My Goals and Support Plan · Anything Helps

Client strengths and barriers

Check what applies to this client.

Strengths

Barriers

Notes

Goal 1: Health & Housing

The client's most important goal on the Health & Housing side.

In the client's own words: what is the most important thing you want to be different?

How important is this goal to you?

7

1 not really10 more than anything

How hard does this feel right now?

5

1 easy10 impossible right now

Why did you choose these ratings?

Have you worked on this before? If yes, what worked and what was hard?
What did you not have that you needed?
Who did you work with?
If you stopped, what stopped you?

Target date Completion date

SMART version of Goal 1

Objectives under Goal 1

Draft objectives once the SMART goal above reads right. Edit any wording that does not match your read of the client.

Goal 2: Community Integration

The client's goal on the Community Integration side.

In the client's own words: what else matters to you that you want to work on?

How important is this goal to you?

7

1 not really10 more than anything

How hard does this feel right now?

5

1 easy10 impossible right now

Why did you choose these ratings?

Have you worked on this before? If yes, what worked and what was hard?
What did you not have that you needed?
Who did you work with?
If you stopped, what stopped you?

Target date Completion date

SMART version of Goal 2

Objectives under Goal 2

Draft objectives once the SMART goal above reads right. Edit any wording that does not match your read of the client.

Signatures

Client attestation. I helped make this plan, and it reflects what I want to work on and the support I want from Anything Helps. I can change my goals or this plan when my needs or priorities change.

Client print name Date

Client signature (draw with mouse, finger, or stylus)

Case manager print name Date

Case manager signature (draw with mouse, finger, or stylus)

Anything Helps staff sign-in