Treatment planning is emphasized as collaborative, but is this an ideal that is not realized in practice? How does the treatment planning process at your site differ from the ideal that is described in the lecture for this topic?
In thinking about the way my site does the treatment planning with by laying out goals and then working on those goals while in session and during case manger sessions as well. I feel that we do the same that is stated in the lecture. Due to the fact that by seeing what needs to be fixed in order to get the client in a better place. For instance if the client was working in order to change there living situation it will be stated that they will work on this goal. Even having a family session if it is needed in order to help the family understand what the client needs from them. By setting various goals it gives something for the client and the counselor to work towards. By also giving the client some space if they are not ready to work on certain things. Such as not wanting to work on trauma quite yet which is ok because it does take time for the client wanting to open up more the counselor. It is so important to not rush the client into working on trauma but it has to be known that it is so important to work on that trauma at some point in time.
My response:
Good morning Lauren
Hello Professor and Class,
I feel that treatment planning is very important and for the most part is recognized as an important part of the plan for the client, as they begin to recognize their issues and engage regarding steps to take to reach desired goals. In practice I feel that there are places that may not consider the process of collaborative planning as important, as it is a very effective in my opinion if it is utilized correctly. The treatment planning process at the site I’m currently at is very comparable to the one presented in through the lecture. The collaborative effort from the counselor and client allow the client to express the direction they desire to go, while the counselor ensures that the goals are specific, measurable, and attainable. I also like how the reading addressed the language used and the methods of explanation of the process of treatment planning, as it was explained to me at the site I’m at as a therapist it is important to be able to lay things out to the client in a manner that isn’t over their heads or demeaning.
My response:
Good morning Katrina
I believe that treatment planning is emphasized as a collaborative, this is why counselors do prior assessments to gather past and current information (depending on the assessment) regarding the client. It also reveals family history which is important when diagnosing because there are diagnoses that are hereditary such as depression, schizophrenia and alcohol and substance abuse. I believe that if treatment planning was not emphasized in our practice that things can be missed.
After reading “Using the WDEP System of Reality Therapy to Support Person-Centered Treatment planning.” I found some similarity with my site that is mentioned in this journal under clinical treatment planning such as “Treatment plan templates can be completed in an almost formulaic way by a counselor on behalf of a client, following an initial assessment/therapy session. Such completed templates are generally reviewed briefly with the client at a subsequent session and, after being signed by the client, are filed to meet insurance billing and reimbursement requirements.” (Wubboldng, Casstevens & Fulkerson, 2017).
Where I am doing my internship, they use templates for their treatment planning and we briefly follow-up with the client before they sign them. They are also reviewed to make sure they meet requirements for the individual’s insurance company. Our compliance coordinator also reviews the goals that are set and makes sure the theory we are using is appropriate, it needs to match up with what we are doing. One thing I do not like about these templates we use for treatment planning is the drop-down box we use for goals and objectives because most the time my client goals do not always match.
So, far my answer is “work with what you have, you can only do your best”.
Reference
Wubbolding, R. E., Casstevens, W. J., & Fulkerson, M. H. (2017). Using the WDEP system of reality therapy to support person-centered treatment planning. Journal of Counseling and Development, (4), 472. Retrieved from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgsr&AN=edsgcl.507658356&site=eds-live&scope=site
My response:
Good morning Iva,
Most providers, especially those in the mental health field, use treatment plans as blueprints to guide services provided. Mental health treatment plans typically highlight important assessment information, define areas of concern, and establish concrete goals for treatment. At my worksite Clinicians gather unformation from the intake assessment that the client provides, they also inclde information the client discusses with them during the first session. Treatment plans are strenght-based and they include goals that are attainable for the client. Items included in the treatment plan include basic demographic information, psychosocial history, onset of symptoms, diagnoses (past and present), treatment history, and any other assessment information pertinent to well-being. It is pretty standard as how treatment plans are completed. I work within a system called MINDLIC and Clinicians just follow the standard questions to gather information from the psychiatrist, client history, strengths, goals, outcomes, objectives, interventions and a timeframe that the clinician feels they will be able to meet the clients need.
My response:
Good morning Tamera
DQ#2 How do you resolve the dilemma that is created when biopsychosocial assessment clearly identifies a major problem area that the client does not wish to contemplate changing?
Re: Topic 3 DQ 2 Thinking about this question I do feel like it is important to be able to adjust your plan when the client does not feel they are ready to tackle a point of trauma in there life. I do feel like being able to let the client tell you when they are ready is key because you never want to push a client into working on something. For instance if they feel they are comfortable enough without working on there trauma then that is fine. But is also important to remind them that you are there for them when they are ready to work on it. If they do transition to IOP or another level of care and that trauma becomes something that they are ready to work on then it will be worked on. It is also key to give the client tools in order to get through those bad moments. By just reminding them that you are here for them when they are ready to talk and work on it is just important. I do feel like just making sure the client is able to be safe when something comes up is so important.
My response:
Good afternoon Lauren
Hello Professor Krupp & Class
As a counselor, it is not enough just to look a client you have to look at the client’s environment as well. A biopsychosocial interview is utilized because problems usually don’t exist in a vacuum. They all influence each other in different ways. When dealing with a client who is identified in the biopsychosocial assessment as having major problems to include alcohol, sex offences, stealing and lying, who refuse to change his way, the counselor must cultivate patience, reframe resistance, express empathy, keep calm, seek support from peers or consider terminating the therapeutic relationship. When dealing with a difficult client the counselor must first determine the client stage of readiness and the therapy should be less about making change but more about moving forward. Giving the client choices, gives the client the chance to make informed decisions and engages them in the process. Counselor should talk with the client and write the discussion down giving the client feedback while focusing on the client’s strength and paying attention to the client’s behavior.
My response:
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