Form 3: Meitheal Planning and Review Form
1.
Confidential
Child or young person
Note: Fill in a separate form for each individual child or young person.
Meitheal ID number:
First name:
Surname:
Date of birth: (DD/MM/YY)
2. Meeting details
Date of
meeting:
Is this meeting an initial
or review meeting?
Initial
Review
Meeting
number:
Participants at meeting (Please list the child or young person, the parent or guardian, the lead practitioner, the chair
or facilitator and all other participants)
Name
Role or relationship to the
child or young person
Agency or service
Role or relationship to the
child or young person
Agency or service
Apologies
Name
1
3. Needs and Outcomes
Note: Please complete this section at the first planning and review meeting.
Key identified needs
Outcome (including indicators if applicable)
What are the needs of the child or young person?
Example: This 14-year-old young person is refusing to
attend school but needs to access education on a full
time basis.
What do we want this process to achieve for this child
or young person?
Example: Increased rate of school attendance; to achieve 3
days out of 5 within the next six weeks.
1.
2.
3.
4.
5
6.
4. Review of previous actions
Previous actions
Review of progress and outcomes
1.
2.
3.
4.
5
6.
7.
8.
2
Summary of discussion
When you type in this box it will expand automatically. If you are using a hard copy of this form, please use a
separate sheet for this section.
5. Action plan
Note: Please make sure that a named individual is responsible for each action.
Number
Action
Responsibility
Timeframe
6. Next Meitheal review meeting
Date: (DD/MM/YY)
Child or young person signature:
Date minutes circulated: (DD/MM/YY)
Parent or guardian signature:
Chair or facilitator signature:
Parent or guardian signature:
Please return this form to the Child and Family Support Network Coordinator.
3
Outcome the action
relates to: