Treatment FAQ

treatment planning and what can affect it

by Mollie Hagenes Published 3 years ago Updated 2 years ago
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Treatment plans provide a guide to treatment for both the therapist and client. Treatment plans can reduce the risk of fraud, waste, abuse, and the potential to cause unintentional harm to clients. Treatment plans facilitate easy and effective billing since all services rendered are documented.

Full Answer

What are the key treatment planning issues?

These treatment planning issues are distilled down into the following key areas: Patient and family education regarding trauma and the range of potential responses Self-management of symptoms via education, appropriate skill development and relapse prevention

Why is treatment planning important in psychology?

Psychiatrists, psychologists, counselors, social workers, and other health professionals use treatment planning as a tool to effectively treat patients and clients. Without a clear plan in place, it can be hard to track progress, stay organized and keep a record of individual patient care.

What are the benefits of a treatment plan?

Treatment plans can also be applied to help individuals work through addictions, relationship problems, or other emotional concerns. While treatment plans can prove beneficial for a variety of individuals, they may be most likely to be used when the person in therapy is using insurance to cover their therapy fee.

What are the factors that affect the effectiveness of treatment?

If a person cannot understand the treatment plan being explained, then it may not be carried out effectively, if at all. That is, if the physician can even understand the patient enough to know what is going on with them. Last, but certainly not least, there are financial factors that affect treatment.

Why are treatment plans important?

Why do people need treatment plans?

Who Are Treatment Plans For?

How Are Mental Health Care Treatment Plans Used?

What is a mental health treatment plan?

What does a therapist do for Chris?

What is presenting concerns?

See more

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What are the factors to consider in treatment planning?

Formulating a treatment planThe limitations and risks of treatment;The cost of treatment and the cost of ongoing maintenance for each option available; and.The consequences of treatment failure.

What are the key issues in developing a treatment plan?

Ingredients of an Effective Counseling Treatment PlanClient History, Background, and Assessments. ... Problem Statements. ... Strengths. ... Treatment Contract. ... Goals. ... Objectives. ... Interventions. ... Progress.

What is a problem statement in a treatment plan?

A problem is a brief clinical statement of a condition of the patient that needs treatment. The problem statement should be no longer than one sen- tence and should describe only one problem. All problem statements are abstract concepts. You cannot actually see, hear, touch, taste, or smell the problem.

What factors do you assess before recommending a treatment plan?

What, Exactly, is in a Treatment Plan?History and Demographics – client's psychosocial history, history of the symptoms, any past treatment information.Assessment/Diagnosis – the therapist or clinician's diagnosis of the client's mental health issues, and any past diagnoses will also be noted.More items...•

What are the four components of the treatment plan?

There are four necessary steps to creating an appropriate substance abuse treatment plan: identifying the problem statements, creating goals, defining objectives to reach those goals, and establishing interventions.

What is the importance of treatment planning?

Treatment plans are important because they act as a map for the therapeutic process and provide you and your therapist with a way of measuring whether therapy is working. It's important that you be involved in the creation of your treatment plan because it will be unique to you.

What are goals in a treatment plan?

Treatment Plan Goals and Objectives A goal is a general statement of what the patient wishes to accomplish. Examples of goals include: The patient will learn to cope with negative feelings without using substances. The patient will learn how to build positive communication skills.

What are the four goals of treatment?

The Four Goals of Drug TherapyIdentifying Drug Use and Problem Behavior. One of the hardest goals is also one of the most important, knowing what to look for when you have concerns about someone's drug use. ... Intervention and Detox. ... Drug Therapy and Treatment Completion. ... Work To Avoid Relapse.

What should happen before the treatment plan is implemented?

1. Preclinical exam—Before the examination begins, it is important that the dentist or team member conducts a preclinical exam to understand why the patient is there, past experiences, desired changes, any problems occurring, and more. 2.

How would you describe a client's affect?

