Social Service Evaluation

Briggs Social Service Evaluation form provides for evaluation and care planning of the resident's overall status from the perspective of social services. Areas addressed include:

•Physical/Functional Status

•Sensory Concerns (Vision/Hearing/Communication)

•Family Relationships/Support Systems

•Psychosocial Well-Being/Socialization (now includes admissions and continued stay)

•Cognitive/Mental Status (now includes admissions and continued stay)

•Mood State/Behavior Problems/Psychosocial Adjustment (now includes trauma in addition to other psychosocial considerations)

•Personal Needs/Pay Status

•Referrals and Outside Resources

Co Each category contains a prompt for referrals indicated and the location where additional information can be found in the resident's medical record.

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