Tracking Progress
The duration of the goals in a treatment plan.
What is short and long term goals?
This is a note that is done once a year or when changing the intake treatment plan to the individual treatment plan.
What is a treatment plan creation/completion note?
The act of staffing patients biweekly and providing updates in regards to any progress they are making.
What is special care?
Something that occurs every 90 days or when there has been a major change in the patients life.
What is a treatment plan review?
Something that should be completed when a patient is decreasing their dose.
What is a transition plan?
The act of not addressing a goal or the patient not wanting to work on a specific goal.
What is deferred?
(T/F)The drug screen section should cover if the patient is in special care or not.
What is true?
(T/F) A patient in fentanyl special care does need a treatment team contract.
What is false?
(T/F) The medical provider and diagnosis are mentioned in the rationale for level of care.
What is true?
The time frame that you have to complete a PSA.
What is 15 days?
(T/F)Treatment Plan Title Example:
60 Day Treatment Plan 12/25/2024
What is false?
The documentation that happens when a patient misses a day.
What is a dosing absence note?
A benzo special care patient get staffed and placed on this.
What is a treatment team contract?
The correlation between the PSA, the treatment plan and the treatment plan review.
What is the golden thread?
The section of the assessment that provides a summary or themes about the patients life.
What is the Central Themes?
(T/F) Does a treatment plan need to consist of all open dimensions.
What is false?
A note that is use to document when a patient cancels, reschedules or tells you something important.
What is a care coordination note?
The note and document that is completed for the patients that are staffed in special care.
What is a clinical staffing note-special care and 84D?
A document that is not included in the annual.
What is a treatment plan review?
A document that is used to verified the prescriptions that the patient is on.
What is a coordination of care?
The assessment that informs the counselor whether a patient needs a medical referral or not.
What is medical advisory?
An example of this section of the note:
The patient will work on identifying 3 strengths that they have and work on developing a strength use plan during the week.
What is the plan section of the note?
How a patient is removed from special care.
What is a negative drug screen?
The documents completed along with a review.
What is a SNAP and BARC-10?
A document that allows the agency to provide someone else with information regarding a patient.
What is release of information?