Treatment Plan

Question 1

Developing The Treatment Plan

Answer 1

1. “The foundation of any treatment plan is the data gathered in a thorough bio-psychosocial assessment.” Perkinson, R.P., & Jongsma, A.E., (2008)
2. Assessing how substance use impacts all major life areas, such as, employment, legal, family, medical and financial, is a key piece in the development of treatment plans.
3. After gathering the clinical information mentioned above, the goals and objectives are developed into an individualized plan through a logical series of steps that build on one another: Problem Statement, Goal, Objectives, and Interventions.

Question 2

Identifying Problem(s)/Developing Problem Statements

Answer 2

1. Problem statements are based on information gathered during the
   assessment.
2. A brief clinical statement of a condition that the customer needs
   treatment.
3. Look at the most significant issues present in the customer’s life
   (substance use will show up as primary and secondary problems may also surface, such as, ADHD, impulsivity, anxiety).
4. Identify the problems that are most acute or troubling to the client’s functioning and balance this with what is most important to the client.
5. An effective treatment plan will address a few selected problems,
   otherwise, the direction and focus of treatment gets lost.
6. Problem statements should be related to customer’s diagnosis.
7. Review the DSM-5 for diagnostic criteria and codes.
8. The concepts of mild, moderate and severe for substance use are different so if you have not begun this process, you are strongly encouraged to do so.

Question 3

Creating Goal

Answer 3

1. A brief clinical statement of the condition you expect to change
2. Tied to the assessment and problem statement
3. Goals are based on the problem statements and reasonably achievable
4. Goals and objectives are often confused in treatment plans so keep in mind there is a difference.
5. If you can see the customer do something (i.e.-complete a
   journal etc.) then it is an objective.
6. If you can’t see a customer do something (i.e.-reduce anxiety, accept powerlessness) it is a goal.
7. Objectives are what the client will do to meet those goals.
8. Objectives (visible) must be stated in behaviorally measurable language and it should be very clear when the customer has completed the objectives.
9. Objectives are the skills developed by the customer and, when accomplished, will result in the achievement of the long-term goal.
10. Each objective should include a target end date for
    completion.

Question 4

SMART

Answer 4

Specific
Write exactly what the client will be doing to develop
skills (try to avoid too many commas and “and’s”).

Measurable
Generally, use numbers to quantify. Could someone else observe the skill and determine if it was completed?

Attainable
Is the objective attainable/realistic within time in
treatment?

Relevant
The objective must be related to the assessment,
problem statement, and goal. Is it related? Is it related to
addiction?

Time Limited
Is the target completion date reasonable and
individualized?

Question 5

Interventions

Answer 5

1. “Interventions are actions of the clinician designed to help the
   patient complete the objectives.” Perkinson, R.P., & Jongsma, A.E.,
   (2006)
2. What you do, as the clinician, to help the client complete the objective.
3. Should also be written in a measurable way
4. Services can be considered a form of an intervention (e.g., outpatient and peer services).
5. If you’re using EBP’s, this is where they should be documented

Question 6

Check Your Work

Answer 6

1. Is your goal related to your assessment?
2. Do you have at least one addiction treatment goal?
3. Are your objectives SMART and do they relate to the goal?
4. Are your time frames reasonable and not just matching your authorization?
5. Do you have more than one goal that accounts for the needs of the client?
6. Is the treatment plan signed?

Question 7

Treatment Plans Updates/Progress Reviews

Answer 7

1. Updates should be completed when a client completes a goal, requires a different level of care, or something significant occurs that requires an adjustment in the treatment plan.
2. Progress reviews should include enough narrative to support any requested change in level of care, describe customer’s progress towards current goal, and rationale for any continued goals/objectives.