Treatment Plan Reassessment: Eliza

Topic 5, you submitted a treatment plan for your client Eliza. Since the initial treatment plan, several changes have taken place within Eliza’s case. Since the mandatory assessment two weeks ago, you have discovered that Eliza is again on your client listing for the day due to a mandatory evaluation, with the incident report indicating that campus public safety, due to a tip from a concerned resident, found the client passed out and alone in her dorm, smelling of alcohol.

Part 1: Review the initial Treatment Plan submitted in Topic 5.

1. Reassess your treatment plan diagnoses, goals, and objectives based on the new information provided.
2. Fill out and submit a new treatment plan evidencing the changes made in treatment utilizing the treatment plan template provided.

Part 2: In a 1,000-1,250-word essay, answer the questions presented in a separate Word document, addressing the following:

1. Examine the case and propose why the changes occurred.
2. Reassess the effectiveness and validity of the treatment plan.
3. Discuss how the treatment plan needs to be adjusted to address the changes in the situation.
4. Justify the changes both ethically and legally.
5. Determine what the changes (obstacles) mean to the treatment plan.
6. Discuss how you would evaluate the resources available for you to make a referral.
7. Discuss how you would communicate to the client the need for referrals to other providers.
8. Determine which referrals you would make and which you might suggest to the client.
9. Include any instruments you would use to assess the client.

Submit the revised treatment plan and essay to your instructor.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

This assignment meets the following NASAC Standards:

48) Reassess the treatment plan at regular intervals, and/or when indicated by changing circumstances.

50) Continuously assess and evaluate referral resources to determine their appropriateness.

51) Differentiate between situations in which it is most appropriate for the client to self-refer to a resource, and instances requiring counselor referral.

62) Summarize the client’s background, treatment plan, recovery progress, and problems inhibiting progress for the purpose of assuring quality of care, gaining feedback, and planning changes in the course of treatment.

67) Maintain ongoing contact with the client, and involved significant others, to ensure adherence to the treatment plan.

69) Assess treatment/recovery progress and, in consultation with the client and significant others, make appropriate changes to the treatment plan to ensure progress toward treatment objectives.

71) Apply generally accepted measures of treatment outcome.

72) Utilize referral skills, as described in Section 3.

77) Facilitate the client’s engagement in the treatment/recovery process.

78) Work with the client to establish realistic, achievable goals consistent with achieving and maintaining recovery.

112) Prepare and record treatment and continuing care plans that are consistent with agency standards and comply with applicable administrative rules.

113) Record progress of the client in relation to treatment goals and objectives.

115) Document the treatment outcome, using accepted methods and instruments.

Treatment Plan

Based on the information collected in Week 4, complete the following treatment plan for your client Eliza. Be sure to include a description of the problem, goals, objectives, and interventions. Remember to incorporate the client’s strengths and support system in the treatment plan.

Client: ____________________________________________ Date: ______________ Age:______ DOB: __________________

DSM Diagnosis	ICD Diagnosis

 

Goals / Objectives:	Interventions:	Frequency:
□ Mood Stabilization	□ Psychotropic Medication Referral & Consultation □ Journaling □ Cognitive Behavior Therapy □ Skill Training □ Emotion Recognition – Regulation Techniques	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Anxiety Reduction	□ Psychotropic Medication Referral & Consultation □ Journaling □ Cognitive Behavior Therapy □ Skill Training □ Relaxation Techniques	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Reduce Obsessive Compulsive Behaviors	□ Psychotropic Medication Referral & Consultation □ Journaling □ Cognitive Behavior Therapy □ Skill Training	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Decrease Sensitivity to Trauma Experiences	□ Verbalize Memories Triggers & Emotion □ Desensitize Trauma Triggers and Memories □ Utilize Healing Model/Support (Mending the Soul)	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Establish and Maintain Eating Disorder Recovery	□ Overcome Denial □ Identify Negative Consequences □ Menu Planning □ Nutrition Counseling □ Body Image Work □ Healthy Exercise □ Trigger Mngmt Recovery Plan □ CBT	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Maintain Abstinence from substances (Alcohol/Drugs)	□ Substance Use Assessment □ Stepwork □ Overcome Denial □ Identify Negative Consequences □ Commitment to Recovery Program □ Attend Meetings □ Obtain Sponsor	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Increase Coping Skills	□ DBT Skills Training □ Problem Solving Techniques □ Emotion Recognition & Regulation □ Communication Skills	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Stabilize, Adjustment to New Life Circumstances	□ Alleviate Distress □ Cognitive Behavior Therapy □ Stress Management □ Skills Training □ Improve Daily Functioning □ Develop Healthy Support	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Decrease/Eliminate Self Harmful Behaviors	□ Cognitive Behavior Therapy □ Skills Training □ Develop and Utilize Support System	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Improve Relationships	□ Communication Skills □ Active Listening □ Family Therapy □ Assertiveness □ Setting Healthy Boundaries	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Improve Self Worth	□ Affirmation Work □ Positive Self Talk □ Skills Training □ Confidence Building Tasks	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Grief Reduction and Healing from Loss	□ Psychoeducation on Grief Process/ Stages □ Process Feeling □ Emotion Regulation Techniques □ Reading/Writing Assignments □ Develop/Utilize Support	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family
□ Develop Anger Management Skills	□ Decrease Anger Outbursts □ Emotion Regulation Techniques □ Cognitive Behavior Therapy □ Increase Awareness/Self Control	□ Weekly □ Bi Weekly □ Monthly □ other: ____________________ □ Group □ Individual □ Family

 

 

 

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