Complete the Treatment Plan Template
CNL-610: Topic 4 and 7 Treatment Plan
Based on the information provided and feedback from your Instructor on previous assignments concerning the case of Eliza, complete the treatment plan below. Be sure to include a description of the problem, goal statements, objectives, and interventions. Remember to incorporate the client's strengths and support system in the treatment plan.
Client: Click or tap here to enter text. Date: _______ Age: ________ DOB: ________
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ICD-9 (ICD-10) Code: |
DSM-5 Diagnosis (Include Specifiers and Modifiers): |
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Description of the Problem: |
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Goal # 1: |
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Objective(s): |
Intervention(s): |
Frequency: |
Target Date: |
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1. |
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☐ Weekly ☐ Bi Weekly ☐ Monthly ☐ other: ____________________ Modality: ☐ Group ☐ Individual ☐Family |
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2. |
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☐ Weekly ☐ Bi Weekly ☐ Monthly ☐ other: ____________________ Modality: ☐ Group ☐ Individual ☐Family |
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Description of the Problem: |
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Goal # 1: |
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Objective(s): |
Intervention(s): |
Frequency: |
Target Date: |
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1. |
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☐ Weekly ☐ Bi Weekly ☐ Monthly ☐ other: ____________________ Modality: ☐ Group ☐ Individual ☐Family |
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2. |
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☐ Weekly ☐ Bi Weekly ☐ Monthly ☐ other: ____________________ Modality: ☐ Group ☐ Individual ☐Family |
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