Tennessee has separate service planning forms for its Family Services Counseling (FSC) program (mental health services) and its Families First program (welfare). Counselors in the FSC program complete the following series of forms for each client:
Initial Feedback and Change Feedback Forms. Both the Initial Feedback Form and the Change Feedback Form are used to indicate a client's current status in the FSC program and to document any modifications in a client's work plan (such as time limit interruptions).
Service Plan. The Service Plan Form is used to identify the types of services or treatment and amount of time spent in each activity.
Progress Notes and Contact Log. The Progress Note and Contact Log are used to record client contacts with the family services counselor and the client's progress in the FSC program.
All family services counselors are required to use these forms. FSC district coordinators periodically review case files to ensure that the forms are completed accurately and in a timely manner.
Tennessee's service plan/tracking form [in PDF format]