Co-occurring disorder

Identified strengths : Marge has a support system which consist of her close family and friends who are supportive on long term recovery. Client in contemplation stage of change evident by entering treatment despite her verbalizing she does not need residential treatment. Strengths that will help client achieve long-term goal(s) (e.g., supportive family). Client should help identify. Initially it may be difficult to help client identify more than one or two strengths but as the course of treatment continues, more should become evident.

Identified problems/deficits : 291.81Factors in client’s life that may impede successful recoveryAlcohol Withdrawal, V61.20 Parent-Child Relational Problem, V61.10 Relationship Distress With Spouse or Intimate Partner, V62.29 Other Problem Related to Employment, V15.89 Other Personal Risk Factors

Long-term goal(s ):

Short-term Goals

Objectives

Strategies

Expected Outcome

(with time-frame)

Stated as broad desirable outcome that will be broken down into short-term goals and objectives. Usually, one long-term goal will be adequate for first year.

Example:

1. MargeJohn will Stabilize condition medically, behaviorally, emotionally, and cognitively, and return to functioning within normal parameters in remain abstinent from use of heroin and all other mood altering substances and behaviors for one year as demonstrated by negative random drug screens and self-report).

Series of time-limited goals that will lead to achievement of long-term goal.

Example:

1. MargeJohn will successfully complete detox residential treatment in 14 days and transition to long term residential.

2. Marge will successfully complete long term residential treatment within 4 months and transition to intensive outpatient treatment.

.

Statements of what client will do to achieve short-term goal. Stated in measurable, behavioral terms

Example:

1. John will attend and actively participate in all individual and group counseling sessions. Marge will fill out objective questionnaires or psychological tests to determine levels of intoxication or withdrawal.

2. Marge will inform the medical professionals of any modification in her intoxication or withdrawal symptoms.John will admit he has an addiction problem.

3. Marge will examine and address any hesitation she may have about her commitment to altering her alcohol-related behavior.

How objective will be carried out or accomplished

Example:

1. Administer will give the client psychological tests to objectively determine their substance use or withdrawalSchedule one individual counseling session and five group counseling sessions weekly.

2.

3. John will complete Step One of the Twelve StepsMarge will learn the signs and symptoms she may experience during substance intoxication and/or withdrawal

4. Marge will describe the ways that substance abuse has harmed her life (e.g., personally, medically, relationally, legally, vocationally, and socially).

5. Marge will begin developing a written plan of action aimed at stopping alcohol use.

Objective, measurable desirable outcome with timeframe Example:

1. Give the client feedback regarding the results of the assessment and retest, if necessary, to assess treatment and progress (7 days)Staff and self-report of regular attendance and active participation in individual and group counseling sessions (30 days).

2.

3. Self-report to counselor and members of group sessionsmedical staff (1430 days).

4. Counselor will Implement motivational interviewing to determine the client's level of change readiness by starting with motivation, reinforcing willingness to change, and leading up to treatment involvement (30 days).

5. Create an abstinence agreement with the client to end her usage of her preferred substance, and work through any thoughts the client may have about the commitment (60 days).