Treatment Planning
What problems are including in the initial treatment plan? (Include #(s) & problem titles / names)
Problem #1 Acclimation to Peace and Harmony House
Problem #2 Internalized Disease Concept
This is the purpose of a biopsychosocial assessment in treatment
To guide diagnosis and inform treatment planning
This type of note includes description, assessment, and plan
D.A.P Note
What does ASAM stand for?
American Society of Addiction Medicine
How many official counselors are between both Wyomissing & Center City offices?
9 - Katelyn, Britney, Tyrone, Diane, Whitnee, Beverlyn, Kiara, Alexis, Angel
+50 if Raegan was included!
These kind of goals relate to the creation of interventions in creating and developing a treatment plan
SMART Goals
When is the BPS completed? Provide full timeline from admission (not LOC client) to BPS session? Extra points for full documentation requirements within the BPS session
"Second" session / session directly after intake
+100 if mention master treatment plan and BPS note
If it’s not documented, legally it is assumed this
That it did NOT happen
What is Dimension 4 of the ASAM criteria
Dimension 4: Readiness to Change Readiness and interest in changing
What type of food did Tyrone request to be in one of our future supervisions
"PIZZA!!"
There are generally 4 main parts to a treatment plan, what are they?
Problem & #, Long Term Goal(s), Short Term Goal(s), & Interventions
If the BPS is not finished the first session it is worked on, what all needs to be done?
BPS is compiled in chart and signed off for what was done so far, then next session BPS is worked on and completed and signed off again (two signature dates match two progress notes discussing the completion of the BPS between 2 session), master is done when the BPS is FINISHED
True or False: All of your group counseling sessions notes are the same when compiled, including the individual assessment and plan.
FALSE! No client note should ever include someone else's or the same exact assessment as another client.
When completing an ASAM for a COCA client, what is the proper procedural process to complete and successfully submit it if someone did NOT complete official ASAM training?
Counselor completes ASAM in chart, Supervisor is notified it is in the chart and to be reviewed, Supervisor approved or informs of corrections, ASAM is transferred by counselor to ASAM Summary Sheet aka paper version
What is Beverlyn's favorite animal / creature?
S-S-S-Snake!
What is required to be included on short term goals & interventions?
Target Dates
What are the 4 custom buttons / questions required to be on the BPS that must be clicked and included outside of the ICANotes system?
- Must get all for points
Gambling, HIV hx, TB hx, Hep C hx
When completing and finalizing a document, what should the "sign off" look like? In other words, what two items have to match on the note to confirm it is completed per policy
Electronic signature must be completed and the date of service and signature date must match
When writing Dimension 5 detail, what are the generalized details that should be included in this dimension? (Hint think of ASAM Cheat Sheet)
- High, moderate, low risk for relapse and explain why
- Client’s triggers
- What client needs to work on / educate on within treatment to lessen relapse potential or lessen use
- Address behavioral issues
- Treatment history (inpatient, overdoses, time in recovery, etc.)
Britney herself provides all kinds of services at her salon EXCEPT
Hair
Per the initial treatment plan, what is done after the BPS and master treatment plan is done?
Complete initial relapse prevention plan (within 14 business days)
What are the categories within the ICANotes system to create a thorough BPS?
Must get at least 4 correct
Hx of Present Illness, Past Psych Hx, Medical Hx, Social Hx, Developmental Hx (when applicable), Family Hx
List all of the documents required to be reviewed by a Clinical Supervisor before submitting and/or uploading to the chart and/or billing
Intakes, any updated consents (yearly), ASAMs, continued stay paragraphs, Instant UDS forms, discharge certificates
What is the difference (in terms of type of detail) between an admission, continued stay, and discharge ASAM? Hint: this is NOT asking you whats the difference between documentations, its asking for brief description of how the detail differs.
Up to the discretion of the Clinical Supervisor if acceptable answer!
What University does Raegan attend currently?
University of Delaware