PLAN DE INTERVENIE PE TERMEN SCURT

Numele i prenumele copilului:

C.N.P.:
Msura de protecie:
n baza Hotrrii/Dispoziiei nr. Data emis de:
Motivul instituirii msurii:
Responsabil pentru aplicarea msurii de protecie:
Reprezentantul legal al copilului:
Domiciliul legal:
Data realizrii:
Dosar nr.:
Manager de caz:
Membrii echipei i instituia din care provin:

I. Evaluarea iniial a situaiei copilului

1. Evaluarea juridic: (doc. identitate, proprieti n litigiu etc.)
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2. Evaluarea social: (categoria, mediul familial, familia lrgit, relaii, prestaii i servicii
sociale anterioare)
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3. Evaluarea medical: (antecedente, date privind situaia actual, igiena individual etc.)
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4. Evaluarea colar: (cte clase a absolvit, vrsta, anul i motivul ntreruperii etc.)
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5. Evaluarea psihologic: (structura de personalitate, accenturi, PTSD, dolii neconsumate,
relaii, tip de ataament etc.)
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6. Evaluarea educativ: (nivelul de formare DVI, nivelul de nsuire a normelor sociale etc.)
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7. Evaluarea spiritual/religioas (religia i cultul, legturi, convingeri)
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II. Intervenia
1. Intervenia juridic:
Obiective pe termen scurt
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Metode de intervenie
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Persoana responsabil
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__

2. Intervenia social:
Obiective pe termen scurt
___________________________________________________________________________
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____

Personalul de
Tipul Durata
Activiti corespunztoare specialitate desemnat
(periodice/ aferent
obiectivelor i alte persoane
ocazionale) activitilor
implicate

persoana responsabil:
_______________________________________________________

3. Intervenia medical:
Obiective pe termen scurt
___________________________________________________________________________
___________________________________________________________________________
____
 Personalul de
Tipul Durata
Activiti corespunztoare specialitate desemnat
(periodice/ aferent
obiectivelor i alte persoane
ocazionale) activitilor
implicate

persoana responsabil:
______________________________________________________

4. Intervenia colar:
Obiective pe termen scurt
___________________________________________________________________________
___________________________________________________________________________
____

Personalul de
Tipul Durata
Activiti corespunztoare specialitate desemnat
(periodice/ aferent
obiectivelor i alte persoane
ocazionale) activitilor
implicate

persoana responsabil:
_______________________________________________________

5. Intervenia psihologic:
Obiective pe termen scurt
___________________________________________________________________________
___________________________________________________________________________
____

Personalul de
Tipul Durata
Activiti corespunztoare specialitate desemnat
(periodice/ aferent
obiectivelor i alte persoane
ocazionale) activitilor
implicate

persoana responsabil:
_______________________________________________________

6. Intervenia educativ:
Obiective pe termen scurt
___________________________________________________________________________
___________________________________________________________________________
____
 Personalul de
Tipul Durata
Activiti corespunztoare specialitate desemnat
(periodice/ aferent
obiectivelor i alte persoane
ocazionale) activitilor
implicate

persoana responsabil:
_______________________________________________________

III. Date referitoare la aplicarea planului:

Data ntreruperii aplicrii:

Data relurii aplicrii:

EF COMPLEX
Coordonator serviciu,
Membrii echipei:
- Asistent social
- Psiholog
- Medic (asistent medical)
- Instructor de educaie