Paperwork to download

Description and Samples Of SSW Proformas

 

The following is a list and brief description of proformas that are available as to download, to alter for your own needs, and print out for your use.

 

A full set of this paperwork is also available on a CD in the SSW Implementation Parcel.

 

Initial Letter to Client  

Sent out by Intake Worker or admin person to client after intake call

Provides confirmation of SSW appointment and name of assigned worker

Explains SSW process and any local practical details

Sent out with Pre-SSW Client Questionnaire

 

Pre-SSW Client Questionnaire  

Sent out prior to session, usually at intake

Completed by client and brought to first session

Encourages client to articulate goals for session

Informs worker what the client wants from the session and details specific

questions the client wants addressed

 

SSW Summary  

Filled in by worker after session to document the session

Used to summarise key details of the clinical session

Records questions worker wants to ask at follow-up phone call

 

Letter to Referrer  

Sent by intake worker or admin person to professional referrer - if client is

not self-referred

Informs referrer that your service has responded to the referral request

Explains SSW so that referrer does not think that SSW implies receiving

limited help

 

'Take Aways'

('script pad' format available from The Bouverie Centre)

Offered to client at the end of each session

Used to record what was useful from the session to inform the worker and

to act as a reminder for the client of things to try out

Can also be used to prescribe tasks, homework, strategies

 

Post-SSW Client Questionnaire  

Completed by worker during follow-up phone call

Provides a formal and consistent record of progress

Can be used to formally measure change from the Pre-SSW Client

Questionnaire

 

SSW Phone Follow-Up Form

Filled out by worker during follow-up phone call along with the Post-SSW

Client Questionnaire

Used to summarise outcome and as a check list of actions pending

 

SSW Evaluation Letter  

Accompanies the SSW Evaluation Form sent out by worker or admin person

Used to explain the purpose of the SSW Evaluation Form and invite participation

 

SSW Evaluation Form  

Client satisfaction survey sent out by the worker or admin person after the

follow-up phone call

Completed by client and returned to third party such as team leader for collation

Used to monitor and improve overall SSW service

 

SSW Worker Questionnaire  

Sent out by manager or person with SSW portfolio responsibilities once or

twice a year to staff involved in the SSW process

Used to inform management of the support needs of SSW workers and as

part of ongoing service development