Comunità Alloggio Aperta SCHEDA DI ... - coop-prospettiva.it · Cooperativa Sociale Prospettiva...

Cooperativa Sociale Prospettiva ONLUS via S.Luca Evangelista, 6 Catania Tel 095 393987 fax 095 394527e-mail:[email protected]

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Comunità Alloggio Aperta

SCHEDA DI INTERVENTO EDUCATIVOPARTE I

N°_____ / ______1) DATI ANAGRAFICI:Cognome ....................................................Nome.............................................…….......

Nato a.......................................................il.........................................................…….....

Residente...............................................................................................................………

Domiciliato …………………………………. Tel.

……….........................................…………………….

Municipalità……………… Centro

Sociale………………………………………………………………………….

Provv................ n°. ..........................................................................................…........

Entrato il.......................................... Dimesso il................................................….......

Allontanamenti dalla Comunità................................................................................……...

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2) DATI INTERISTITUZIONALI-Referenti:

A.S. Ente Locale...........................................................................................….............

A.S. U.S.S.M. .....................................................................................................…......

A.S. USL, Consultorio, Altri.............................................................…….........................

Giudice Delegato….............................................................................................…..........

Giudice Tutelare...............................................................................................…............

Tutore................................................................................................................….........

Altri...................................................................................................................…..........

-Provenienza:

(Famiglia/Istituto/Com.All.)...............................................…….........................................

Modalità di primo ingresso in Comunità:

Accompagnato da..........................................................................…………..………………....

In visita…................... ..........................su segnalazione di.……………….….........................

mailto:[email protected]


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3) DATI PSICOSOCIALI

A) Dati Socio Familiari:

Composizione nucleo

Legame Cognome -nome Età Scol. professione Conv.

Padre

Madre

Fratelli

altri

note............................................................................................................………………………….............

.....

-Situazione Sanitaria:

Padre:

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Madre:

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Fratelli/Sorelle:

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Note:

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-Eventuali precedenti penali del nucleo .

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-Osservazioni dinamica intrafamiliare:

relazione della coppia genitoriale: conflittuale non conflittuale

Note:………………………………………………………………………………………………………………………

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Modalità di comportamento verso il minore:

Padre

Rilevazione del:

affettuoso

amichevole

distaccato

discontinuo

insofferente

autoritario

aggressivo

violento

rifiutante

Altro:

Madre

Rilevazione del:

affettuoso

amichevole

distaccato

discontinuo

insofferente



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autoritario

aggressivo

violento

rifiutante

Altro:

Rappori nonni / minore:

paterni: accuditivi conflittuali assenti n.r.

altro………………………………………………………………………………………………………

……………………

materni: accuditivi conflittuali assenti n.r.

altro.................................…………………………………………............................................

....n.r.

Figura accuditiva primaria:

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………………………………………………………………………………………………………………………………

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Ambiente accuditivo:

casa propria casa nonni paterni casa nonni materni casa zii/parenti

n.r.

altro........................................................................…………………………………………..

Risorse:

Economiche:

Rilevazione del:

Minime

Scarse

Sufficienti

Discrete

Buone

n.r.

Abitative:

Rilevazione del:

minime



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Scarse

Sufficienti

Discrete

Buone

n.r.

Gestione delle risorse economiche: adeguata inadeguata

note:…………………………………………………………………………………………………………………………

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-Osservazione dinamica extrafamiliare :

-Tipo di rapporti con parentela

...........................................................................…………………………………….

-Referenti primari

extrafamiliari....................................................................…......……………………………….....

-Rapporti famiglia/Comunità:

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note:………………………….......................................................................................................................

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OBIETTIVI con la famiglia:

DATA__________

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DATA__________

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Interventi con i familiari: ( visite ecc.)

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VERIFICA obiettivi (raggiunti e non):

Data_____________...............................................................................................................................

