Individually, each participant generates as many courses of action as he or she can for a given problem. The sheets are then collected, and all COAs generated by the group are placed on priority matrixes to deter­ mine how well each COA solves its corresponding problem (rating matrix) and whether a given COA solves other problems as well (hybridizing matrix). Using a low, medium, and high rating system in each case a final group of COAs is established. (From this point on in the PAK process, participants receive advocacy consultation from professionals.)

Using the COA sheet (Figure 93) as a framework, the participants develop corresponding therapeutic goals for each remaining COA. Each goal is then expanded into a group of sustaining activities neces­ sary to sucessfully carry out each goal statement (Figure 94-Activities). These activities should: be able to be performed in a single kind of setting; state exactly what is taking place and who it affects; and be expanded to cover who is delivering the service, what the setting is it is being delivered in, and over what time period it is being delivered.