Examples of descriptors for affect include sad, depressed, anxious, agitated, irritable, angry, elated, expansive, labile, inappropriate, incongruent with content of speech.

What is treatment planning?

Treatment planning is a process in which the therapist tailors, to the greatest extent possible, the application of available treatment resources to each client's individual goals and needs. A thorough multidimensional assessment is essential to individualized treatment planning.

How do you evaluate the effectiveness of a treatment?

Evaluating Treatments: How Do You Know When a Treatment Really Works?Suggestion #1: Do Your Homework. ... Suggestion #2: Know Your Baseline. ... Suggestion #3: Start One New Treatment at a Time. ... Suggestion #4: Take Natural Child Development Into Account. ... Suggestion #5: Be Aware of "Good Weeks and Bad Weeks"More items...•

Care Plan Worksheet And Example Goals and Steps

This worksheet (ARIES Master Data Collection Form) can be used to remind Medical Case Managers of the data elements required for the creation of a care plan in ARIES.

Sample Treatment Plan Template for Substance Abuse

Treatment Planning M.A.T.R.S.: Utilizing the Addiction Severity Index (ASI) to Make Required Data Collection Useful Training Objectives 1. Examine how Addiction Severity Index information can be used for clinical applications and

Sample Treatment Plans | ICANotes

These sample mental health treatment plans were created in the ICANotes Behavioral Health EHR. All content was generated by clicking buttons, nothing was typed by the clinician.

TREATMENT PLAN GOALS & OBJECTIVES - PositivePsychology.com

TREATMENT PLAN GOALS / OBJECTIVES. Note: Always make objectives measurable, e.g., 3 out of 5. times, 100%, learn 3 skills, etc., unless they are . measurable on their ...

What is treatment planning?

Treatment planning is a joint process, with the clinician offering a range of choices to engage the patient on a journey of recovery. It often requires multiple interactions between clinician and patient before the patient is “ready” to engage in the treatment process.

Why is therapy delayed?

Sometimes therapy is delayed for the time being because, for example, certain issues need to be addressed (e.g., substance abuse or employment problems) or resources need to be strengthened (e.g., personal coping resources or external social supports) before it is prudent to examine particularly difficult or stressful therapy issues. ...

How to plan for IMPT?

First, beam selection is based largely on the minimal excursion of the proton beam path length covering the target throughout the respiratory cycle. Second, 4D treatment planning, in which multiple phases of the 4D CT scan instead of the averaged CT are used for planning, can further reduce the influence of respiratory motion. Third, given that IMPT is sensitive to changes in anatomy and tumor size between fractions, robustness optimization is often used to reduce this sensitivity. Finally, evaluation of the robustness of the treatment plan ensures that the dose distribution and doses to both the target and organs at risk remain acceptable, and setup and range uncertainties are considered.

How is a CT scan used in treatment planning?

The treatment planning begins with the acquisition of a 1.25-mm per slice, axial, contrast-enhanced CT scan. The scan is downloaded into the Accuray Treatment Planning System (Accuray, Sunnyvale, CA), which generates the DRRs that are used for anatomical position tracking. The volume of the target and adjacent radiation sensitive structures (e.g., spinal cord) are defined and contoured by the surgeon. The surgeon and radiation oncologist then prescribe a dose to the target and specify a maximum tolerable dose to the surrounding critical structures. The planning system uses these data to create a three-dimensional representation of the target geometry and defines an initial set of corresponding beam configurations. The beams are configured so that they are evenly and randomly distributed over the surface of the target with dose weighting to satisfy the specified dose constraints. If the constraints cannot be satisfied, the system uses the previously obtained data and determines a new set of beam configurations with a greater probability of satisfying the constraints. This process continues until a feasible and acceptable set of beams and weights is found. Each treatment plan is reviewed by a multi-disciplinary team consisting of neurosurgeons, radiation oncologists, and radiation physicists before treatment delivery.

Why do we use psychological testing?

