Annex 3: Reintegration plan template

Figure A.1: Elements of empathy

NAME ID PLACE OF RETURN
(region, city or village)

1. SUMMARY OF RETURNEE’S PLAN

ECONOMIC:      
SOCIAL:      
PSYCHOSOCIAL:      

2. TYPE OF REINTEGRATION ASSISTANCE TO BE PROVIDED

IMMEDIATE ASSISTANCE

☐ CASH ASSISTANCE

☐ BASIC NEEDS (FOOD, CLOTHES, AND SO ON)

☐ ACCOMMODATION

☐ MEDICAL

☐ OTHER  

LONGER TERM ASSISTANCE

☐ CASH FOR WORK  

Does it need a referral?  

ECONOMIC

☐ INCOME-GENERATING ACTIVITY (CREATION OR STRENGTHENING)

☐ INDIVIDUAL MICROBUSINESS

☐ COLLECTIVE PROJECT

☐ COMMUNITY PROJECT

☐ OTHER  

Does it need a referral?  

If yes, please specify  

☐ JOB PLACEMENT  

Does it need a referral?  

☐ VOCATIONAL TRAINING  

Does it need a referral?  

SOCIAL

☐ HOUSING SUPPORT

Does it need a referral?    

☐ MEDICAL SUPPORT

☐ RETURNEE

☐ FAMILY

Please specify  

Does it need a referral?  

☐ EDUCATIONAL SUPPORT    

Does it need a referral?  

☐ SKILLS DEVELOPMENT    

Does it need a referral?  

☐ LEGAL SERVICES    

Does it need a referral?  

☐ SOCIAL PROTECTION SCHEMES    

Does it need a referral?  

☐ CHILD CARE    

Does it need a referral?  

☐ SPECIAL SECURITY MEASURES    

Does it need a referral?  

PSYCHOSOCIAL

☐ INDIVIDUAL AND FAMILY LEVEL ACTIVITIES    

Does it need a referral?  

☐ COMMUNITY LEVEL ACTIVITIES    

Does it need a referral?  

☐ OTHER (PLEASE DETAIL):    

Does it need a referral?  

3. INDICATIVE LIST OF THE GOODS, EQUIPMENT AND SERVICES TO BE PURCHASED WITH THE REINTEGRATION GRANT AND CORRESPONDING ESTIMATED VALUE

GOODS, EQUIPMENT, SERVICES ESTIMATED COST
   
   
   
   
TOTAL  

4. LIST OF REFERRALS TO BE MADE

AGENCY ASSISTANCE TO BE PROVIDED
   
   
   
   

5. EXPECTED IMPROVEMENT OF THE RETURNEE’S PSYCHOLOGICAL, SOCIAL AND ECONOMIC WELL-BEING AFTER THE ASSISTANCE IS PROVIDED

BASELINE REINTEGRATION SCORE

Economic: Social: Psychosocial: Composite:

6. IN THE EVENT THAT THE PROJECT IS ENVISAGED AT COMMUNITY LEVEL (SUCH AS A GROUP OF RETURNEES AND LOCAL COMMUNITY MEMBERS), INDICATE THE NAME OF EACH RETURNEE AND COMMUNITY MEMBER INVOLVED AND, IF ALREADY DEFINED, THEIR RESPECTIVE ROLES IN THE PROJECT

NAME ROLE
   
   
   
   
   
   

DONE ON [DATE] IN [LOCATION]:  

APPROVED BY [RETURNEE’S NAME AND SIGNATURE:  

APPROVED BY STAFF OR REFERRAL PARTNER’S NAME AND SIGNATURE:  


Source URL: http://uat.reintegrationhb.iom.int/annex/annex-3-reintegration-plan-template