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Behavior Plan Template CJHS/400 Version 2 |
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University of Phoenix Material
Behavior Plan Template
Use this template to create behavioral plans for assignments in Weeks Two and Three. Fill in each section and provide additional information as needed.
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Client Identifying Information List all pertinent and known identifying information. |
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Name |
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Age |
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Gender |
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Religion |
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History Describe all pertinent and known history. |
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Medical |
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Family |
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Substance Abuse |
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Developmental and Social |
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Course of Treatment List two target behaviors and two interventions. |
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Target Behaviors |
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Frequency and Duration of Target Behaviors |
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Severity and Number of Relapses |
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Interventions |
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Goals and Objectives List two long-term goals, two short-term goals, and one objective to work towards each goal. |
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Long-Term Goal |
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Short-Term Goal |
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Objectives |
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Discharge and Termination Plans Describe the discharge and termination plan for the client. |
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Discharge Plan |
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Termination Plan |
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Copyright © XXXX by University of Phoenix. All rights reserved.
Copyright © 2016 by University of Phoenix. All rights reserved.