Treatment Plan

From MindLinc Wiki

Treatment Planning is the ongoing assessment progress carried out by the professional staff in cooperation with the client, the client's family and/or other collaterals, as appropriate, which results in a treatment plan.

Time Frames:

CDTP Initial

• Prior to the 12th visit after admission or within 30 days of admission, whichever occurs first

Treatment Plan Reviews

• Due every 3 months

Adult and Child OPD Initial

• Prior to the 4th visit after admission or within 30 days of admission, whichever occurs first.

Treatment Plan Reviews

• Due every 3 months

The Treatment Plan shall be based on a complete assessment of the client's psychiatric, physical, social and/or psychiatric rehabilitative needs. The entire plan must be reviewed and signed by the psychiatrist within the above time frames. Complete the heading of the goal plan by indicating

• The client's name first and last

• Your name as the assigned Case Manager

• The client's SVTN #

Problem(s): Document those problems that will be addressed during this planning period. Problems should be drawn from the deficits identified on Page I of the Treatment Plan Assessment. It is recommended that no more than six (6) problem areas be focused on in any given plan

Examples of problems:

• Tendency to isolate self

• Unable to travel independently

• Poor impulse control

Goal(s): The goals are what you and the client expect to achieve during the course of treatment: to eliminate or reduce the problem, or develop more appropriate ways of coping with it, or prevent it from getting worse. It is helpful to state goals positively by using statements such as improve, enhance or develop.

Examples of goals:

• Improve social skills

• Develop the ability to travel independently

• Improve ability to control impulsive behavior

Objective(s): Objectives answer the question: "How will I and the client know that he/she is making progress toward the goal?" Progress may manifest itself behaviorally, emotionally, or cognitively.

Objectives should always be written as "The client will..." Every objective should include the expected behavior, how often the behavior will be observed, and for how long you will monitor the behavior.

Examples of objectives:

• The client will travel from his residence to the Center daily, escorted by his residence counselor for the next four weeks

• The client will focus on at least one activity, for at least 15 minutes, in each of his task activity groups for the next three months

• The client will initiate a conversation with at least one peer daily for the next four weeks

• Always include a time frame

Treatment Modalities/Frequency Treatment Modalities are the methods to be employed by the staff to assist the client to meet his stated objective.

Examples of Treatment Modalities :

• Medication therapy

• Supportive skill training

• Verbal therapy

• Activity therapy

• Medication education

• Psychiatric rehabilitative readiness determination

• Rehabilitative readiness development

• Discharge planning

Indicate the treatment modality, the person(s) responsible for providing the service, and the frequency of service. • ADL Development (cooking) Ruth Saunders -