Assessment & Plan Elements
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## Goal --
[checkbox name="variable_1" value="Elim Intrusive Thoughts Of Traumatic Event|Elim Social Isolation |option C"]

From
[select name="variable_1" value="Daily|0X/Per Week|choice C"] to
[select name="variable_1" value="Zero/Per Week.|5-6X/Per Night|3-4X/Per Week"]
## Goal --
From Daily -
Evidenced By Social Interactions W/ Peers From -
## Goal -- Assist In Emotional Processing Through 1X Weekly Psychotherapy
## Goal -- Improve Sleep Capacity,
From 3-4 Hours/Per Night On Daily Basis - 7-8 Hours/Per Night, 5-6X/Per Night. [/Textarea]
Goals & Objectives
Goals:
Short Term Goals:
Long Term Goals:
Will Meet All Goals By 80% / Better - Be Discharged - Community W/ Referral If Needed.
Tx Plan Review Date:
Goals - Be Reviewed Three Months From Today’s Date, & Needed.
Long Term Goal:
Appears - Be Motivated - Work Towards Therapeutic Tx Goals
Stated Goal Of :
Tx Planning Has Met Tx Goals & Level Of Functioning Presents That Can Safely Be Discharged From Therapy. Has Progressed In Therapy Goals - Level That Session Freq Will Be Reduced.Level Of Functioning & Incr Risk - Self Has Indicated That Will Be Referred - Higher Level Of Tx.Level Of Functioning Has Deteriorated & Presents Incr Risk Of Self Harm & / Deterioration Of Daily Living Skills - Justify Incr In Freq Of Therapy Sessions.Continue Psychotherapy W/ Focus On Distress Tolerance & Improving Future Copingcontinue Psychotherapy W/ Focus On Improving Communications Between Members Of Familycontinue Psychotherapy W/ Focus On Improving Self-Image & Self-Efficacycontinue Psychotherapy W/ Focus On Social Skills & Relational Functioningcontinue W/ Adjunctive Couples Therapycontinue W/ Adjunctive Family Therapycontinue W/ Couples Therapy W/ Focus On Expressing Emotionscontinued Sessions Indicated Due - Risk & Thus Continued Sessions Needed - Prevent Deterioration In Functioningreviewed Developmental, Family, Psychosocial, Psychiatric, Medical, Academic, & Occupational Hx
reviewed Sx & Functioning In Life Domains.Interventions Focused On Labeling Maladaptive Defenses Understanding Etiologies
discharge as This Therapist Explored
building
based
collateral Participants
collateral Consult
collaboration
reviewed Developmental
unrealistic Expectations
update
family Will Return For Family Therapy In Two Weekscouple Will Return For Couples Therapy In Two Weeks
Continued Sessions Indicated Due - Risk & Thus Continued Sessions Needed - Prevent Deterioration In Functioning. Has Progressed In Therapy Goals - Level That Session Freq Will Be Reduced. Has Met Tx Goals & Level Of Functioning Presents That Can Safely Be Discharged From Therapy. Level Of Functioning Has Deteriorated & Presents Incr Risk Of Self Harm & / Deterioration Of Daily Living Skills - Justify & Incr In Freq Of Therapy Sessions. Level Of Functioning & Incr Risk - Self Has Indicated That Will Be Referred - Higher Level Of Tx. Has Made No Progress.
Action: Taking Direct Action Toward Achieving Goals
What Skills & Knowledge Needed For - Achieve Rehabilitation Goals:
Long-Term Goals: [Textarea] Elim/Reduce Negative Impact Of Trauma Sx On Social, Occupational, & Family Functioning.
In Maintenance Phase Related - Issue(S). Help Identify & Try Supportive Bx & Activities - Maintain Goals. Maintain Supportive Contact & Highlight Progress In Maintaining Improved Functioning - What Was Role Of Issue(S) (I.E. Bmi, Diabetes, / Substance Use & Health)? Set New Short & Long Term Goals For Health & Issue(S).
In Recurrence Phase Related - Issue(S). Frame Recurrence Learning Opportunity - What Was Impact On Health? Explore Possible Psychological, Bx, & Social Antecedents. Help - Develop Alternative Coping Strategies For Strong Emotions. Encourage - Stay In Process & Maintain Support. [/Textarea] [Textarea] Long Term Goals:
Short Term Goals:
Self -Stated Goals:
Goals Of Care [/Textarea] [Textarea] Goals Of Care Life-Sustaining Limited Tx Comfort Measures In What Location. [/Textarea]
Goal Of Life Sustaining Limited Tx Measures In What Location Not Consistent W/ Tx Plan. [/Textarea]
Tx Goals [Textarea] Reduce
Common Goals [Textarea] Eliminate Intrusive Thoughts Of Traumatic Event From Daily To Zero Per Week
## Goal --


