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treatment_plans [2021/09/25 16:48] – [Assessment Tools] andrewtaustintreatment_plans [2023/03/06 10:11] (current) – Remove socialite tom
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 +{{tag>IEMT}} 
 ====== IEMT Treatment Plans ====== ====== IEMT Treatment Plans ======
  
 ===== For clients facing complex mental health, emotional and psychological challenges ===== ===== For clients facing complex mental health, emotional and psychological challenges =====
  
 +For IEMT Practitioners working in contemporary and everyday situations, a treatment plan is unlikely to be necessary. Such everyday situations will be clients with simple, item-specific problems such as simple phobias and single-event traumas from a long time ago where there are no other psychological, emotional, slociological or psychiatric complications. 
  
 A treatment plan is a set of written instructions and records pertaining to the treatment and management of a mental health condition and/or crisis. A treatment plan should include the client’s key personal information, the diagnosis and/or presenting problem, an outline of the treatment under consideration, expected and intended outcomes, and the measurement of these outcomes during, and at the conclusion of, treatment. A treatment plan is a set of written instructions and records pertaining to the treatment and management of a mental health condition and/or crisis. A treatment plan should include the client’s key personal information, the diagnosis and/or presenting problem, an outline of the treatment under consideration, expected and intended outcomes, and the measurement of these outcomes during, and at the conclusion of, treatment.
 +
 +There is no one treatment plan model that is preferred by all clinicians in the mental health system. Different teams may have different preferences based on their own training, experiences, and the needs of their clients. However, there are some treatment plan models that are commonly used in mental health settings, including:
 +
 +  * **The bio-psycho-social model:** This model takes into account the biological, psychological, and social factors that may be contributing to a person's mental health issues. Treatment plans developed using this model often involve a combination of medication, therapy, and social support.
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 +  * **The stages of change model:** This model is often used in substance abuse treatment and is based on the idea that people go through different stages as they work towards behavior change. Treatment plans developed using this model may involve different interventions depending on the stage a person is in.
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 +  * **The trauma-focused cognitive-behavioral therapy model:** This model is used to treat individuals who have experienced trauma and is based on the idea that trauma can affect a person's thoughts, emotions, and behaviors. Treatment plans developed using this model may involve exposure therapy and other techniques to help a person process their trauma and learn coping skills.
 +
 +Ultimately, the most effective treatment plan will be one that is tailored to the individual needs of the client and takes into account their specific circumstances and goals.
 +{{ :img6.png |}}
  
 A treatment plan should include: A treatment plan should include:
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   * A description of the treatment proposed by the coach/therapist   * A description of the treatment proposed by the coach/therapist
   * A timeline for treatment, including frequency and duration of sessions   * A timeline for treatment, including frequency and duration of sessions
-  * Identification of the major treatment goals in the SMART format+  * Identification of the major treatment goals in the SMART[(SMART_criteria>SMART criteria[[https://en.wikipedia.org/wiki/SMART_criteria|Wikipedia]])] format
  
 Whilst for many clients a treatment plan is not necessary there are many scenarios and presenting problems for which a treatment plan will offer an opportunity for the client to collaborate in their treatment and to provide a structured framework for treatment. Many clients with complex issues and who may be new to therapy/treatment may find this reassuring, professional and motivating. Whilst for many clients a treatment plan is not necessary there are many scenarios and presenting problems for which a treatment plan will offer an opportunity for the client to collaborate in their treatment and to provide a structured framework for treatment. Many clients with complex issues and who may be new to therapy/treatment may find this reassuring, professional and motivating.
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 Each treatment plan is unique to each individual though many similarities and recurring themes will undoubtedly arise over time. Each treatment plan is unique to each individual though many similarities and recurring themes will undoubtedly arise over time.
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 +{{ :img7.png |}}
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 +----
  
  
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   * Session frequency, duration, and number   * Session frequency, duration, and number
   * Progress/outcomes – the ability, rate, range, and degree of therapeutic progress will vary enormously between clients   * Progress/outcomes – the ability, rate, range, and degree of therapeutic progress will vary enormously between clients
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 +----
 +
  
 ===== Behavioural Observations ===== ===== Behavioural Observations =====
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   * Interactional style (ii) - active participant, passive, failure to initiate, conversationally domineering, etc   * Interactional style (ii) - active participant, passive, failure to initiate, conversationally domineering, etc
   * Intellectual functioning (impaired, unimpaired)   * Intellectual functioning (impaired, unimpaired)
-  * Memory - short term, long term+  * Memory - short-term, long term
   * Perceptual disturbances - i.e. hallucinations, the agency of communication and meaning   * Perceptual disturbances - i.e. hallucinations, the agency of communication and meaning
   * Attention span - ability to focus and concentrate   * Attention span - ability to focus and concentrate
  