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Visite dell’A. S. affidatario presso la comunità:

Data___________

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Incontri d’èquipe (comunità, servizi sociali, altro):

Data___________

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B) Dati Personali del minore

Precedenti inserimenti in strutture

Struttura e luogo dal al

Rapporti minore/istituzioni:

……………………………………………………………………………………………………………

Eventuali precedenti penali:

………....................................................................................……………......

...................................................................................................................................……………………

……..

-Curriculum Scolastico Titolo di studio

……………………………………………………………….

Frequenza al (data, scuola,

classe)………………….……….………………..………………………………………………………..


classe)………………….……….………………..………………………………………………………..


classe)………………….……….………………..………………………………………………………..


classe)………………….……….………………..………………………………………………………..


classe)………………….……….………………..………………………………………………………..


classe)………………….……….………………..………………………………………………………..

N° anni freq. Tipo frequenza (regolare/irregolare) ripetenze sostegno

Sc. materna

Sc. Elementare



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Sc. Media

Sc. Superiore

Corso professionale

Note:

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-Lavoro attuale:

(data)…………………………………………………………………………………………………………………….

-Esperienze lavorative: NO SI

periodo qualifica tipologia durata Datore lavoro

Note:

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Sport praticati:

………………………………………………………………………..……………………………………………………

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-Esperienze Sportive: NO SI

tipo periodo durata



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Rilevazioni alla data di ingresso:

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Situazione Sanitaria (segnare sempre data)

Condizione generale

:…………………………………………………………………………………………………………………………..

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Esigenze articolari

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Visite mediche

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Visite mediche specialistiche:......................................................................................................................

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Esami e analisi effettuati

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PROGETTO EDUCATIVOPARTE II

A) Autonomia Personale e Sociale

cura di sé

Rilevazione del:

assente

scarsa

sufficiente

discreta

buona

cura della sua stanza

Rilevazione del:

assente

scarsa

sufficiente

discreta

buona

cura delle proprie cose

Rilevazione del:

assente

scarsa

sufficiente

discreta

buona

cura delle cose dei pari:

Rilevazione del:

assente

scarsa

sufficiente

discreta



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buona

Cura delle cose della comunità:

Rilevazione del:

assente

scarsa

sufficiente

discreta

buona

Valore dato dal minore a:

scuola:

Rilevazione del:

Minimo

Scarso

sufficiente

Discreto

Buono

lavoro:

Rilevazione del:

Minimo

Scarso

sufficiente

discreto

Buono

sport

Rilevazione del:

Minimo

Scarso

Sufficiente

Discreto

Buono

denaro



16

Rilevazione del:

minimo

adeguato

eccessivo

Partecipazione attività (ludico-ricreative):

proposte dalla comunità:

Rilevazione del:

minima

Scarsa

sufficiente

discreta

Buona

proposte dal Crogiolo:

Rilevazione del:

minima

Scarsa

sufficiente

discreta

Buona

esterne:

Rilevazione del:

minima

Scarsa

sufficiente

discreta

Buona

Note:

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partecipazione gestione comunità(servizi, ecc):

Rilevazione del:



17

minima

Scarsa

sufficiente

discreta

Buona

Note:

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Regole

Rilevazione del:

Accetta

Rifiuta

Contesta ma accetta

Sfida

Negozia

Rispetta

Non rispetta

Obiettivi:

Data___________.........................................................................................................

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Verifica obiettivi,(raggiunti e non):

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B) Contesto affettivo-emotivo-relazionale:

Contesto fratelli del minore:

posizione del minore nella fratria:(es. primogenito

ecc.)……………………………………………………………………………

schieramenti affettivi del minore con adulti: padre madre nonno/a zio/a

altri nessuno n.r

note:…………………………………………………………………………………………………………………………

………………………..


sentimento di appartenenza alla famiglia d’origine:

Rilevazione del:

Minimo

Scarso

Sufficiente

Discreto

Buono

sentimento di appartenenza alla comunità:

Rilevazione del:

