Howard County Peer Support Intervention Report PSS Name: Meeting Date MM slash DD slash YYYY Initials of Person Being Served: Type* Personnel Personnel with supports Family Member of Personnel Group Other Type – Other Nature of Incident* Marital issues Financial issues Work-related stress Significant Call Drug/substance use Other Nature of Incident – OtherNumber of people Present (Excluding PSP) Length of Session 15 Minutes 30 Minutes 45 Minutes 60 Minutes Other Length of Session – Other Other agencies involved Any other pertinent information
