Mental Health Care Plan
Name: EXAMPLE Date: Client (INITALS ONLY) Room #
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DIAGNOSIS:
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R/T
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AEB: · |
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PREVENTIONS (Level): 1. 2. 3. 4. 5. 6.
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RATIONALE 1. 2. 3. 4. 5. 6.
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OUTCOMES/GOALS 1. 2. 3. 4. 5. 6.
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EVALUATION AND REVISIONS:
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DIAGNOSIS:
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R/T
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AEB: · |
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PREVENTIONS (Level): 7. 8. 9. 10. 11. 12.
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RATIONALE 7. 8. 9. 10. 11. 12.
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OUTCOMES/GOALS 7. 8. 9. 10. 11. 12.
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EVALUATION AND REVISIONS:
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DIAGNOSIS:
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R/T
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AEB: · |
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PREVENTIONS (Level): 13. 14. 15. 16. 17. 18.
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RATIONALE 13. 14. 15. 16. 17. 18.
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OUTCOMES/GOALS 13. 14. 15. 16. 17. 18.
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EVALUATION AND REVISIONS:
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DIAGNOSIS:
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R/T
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AEB: · |
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PREVENTIONS (Level): 19. 20. 21. 22. 23. 24.
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RATIONALE 19. 20. 21. 22. 23. 24.
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OUTCOMES/GOALS 19. 20. 21. 22. 23. 24.
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EVALUATION AND REVISIONS:
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DIAGNOSIS:
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R/T
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AEB: · |
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PREVENTIONS (Level): 25. 26. 27. 28. 29. 30.
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RATIONALE 25. 26. 27. 28. 29. 30.
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OUTCOMES/GOALS 25. 26. 27. 28. 29. 30.
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EVALUATION AND REVISIONS:
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Potential, actual, and wellness diagnoses (ATLEAST 10)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
References