Treatment FAQ

what clinical scale is most helpful in completing a treatment plan

by Zoe Jast Published 3 years ago Updated 2 years ago
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What is a good goal for a treatment plan?

Clinical Supervisors, in the DADS Adult System of Care. The focus is on creating a quality treatment plan and effective and useful progress notes. To that end, we have included several chapters that we believe are relevant to that task. The first edition of this guide was originally prepared (May 2006) to assist

What does a good treatment plan look like?

1) What is a treatment plan, and why use one? a) NOT just a written plan on paper b) Most important with the most complex clients c) Should represent a shared vision 2) Teamwork a) The client is the most important team member b) The client is the person who should know the treatment plan the best

What should the third section of a treatment plan include?

Aug 24, 2018 · Treatment planning is an ongoing process. You'll review and revise the treatment plan as needed and nothing is written in stone. A mental health treatment plan template will help you stay organized, but the information it holds is unique to the client and open to changes.

How to evaluate the effectiveness of the treatment plan?

Addiction Treatment Planner(Perkinson & Jongsma, 2006a, 2006b). The planner comes in two forms, as a book and as computer software. The book and software help you write your treatment plan with point-and-click simplic-ity and have been approved by all accrediting bodies. The treatment plan is built around the problems that the patient brings into

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How do you complete a treatment plan?

What makes a good treatment plan?

What is clinical treatment planning?

What information is important to document in a treatment plan?

How does a mental health professional assess a client?

For a mental health professional to be able to effectively help treat a client and know that the treatment selected worked (or is working), he/she first must engage in the clinical assessment of the client, or collecting information and drawing conclusions through the use of observation, psychological tests, neurological tests, and interviews to determine the person’s problem and the presenting symptoms. This collection of information involves learning about the client’s skills, abilities, personality characteristics, cognitive and emotional functioning, the social context in terms of environmental stressors that are faced, and cultural factors particular to them such as their language or ethnicity. Clinical assessment is not just conducted at the beginning of the process of seeking help but throughout the process. Why is that?

What are the three critical concepts of assessment?

The assessment process involves three critical concepts – reliability, validity, and standardization . Actually, these three are important to science in general. First, we want the assessment to be reliable or consistent. Outside of clinical assessment, when our car has an issue and we take it to the mechanic, we want to make sure that what one mechanic says is wrong with our car is the same as what another says, or even two others. If not, the measurement tools they use to assess cars are flawed. The same is true of a patient who is suffering from a mental disorder. If one mental health professional says the person suffers from major depressive disorder and another says the issue is borderline personality disorder, then there is an issue with the assessment tool being used (in this case, the DSM and more on that in a bit). Ensuring that two different raters are consistent in their assessment of patients is called interrater reliability. Another type of reliability occurs when a person takes a test one day, and then the same test on another day. We would expect the person’s answers to be consistent, which is called test-retest reliability. For example, let’s say the person takes the MMPI on Tuesday and then the same test on Friday. Unless something miraculous or tragic happened over the two days in between tests, the scores on the MMPI should be nearly identical to one another. What does identical mean? The score at test and the score at retest are correlated with one another. If the test is reliable, the correlation should be very high (remember, a correlation goes from -1.00 to +1.00, and positive means as one score goes up, so does the other, so the correlation for the two tests should be high on the positive side).

What is module 3 of the DSM-5?

Module 3 covers the issues of clinical assessment, diagnosis, and treatment. We will define assessment and then describe key issues such as reliability, validity, standardization, and specific methods that are used. In terms of clinical diagnosis, we will discuss the two main classification systems used around the world – the DSM-5 and ICD-10. Finally, we discuss the reasons why people may seek treatment and what to expect when doing so.

When was the DSM 5 published?

3.2.2.1. A brief history of the DSM. The DSM-5 was published in 2013 and took the place of the DSM IV-TR (TR means Text Revision; published in 2000), but the history of the DSM goes back to 1944 when the American Psychiatric Association published a predecessor of the DSM which was a “statistical classification of institutionalized mental patients” and “…was designed to improve communication about the types of patients cared for in these hospitals” (APA, 2013, p. 6). The DSM evolved through four major editions after World War II into a diagnostic classification system to be used psychiatrists and physicians, but also other mental health professionals. The Herculean task of revising the DSM began in 1999 when the APA embarked upon an evaluation of the strengths and weaknesses of the DSM in coordination with the World Health Organization (WHO) Division of Mental Health, the World Psychiatric Association, and the National Institute of Mental Health (NIMH). This collaboration resulted in the publication of a monograph in 2002 called A Research Agenda for DSM-V. From 2003 to 2008, the APA, WHO, NIMH, the National Institute on Drug Abuse (NIDA), and the National Institute on Alcoholism and Alcohol Abuse (NIAAA) convened 13 international DSM-5 research planning conferences “to review the world literature in specific diagnostic areas to prepare for revisions in developing both DSM-5 and the International Classification of Disease, 11th Revision (ICD-11)” (APA, 2013).

