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: ___________________________________________________________________________________
