Treatment Planning Flashcards
Problem Solving Process
Engagement Assessment Planning Intervention Evaluation Termination
Engagement
Client should be involved throughout entire process
Build rapport
Explore with client why treatment is being sought and why now
Roles are defined
Expectations of treatment are set
Informed consent is provided
Assessment
Collect information to define problems and possible solutions
Collect collateral contact information
Planning
Problem is defined (clear, data driven format)
Examine causes of the problem and how it relates to other aspects of clients life
Generate possible solutions that will impact on the problem
Identify driving and restraining forces related to implementation of each possible solution
Rate and prioritize solutions
Develop SMART objectives related to solutions
Create strategies and activities related to objectives
Intervention
Client actively involved in mobilizing change
Track progress
Evaluation
Determine when goals have been met
Assess need for new goals
Termination
Reflection
Supports are put in place
Client is prepared to manage problem again
SMART objectives
- Specific
- Measurable
- Achievable
- Relevant
- Time-specific
Treatment Plan
[contract]
Outlines:
- identified problems or concerns to be addressed
- goals and objectives of intervention
- activities that client will undertake
- tasked to be performed by social worker
- expected duration of intervention
- schedule of time and place for meetings
- identification of other persons, agencies, or organizations to assist change process
Not legally binding [unless court ordered]
Prevents misunderstandings
Reassures client [Blueprints for Change]
Trauma-Informed Three Phase Model
Use in choosing appropriate treatment strategies
Phase 1: Safety & Stabilization
Phase 2: Mourning & Remembrance
Phase 3: Reconnection & Reintegration
Safety & Stabilization
[phase 1 of TI-TP model]
Focus is on establishing safety and stability
Basic needs must be met first (i.e. housing, food, etc)
Interventions:
- case management (obtain housing, health services, transportation, other critical supports)
- crisis intervention models (aimed at developing safety plans)
- stabilization focused on replacing problematic/risky coping strategies with healthy/nonharmful alternatives
- skill building: emotional regulation, self-soothing, use of relationships, self-care techniques
Mourning & Remembrance
[phase 2 of TI-TP model]
Survivors acknowledge and speak about what happened; ready to integrate experiences into larger life context
Interventions:
- allow emotional space for processing
- focus on “healing stories”
- PSYCHOEDUCATION to address questions about trauma experiences and effects
- grief work (loss of what was, what never was, what could have been)
Reconnection & Reintegration
[phase 3 of TI-TP model]
Commitment to move forward; searching for empowerment in trauma
Interventions:
- integration of self-care strategies into everyday life
- development of deeper resilience
- approaches should be multi-dimensional
Development, review and implementation of Crisis Plan
Requires actions aimed at crisis stabilization, resolution, and mastery
Address clients distress, impairment, and instability by operating in a logical and orderly process
Plan should meet clients where they are at, assess levels of risk, mobilize client resources, strategically stabilize crisis and improve functioning
- Plan & conduct thorough biopsychosocial and lethality/imminent danger assessment
- Make psychological contact and rapidly establish the collaborative relationship
- Identify the major problems, including crisis precipitants
- Encourage an exploration of feelings and emotions
- Generate and explore alternative and new coping strategies
- Restore functioning through implementation of an action plan
- Plan follow up and “booster’ sessions
Formative Evaluations
Ongoing processes that allow for feedback to be implemented during service delivery
Allow for changes to be made as needed
Identify and understand factors that helped or hindered progress
Ex. Needs assessment
