | 3 | 4 (detailed notes) |
Notes are written from client’s perspective | 0 (none) | 1 | 2 (reflects client perspective) | 3 | 4 (client’s own words) |
Identified issues transferred to care plan | 0 (none) | 1 (some) | 2 (all) | ||
Problem and Goals | |||||
Problem statement | 0 (neither) | 1 | 2 (succinct or first person) | 3 | 4 (succinct and first person) |
Response to problem | 0 (none) | 1 | 2 (reflects client perspective) | 3 | 4 (client’s own words) |
Appropriate impact response | 0 (absent) | 1 | 2 | 3 | 4 (describes what happens) |
Appropriate feeling response | 0 (absent) | 1 | 2 | 3 | 4 (describes feelings) |
Problem statement | 0 (no response) | 1 | 2 | 3 | 4 (all response to open questions are reflected) |
Client scored problem | 0 (none) | 1 (scored 0,1,2) | 2 (scores > 3) | ||
Medium to long-term goal statement | 0 (no response) | 1 | 2 | 3 | 4 (linked to problem statement |
Goal | 0 (absent) | 1 (either positive or regular activity) | 2 (both positive and regular) | ||
SMART goal | 0 (absent) | 1 (some elements) | 2 (all elements) | ||
Client scored goal | 0 (no score) | 1 (scored 6, 7 or 8) | 2 (scored < 6) | ||
Care Plan | |||||
Transfer of problem statement and score | 0 (absent) | 1 (transferred problem statement or score) | 2 (transferred both elements) | ||
Transfer of goal statement and score | 0 (absent) | 1 (transferred goal statement or score) | 2 (transferred both elements) | ||
Language | 0 (technical language and jargon) | 1 | 2 | 3 | 4 (client’s own words, avoiding technical language and jargon) |
Management aims – what client wants to achieve | 0 (none) | 1 | 2 (not clinically focused) | 3 | 4 (present) |
Manageable Interventions | 0 (none) | 1 | 2 | 3 | 4 (small steps) |
Client’s name | 0 (absent) | 1 | 2 (present) | ||
Review date | 0 (absent) | 1 (some) | 2 (all) | ||