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PCN488.R.TreatmentPlanTemplate_3-31-14.docx.pdf

PCN-488 Treatment Plan Template

Directions: Complete the treatment plan template for your chosen case study. An example has been provided for you. Once the table is completed, address the prompts listed below the table. Each response to the prompts listed below the table should be 50 to 100 words. Example:

Date Problem Statement Goal Objective Length of Service Goal Date When was this goal created?

In the clients own words : “I want to worry less”

In clinical words, what will it look like by the end of treatment? Relate back to the problem statement. Client will reduce worry from daily to weekly

What methods of treatment and frequency will you use to achieve treatment goals? Weekly talk therapy meetings. Weekly DBT

How long will treatment be? Client will attend individual therapy for 8 weeks; client will attend group therapy for 13

When will this particular goal be achieved? Client reduce worry from daily to weekly by 3/15/17

Client Name: <Enter Client name> Date Problem Statement Goal Objective Length of Service Goal Date

Client Signature and Date Counselor Signature and Date

9/18/21, 5:52 PM Page 1 of 2

Client Needs:

Client Needs Requiring Referral:

Assessment Criteria to Use When Treating the Client:

Using the Chosen Assessment Criteria, Analyze the Results of the Assessment for the Chose Case Study:

Potential Community Resources (in your local community) for Helping the Client:

How the fear of hospitalization affects the treatment plan:

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9/18/21, 5:52 PM Page 2 of 2