The case manager may wish to use psychological testing to provide information pertinent to development of the plan. Important issues may include capacity for independent living, entry into educational or training programs, and exploration of vocational possibilities. Practical issues such as the individual’s capacity to manage money and medication, shop, maintain some form of employment and a home, benefit from education or vocational rehabilitation and take care of personal health are typically areas of major concern. Serial psychological testing may be of value in assessing the individual’s stability. In schizophrenia, relapse involving reoccurrence of clinical symptoms may have implications for cognitive function.

What is biopsychosocial therapy?

A biopsychosocial approach to treatment planning focuses on meeting patients’ behavioral health needs and promoting their biopsychosocial functioning from a comprehensive holistic perspective. After an integrative, holistic evaluation of the patients’ needs is conducted, a plan is developed to address those needs within the context of the individual’s unique developmental history and current circumstances and in a manner designed to maximize treatment effectiveness. Sometimes there are critical or emergency needs that require immediate attention (e.g., suicidality, the well-being of the children of an unstable parent). At other times, the gradual process of building social and interpersonal skills, examining dysfunctional personality characteristics, or addressing existential questions unfolds over an evolving long-term therapy relationship. Sometimes therapy is delayed for the time being because, for example, certain issues need to be addressed (e.g., substance abuse or employment problems) or resources need to be strengthened (e.g., personal coping resources or external social supports) before it is prudent to examine particularly difficult or stressful therapy issues.

What is the aim of treatment?

Intended aims of treatment. The ideal aim of any treatment should be to remove or reduce the effects of the cause of the problem. Unfortunately, this may not be possible. As already highlighted, in these instances, the practitioner's primary role is to achieve relief from symptoms.

What is the duty of a practitioner?

Practitioners have a duty of beneficence and non-maleficence. A patient's right to refuse treatment should be respected (see Ch. 3 ). Some practitioners have been accused of paternalism, that is, taking responsibility away from, and not involving, patients with their treatment. •.

How to treat PTSD?

Therefore, the development of a treatment plan must be comprehensive. Many patients with a history of prolonged traumatization and chronic PTSD require psychiatric and rehabilitative services of long duration, which takes into consideration the cyclical patterns of relapse, decompensation, and improvement. Treatment could be in an individual or group modality. Group therapy is important and recognizes the critical role of the group environment ( Foa and Meadows, 1997; Foa et al., 2009) or therapeutic community of peers in offering support to counteract the effects of interpersonal victimization and traumatization.

How to plan periodontal treatment?

The periodontal treatment plan to control inflammation includes (1) a review of medical, medication, and dental history, (2) the accurate diagnosis and consultation with the patient, and (3) initial therapy , also termed nonsurgical therapy or phase one periodontal therapy. Initial therapy includes oral hygiene instructions, periodontal débridement including ultrasonic and piezoelectric approaches, hand scaling and root planing, occlusal control (if necessary), evaluation of initial therapy 4 to 6 weeks after the conclusion of the last débridement procedure, and periodontal surgical procedures (if necessary). The result is a reduction of gingival inflammation and arresting of disease progression.

How to treat invasive carcinoma?

Classically, treatment for invasive carcinoma is initiated with surgery, followed by adjuvant chemotherapy, radiotherapy, and hormonal therapy as indicated. Situations exist where a patient may not be a candidate for immediate surgery, such as cases of inflammatory carcinoma or those patients who desire neoadjuvant chemotherapy either to improve the opportunity for breast-conserving therapy or as part of a clinical trial. Treatment planning requires the integration of many factors, including the patient's general health and attitude toward treatment. For patients not receiving preoperative systemic therapy, after completing surgery, the estimated risk of recurrence can be calculated. Then an estimate of the anticipated absolute risk reduction in recurrence and survival for the patient's and the tumor's characteristics can be calculated for discussion of the risks and benefits of the adjuvant therapy.

What is the mechanism of monitoring and evaluation?

mechanisms for monitoring and evaluation. Identification of the problem (s) If a treatment plan is to be effective, the patient and practitioner must be in agreement about the need for treatment. It is important that both parties are aware of the purpose of treatment: in other words, why treatment is being provided.

