PA-CM 9: Aftercare and Follow-Up
When the need for aftercare
has been identified, the agency and service recipient
work together to develop an aftercare plan, and follow-up occurs when possible and appropriate.
While the decision to develop an aftercare plan is based on the wishes of the service recipient, unless aftercare is mandated, the agency is expected to be proactive with respect to aftercare planning
NA The agency has an interagency agreement that does not include aftercare planning or follow-up.
An aftercare plan is developed sufficiently in advance of case closing
to ensure an orderly transition.
An aftercare plan identifies services needed or desired and specifies steps for obtaining these services.
The agency takes the initiative to explore suitable resources and make contact with service providers.
The agency follows up on the aftercare plan, as appropriate, when possible, and with the permission of the service recipient.
Reasons why follow-up may not be appropriate include, but are not limited to, cases where the person’s participation is involuntary, or where there can be a risk to the service recipient such as in cases of domestic violence.