Individual Habilitation Plan

 Examples of plan information is listed followed by a sample plan for a child.

Child’s Name

STRENGTHS
1. Positive assets (examples: good vision, alert, etc.)
2. Personality traits (examples: sociable, persistent, good natured)
3. Has received good medical treatment
4. Parent / Family Involvement (as advocates, getting services, care)

NEEDS AND RECOMMENDATIONS
1. Child needs to:
improve balance
strengthen muscles
develop head control
evaluation for adaptive equipment
It is recommended that the child receive physical therapy on a regular basis.

2. Child needs to:
use hands functionally in daily living activities
develop oral motor skills
increase texture of food that is eaten
decrease sensitivity to touch or texture
It is recommended that the child receive occupational therapy on a regular basis.

3. Child needs to:
express his/her wants and needs
increase vocabulary
develop language concepts
follow simple verbal directions
It is recommended that the child receive speech therapy on a regular basis.

4. Child needs to have a physician monitor:
seizures
heart
shunt
hyperactivity
vision
lungs
hearing
allergies
It is recommended that the child continue to see or consult with (neurologist, cardiologist, pediatrician, neonatologist, urologist, orthopedist, ophthalmologist, etc)

5. Child family needs financial assistance in paying for medical and therapy expenses.
It is recommended that the Deeming Waiver be granted so that this child will receive Medicaid.

SAMPLE: INDIVIDUAL HABILITATION PLAN

Lucy Marie Jones

STRENGTHS

1. Lucy has a pleasant personality.
2. Lucy loves to play with children.
3. Lucy has had educational services since she was a preschooler.
4. Lucy had a supportive family.
5. Lucy takes responsibility of caring for her dog.
6. Lucy’s seizures have been under control for a year.

NEEDS AND RECOMMENDATIONS

1. Lucy needs to have her eyes working together properly. It is recommended that Lucy continue under the care of her ophthalmologist. She should wear her glasses and should have the surgery that is scheduled this summer.

2. Lucy needs to be free from upper respiratory infections. It is recommended that Lucy have immediate medical attention when she gets a cold. She should not be given penicillin due to an allergy.

3. Lucy needs to develop a tolerance to different textured foods. It is recommended that Lucy have occupational therapy on a regular basis to work on oral motor skills.

4. Lucy needs to improve her articulation and her vocabulary. It is recommended that Lucy have speech therapy on a regular basis.

5. Lucy needs a positive learning environment where she can interact with typical children. It is recommended that part of Lucy’s school day be in regular education classes.

6. Lucy needs to be free from seizures. It is recommended that Lucy continue under the care of a neurologist. She should have blood levels done every three months to make sure her anticonvulsant medications are within therapeutic range. It will be especially important to monitor her seizure activity as she reaches puberty because of growth spurts and hormonal changes.

7. Lucy needs assistance to complete her daily living activities. It is recommended that Lucy’s parents, sisters, and teacher assist Lucy in toileting, dressing, and bathing. She should be encouraged to do as much as possible of each task.

8. Lucy needs to be free from dangers. It is recommended that Lucy’s environment be free from poisons and that she have adult supervision to keep her safe.

9. Lucy’s parents need a break from the 24 hour responsibility of caring for Lucy. It is recommended that Lucy’s parents have respite care on a monthly basis so that they can do things with their other daughters and have some time alone.

10. Lucy’s parents need financial assistance to help them pay for her medical and therapy expenses. It is recommended that the Katie Beckett Waiver be granted to provide Lucy with Medicaid coverage.

Date: _______________

Signature:_____________________
Dottie Adams, MEd
Human Service Provider, Sr.
Community Support Services

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In partnership with Georgia State University's Center for Leadership in Disabilities, the Autism Society Georgia is proud to have provided a grant to enable the Autism Plan for Georgia's delivery to individuals and families living with the challenges of autism spectrum disorders. Autism Society Georgia in support of all individuals, families and communities in the 159 counties impacted by Autism is taking a leadership position to deliver a comprehensive plan of action focused on the support and implementation of the Autism Plan for Georgia.
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