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The observation checklist helps to note and record behaviors that may require screening or further assessment.

The DWP/MFIP Observation Checklist (DHS-3483) (PDF) can be useful as:

· A supplement to the Chemical and Mental Health Self-Screen or the Special Learning Needs Screening.

· A part of the comprehensive assessment.

Document the following items:

· Behaviors that triggered an intervention.

· A summary of conversations with the participant, including results of screening.

· Substantial impacts on employment that were identified.

· A record of whether the participant agreed voluntarily to a professional chemical use assessment or you required that assessment.

Use the Observation Checklist any time you see behaviors or signs that may indicate the need for screening or assessment.

· The checklist has examples of the behaviors that might be applicable.

· The Observation Checklist is not mandatory.

· If not using the Observation Checklist, ensure case notes cover the same information the checklist covers in order to have an objective and useful record about why assessments or other actions have been recommended or put in the employment plan.