Treatment plan
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TreatmentPlanning_IDLModule-1.pptx2/12/2021
Copyrighted Material-A. Leon 2013--Please do not reproduce
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SOW 6348
Dr. Ana Leon and Dr. Mary Dillon
UCF School of Social Work
Treatment/Care Planning in Individual Practice
Documentation Training I-Presented by Ana M. Leon, Ph.D., LCSW-University of Central Florida
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Introduction
Review the following slides which highlight key material from the course readings about clinical documentation and treatment planning. They also include a brief video of Hannah, our client for this module.
These slides can most optimally be used as a helpful guide and outline for the required readings in this module. They will help you prepare for doing your mental status exam and treatment plan with Hannah.
Our “Targets” for This Module
Identify essential components of a treatment plan-goals, objectives & action steps
Understand the importance of clients as partners in treatment planning
Practice evaluating treatment plan goals and objectives with a client scenario
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The treatment plan as the foundation for other documentation
Changes in program funding & managed care = need for outcome based treatment plans
The Importance of the Treatment Plan
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What is outcome based evaluation?
impacts/benefits/changes to your clients (as a result of your program/intervention efforts) during and/or after their participation in your programs.
Key question in outcome based evaluation
Has intervention/service made a positive difference in client’s problem/situation?
Formulating Outcome Based Treatment/Service/Care Plans
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Identification of acute/current problems
Goals
Objectives
Action steps
Setting up the Service/Care/Treatment Plan
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Agreed upon by you and client
Broad statements
Goals
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Example of Goals
Decrease depression
Increase socialization skills
Develop appropriate ways for expressing anger
Improve parent-child communication
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Sub-components of goals
Behaviorally specific
Measurable
Objectives
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Change statement
Target behavior/skill/situation
Amount of change
Where will objectives be carried out?
Who will monitor/report change?
How will you measure success?
By when?
Objectives - Continued
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Examples of Objectives
Client will decrease temper tantrums in the classroom from 8x daily to 4x daily as reported by the teacher in the tantrum log and completed by 11/30/13.
Client will improve self-esteem score by 20 points on the Post Rosenberg Self Esteem Scale as reported by therapist by 12/30/13.
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Are sub-components of objectives
Directions/steps on how objectives will be met
Action Steps
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Examples of Action Steps
Client will read and answer questions in chapter 1 of the “victim’s abuse” book & discuss in next individual session.
Client will describe in journal & bring into the next session for discussion the following:
3 incidents that triggered angry responses
client’s responses to triggers
Strategies and Interventions
Make sure that for each problem on your treatment plan you include what evidence based interventions and/or strategies you will use. This should include a general statement that identifies the theory that will guide the treatment.
This should emphasize evidence based research & practice—what works best for a specific problem?
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Frequency of Interventions/Time Frame
Indicate how often you will see client and for how long.
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Diagnosis or problem
Objectives of care, service or treatment
Assessments
Clinician/caseworker
Location of service
Interventions/services
When Developing a Treatment Plan We Consider the Following—Acronym DO A CLIENT MAP (Linda Seligman)
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Emphasis
Who and Number of people involved
Timing-how often and how long
Medication or other medical interventions
Adjunct services
Prognosis
DO A CLIENT MAP-continued
