Accil desk Manual



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Goals

Goal Types


When writing and entering goals in CIL Suite, consider which goal type best reflects the nature of that goal. A CIL may elect to only use some of the following goal types.

  • Self-Advocacy/Self-Empowerment – Goals involving improvement in a consumer’s ability to represent himself/herself with public and/or private entities, the ability to make key decisions involving himself/herself, or the ability to organize and manage his/her own activities to achieve desired objectives.

  • Communication – Goals involving either improvement in a consumer’s ability to understand communication by others (receptive skills), and/or improvement in a consumer’s ability to share communication with others (expressive skills).

  • Mobility/Transportation – Goals to improve a consumer’s access to her/his life space, environment, and community. This may occur by improving the consumer’s ability to move, travel, transport himself/herself, or use public transportation.

  • Community-Based Living – Goals that provide for a change in living situations with increased autonomy for the consumer. This may involve a consumer’s goals related to obtaining/modifying an apartment or house. Community-based living arrangements may include apartments, privately owned housing, self-directed assisted living, or self-directed living with family/friends.

  • Educational – Academic or training goals that are expected to improve the consumer’s knowledge or ability to perform certain skills that would expand his/her independence, productivity or income-generating potential.

  • Vocational – Goals related to obtaining, maintaining, or advancing in employment.

  • Self-Care – Goals to improve/maintain a consumer’s autonomy with respect to activities of daily living such as personal grooming and hygiene, meal preparation and nutrition, shopping, eating, and other aspects of personal health and safety.

  • Information Access/Technology – Goals related to a consumer obtaining and/or using information necessary for the consumer’s independence and community integration. These may include use of a computer or other assistive technology, devices, or equipment, as well as developing information technology skills, such as using computer screen-reading software.

  • Personal Resource Management – Goals related to a consumer learning to establish and maintain a personal/family budget, managing a checkbook, and/or obtaining knowledge of available direct and indirect resources related to income, housing, food, medical, and/or other benefits.

  • Relocation from a Nursing Home or Institution – Goals related to relocation from nursing homes or other institutions to community-based living arrangements. This significant life area specifically pertains to consumers who live in a nursing home or institution, unlike the Community-Based Living life area, above, which includes any consumer regardless of his/her living situation prior to receiving IL services.

  • Community/Social Participation – Goals related to full participation in the mainstream of American society, including the ability to participate in community events such as community fairs and government functions, attend worship services and access recreational activities and faCILities.

Goal Progress Notes


Policy and Procedure: CILs may opt to use goal progress notes to track progress. Goals may include a series of notations that indicate how CIL staff and the consumer are working toward an outcome. Goal progress noting accomplishes this requirement.

Definition: Progress notes are entered when contact is made with a consumer related to progress toward that goal. These entries should be detailed, supporting what staff is doing to assist consumers in the completion of their goals. In addition, goal progress notes should outline how a consumer is responding to this level of support and how they are tracking overall with regard to goal completion.

Step by Step:

  1. Click “view” to the left of a consumer goal

  2. Click on “add progress note” on the bottom left of the screen.

  3. Enter the note and select “save.”







Goal Closure


Policy and Procedure: When a consumer completes a goal, withdraws, or stops pursuing a goal, staff should record the reason as to why a goal is being closed out.

Definition: Any interaction made with a consumer that yields a completed goal must be reflected in the service note area, and the status of the consumer must be changed if there are no open goals. See the “Consumer Closure” section for more information.

Step by Step:

  1. From the consumer’s demographic page, click on the “Goals” tab toward the bottom of the screen.

  2. Select the correct goal and click the “Edit” link to the left of the goal entry.

  3. Enter a “Complete Date.”

  4. Enter information in the “Outcome/Results” area about the Goal and why it is being closed.

Services and Contacts


Each time staff has contact with a consumer, a summary of that contact must be entered in CIL Suite. These entries fall into three separate areas, all of which must be accessed through the tabs at the bottom of a consumer’s demographic page. Entries should be added with the following in mind:

Services


Policy and Procedure: When staff enter the consumers’ goals in CIL Suite, the specific services that consumer will need are listed, in the goal, by the service type. To refer to our example, Tina’s service type was “Counseling Peer/Group/Individual,” and the service was described as follows: “To attain independent living Tina will attend 1 support group every week for three months.” To turn this description into a service, staff should copy and paste the entry into the Services area of CIL Suite, and enter it under the service category, “Counseling Peer/Group/Individual.” If new services are necessary, a new goal must also be added, or the original goal must be edited (See “ILP Entries in CIL Suite.”)

Definition: All services delivered to the consumer should be documented in the Services area. All of the services identified in the ILP should be added when the staff member is entering the ILP into CIL Suite.

Step by Step:

  1. From the consumer’s demographic page, click on the “Services” tab toward the bottom of the screen.

  2. Select the correct service and click the “View” link to the left of the entry.

  3. Click the “Add Progress Note” button on the bottom right of the screen.

  4. Enter the date the service was received, and give a brief explanation of what that service entailed.

  5. Indicate that the service was received in the drop down box.

  6. Click “Submit Progress Note.”

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