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The review of goals, objectives, and interventions as well as progress and making changes to current goals, objectives, or interventions.
What is treatment planning?
Worked on how to say no to situations that make consumer uncomfortable
What is worked on the skill of "saying no?"
Consumer was getting off task in class and needed support in getting back on track
What is redirected or prompted consumer to get back on task?
Completing the Functional Need Assessment
What is case management?
Behavioral Management
Following directions, completing tasks, responding to redirection, being respectful, etc.
Updated the social section of the Functional Needs assessment with consumer 6 months after initial and reviewed the changes
What is assessment or reassessment of needs?
Worked on how to communicate I messages with others to state how one feels
What is worked on the skill of "using/communicating with I messages?"
Consumer is having a hard time getting along with sister and needed practice with how to get a long with her. Consumer played the role of self and provider played role of sister.
What is role playing?
What is therapy?
Anxiety management
Relaxing, deep breathing, coping skills, managing negative thoughts
Contacted the local food bank to obtain information for my consumer on locations, times, and paperwork needed to participate
What is referrals and linkages?
Worked on how to ask for help when stuck on a problem in class before shutting down
What is worked on the skill of "asking for help?"
Consumer was having a hard time understanding how to take breaths so provider showed consumer how to take deep breaths.
Working on how to start a conversation with another
What is skills training?
Mood Management
keeping a mood diary, reducing negative thoughts, reframing negative thoughts, sticking to sleep schedule/eating schedule, coping skills
Consulted with a teacher on consumer's behavior in the classroom and shared with teacher skills that were being worked on to better assist with behaviors
What is monitoring and follow up?
Worked on anger triggers and when they present themselves
What is worked on the skill of "identifying/naming anger triggers?"
Consumer was doing a great job applying the skill in the community setting and consumer does a great job with positive verbal reinforcement so provider used this to help consumer continue to work on the skill.
What is encouraged or praised?
HSPP gave feedback to make changes to the frequency of interventions on the treatment plan that need updated
What is case management?
Anger management
Responding to triggers, recognizing triggers, coping skills, responding with appropriate tone
Staffed consumer's needs and received feedback from the HSPP and Clinical Team Leader
What is supervision and evaluation?
Worked on how to respond to stressful situations with relaxation techniques
What is worked on the skill of "taking deep breaths/using relaxation or coping strategies/imaging a calm place?"
More than one acceptable answer
Provider and consumer had identified that the consumer needed to work on a new skill of naming feelings to increase their emotional vocabulary. This was a brand new skill for the consumer to learn.
What is educate or teach the skill?
Coaching the consumer on navigating the patient portal and supporting them through the use of the portal with praise and modeling when needed
What is skills training?
Independent Living Skills