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Neftaly Therapeutic Psychosocial Support Programme

Duty Sheet and Registers Pack

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1. Programme Duty Sheet

Neftaly Therapeutic Psychosocial Support Programme

Daily Staff Duty Sheet

Date	Programme Site	Facilitator Name	Position	Contact Number	Signature

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Daily Responsibilities Checklist

Activity	Time	Responsible Person	Completed (✓)
Client Registration
Intake Assessment
Individual Counselling
Group Therapy Session
Crisis Intervention
Family Support Session
Referral Services
Case Notes Update
Monitoring & Evaluation
Daily Report Submission

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Supervisor Verification

Supervisor Name: _________________________

Signature: _______________________________

Date: ____________________________________

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2. Client Attendance Register

Psychosocial Support Attendance Register

No	Client Name	ID Number	Gender	Age	Contact	Session Type	Signature
1
2
3

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3. Psychosocial Screening/Intake Register

Intake No	Date	Client Name	Referral Source	Presenting Problem	Risk Level	Assigned Practitioner

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4. Individual Counselling Register

Session No	Client Name	Session Date	Type of Therapy	Duration	Facilitator	Follow-Up Date

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5. Group Therapy Register

Date	Group Name	Topic	Facilitator	No. of Participants	Venue	Outcome

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6. Crisis Intervention Register

Date	Client Name	Nature of Crisis	Intervention Provided	Referral Made	Staff Responsible

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7. Referral Register

Date	Client Name	Referred To	Service Type	Reason for Referral	Follow-Up Status

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8. Home Visit Register

Date	Client Name	Address	Purpose of Visit	Findings	Next Action

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9. Staff Duty Allocation Register

Staff Name	Role	Assigned Activity	Area Covered	Reporting Time	Signature

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10. Daily Psychosocial Report Register

Date	Total Clients Served	Individual Sessions	Group Sessions	Crisis Cases	Referrals	Facilitator

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11. Confidentiality & POPIA Compliance Register

All staff handling psychosocial information must sign:

Staff Name	Position	POPIA Compliance Signed	Date	Signature

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12. Incident Register

Date	Incident Description	Client Involved	Action Taken	Reported To	Signature

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13. Programme Monitoring Register

Indicator	Target	Achieved	Evidence	Verified By
Clients Supported
Counselling Sessions
Referrals Completed

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