Name that Function
Charting the results of the assessment and treatment plan, writing reports, progress notes, discharge summaries and other client-related data.
Treatment Planning
DAST
What is the Drug Abuse Screen Test
These are collaboratively developed between the client and therapist to ensure they are individualized, achievable, and motivating.
What are Treatment Plan Goals?
30 days
How often is a treatment plan reviewed in PHP and IOP?
This is a structured way of formatting your notes and can help you save time.
What is a DAP note?
Provision of information to individuals and groups concerning alcohol and other drug abuse and the available services and resources.
Client Education
MAST
What is the Michigan Alcohol Screening Test
These are specific, actionable, and measurable steps that clients take to achieve their broader, long-term goals
What are Treatment Plan Objectives?
24 Hours
What is the turn around time for completing session notes?
What are the three primary sections of a DAP note?
The acronym “DAP” stands for Data, Assessment, and Plan, the three sections included in a DAP note.
Identifying the needs of a client that cannot be met by the counselor or agency and assisting the client to utilize the support systems and community resources available.
Referral
CAGE
What is Cut back, Annoyed, Guilty, and Eye Opener
“CAGE” is an acronym formed from the italicized words in the questionnaire (cut-annoyed-guilty-eye opener).
A preferred framework for writing clear and effective objectives
What are SMART goals?
SMART goals are Specific, Measurable, Achievable, Relevant, and Time-Bound
90 days
This is how often treatment plans need to be updated in outpatient or aftercare phase of treatment
I have been feeling sad for seven days in a row.
I sleep all day and have no interest in talking to anyone.
Some days I don't even take a shower.
What are Person-Centric Details?
Person-Centric Details are direct quotes from the client, in the data section of your DAP note. This serves two objectives: It helps insurance carriers verify that the session was authentic and unique, and it provides additional clinical insight into the client’s feelings and perceptions.
Those services which respond to an alcohol and/or other drug abuser's needs during acute emotional and/or physical distress.
Crisis Intervention
AUDIT
What is the Alcohol Use Disorders Identification Test
What are emotional goals?
What are examples of poor treatment plan goals?
They focus on controlling feelings rather than actions or behaviors
60 minutes
What is the typical length of an individual session?
CBT, Group Therapy, MAT
What are interventions or treatment modalities?
The procedures by which a counselor/program identifies and evaluates an individual's strengths, weaknesses, problems, and needs for the development of a treatment plan.
Assessment
DSM V
What is the Diagnostic and Statistical Manual of Mental Disorders
"I will practice relaxation techniques daily to manage depressive symptoms and will attend a social gathering once a week".
What is an Emotional Goal?
Why is this better than "I don't want to feel depressed?"
30 hours
Your client’s diagnosis
Your professional interpretation of the data collected from the session
The client's current risk level
What things should be included in the Assessment section of a DAP note?