CRIMINAL JUSTICE CASE MANAGEMENT CHECKLIST TEMPLATE

Created by ChecklistGuro (https://checklistguro.com)


--- INTAKE & ASSESSMENT ---
[ ] Client Name
[ ] Date of Intake
[ ] Location of Incident (if applicable)
[ ] Age
[ ] Reason for Referral (Self-Referral, Law Enforcement, Court Order, Agency Referral)
[ ] Presenting Concerns/Summary
[ ] Risk Factors (Select All That Apply) (Substance Abuse, Mental Health Concerns, History of Violence, Lack of Housing, Financial Instability)

--- INVESTIGATION & EVIDENCE GATHERING ---
[ ] Date of Incident/Offense
[ ] Detailed Description of Incident/Offense
[ ] Incident Location
[ ] Photos/Videos of Scene
[ ] Estimated Value of Loss/Damage
[ ] Type of Evidence Collected (Witness Statements, Physical Evidence, Digital Evidence, Forensic Reports)
[ ] Summary of Evidence Analysis

--- LEGAL REPRESENTATION & COURT PROCEEDINGS ---
[ ] Initial Court Appearance Date
[ ] Court Case Number
[ ] Legal Representation Assigned? (Yes, No, Pending)
[ ] Legal Counsel Name
[ ] Summary of Court Proceedings (Each Appearance)
[ ] Next Scheduled Court Date
[ ] Legal Counsel Signature (Confirmation of Representation)
[ ] Number of Court Appearances

--- CASE PLANNING & INTERVENTION ---
[ ] Initial Case Plan Goals
[ ] Frequency of Intervention (e.g., visits per week)
[ ] First Intervention Date
[ ] Primary Intervention Strategy (Individual Counseling, Group Therapy, Family Mediation, Skills Training, Community Support)
[ ] Intervention Services Provided (Housing Assistance, Financial Literacy, Substance Abuse Treatment, Mental Health Services, Legal Aid)
[ ] Next Review Date of Intervention Plan

--- RISK MANAGEMENT & SAFETY ---
[ ] Risk Assessment Score (Initial)
[ ] Immediate Threat Level (Low, Moderate, High, Critical)
[ ] Specific Safety Concerns Identified
[ ] Potential Risks (Select All That Apply) (Violence/Aggression, Self-Harm, Substance Abuse, Neglect, Exploitation, Homelessness)
[ ] Date of Safety Plan Implementation
[ ] Detailed Safety Plan Description
[ ] Safe Location(s) Identified

--- SERVICE COORDINATION ---
[ ] Primary Service Provider (Mental Health Services, Substance Abuse Treatment, Housing Assistance, Medical Care, Legal Aid, Employment Services)
[ ] Additional Services Needed (Transportation, Financial Literacy Training, Childcare, Educational Support, Peer Support Groups)
[ ] Contact Person at Service Provider
[ ] Phone Number of Service Provider
[ ] Notes Regarding Service Coordination
[ ] Scheduled Service Appointment Date

--- DOCUMENTATION & REPORTING ---
[ ] Date of Documentation
[ ] Summary of Case Activities
[ ] Supporting Documents (e.g., reports, correspondence)
[ ] Hours Worked on Case
[ ] Report Type (Progress Report, Incident Report, Court Report, Other)
[ ] Notable Observations/Challenges
[ ] Case Manager Signature

--- CASE REVIEW & EVALUATION ---
[ ] Date of Review
[ ] Progress Towards Goals (1-10)
[ ] Overall Case Status (On Track, Needs Adjustment, At Risk, Closed)
[ ] Summary of Progress and Challenges
[ ] Effectiveness of Interventions (Highly Effective, Effective, Moderately Effective, Not Effective)
[ ] Recommendations for Future Action
[ ] Supporting Documentation (e.g., Progress Notes)

--- CASE CLOSURE & DISCHARGE ---
[ ] Official Case Closure Date
[ ] Summary of Case Outcomes and Progress
[ ] Discharge Goals Achieved (Select all that apply) (Housing Secured, Employment Obtained, Mental Health Stability, Substance Abuse Recovery, Legal Obligations Met, Other (Specify in Long Text))
[ ] Additional Comments/Notes Regarding Discharge
[ ] Discharge Plan Type (Formal Discharge Plan, Informal Discharge Plan)
[ ] Discharge Plan Document (if applicable)

--- COMPLIANCE & ETHICAL CONSIDERATIONS ---
[ ] Confidentiality Agreement Signed? (Yes, No)
[ ] Last Ethics Training Completion Date
[ ] Conflict of Interest Disclosure? (Yes, No)
[ ] Summary of Conflict of Interest Disclosure (if applicable)
[ ] Adherence to Mandatory Reporting Requirements? (Yes, No, N/A)
[ ] Number of Reported Ethical Concerns (if any)
[ ] Description of Ethical Concerns/Violations (if any)

--- END OF TEMPLATE ---
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