-===== Assessment Tools =====+{{ :img9.png |}} 
 + 
 +**Recommended Reading** 
 + 
 +"Presentation of Self in Everyday Life" by Irving Goffman [( :harvard:Goffman1959>> 
 +authors   : Erving Goffman 
 +title     : The Presentation of Self in Everyday Life 
 +published : 1959 
 +publisher : Anchor Books 
 +isbn      : 978-0-14-013571-8 
 +url       : https://en.wikipedia.org/wiki/Special:BookSources/978-0-14-013571-8 
 +)][(The_Presentation_of_Self_in_Everyday_Life>Erving Goffman - The Presentation of Self in Everyday Life[[https://en.wikipedia.org/wiki/The_Presentation_of_Self_in_Everyday_Life|Wikipedia]])] 
 + 
 +"Asylums" by Irving Goffman [( :harvard:Goffman1961>> 
 +authors   : Erving Goffman 
 +title     : Asylums: Essays on the Social Situation of Mental Patients and Other Inmates 
 +published : 1961 
 +publisher : Doubleday 
 +isbn      : 978-0-14-013739-2 
 +url       : https://en.wikipedia.org/wiki/Special:BookSources/978-0-14-013739-2 
 +)][(Asylums_(book)>Erving Goffman - Asylums[[https://en.wikipedia.org/wiki/Asylums_(book)|Wikipedia]])] 
 + 
 +---- 
 + 
 + 
 +===== Specific Assessment Tools =====
  
 Assessment tools are standardised systems and processes that facilitate the qualification and quantification of specific conditions, disorders, experiences, and problems. Tools include scales, charts, checklists, graphic presentations, and structured interviews. These need to be suited to the client under assessment, culturally sensitive to the context in which they are used, reliable and valid if they are to inform professional judgment and opinion.  Assessment tools are standardised systems and processes that facilitate the qualification and quantification of specific conditions, disorders, experiences, and problems. Tools include scales, charts, checklists, graphic presentations, and structured interviews. These need to be suited to the client under assessment, culturally sensitive to the context in which they are used, reliable and valid if they are to inform professional judgment and opinion. 
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 === Examples of commonly used assessment tools === === Examples of commonly used assessment tools ===
  
-1. Anxiety +1. Anxiety[(Anxiety>Anxiety disorder diagnosis[[https://en.wikipedia.org/wiki/Anxiety_disorder#Diagnosis 
-  * Generalized Anxiety Disorder Screener (GAD-7) +  * Generalized Anxiety Disorder Screener (GAD-7)[(Generalized_Anxiety_Disorder_7>Generalized Anxiety Disorder 7[[https://en.wikipedia.org/wiki/Generalized_Anxiety_Disorder_7|Wikipedia]])] 
-  * Depression Anxiety Stress Scale (DASS) +  * Depression Anxiety Stress Scale (DASS)[(DASS>DASS  Depression Anxiety Stress Scales[[https://en.wikipedia.org/wiki/DASS_(psychology)|Wikipedia]])] 
-  * Hamilton Anxiety Rating Scale +  * Hamilton Anxiety Rating Scale[(Hamilton_Anxiety_Rating_Scale>Hamilton Anxiety Rating Scale[[https://en.wikipedia.org/wiki/Hamilton_Anxiety_Rating_Scale|Wikipedia]])]
  
-2. Depression 
-  * Geriatric Depression Scale 
-  * The Zung Self-Rating Depression Scale 
  
-3. Addiction +2. Depression[(MDD>Major depressive disorder diagnosis[[https://en.wikipedia.org/wiki/Major_depressive_disorder#Diagnosis|Wikipedia]])] 
-  * Addiction Severity Index (ASI) +  * Geriatric Depression Scale[(Geriatric_Depression_Scale>Geriatric Depression Scale[[https://en.wikipedia.org/wiki/Geriatric_Depression_Scale|Wikipedia]])] 
-  * Alcohol Use Disorders Identification Test (AUDIT-C) +  * The Zung Self-Rating Depression Scale[(Rating_Depression_Scale>Zung Self-Rating Depression Scale[[https://en.wikipedia.org/wiki/Zung_Self-Rating_Depression_Scale|Wikipedia]])] 
-  * South Oaks Gambling Screen Assessment+ 
 + 
 +3. Addiction[(Screening and assessment>Addiction screening and assessment[[https://en.wikipedia.org/wiki/Addiction#Screening_and_assessment|Wikipedia]])] 
 +  * Addiction Severity Index (ASI)[(Addiction_severity_index>Addiction severity index[[https://en.wikipedia.org/wiki/Addiction_severity_index|Wikipedia]])] 
 +  * Alcohol Use Disorders Identification Test (AUDIT-C)[(Alcohol_Use_Disorders_Identification_Test>Alcohol Use Disorders Identification Test[[https://en.wikipedia.org/wiki/Alcohol_Use_Disorders_Identification_Test|Wikipedia]])] 
 +  * South Oaks Gambling Screen Assessment (SOGS)[(SOGS>South Oaks Gambling Screen (SOGS)[[https://en.wikipedia.org/wiki/Problem_gambling#Diagnosis|Wikipedia]])]
   * Brief Addiction Monitor   * Brief Addiction Monitor
-  * Drug Abuse Screening Test (DAST)+  * Drug Abuse Screening Test (DAST)[(DAST>Drug Abuse Screening Test (DAST-10)[[https://en.wikipedia.org/wiki/Addiction#Drug_Abuse_Screening_Test_(DAST-10)|Wikipedia]])] 
  
