Your IPP Meeting Planner
You can use this worksheet to
get ready for your IPP meeting. It will help you think about the services you have now, and the things
you want to do. It can help you decide what services to ask for from the
Home
Where do you live now?
¨
My own place
¨
My own place with
roommates
¨
My parents’ place
¨
A group home
¨
A large care
facility
¨
Other:
¨
Stay where I am
¨
My own place
¨
My own place with
roommates
¨
My parents’ place
¨
A group home
¨
A large care
facility
¨
Other:
¨
More training
¨
An attendant
¨
Someone to give
me regular support and help
¨
More money
¨
Help finding a
place to live
¨
Other:
Work
Where do you work now?
¨
In the community
without extra help
¨
In the community
with a trainer or aide
¨
In a workshop or
center
¨
I go to school
¨
I don’t work or
go to school
¨
Other:
Where do you want to work?
¨
In the community
¨
In a workshop or
center
¨
I want to go to
school
¨
I don’t want to
work
¨
Other:
What services do you need to help you work?
¨
A trainer or aide
at my job
¨
Training workshop
¨
Other training
¨
More education
¨
Access at work,
like ramps, etc.
¨
Transportation to
work
¨
Other:
Medical
Care
What type of medical care do you need?
¨
Doctor services
¨
Dentist services
¨
Counseling
¨
Other:
Support
What things do you think you need help with?
¨
Cooking for
myself
¨
Shopping for
things I need
¨
Personal care
(for example, IHSS)
¨
Cleaning my place
¨
Managing my money
¨
Getting medical
care
¨
Medi-Cal
¨
Meeting people/making
friends
¨
Riding the bus or
other transportation
¨
Learning about
personal relationships
¨
Learning about
sexual relationships and safe sex
¨
Self advocacy and
knowing my legal rights
¨
Problems with
Social Security, SSI, or other money assistance programs
¨
Other:
What other services do you need to do these things?
¨
Training (what kind):
¨
An attendant
¨
A chore worker
¨
A person who can
answer my questions
¨
Help setting up a
circle of friends
¨
An advocate or
lawyer
¨
A service
coordinator to help me plan for and get services I need
¨
Assistive
technology
¨
Other:
Fun!
What do you do for fun or with your free time?
¨
Visit friends
¨
Shop
¨
Go to movies or
plays
¨
Play sports
¨
Hobby
¨
Watch TV
¨
Read
¨
Take classes
¨
Volunteer work
¨
Listen to music
¨
Dating
¨ Other:
What new things would you like to do?
¨
Visit friends
¨
Shop
¨
Go to movies or
plays
¨
Play sports
¨
Hobby
¨
Watch TV
¨
Read
¨
Take classes
¨
Volunteer work
¨
Listen to music
¨
Dating
¨
Other:
What services do you need to help you do these new things?
¨
Training
¨
Attendant
¨
Facilitator
¨
Transportation
¨
Set up a circle
of friends
¨
Other: