CENTRO DE REFERENCIA DE ASSISTÊNCIA SOCIAL – CRAS

SERVIÇO DE PROTEÇÃO SOCIAL BÁSICA NO DOMICÍLIO PARA PESSOAS COM DEFICIÊNCIA E IDOSAS

PLANO DE DESENVOLVIMENTO DO USUÁRIO – PDU

DATA: _____/_____/________.

CRAS/Unidade de referenciamento: _______________________________________________________________________

1 - IDENTIFICAÇÃO DO USUÁRIO:

( ) Pessoa com Deficiência (Qual?) ________________________________________________________ ( ) Pessoa Idosa

Nome:___________________________________________________________________________________________________

NIS:_______________________________________________Sexo:( )M ( ) F Data de nascimento: ____________________

Endereço:_____________________________________________________________________________ N°: __________

Complemento:________________________________________________Bairro: ___________________________________

Município: _______________________________UF:____________ Telefones: _____________________________________

Filiação – Mãe: _____________________________________________Pai: _______________________________________

Grau de escolaridade: ________________ Estudando ( ) Não ( ) Sim __________________________________________

 CENTRO DE REFERENCIA DE ASSISTÊNCIA SOCIAL – CRAS

2 - PERFIL DO USUÁRIO

( ) Mora Sozinho. Por que? ____________________________________ Desde quando: _________________

( ) Composição familiar:

NOME PARENTESCO DT.NASC RG CPF OCUPAÇÃO RENDA

Observações:
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 CENTRO DE REFERENCIA DE ASSISTÊNCIA SOCIAL – CRAS

3 – PROGRAMAS QUE A FAMÍLIA ESTÁ INCLUSA:

( ) BPC ( ) PBF ______________________________

( ) TARIFA SOCIAL ( ) Água ( ) Luz

( ) LEITE

( ) BENEFÍCIO EVENTUAIS _________________________________

( ) Outros: ____________________________________________________________________________________________

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4- DESCRIÇÃO DE ROTINAS

Atividade diária:

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Atividades que considera prazerosas, que realiza ou realizava:

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 CENTRO DE REFERENCIA DE ASSISTÊNCIA SOCIAL – CRAS

Atividades que gostaria de realizar, mas não consegue:

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5- IDENTIFICAÇÃO DAS POTENCIALIDADES:

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IDENTIFICAÇÃO DAS VULNERABILIDADES:

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 CENTRO DE REFERENCIA DE ASSISTÊNCIA SOCIAL – CRAS

6- ANÁLISE DIAGNÓSTICA

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7- PLANO DE INTERVENÇÃO

Inclusão nos serviços de:

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Inclusão nos programas:

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 CENTRO DE REFERENCIA DE ASSISTÊNCIA SOCIAL – CRAS

PLANO DE ACOMPANHAMENTO

Data: ______/_______/_________a ________/_______/______________.

Atividade desenvolvida: ___________________________________________________________________________________

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Resultados alcançados: __________________________________________________________________________________

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Novas atividades programadas: ____________________________________________________________________________

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Ações solicitadas pelo usuário: _____________________________________________________________________________

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ASSINATURAS DE COMPROMISSO

Usuário e ou responsável legal: _______________________________________________________________________________

Técnico de referencia: ___________________________________________________________________________________