What is the purpose of information gained from an assessment?

Information gained from the assessment should enable the practitioner to make a diagnosis and identify the underlying cause of the problem. Unfortunately, this is not always possible. In these instances, treatment has to focus on the management of the symptoms of the condition, for example pain control.

What Is a Treatment Plan?

A treatment plan is a detailed plan tailored to the individual patient and is a powerful tool for engaging the patient in their treatment . Treatment plans usually follow a simple format and typically include the following information:

What is the role of model and technique in a treatment plan?

Treatment plans provide structure patients need to change. Model and technique factors account for 15 percent of a change in therapy. Research shows that focus and structure are critical parts of positive therapy outcomes. Goal-setting as part of a treatment plan is beneficial in itself. Setting goals helps patients:

How do mental health professionals use treatment plans?

Psychiatrists, psychologists, counselors, social workers, and other health professionals use treatment planning as a tool to effectively treat patients and clients. Without a clear plan in place, it can be hard to track progress, stay organized and keep a record of individual patient care. We understand that every person who enters our intensive outpatient programs is unique. Our experienced clinicians will work with patients to develop a comprehensive treatment plan using evidence-based methods. When health professionals create a comprehensive treatment plan specially designed to meet their patients’/clients’ needs, they give their patients directions towards growth and healing. Although not all mental health professionals are required to produce treatment plans, it’s a beneficial practice for the patient. In this article, we’ll show you why treatment plans are essential and how to create treatment plans that will make a difference in your and your patient’s lives. Each patient must have an individualized, goal and action-oriented treatment plan that is based upon information obtained in the assessment process .

What information does a counselor need to fill out for a treatment plan?

Patient information: At the top of the treatment plan, the counselor will fill in information such as the patient’s name, social security number, insurance details, and the date of the plan.

What is a goal in a patient's life?

Both parties work together to create a shared vision and set attainable goals and objectives. A goal is a general statement of what the patient wishes to accomplish. Examples of goals include: The patient will learn to cope with negative feelings without using substances.

What is objective in a patient?

An objective, on the other hand, is a specific skill a patient must learn to reach a goal. Objectives are measurable and give the patient clear directions on how to act.

What is the third section of a treatment plan?

Problems and goals: The third section of the treatment plan will include issues, goals, and a few measurable objectives. Each issue area will also include a time frame for reaching goals and completing objectives. Counselors should strive to have at least three goals.

What Is A Treatment Plan?

A treatment plan is a course of medical care, such as surgery or therapy, designed to cure a disease. It can also refer to the process in which counselors and therapists plan for their clients. Counselors and therapists use treatment planning to determine the appropriate course of treatment for a client.

Treatment Planning In Counseling

Counseling sessions should include appropriate goals, coping strategies, medications, relapse prevention plans, and self-care plans. Clients must be aware that treatment planning is a constantly changing process over the course of therapy sessions.

Things Treatment Planning In Counselling Should Include

The word “treatment” is defined as “a course of medical care, such as surgery or therapy, designed to cure a disease.” This term can also refer to the process in which counselors and therapists plan for their clients. Counselors and therapists use treatment planning to determine what type of interventions are appropriate for a client.

Types Of Treatment Plans

There are three types of treatment plans: specific, general, and virtual. A specific plan would be something like family counseling sessions. While a general plan might include any type of counseling session. Virtual plans involve communication over the internet between the counselor and client.

Timeline Of A Treatment Plan

A timeline of the treatment plan is crucial to consider how long the plan may last. It involves identifying when intervention or objective will be accomplished by and what date or time it is needed. There are five steps in creating a timeline:

Who Uses Treatment Planning In Counseling?

A therapist uses treatment planning in counseling to identify needs of the client and goals for therapy. The purpose of treatment planning is to help clients with what they do to live their life. That may include getting over difficulties, and deal with stress. The goals set out in the plan should be specific.

