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Intervention Plan For:

Date: June 2012

Belonging Mastery
Currently: Currently:
Developing Skill Intervention Description Outcome Developing Skill Intervention Description Outcome
(state area of (describe how the skill will be taught and by whom) (S.M.A.R.T. goal) (state area of (describe how the skill will be taught and by whom) (S.M.A.R.T. goal)
development and development and
lagging skill) lagging skill)

Setting Measured Setting Measured

Independence Generosity
Currently: Currently:
Developing Skill Intervention Description Outcome Developing Skill Intervention Description Outcome
(state area of (describe how the skill will be taught and by whom) (S.M.A.R.T. goal) (state area of (describe how the skill will be taught and by whom) (S.M.A.R.T. goal)
development and development and
lagging skill) lagging skill)

Setting Measured Setting Measured

Descriptive Guide
Belonging Distorted Anti-Belonging Mastery Distorted Anti-Mastery Independence Distorted Anti-Independence Generosity Distorted Anti-Generosity
attached gang loyalty unattached achiever overachiever nonachiever autonomous dictatorial submissive altruistic noblesse oblige selfishness
loving craves affection guarded successful arrogant failure oriented confident reckless/macho lacks confidence caring over-involved affectionless
friendly craves acceptance rejected creative risk seeker avoids risks assertive bullies others inferiority sharing plays martyr narcissistic
intimate promiscuous lonely problem solver cheater fears challenges responsible sexual prowess irresponsible loyal co-dependent disloyal
gregarious clinging aloof motivated workaholic unmotivated inner control manipulates helpless empathetic overindulgent hardened
cooperative cult vulnerability isolated persistent perseverative gives up easily self-discipline rebellious undisciplined pro-social servitude antisocial
trusting overly dependent distrustful competent delinquent skill inadequate leadership defies authority easily led supportive bondage exploitative

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