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Life Skills Matrix
The Life Skills Matrix is filled out by the Mentor only and submitted every two months, on February 1, April 1, June 1, August 1, October 1 and December 1.

 
Housing
Mentee's current location:
How often has the mentee changed his/her residence in the last two months (since last review)? Count moves outside of institutional residential situations. Don't count moves from supervised housing half-way housing residential program or from a shelter to a stable living environment?
Does this person have a stable living situation that is helpful for them to succeed? Use your best judgment to determine if the mentee's current residence is supportive of the mentee's efforts to succeed. Take the attitude of the mentee and the occupants of the residence into account. Exclude housing related to the criminal justice system (supervised housing half-way housing shelters).
Has the mentee improved the stability of their residence in the last two months (since last review)? Consider if the mentee has been able to maintain his/her residence successfully. If the mentee has moved has the move improved his/her chance for success? Have they moved from a temporary placement to a more permanent residence?
 
Food
Does the mentee have sufficient access to food?
If the mentee chooses are they able to plan what to buy and prepare for food?
Is the mentee able to eat as prescribed for his/her health situation (e.g. dietary restrictions)?
 
Identification
Current identification:
Is the mentee prepared to work (legally)?
 
Transportation
What is your mentee's access to transportation?
 
Medical
Consider all medical services that are necessary for the mentee to succeed.
Does the Mentee have special medical needs (mental health substance abuse anything that requires constant medical services)?
Does the mentee have access to medical services?
Does the mentee attend necessary appointments
Does the mentee take prescribed medications as directed?
Is the mentee interested in pursuing medical services (medical dental reproductive or general health care)?
Is the mentee able to afford the medical services he/she wants or needs?
Is the mentee participating regularly in mental health treatment?
Has the mentee expressed an interest in mental health treatment?
 
Substance abuse
Is the mentee required to abstain from alcohol?
How often has the mentee used alcohol in the last two months (since the last review)?
How often has the mentee used illegal drugs in the last two months (since the last review)?
Is the mentee receiving substance abuse treatment?
Is the mentee participating regularly in substance abuse treatment?
Has your mentee expressed an interest in substance abuse treatment?
Does the mentee have a positive attitude towards sustance abuse treatment?
Has the mentee expressed an interest in a substance abuse support group?
 
Family Reunification and Relationships
Does the mentee have family members that are supportive of treatment and re-socialization efforts?
Does the mentor have regular personal contact with these family members?
Does the mentee have unhealthy/abusive relationships with some family members?
Does the mentee have regular personal contact with family members for which the relationship is unhealthy or abusive?
Does the mentee have family members that are criminally involved or addicted to drugs/alcohol?
Does the mentor have regular personal contact with family members that are criminally involved or addicted to drugs/alcohol?
Is the mentee married or involved in a relationship? Consider any relationship 6 months or greater as long term regardless of whether it started before or after release. This includes same-sex relationships. A mentee who is in the process of getting a divorce is not in a relationship for the purposes of this question.
Is the mentee satisfied with this relationship?
Does the mentee have children?
Is the mentee the sole provider for these children?
Is the mentee significantly involved in the life of his/her children? Significant involvement is defined as making decisions that affect the child's life being involved with their education being involved in supporting or providing for the children.
Is the mentee able to cope with the stress of parenting?
Is the mentee seeking support to help with the stress of parenting?
 
Finances and Legal
Does the mentee have significant debts that are difficult to pay off?
Does the mentee have a plan for paying off debts?
Does the mentee experience conflict around finances?
Does the mentee have trouble paying bills?
Is the mentee able to save money?
 
Employment
Does the mentee currently have a job?
If the mentee is employed is their job situation stable? Consider if the employment relationship is likely to continue for the medium to long term future of if the employment is only temporary.
How often has the mentee changed jobs since the last review? Count only job changes that involved a different employer (e.g. the mentee switched jobs from one temporary employers to another). Do not count job changes that significantly improve income or stability for the mentee.
Is the mentee satisfied with their job situation?
If unemployed has mentee taken steps to find a job?
 
Education/Skills
Does the mentee have qualifications that allow him/her to find a job that pays above the minimum wage?
Does the mentee have any educational or skill training goals in the future?
 
Social Support/Personal Interests/Spirituality
Does the mentee have pro-social friends? Pro-social friends are people that have a stable law-abiding lifestyle free of substance abuse and are likely to help the mentee succeed.
Does the mentee participate in a spiritual community?
Is the mentee keeping in touch with friends that are criminally involved or drug addicted?
Personal Goals and Values
Does the mentee recognize that he/she must change their lifestyle away from crime? Check "No" if the mentee is in the precontemplation phase and does not see that changes in his/her lifestyle are necessary
Does the mentee have positive goals outlined that will move them towards self-sufficiency?
Is the mentee pursuing positive goals that will move them towards self-sufficiency?
Has the mentee reached some of the positive goals he/she has set forth?
If the mentee has taken steps towards positive goals is he/she worried about slipping back into old habits?
Has the mentee taken steps to prevent a full-blown relapse?
Does the mentee recognize the consequences of their actions rather than externalizing blame (e.g. blaming victimes the criminal justice system)?
 
Arrest/Recidivism
Has the mentee been arrested and charged for a new offense or failure to comply with term of release since the last review?
How have you supported your mentee since last review (in the last two months)? What services were delivered?
Does the mentee think that the mentee's life and chances for success have improved since the last review?
Level Ground, Inc.  |  4880 Lower Roswell Road, Suite 165-314, Marietta, GA 30068-4385  |  phone: 678.856.7071  |  email: info@levelground.org
 
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