Treatment Planning and ReAssessment Process | Counselor Exam Prep
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The series of texts provide a comprehensive guide for clinicians, particularly interns, on creating effective treatment plans and reassessments in mental health care. Dr. Dawn-Elise Snipes emphasizes the use of standardized instruments like the INTEGRATIVE SUMMARY, FARS, CANS, ASAM, and LOCUS to guide treatment planning and reassessment. These tools are essential for synthesizing patient information to support diagnoses and care levels, and for justifying the need for additional sessions to insurers. Regular reassessment is highlighted as crucial to identify new challenges or strengths, and to adjust treatment plans accordingly. The texts stress the importance of 'as evidenced by' statements to support diagnoses and the inclusion of comprehensive overviews of the patient's presenting problems and evidence of impairments. Clinicians are encouraged to involve patients in the treatment process, empowering them to take control of their health and happiness by setting personal recovery goals and participating in the documentation process. The concept of 'RAPID CYCLE CHANGE' is introduced, advocating for small, timely adjustments to treatment based on weekly reassessments. A four-part treatment planning process is outlined, starting with identifying what is important in the patient's life and using the PACER dimensions to self-assess problems. The FARS is recommended for its ability to identify a range of problems and symptoms, aiding in the creation of evidence-based treatment plans. Monthly reassessments are advised to track patient progress, with tools like the CANS, LOCUS, and ASAM criteria being particularly useful for specific populations and insurance purposes. The texts also discuss the integration of biomedical conditions, patient readiness for change, and the importance of addressing immediate issues that may hinder treatment focus. Clinicians are guided to document treatment plans that reflect changes in the patient's condition, justify the level of care, involve family or significant others, and update relapse prevention plans and referrals as needed. The importance of setting incremental goals, obtaining client feedback, and understanding the underlying reasons for decreased motivation is also addressed. Group therapy is highlighted for its peer support and the sharing of strategies for overcoming obstacles. Finally, the benefits of concurrent documentation are discussed, where clients actively participate in setting goals and assessing their progress during sessions, which is appreciated by auditors and provides clients with a tangible record of their journey.
The series of texts provide a comprehensive guide for clinicians, particularly interns, on creating