When was the DSM revised?

The Herculean task of revising the DSM began in 1999 when the APA embarked upon an evaluation of the strengths and weaknesses of the DSM in coordination with the World Health Organization (WHO) Division of Mental Health, the World Psychiatric Association, and the National Institute of Mental Health (NIMH).

What are the limitations of an interview?

The limitation of the interview is that it lacks reliability, especially in the case of the unstructured interview. 3.1.3.3. Psychological tests and inventories. Psychological tests assess the client’s personality, social skills, cognitive abilities, emotions, behavioral responses, or interests.

What is MRI imaging?

Images are produced that yield information about the functioning of the brain. Magnetic Resonance Imaging or MRI provides 3D images of the brain or other body structures using magnetic fields and computers. It can detect brain and spinal cord tumors or nervous system disorders such as multiple sclerosis.

Why do clients not follow through with their treatment plans?

Try to catch this as early as possible because it may be an indication that the client does not have a “buy-in” on the treatment plan. Or it could be that a new issue has surfaced that is more immediate for the client. Sometimes the client is confused about what they agreed to do and needs additional clarification or help organizing her/his plan.

Why should transitions in treatment always receive the attention of an individual session?

Transitions in treatment should always receive the attention of an individual session (or multiple sessions where indicated) because treatment transitions frequently impact the ultimate success of the treatment as well as lay the groundwork for the next level of treatment. The clinician seeks to discover the client’s views about successes, problems, continued areas of focus, and expectations of future treatment.

What is the point of contact between a counselor and client?

There are many points of contact that occur between a counselor and client over a treatment episode. Each of those contacts has the potential to provide the clinician with valuable information regarding that client and their specific treatment. If the counselor is aware of that valuable information and seeks to take advantage of those contacts they must rely on their interviewing skills to obtain that valuable information.

How are problem statements created?

Problem statements are created as a direct result of the Treatment Assessment. Through the use of the ASAM Six Dimensions, the Treatment Assessment helps the counselor understand where both the client’s strengths and weaknesses lie. The last page of the Treatment Assessment contains the Problem List, which the counselor uses to identify the client’s most immediate areas of need. The Problem List serves as the springboard from which the problem statements on the treatment plan are taken. A good way to check yourself is to compare the completed treatment plan with the last page of the Treatment Assessment; you should find every problem from your treatment plan contained within the Six Dimensions of the Problem List. Make sure you place the problems on the treatment plan in the correct Dimensions.

Why are progress notes important?

Progress notes are vital to good clinical treatment . Counselors often see progress notes as “busywork” and consequently write them in ways that don’t enhance the client’s treatment episode. Carefully documenting the treatment process can be time consuming, and often tedious, but it is critical to quality treatment. The written record supplies the details of how the client utilized their treatment plan. It is similar to drawing a map, in that it charts the client’s journey through the continuum of care.

What makes a good clinician?

Through school and work we have all been taught which qualities make a good clinician. Empathy, genuineness, respect, warmth, immediacy, concreteness, potency, and self-actualization are just a few. Understanding, transparency, tolerance, patience, and skillful validation are other important qualities, along with being flexible, curious, and open-minded. And don’t forget the various listening skills, such as clarification, paraphrasing, and reflection. It seems like a lot, and yet these skills are essential to creating an alliance (a partnership or bond) between yourself and your client.

What is an assumption?

Assumptions - something that is believed to be true without proof, the tendency to expect too much Preconceived Ideas - formed in the mind in advance, especially if based on little or no information or experience and reflecting personal prejudices Biases - an unfair preference for or dislike of something

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 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 a good mental health professional?

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, and how they can help.

What is a goal in counseling?

Goals are the broadest category of achievement that clients in mental health counseling work towards. For instance, a common goal for those struggling with substance abuse may be to quit using their drug of choice or alcohol, while a patient struggling with depression may set a goal to reduce their suicidal thoughts.

What is blended care?

Blended care involves the provision of psychological services using telecommunication technologies. Among these technologies are many digital platforms that therapists can use to supplement real-time therapy sessions to help accomplish the steps included in mental health treatment plans.

