Treatment Planning Mastering Competencies 2nd edition

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This is a lecture on treatment planning for Mastering Competencies in Family Therapy, Second Edition. It can also be used with other texts in the Mastering Competencies series. It reviews the basics of how to write a clinically useful treatment for mental health practitioners.

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0:00 Chapter 15: Treatment Planning
0:15 Treatment plans • Address the problems you have identified in the case conceptualization and clinical assessment. • Numerous good plans can be developed for any one
8:00 Theory-Based Treatment Plan Uses theory to create more clinically relevant treatment plans than the symptom model offers Limitations • Difficult to address diagnostic issues and clinical
11:26 Therapeutic Tasks Similar across theories The "training wheels" of the plan Typically not be included in plans you send to insurance companies or third-party payers •Formulaic One of the key places where therapists must adjust their approach to address diversity issues
12:54 Therapeutic Tasks Initial Phase Tasks 1. Establish a therapeutic relationship 2. Assess individual, family, and social dynamics 3. Develop treatment goals 4.identify needed referrals, crisis issues, etc. (case management) • Refer for medical/psychiatric evaluation • Connect with needed community resources • Rule out substance abuse, violence, and medical issues
14:56 Working Phase 1. Monitoring the working alliance 2. Monitoring client progress
16:48 Cite assessment, relationship building or intervention strategy from theory . Refer to specific client . Be specific about referrals, assessment instruments, etc.
29:17 Client Goals by Phase Initial Phase Client goals generally involve stabilizing crisis symptoms Working Phase Address the dynamics that create and/or sustain the symptoms and problems for which clients came to therapy "Goals that most interest third-party payers Closing Phase *Larger, more global issues that clients bring to therapy and/or move the client toward greater "health as defined by the therapist's theoretical perspective
33:03 Preparing to Write Goals • Complete case conceptualization and clinical assessment • Identify themes (see goal writing worksheet) • Identify crises and presenting problems • Crises addressed in initial phase • Presenting problems in working phase • Identify long-term goals from your theory of choice • If applicable
41:01 GUIDELINES FOR WRITING INTERVENTIONS • Use specific interventions from chosen theory • Make interventions specific to client • Include exact language when possible
42:51 Considering the client's perspective is crucial to designing an effective plan. • Therapists should discuss the plan directly with clients • Ensure that there is a shared understanding about the goals, strategies for change, and outcomes. • Many agencies have moved to having clients sign the