Training Needs Assessment
 
Name:
*Completion Date:    (mm/dd/yyyy)
  
*County:
If "Other",  Please Specify:
  
Provider Agency:
If "Other",  Please Specify:
 
     
Please indicate the level of your organization's need for each training topic listed below.
 
None Minimal Moderate High Critical
Disease Management
Dementia (including Alzheimer's Disease)
Diabetes and Related Issues
Digestive System Disorders / GERD
Dysphagia / Aspiration Pneumonia
Endocrine Disorders (including Thyroid)
Heart Disease and Related Issues
Men's Health Issues / Women's Health Issues
Osteoporosis
Seizure Disorder
Skin Care and Problems
Other : 
 
  None Minimal Moderate High Critical
Mental Health and Behavioral Issues
Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders
Borderline Personality Disorder
Dialectical Behavior Therapy (DBT)
Eating Disorders (including Pica)
Impulse Control Disorders
Intellectual/Developmental Disabilities and MH
Mood / Anxiety Disorders
Obsessive Compulsive Disorder (OCD)
Psychotropic Medications
Reactive Attachment Disorder (RAD)
Schizophrenia
Traumatic Brain Injury
Other : 
 
  None Minimal Moderate High Critical
Positive Practices
Advocacy for an Everyday Life
Boundaries
Challenging Behavior
De-escalation
Debriefing
Facilitation - Supporting a Team
Learning to Describe
Positive Approaches
Positive Approaches & Functional Behav. Analysis
Self Injurious Behavior (SIB)
Trauma / Post Traumatic Stress
Other : 
 
  None Minimal Moderate High Critical
General Care
Aging Issues
Body Mechanics and Back Pain
Bowel Management
Emergency Preparedness
Fall Prevention
Hygiene
Infectious Diseases / Standard Precautions
Medication Issues
Nutrition / Weight Management
Pain Management
Physical Distress / Emergency Care
Surgery Care
Urinary Tract Issues
Other : 
 
  None Minimal Moderate High Critical
Additional Topics
Abuse
Anger Management
Cerebral Palsy
Communication Issues
Discharge Planning
Grief and Loss
HIPAA - Consumer Rights and Privacy
Lifesharing
Root Cause Analysis
Sexuality / Relationship Issues
Stress Management
Substance Abuse
Other : 
 
Additional Suggestions/Comments
 
 
Disclaimer: Information or education provided by the APS HCQU is not intended to replace medical advice from the consumer's personal care physician, existing facility policy or federal, state and local regulations/codes within the agency jurisdiction. The information provided is not all-inclusive of the topic presented.
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© 2010 APS Healthcare, Inc.
E-mail: lmpeterson@apshealthcare.com
Updated: 12/23/2010  (Standard Edition, Version: 3.1)