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 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 an individualized service delivery plan?

The individualized service delivery plan is basically a written summary—a snapshot so to speak—of the alliance between a particular client and therapist at a given point in time. While definitions vary from researcher to researcher, most agree that an effective alliance contains three essential ingredients: (1) shared goals; (2) consensus on means, methods, or tasks of treatment; and (3) an emotional bond (Bachelor & Horvath, 1999; Bordin, 1979; Horvath & Bedi, 2002). To these three, we have added a fourth; namely, the client’s frame of reference regarding the presenting problem, its causes, and potential remedies—what has been termed, the client’s theory of change (Duncan, Hubble, & Miller, 1997).

What happened to the 16 year old girl in the hospital?

16-year-old young woman is brought into the emergency room of an acute care hospital. She had gotten into an argument with her parents and ended up throwing a chair. There was some indication that she was intoxicated at the time and her parents have been concerned about her coming home late and mixing with the wrong crowd. There has been a lot of family discord and there is mutual anger and frustration between the teen and especially her father. No previous psychiatric or addiction treatment.

What is MEE journal?

Motivational, Educational and Experiential (MEE) Journal System. Interactive journaling for clients. These Journals are designed to provide important information that allows clients to understand the facts and challenges regarding their addiction and recovery process.

Where was the workshop filmed?

These five, approximately 30 minute DVDs, are part of a day-long workshop filmed in Los Angeles, California. It is "live" in front of real workshop participants and not a hand-picked studio audience.

How to evaluate the effectiveness of a treatment plan?

To evaluate the effectiveness of the treatment plan, you need to keep score of how the patient is doing. Ask the patient to count and keep track of their thoughts, feelings and behaviors in a log so you can monitor their progress.

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 comprehensive treatment plan?

When a mental health professional creates a comprehensive treatment plan specially designed to meet their patient’s needs, they give their patient directions towards growth and healing.

How to avoid feeling overwhelmed?

Avoid feeling overwhelmed. Set priorities. Treatment plans also help therapists and behavioral health staff with documentation. Treatment plans contain essential information about a patient’s progress in a clear and organized format with details such as dates, names and measurable goals.

What is the goal of a mental health treatment plan?

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 .

What is the goal setting process?

Goal-setting is only part of the treatment plan process. You’ll need to gather information and conduct a mental health assessment before creating a treatment plan. You’ll also need to identify and discuss possible goals with your patient.

Why are patients more likely to complete objectives?

Patients are more likely to complete objectives and work towards reaching a goal if the goal is personally important to them. If a goal does not add value or meaning to their life, they will not have the motivation to work through objectives.

What should a treatment plan include?

A treatment plan should include direct input from the client. The counselor and client decide, together, what goals should be included in the treatment plan and the strategies that will be used to reach them. Ask the client what he would like to work on in treatment.

What is a mental health treatment plan?

A mental health treatment plan is a document that details a client's current mental health problems and outlines the goals and strategies that will assist the client in overcoming mental health issues. To obtain the information needed to complete a treatment plan, a mental health worker must interview ...

What is psychological evaluation?

A psychological evaluation is a fact-gathering session in which a mental health worker (counselor, therapist, social worker, psychologist or psychiatrist) interviews a client about current psychological problems, past mental health issues, family history and current and past social problems with work, school and relationships.

What are some examples of mental health assessments?

An example of sections for a mental health assessment include (in order): Reason for referral.

What is the DSM classification system?

The DSM is the diagnostic classification system created by the American Psychiatric Association (APA).

Who is Trudi Griffin?

This article was co-authored by Trudi Griffin, LPC, MS. Trudi Griffin is a Licensed Professional Counselor in Wisconsin specializing in Addictions and Mental Health. She provides therapy to people who struggle with addictions, mental health, and trauma in community health settings and private practice. She received her MS in Clinical Mental Health Counseling from Marquette University in 2011. This article has been viewed 273,235 times.

What is the goal of a therapist?

Goal: Be able to cope with routine life stressors and take things in stride. Assess personal risk traits and resiliency traits and discuss the role each plays in coping with daily stresses during the time between therapy sessions. Learn two ways to manage frustration in a positive manner.

How to fall asleep in 20 minutes?

If not asleep in 20 minutes, get up and do something for a bit, rather than try to force sleep. Leave a paper and pen to write worries down instead of ruminating on them. Learn best practices for sleep (cooler room, limit caffeine, calming time before bed) Listen to relaxation/meditation music to aid falling asleep.

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