How Patients Should Do Treatment Planning In Counseling?

Clients should prepare for their appointments by writing down specific questions about their situation and what they want to learn from therapy.

What are the factors that affect treatment?

Social and cultural beliefs and differences can also be factors that affect treatment. Most people have sets of values and practices that they live by. These aren't religious beliefs, but are more so beliefs based on race, culture, family, and societal pressures. For instance, a person may not make the dietary changes necessary to treat conditions such as heart disease and diabetes due to eating foods that are normally eaten in their culture.

What are the factors that affect lack of access to healthcare?

Other personal factors include lack of access to healthcare or pharmacies due to living location, working hours, available time, and/or transportation issues.

Is birth control a form of treatment?

One example is birth control pills being forbidden in the Catholic religion. You may be thinking that birth control pills are not a form of treatment, but rather a preventative method for pregnancy. They are actually used for prevention and as a form of hormonal therapy to treat certain conditions. Not to mention, there are certain instances where a pregnancy almost killed a woman, and it is not recommended for her to get pregnant again. Birth control of some sort would be the treatment method for those instances.

Does money affect treatment?

Last, but certainly not least, there are financial factors that affect treatment. Yes, money can interfere with a person's treatment. This is actually a multifaceted problem in regards to treatment. You can almost back it up a little bit to include it being a factor affecting diagnosis as well. There are still many people that cannot afford healthcare insurance or to pay for a trip to the doctor. If you can't get the diagnosis, then you can't get the treatment.

Can barriers be overcome?

There are some barriers that may exist for some people with certain treatment options. There are even instances when the barriers cannot be overcome, and a person cannot be effectively treated. There are quite a few different categories of barriers or factors that may affect treatment.

Why do we need treatment plans?

Treatment plans can reduce the risk of fraud, waste, abuse, and the potential to cause unintentional harm to clients. Treatment plans facilitate easy and effective billing since all services rendered are documented.

What are the sections of a treatment plan checklist?

The checklist breaks down treatment plans into five sections: Problem Statements, Goals, Objectives, Interventions, and General Checklist.

What is the treatment contract?

Treatment Contract – the contract between the therapist and client that summarizes the goals of treatment. Responsibility – a section on who is responsible for which components of treatment (client will be responsible for many, the therapist for others)

What is the part of effective mental health?

Part of effective mental health treatment is the development of a treatment plan. A good mental health professional will work collaboratively with the client to construct a treatment plan that has achievable goals that provide the best chances of treatment success. Read on to learn more about mental health treatment plans, how they are constructed, ...

What is a mental health treatment plan?

At the most basic level, a mental health treatment plan is simply a set of written instructions and records relating to the treatment of an ailment or illness. A treatment plan will include the patient or client’s personal information, the diagnosis (or diagnoses, as is often the case with mental illness), a general outline ...

What is intervention in therapy?

Interventions – the techniques, exercises, interventions, etc., that will be applied in order to work toward each goal. Progress/Outcomes – a good treatment plan must include space for tracking progress towards objectives and goals (Hansen, 1996)

What is blended care in therapy?

Blended care involves the provision of psychological services using telecommunication technologies.

Why is it important to involve clients in case conceptualization and treatment planning?

Hays notes that involving clients in case conceptualization and treatment planning also allows for better cultural understanding and responsiveness. Counselors have a significant responsibility to get a client’s story right, she says, and “getting the story right involves co-constructing it with the client in a way that honors their cultural experiences as well as points of trauma and resilience.”

What is the most integrative and effective way to devise a rich treatment plan?

Practically applying that knowledge is “where the rubber hits the road,” says Ivers, a member of the American Counseling Association. Examining a client’s concerns in depth — moving beyond surface-level questions such as “How did this week go?” or “What do you want to talk about?” — is the most integrative and effective way to devise a rich treatment plan and pinpoint a destination that the client and practitioner will work toward together in therapy.

