Question: Details: In Topic 5, you submitted a treatment plan for your client Eliza. Since the initial treatment plan, several changes have taken place within Eliza's case. Since the mandatory assessment two weeks ago, you have discovered that Eliza is again on your client listing for the day due to a mandatory evaluation, with the incident report indicating that campus public safety, due to a tip from a concerned resident, found the client passed out and alone in her dorm, smelling of alcohol.

Part 1: Review the initial Treatment Plan submitted in Topic 5.

1. Reassess your treatment plan diagnoses, goals, and objectives based on the new information provided.

2. Fill out and submit a new treatment plan evidencing the changes made in treatment utilizing the treatment plan template provided.

Part 2: In a 1,000-1,250-word essay, answer the questions presented in a separate Word document, addressing the following:

1. Examine the case and propose why the changes occurred.

2. Reassess the effectiveness and validity of the treatment plan.

3. Discuss how the treatment plan needs to be adjusted to address the changes in the situation.

4. Justify the changes both ethically and legally.

5. Determine what the changes (obstacles) mean to the treatment plan.

6. Discuss how you would evaluate the resources available for you to make a referral.

7. Discuss how you would communicate to the client the need for referrals to other providers.

8. Determine which referrals you would make and which you might suggest to the client.

9. Include any instruments you would use to assess the client.

Submit the revised treatment plan and essay to your instructor.

This assignment meets the following NASAC Standards:

48) Reassess the treatment plan at regular intervals, and/or when indicated by changing circumstances.

50) Continuously assess and evaluate referral resources to determine their appropriateness.

51) Differentiate between situations in which it is most appropriate for the client to self-refer to a resource, and instances requiring counselor referral.

62) Summarize the client's background, treatment plan, recovery progress, and problems inhibiting progress for the purpose of assuring quality of care, gaining feedback, and planning changes in the course of treatment.

67) Maintain ongoing contact with the client, and involved significant others, to ensure adherence to the treatment plan.

69) Assess treatment/recovery progress and, in consultation with the client and significant others, make appropriate changes to the treatment plan to ensure progress toward treatment objectives.

71) Apply generally accepted measures of treatment outcome.

72) Utilize referral skills, as described in Section 3.

77) Facilitate the client's engagement in the treatment/recovery process.

78) Work with the client to establish realistic, achievable goals consistent with achieving and maintaining recovery.

112) Prepare and record treatment and continuing care plans that are consistent with agency standards and comply with applicable administrative rules.

113) Record progress of the client in relation to treatment goals and objectives.

115) Document the treatment outcome, using accepted methods and instruments.

Treatment Plan: Based on the information collected in Week 4, complete the following treatment plan for your client Eliza. Be sure to include a description of the problem, goals, objectives, and interventions. Remember to incorporate the client's strengths and support system in the treatment plan.

Client: ____________________________________________ Date: ______________ Age:______ DOB: __________________

DSM Diagnosis

ICD Diagnosis

Goals / Objectives:

Interventions:

Frequency: • Mood Stabilization

• Psychotropic Medication Referral & Consultation Journaling

• Cognitive Behavior Therapy Skill Training

• Emotion Recognition - Regulation Techniques

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Anxiety Reduction

• Psychotropic Medication Referral & Consultation Journaling

• Cognitive Behavior Therapy Skill Training

• Relaxation Techniques

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Reduce Obsessive Compulsive Behaviors

• Psychotropic Medication Referral & Consultation Journaling

• Cognitive Behavior Therapy Skill Training

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Decrease Sensitivity to Trauma Experiences

• Verbalize Memories Triggers & Emotion

• Desensitize Trauma Triggers and Memories

• Utilize Healing Model/Support (Mending the Soul)

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Establish and Maintain Eating Disorder Recovery

• Overcome Denial Identify Negative Consequences

• Menu Planning Nutrition Counseling Body Image Work

• Healthy Exercise Trigger Mngmt Recovery Plan CBT

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Maintain Abstinence from substances (Alcohol/Drugs)

• Substance Use Assessment Stepwork Overcome Denial Identify Negative Consequences Commitment to Recovery Program Attend Meetings Obtain Sponsor

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Increase Coping Skills

• DBT Skills Training Problem Solving Techniques

• Emotion Recognition & Regulation Communication Skills

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Stabilize, Adjustment to New Life Circumstances

• Alleviate Distress Cognitive Behavior Therapy

• Stress Management Skills Training

• Improve Daily Functioning Develop Healthy Support

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Decrease/Eliminate Self Harmful Behaviors

• Cognitive Behavior Therapy Skills Training

• Develop and Utilize Support System

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Improve Relationships

• Communication Skills Active Listening Family Therapy Assertiveness Setting Healthy Boundaries

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Improve Self Worth

• Affirmation Work Positive Self Talk Skills Training

• Confidence Building Tasks

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Grief Reduction and Healing from Loss

• Psychoeducation on Grief Process/ Stages

• Process Feeling Emotion Regulation Techniques

• Reading/Writing Assignments Develop/Utilize Support

• Weekly Bi Weekly Monthly

• other: ____________________

• Group Individual Family

• Develop Anger Management Skills

• Decrease Anger Outbursts Emotion Regulation Techniques Cognitive Behavior Therapy

• Increase Awareness/Self Control

• Weekly Bi Weekly Monthly

• other: ____________________

• Group

• Individual

• Family