Minimo

Scarso

sufficiente

Discreto

buono


lealtà:

Rilevazione del:

Minimo

Scarso

sufficiente

Discreto

Buono



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uso della forza

Rilevazione del:

Minimo

Scarso

sufficiente

Discreto

Buono

Amicizia

Rilevazione del:

Minimo

Scarso

sufficiente

Discreto

Buono

Solidarietà

Rilevazione del:

Minimo

Scarso

sufficiente

Discreto

Buono

Eventi stressanti subiti dal minore da parte di:

Padre assenza prolungata presenza discontinua malattia decesso abbandono

maltrattamento abuso altro.........................………….........................................

n.r.

Madre assenza prolungata presenza discontinua malattia decesso abbandono

maltrattamento abuso altro..............................................................................n.r.

Istituzioni separazione genitori affido interrotto istituzionalizzazione

altro............……………………………………………………………………………………………..

......……....n.r.



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Note:

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Rapporto col gruppo dei pari:

in comunità:

Rilevazione del:

passivo

inibito

imitativo

provocante

aggressivo verbale

Aggressivo fisico

ipercritico

amichevole

seduttivo

Altro:

all’esterno: (scuola, gruppi amicali, ecc)

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Rapporto con gli educatori della comunità:

Rilevazione del:

conflittuale

collaborativo

assillante

aggressivo

amichevole

seduttivo

altro:

Rapporto con figure adulte esterne:

Insegnanti:

Rilevazione del:

collaborativo

critico

conflittuale

altro:

n.r.

Datori di lavoro

Rilevazione del:

collaborativo

critico

conflittuale

altro:

n.r.

Assistenti Sociali

Rilevazione del:

collaborativo

critico

conflittuale

altro:

n.r.

Altri...................…………………………..



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Rilevazione del:

collaborativo

critico

conflittuale

altro:

n.r.

Obiettivi:

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Verifica obiettivi (raggiunti e non):

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C) Sviluppo cognitivo e personologico

Cognitivo

Linguaggio:

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livello

intellettivo:…………………………………………………………………………………………………………………

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potenzialità:..............….....………………………………………………………………………………………………

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controllo dell’emotività:

Rilevazione del:

assente

Scarso

sufficiente

Discreto

Buono

Note:

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Personologico:



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interessi:……………………………………………………………………………………………………………………

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aspettative:.................................................................…......………………………………………………………

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Capacità di progettazione

Rilevazione del:

assente

scarsa

sufficiente

discreta

buona

Capacità di organizzazione

Rilevazione del:

assente

scarsa

sufficiente

discreta

buona

Senso di responsabilità

Rilevazione del:

assente

scarsa



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sufficiente

discreta

buona

Collaborazione

Rilevazione del:

assente

scarsa

sufficiente

discreta

buona

Note:

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Obiettivi:

data_____________....................................................................................................…………………………

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data_____________......................................................................................................................................

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Verifica degli obiettivi (raggiunti e non):

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D) Conclusione permanenza in Comunità

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INDICE

PARTE I..............................................................................................................................1

1) DATI ANAGRAFICI: ............................................................................................................1

2) DATI INTERISTITUZIONALI ...........................................................................................1

3) DATI PSICOSOCIALI ..........................................................................................................2

A) Dati Socio Familiari:...........................................................................................2

B) Dati Personali del minore...............................................................................10

PROGETTO EDUCATIVO...................................................................................................14

PARTE II.........................................................................................................................14

A) Autonomia Personale e Sociale....................................................................14

B) Contesto affettivo-emotivo-relazionale:.......................................................19

C) Sviluppo cognitivo e personologico.............................................................25

D) Conclusione permanenza in Comunità .......................................................29


Comunità Alloggio Aperta SCHEDA DI ... - coop-prospettiva.it · Cooperativa Sociale Prospettiva...

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Transcript of Comunità Alloggio Aperta SCHEDA DI ... - coop-prospettiva.it · Cooperativa Sociale Prospettiva...