Treatment Plan Template
PCN-545 Treatment Plan Template
Directions: Complete the treatment plan template for the case study of Marisa. An example has been provided for you. Once the table is completed, address the questions listed below the table. Your response to each question should be 100-125 words. You must cite the specific legal standards of the state in which you plan to practice when answering the questions.
Example:
Date
Problem Statement
Goal
Objective
Length of Service
Goal Date
When was this goal created?
In the clients own words :
“I want to worry less”
In clinical words, what will it look like by the end of treatment? Relate back to the problem statement.
Client will reduce worry from daily to weekly
What methods of treatment and frequency will you use to achieve treatment goals?
Weekly talk therapy meetings. Weekly DBT
How long will treatment be?
Client will attend individual therapy for 8 weeks; client will attend group therapy for 13
When will this particular goal be achieved?
Client reduce worry from daily to weekly by 3/15/17
Client Name:
Date
Problem Statement
Goal
Objective
Length of Service
Goal Date
Client Signature and Date
Counselor Signature and Date
1. At what point will you report Marisa’s situation to the state? (use the state in which you plan to practice)
2. If you were to report the situation, where would you report it (e.g., agency/organization)? Why?
© 2014. Grand Canyon University. All Rights Reserved.
© 2014. Grand Canyon University. All Rights Reserved.
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