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.