Title: Assessment of Need for Community Services & Out–of–Home Placement – CANHR
Headings: 
Assessment of Need for Community
Services & Out-of-Home Placement
Content: This guide can be used for yourself or your loved one. A. Daily Care Abilities and Need
1. How would you evaluate the individual?s abilities in the following areas? Check all that pertain: Needs No
Assistance
Needs Some
Assistance
Needs a Lot
of Assistance
Eating



Toileting



Bathing



Dressing



Grooming



Walking



Transferring



* If an individual "Needs a Lot of Assistance" in 2 or more of the activities listed above in # 1, it is important to consider increasing formal support services or even to consider looking into out-of-home placement options. Professionals use these "activities of daily living" (ADLs) to determine appropriateness for a variety of services and for triggering insurance payments for care at home or in institutions. 2. How would you evaluate the individual’s abilities in the following areas? Check all that pertain: Needs No
Assistance
Needs Some
Assistance
Needs a Lot
of Assistance
Preparing Meals



Shopping



Transportation



Housekeeping



Preparing Medication



Taking Medication



Bill Paying



Using Telephone



*If an individual "Needs a Lot of Assistance" in 2 or more of the activities listed above in #2, it is important to consider increasing informal or formal support services.