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GOALS AND OBJECTIVES FORM <br />Fill out white sections only. <br />GOAL: <br />Target 34 seniors to fully utilize all community resources to decrease their living <br />cost and move them closer to independence. <br />Measures (How will you know you are making progress toward your goal?) Data Source <br />Improvement in number and type of resource per senior CAP 60 Database <br />JResource referral list <br />........... <br />Conduct comprehensive whole person <br />Strategy#1: assessment to identify seniors barriers to <br />(What will you do to achieve your goal?) permanent housing <br />- Whole person assessment and Well Being <br />Survey completed for target of 34 seniors in <br />Measurable Objectives: , program <br />I <br />Strategy #2: fConnect seniors and community resources <br />(What will you do to achieve your goal?) <br />-Connect 100% of SSAP seniors to resources <br />identified in assessment that assist their mental, <br />Measurable Objectives: physical, social and spiritual well-being. <br />Strategy #3: Assist seniors, identified in the assessment, who <br />(What will you do to achieve your goal?) need assistance with Medicare, Social Security and <br />Insurance support <br />- Seniors identified are enrolled and connected <br />with needed services. <br />Measurable Objectives: -Monthly check -ins completed for a period of 3 <br />months to ensure sustainable connection to <br />services. <br />I *Use copies of the same form if you have more than 3 strategies for the same goal* I <br />11 <br />