 4. Trauma 4. Trauma
-  * Post-Traumatic Stress Disorder Checklist  +  * Post-Traumatic Stress Disorder Checklist (PCL-5)[(PCL-5>PTSD Checklist for DSM-5 (PCL-5) [[https://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp|National Center for PTSD]])] 
-  * The Kessler Psychological Distress Scale+  * The Kessler Psychological Distress Scale[(K10>Kessler Psychological Distress Scale (K10)[[https://www.tac.vic.gov.au/files-to-move/media/upload/k10_english.pdf|PDF]])] 
  
 5. Behavioural 5. Behavioural
-  * Wahler Self-Description Inventory +  * Wahler Self-Description Inventory[(Wahler>H. J. Wahler - The self-description inventory: Measuring levels of self-evaluative behavior in terms of favorable and unfavorable personality attributes[[https://doi.org/10.1002/1097-4679(196801)24:1<40::AID-JCLP2270240111>3.0.CO;2-I|wiley.com]])] 
-  * Daily Living Activities +  * Daily Living Activities (ADL)[(ADL>Activities of daily living (ADL)[[https://en.wikipedia.org/wiki/Activities_of_daily_living|Wikipedia]])] 
-  * Parental Stress Scale+  * Parental Stress Scale (PSS)[(PSS>Parental Stress Scale (PSS)[[https://www.corc.uk.net/outcome-experience-measures/parental-stress-scale-pss/|Child Outcomes Research Consortium (CORC)]])]
  
-6. Pain +6. Pain[(PS>Pain scale[[https://en.wikipedia.org/wiki/Pain_scale|Wikipedia]])] 
-  * Numerical Rating Scale (NRS) + 
-  * Visual Analog Scale (VAS) +  * Numerical Rating Scale (NRS)[(NRS>Numerical Rating Scale (NRS)[[https://en.wikipedia.org/wiki/Pain_scale#|Wikipedia]])] 
-  * Defense and Veterans Pain Rating Scale (DVPRS) +  * Visual Analog Scale (VAS)[(VAS>Visual Analog Scale (VAS)[[https://en.wikipedia.org/wiki/Pain_scale#cite_note-pmid6184474-40|Wikipedia]])] 
-  * Adult Non-Verbal Pain Scale (NVPS) +  * Defense and Veterans Pain Rating Scale (DVPRS)[(DVPRS>Psychometric Testing of the Defense and Veterans Pain Rating Scale (DVPRS)[[https://academic.oup.com/painmedicine/article/17/8/1505/2223242?login=false|https://doi.org/10.1093/pm/pnw105]])] 
-  * Pain Assessment in Advanced Dementia Scale (PAINAD) +  * Adult Non-Verbal Pain Scale (NVPS)[(NVPS>Nonverbal Pain Scale (NVPS)[[https://www.mdcalc.com/calc/3621/nonverbal-pain-scale-nvps-nonverbal-patients|mdcalc.com]])] 
-  * Behavioral Pain Scale (BPS) +  * Pain Assessment in Advanced Dementia Scale (PAINAD)[(PAINAD>Pain Assessment in Advanced Dementia Scale (PAINAD)[[https://en.wikipedia.org/wiki/Pain_Assessment_in_Advanced_Dementia|Wikipedia]])] 
-  * Critical-Care Observation Tool (CPOT)+  * Behavioral Pain Scale (BPS)[(BPS>Behavioral pain scale (BPS)[[https://journals.lww.com/ccmjournal/Abstract/2001/12000/Assessing_pain_in_critically_ill_sedated_patients.4.aspx|Wikipedia]])] 
 +  * Critical-Care Observation Tool (CPOT)[(CPOT>Critical Care Pain Observation Tool (CPOT)[[https://www.mdcalc.com/calc/2144/critical-care-pain-observation-tool-cpot|mdcalc.com]])]
  
 {{:wong_pain_scale.jpg|}} {{:wong_pain_scale.jpg|}}
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 +----
 +
 ===== Targets, Goals and Outcomes ===== ===== Targets, Goals and Outcomes =====
  
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 ===== SMART Goals ===== ===== SMART Goals =====
 +
 +The SMART Goals[(#1)] model is an effective tool used in professional settings to set goals that are Specific, Measurable, Attainable, Realistic, and Time-bound. The acronymn helps professionals identify particular targets worthy of achieving and creates benchmarks for success by defining each goal as a part of the whole. Additionally, the model assists professionals in setting realistic timelines for goal completion which can help reduce risk of underachieving goals. 
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 +By using this innovative methodology to structure goal-setting practices, organizations will have increased chances for successful goal attainment.
  
 All outcomes, aims and treatment goals should be measurable using the SMART criteria: All outcomes, aims and treatment goals should be measurable using the SMART criteria:
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   * **Readjust** - The seventh step is to adjust treatment according to the evaluation.   * **Readjust** - The seventh step is to adjust treatment according to the evaluation.
      
-===== SAMPLEs - not for inclusion ===== + 
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  • Last modified: 2021/09/25 15:48
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