From
to

## Goal --
From Daily -
Evidenced By Social Interactions W/ Peers From -
## Goal -- Assist In Emotional Processing Through 1X Weekly Psychotherapy
## Goal -- Improve Sleep Capacity,
From 3-4 Hours/Per Night On Daily Basis - 7-8 Hours/Per Night, 5-6X/Per Night. [/Textarea]
Goals & Objectives
Goals:
Short Term Goals:
Long Term Goals:
Will Meet All Goals By 80% / Better - Be Discharged - Community W/ Referral If Needed.
Tx Plan Review Date:
Goals - Be Reviewed Three Months From Today’s Date, & Needed.
Long Term Goal:
Appears - Be Motivated - Work Towards Therapeutic Tx Goals
Stated Goal Of :
Tx Planning Has Met Tx Goals & Level Of Functioning Presents That Can Safely Be Discharged From Therapy. Has Progressed In Therapy Goals - Level That Session Freq Will Be Reduced.Level Of Functioning & Incr Risk - Self Has Indicated That Will Be Referred - Higher Level Of Tx.Level Of Functioning Has Deteriorated & Presents Incr Risk Of Self Harm & / Deterioration Of Daily Living Skills - Justify Incr In Freq Of Therapy Sessions.Continue Psychotherapy W/ Focus On Distress Tolerance & Improving Future Copingcontinue Psychotherapy W/ Focus On Improving Communications Between Members Of Familycontinue Psychotherapy W/ Focus On Improving Self-Image & Self-Efficacycontinue Psychotherapy W/ Focus On Social Skills & Relational Functioningcontinue W/ Adjunctive Couples Therapycontinue W/ Adjunctive Family Therapycontinue W/ Couples Therapy W/ Focus On Expressing Emotionscontinued Sessions Indicated Due - Risk & Thus Continued Sessions Needed - Prevent Deterioration In Functioningreviewed Developmental, Family, Psychosocial, Psychiatric, Medical, Academic, & Occupational Hx
reviewed Sx & Functioning In Life Domains.Interventions Focused On Labeling Maladaptive Defenses Understanding Etiologies
discharge as This Therapist Explored
building
based
collateral Participants
collateral Consult
collaboration
reviewed Developmental
unrealistic Expectations
update
family Will Return For Family Therapy In Two Weekscouple Will Return For Couples Therapy In Two Weeks
Continued Sessions Indicated Due - Risk & Thus Continued Sessions Needed - Prevent Deterioration In Functioning. Has Progressed In Therapy Goals - Level That Session Freq Will Be Reduced. Has Met Tx Goals & Level Of Functioning Presents That Can Safely Be Discharged From Therapy. Level Of Functioning Has Deteriorated & Presents Incr Risk Of Self Harm & / Deterioration Of Daily Living Skills - Justify & Incr In Freq Of Therapy Sessions. Level Of Functioning & Incr Risk - Self Has Indicated That Will Be Referred - Higher Level Of Tx. Has Made No Progress.
Action: Taking Direct Action Toward Achieving Goals
What Skills & Knowledge Needed For - Achieve Rehabilitation Goals:
Long-Term Goals: [Textarea] Elim/Reduce Negative Impact Of Trauma Sx On Social, Occupational, & Family Functioning.
In Maintenance Phase Related - Issue(S). Help Identify & Try Supportive Bx & Activities - Maintain Goals. Maintain Supportive Contact & Highlight Progress In Maintaining Improved Functioning - What Was Role Of Issue(S) (I.E. Bmi, Diabetes, / Substance Use & Health)? Set New Short & Long Term Goals For Health & Issue(S).
In Recurrence Phase Related - Issue(S). Frame Recurrence Learning Opportunity - What Was Impact On Health? Explore Possible Psychological, Bx, & Social Antecedents. Help - Develop Alternative Coping Strategies For Strong Emotions. Encourage - Stay In Process & Maintain Support. [/Textarea] [Textarea] Long Term Goals:
Short Term Goals:
Self -Stated Goals:
Goals Of Care [/Textarea] [Textarea] Goals Of Care Life-Sustaining Limited Tx Comfort Measures In What Location. [/Textarea]
Goal Of Life Sustaining Limited Tx Measures In What Location Not Consistent W/ Tx Plan. [/Textarea]
Tx Goals [Textarea] Reduce
Common Goals [Textarea] Eliminate Intrusive Thoughts Of Traumatic Event From Daily To Zero Per Week

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