One on One PSS Communication Report - To be completed by the PSS Volunteer after each communication with a PSS receipient & submitted to FFFNS with the PSS monthly Contact Report Form

(Month & Year)
(Phone, email, text, face-to-face)
(e.g. 20 minute phone call, 1/2 page email, 1 hour face-to-face)
(Phone, email, text, face-to-face)
(e.g. 20 minute phone call, 1/2 page email, 1 hour face-to-face)
(Phone, email, text, face-to-face)
(e.g. 20 minute phone call, 1/2 page email, 1 hour face-to-face)
(Phone, email, text, face-to-face)
(e.g. 20 minute phone call, 1/2 page email, 1 hour face-to-face)
(Phone, email, text, face-to-face)
(e.g. 20 minute phone call, 1/2 page email, 1 hour face-to-face)
During this month, how often was communication with the Peer Support Recipient productive and/or effective?
During this month, did you accompany your Peer Support Recipient to any Foster Parent Association meetings, Foster Outreach and Therapeutic Support (FOTS) meetings, or any other events?
If you or your Peer Support Recipient missed a scheduled contact (call/email/face-to-face meeting), explain why.
Are there any concerns, questions, or items requiring attention?

One on One PSS Communication Report - To be completed by the PSS Volunteer after each communication with a PSS receipient & submitted to FFFNS with the PSS monthly Contact Report Form

(Month & Year)
(What questions and/or issues had you discussed in the previous conversation(s)?)
(What successes has the new foster parent experienced since your last conversation?)
(What struggles has the new foster parent encountered?)
(Identify information and/or supports which might be required.)
(Identify what needs to be done)
(Who will do it)
(When will it be done)

Peer Support Services Call Log - To be completed by Peer Support Service Volunteer and submitted to FFFNS after each On-Call Peer Support Line shift.

(yes or no)
:
:
(e.g. 30 min)
(What issues and/or concerns did the caller have?)
(What response did you offer? Was there information you wanted, but did not have? Did you experience any difficulties or challenges during or after the call? Do you think follow-up from FFFNS staff is required? Other comments?)

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