FTBS Appendix - ISP.docx

This document is an Initial Service Plan (ISP) form used by the Michigan Department of Health and Human Services (MDHHS) for the Families Together Building Solutions (FTBS) program. The form serves as a standardized assessment and planning tool for child welfare case management, designed to document family information, strengths, resources, and service needs. The ISP captures essential case data including referral dates, first contact documentation, family composition, risk assessments, and safety planning information. The document requires identification of the referring worker, case number, supervisor, and referring agency, along with a chronological record of all contacts and activities. The form is structured to guide comprehensive family assessment across multiple domains, including family strengths and resources, parent and child assessments, family self-assessment, risk factors, domestic violence inquiries, and safety planning measures.

The form requires completion of four primary action sections: documented family goals that are specific and measurable, worker action plans detailing strategies to achieve identified goals, worker tasks, and client tasks. All sections must be signed and dated by both the FTBS worker and supervisor, with documentation of the county, agency name, and telephone number. The form indicates voluntary response authority under P.A. 280 of 1939 with no associated penalties. The document reflects MDHHS's non-discrimination policy covering race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or expression, political beliefs, and disability. This form represents an internal operational tool rather than a procurement or contract opportunity document.