TREATMENT PLANS
What does SMART in smart goal stand for?
specific, measurable, achievable, relevant, time bound.
Should boxes be left blank or state NA throughout the assessment?
No; all boxes must be completed, and we should not use NA throughout the documentation
True or False
You can put "as needed" on a treatment plan?"
False
What LOC does a client need to be before we make them go to Inpatient for treatment?
Trick question; the limit does not exist. We can't make client's attend inpatient treatment. We can continue to support, education and encourage client's to attend inpatient treatment for 3.1 LOC and higher.
What does CDCA stand for and what role does it play for Brightview?
Chemical Dependency Counseling Assistant and offering Solution Focused Brief therapy interventions and referral gathering.
If a client denies, defers or declines a goal - where else do you document this?
Summary of collaboration
you can also document it in the individual progress note but this is not a requirement.
How do you fill out the ASAM for assessment only clients?
You leave the LOC boxes unmarked, complete the summaries and for LOC recommended/placed you indicate other and note that the client is completing an Assessment only process and will continue to attend treatment, gathering collateral information and urine screens for official treatment recommendations.
At what times is a risk assessment required to be completed? (name at least 3)
1. Induction
2. Follow-up to a previously assessed risk level
3. Based on the results of PHQ-9 evaluation
4. Any time a safety concern arises
True or False: You can only place a patient in an LOC offered at your center?
False
What sedative is being added to opiates and previously added to stimulants?
Xylazine
what do you need to include in the goals for mental health?
GAD7 and PHQ9 scores
How do we indicate Kratom use on a Bio assessment?
Other Use Disorder on the DSM5 page and Other Opiate for the Substance abuse History page
What are the KPIs for BH?
ITP: 90%; 90-day Retention:45%; Documentation: below 2%; Encounters: Counselor 1&2: 45-50/week; Therapist 1&2: 30-36/week
What row of boxes need to be selected for 1.0 LOC on the ASAM?
OTP AND Outpatient
What are the stages of change? (name them all and give examples)
If a client has his first appointment on November 4th and completed his initial ITP on November 13th, when would his initial treatment plan expire?
December 4th.
what should you include in the clinical assessment summary? (list at least 7 things)
-DOC/SUD/presenting problem/ SUD history
-If they are receiving MAT (OBOT/OTP)
-physical health concerns
-mental health
-recommendations (employment, education,etc)
-legal/probation
-family history
-living environment/situation
-protective and risk factors
-what LOC are they appropriate for?
What is the time period for a patient to be in early remission & Sustained remission?
Early: No use between 3-12 months
Sustained: No use over 12 months
What are the 4 Horseman and who can determine with 90% accuracy the success rate of a relationship by using these indicators?
Resentment, Contempt, Stonewalling and Defensiveness. Dr. John Gottman from Seattle, Washington.