CHCDIS007 Facilitate The Empowerment of People With a Disability

CHCDIS007 – Permission Form Client 1

Client approval

Dear

My name is

and I am studying the CHC43115 Certificate IV in Disability

As part of my study I am required to interview a client with a disability to develop a strategy and empower each client

I am asking for your permission to interview you for this project. The interview will consist of no more than 6 questions about the following:

1. Your needs and goals
2. Current options or services you use and their effectiveness
3. Communication preferences
4. Challenges faced in exercising your rights

I will be supervised at all times during this task.

I would welcome your participation in this project.

Please sign below to show your agreement.

Name:

Signature:

Date:

Supervisor’s approval – Client 1

I,

<supervisor’s name> approve

<student’s name> to undertake this project with

<client’s name>.

 Approval is dependent on the following conditions:

The student must be supervised at all times when working with the client.

The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name: 

Signature:

Date:

CHCDIS007 – Permission Form Client 2

Client approval

Dear

My name is

and I am studying the CHC43115 Certificate IV in Disability

As part of my study I am required to work with a client with a disability to review and monitor person-centred responses.

and I am studying the CHC43115 Certificate IV in Disability

As part of my study I am required to interview a client with a disability to develop a strategy and empower each client

I am asking for your permission to interview you for this project. The interview will consist of no more than 6 questions about the following:

1. Your needs and goals
2. Current options or services you use and their effectiveness
3. Communication preferences
4. Challenges faced in exercising your rights

I will be supervised at all times during this task.

I would welcome your participation in this project.

Please sign below to show your agreement.

Name:

Signature:

Date:

Supervisor’s approval – Client 2

I,

<supervisor’s name> approve

<student’s name> to undertake this project with

<client’s name>.

 Approval is dependent on the following conditions:

The student must be supervised at all times when working with the client.

The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date:

Client 1

What are your needs and goals?

What current options or services are being used to help you reach these needs and goals?

Are the current options effective? Why or why not?

What are your communication preferences?

What challenges have you faced in terms of exercising your rights?

How are you supported to make your own decisions?

Now answer the following question about your interview technique:

What communication strategies did you use when interviewing the client? Remember to include verbal and non-verbal communication in your answer.

SUPERVISOR SIGN OFF

I confirm that this is an accurate and true account of the student’s client interview.

Supervisor name:

Supervisor signature:

Date:

Client 2

What are your needs and goals?

What current options or services are being used to help you reach these needs and goals?

Are the current options effective? Why or why not?

What are your communication preferences?

What challenges have you faced in terms of exercising your rights?

How are you supported to make your own decisions?

Now answer the following question about your interview technique:

What communication strategies did you use when interviewing the client? Remember to include verbal and non-verbal communication in your answer.

SUPERVISOR SIGN OFF

I confirm that this is an accurate and true account of the student’s client interview.

Supervisor name:

Supervisor signature:

Date:

What do I need to hand in for this task?

Have I completed this?

Notes from Client 1 interview

Notes from Client 2 interview

Permission form for Client 1

Permission form for Client 2

Suitable options/services

Communication strategy

Decision making (who will be responsible for decision making?)

Relationships and key people

How will the client access services?

Strategies for maintaining positive relationships

Does the client require advocacy services? (Provide detail.)

Suitable options/services

Communication strategy

Decision making (who will be responsible for decision making?)

Relationships and key people

How will the client access services?

Strategies for maintaining positive relationships

Does the client require advocacy services? (Provide detail.)

What do I need to hand in for this task?

Have I completed this?

Developed strategy outline