How to stay informed in counseling?

Karl urges clinicians to stay informed and up to date by attending workshops, conferences and other continuing education events; consulting regularly with professional peers; seeking mentorship or supervision; joining professional Listservs; and reading counseling journals and other publications. Remaining active with state and local counseling organizations will also help practitioners stay abreast of criteria and processes that vary state to state, she notes. Leadership within the counseling profession must ensure that funding for continuing education on assessment, diagnosis and treatment planning is prioritized, especially for counselors in economically disadvantaged or rural areas and settings where practices or clinics are short-staffed, Karl adds.

What is the core of professional counseling?

Fully understanding a client’s situation, symptoms and needs and then matching them with a diagnosis (when appropriate) and a treatment plan that will help them heal, grow and thrive are core aspects of professional counseling. Counselors learn these skills, at least conceptually, in graduate school but gain true understanding of them through their direct work with clients.

How to help clients with eating disorders?

Clients presenting with symptoms of an eating disorder might respond with statements such as “I don’t want to fight my body anymore” or “I’m sick of hating my body,” Keller says. In this example, Keller and the client might work together to create a goal of improving the client’s body image in counseling. Later, once the client has made some progress on that goal and established a stronger therapeutic relationship with Keller, she will circle back to some of the issues that revealed themselves in the initial assessment session and try to tie those issues into the client’s treatment goals. If the client mentioned purging behavior or restrictive eating in the initial session, for example, Keller might gently raise the idea that this behavior could be something to work on as part of reaching the client’s goal of obtaining a healthy body image.

Can a counselor diagnose neurodevelopmental disorders?

Additionally, there are certain conditions mentioned in the DSM that counselors would not be involved in diagnosing, such as neurodevelopmental disorders. Because counselors will often be included in treatment plans for clients with those types of diagnoses, however, they still need to be proficient enough to have an understanding of any DSM diagnosis and its best treatment practices, even if they do not diagnose the client themselves, Karl notes.

Do counselors have biases?

Counselors are human beings with individual personalities and worldviews, so there is always a chance of potential bias creeping into assessment, diagnosis and treatment planning. To avoid this, clinicians must diligently reflect on their biases and really think about their assessment questions and diagnosis processes, says Ivers, who presented the session “Using Case Conceptualization to Navigate the Turbulent Waters of the Human Condition” at ACA’s 2018 Conference & Expo.

Why are treatment plans important?

Treatment plans are important for mental health care for a number of reasons: Treatment plans can provide a guide to how services may best be delivered. Professionals who do not rely on treatment plans may be at risk for fraud, waste, and abuse, and they could potentially cause harm to people in therapy.

Why do people need treatment plans?

Treatment plans can also be applied to help individuals work through addictions, relationship problems, or other emotional concerns. While treatment plans can prove beneficial for a variety of individuals, they may be most likely to be used when the person in therapy is using insurance to cover their therapy fee.

Who Are Treatment Plans For?

Treatment plans can be used by therapists to help individuals in therapy address a wide variety of concerns. A treatment plan may outline a plan for treating a mental health condition such as depression, anxiety, or a personality disorder. Treatment plans can also be applied to help individuals work through addictions, relationship problems, or other emotional concerns.

How Are Mental Health Care Treatment Plans Used?

Depending on the type of service, there may be specific regulations or best-practice standards that guide the formation of the treatment plan.

What is a mental health treatment plan?

Mental health treatment plans are versatile, multi-faceted documents that allow mental health care practitioners and those they are treating to design and monitor therapeutic treatment. These plans are typically used by psychiatrists, psychologists, professional counselors, therapists, and social workers in most levels of care.

What does a therapist do for Chris?

Therapist will provide psychoeducation on positive parenting and will support Chris in developing a concrete parenting plan. Therapist will provide materials for Chris to document the new house rules, rewards, and consequences system.

What is presenting concerns?

Presenting concerns: This section details the current concerns and mental health issues that led the individual to seek treatment.

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