Asi Treatment Form PDF Details

The ASI Treatment Plan, serving as a critical tool within addiction recovery and mental health services, elegantly bridges the gap between theoretical treatment models and practical recovery strategies. This intricate structure, seamlessly integrating a variety of components including problem statements, objectives, interventions, and service codes, not only tailors the recovery path for individuals like John Smith but also carves a clear pathway for both clients and counselors. Essential elements such as goals and discharge criteria provide milestones and markers of progress, while the detailed account of objectives—what the client is expected to say or do under specific circumstances and how often—offers a tangible measure of behavior change and adaptation. The treatment plan is distinguished by its collaboration and participation segments, ensuring that both the client and significant others actively partake in the healing process, fostering a sense of agency and commitment. Service codes further facilitate a customized approach by indicating various types of interventions such as individual, group, family therapy, and more specialized forms like psychoeducational sessions or media resources. By synthesizing data collection with effective treatment customization through the Addiction Severity Index (ASI), this document exemplifies a conscientious effort to make data collection practical and directly beneficial to the individual's recovery journey. Thus, the ASI Treatment Plan stands as a beacon of structured yet flexible treatment planning, guiding both clinicians and clients towards a hopeful horizon of recovery and well-being.

QuestionAnswer
Form NameAsi Treatment Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namestreatment plan alcohol drug, treatment plan client alcohol, treatment plan alcohol drug template, asi treatment

Form Preview Example

 

ASI Treatment Plan

 

 

Client Problem Plan – Alcohol & Drug

 

(ASI/DENS Format)

 

 

 

 

 

 

 

 

 

 

Client Name: John Smith

 

 

 

Counselor Name:

Demo

 

Date

Problem Statement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Goals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D/C Criteria

Objectives

 

 

 

 

 

 

 

 

 

 

 

What will the client say or do? Under what circumstances? How often will he/she say or do this?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interventions

 

 

 

 

 

Service

Target

 

Resolution

 

What will the counselor/staff do to assist client?

Under what circumstances?

 

Codes

Date

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Participation in Treatment Planning Process

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Participation by Others in the Treatment Planning Process

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: All participants may not have participated in every area.

 

 

 

 

 

 

 

 

Client Signature/Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Counselor Signature/Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service Codes

 

 

 

 

 

 

 

 

I=Individual

G=Group

F=Family

C=Couples

P=Psychoeducational

H=Homework

 

R=Reading

M=Media

V=Videotape

A=Audiotape

R=Referral

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Treatment Planning M.A.T.R.S.:

 

 

 

 

 

Workshop 2 – Handout 3

 

Utilizing the Addiction Severity Index (ASI): Making Required Data Collection Useful

 

 

 

 

 

 

 

ASI Treatment Plan

 

 

 

Client Problem Plan – Medical

 

(ASI/DENS Format)

 

 

 

 

 

 

 

 

 

 

Client Name: John Smith

 

 

 

Counselor Name:

Demo

 

Date

Problem Statement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Goals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D/C Criteria

Objectives

 

 

 

 

 

 

 

 

 

 

 

What will the client say or do? Under what circumstances? How often will he/she say or do this?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interventions

 

 

 

 

 

Service

Target

 

Resolution

 

What will the counselor/staff do to assist client?

Under what circumstances?

 

Codes

Date

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Participation in Treatment Planning Process

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Participation by Others in the Treatment Planning Process

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: All participants may not have participated in every area.

 

 

 

 

 

 

 

 

Client Signature/Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Counselor Signature/Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service Codes

 

 

 

 

 

 

 

 

I=Individual

G=Group

F=Family

C=Couples

P=Psychoeducational

H=Homework

 

R=Reading

M=Media

V=Videotape

A=Audiotape

R=Referral

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Treatment Planning M.A.T.R.S.:

 

 

 

 

 

Workshop 2 – Handout 4

 

Utilizing the Addiction Severity Index (ASI): Making Required Data Collection Useful

 

 

 

 

 

 

 

ASI Treatment Plan

 

 

 

Client Problem Plan – Family

 

(ASI/DENS Format)

 

 

 

 

 

 

 

 

 

 

Client Name:

John Smith

 

 

 

Counselor Name: Demo

 

Date

 

Problem Statement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Goals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D/C Criteria

 

Objectives

 

 

 

 

 

 

 

 

 

 

 

 

What will the client say or do? Under what circumstances? How often will he/she say or do this?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interventions

 

 

 

 

 

Service

Target

 

Resolution

 

What will the counselor/staff do to assist client?

Under what circumstances?

 

Codes

Date

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Participation in Treatment Planning Process

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Participation by Others in the Treatment Planning Process

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: All participants may not have participated in every area.

 

 

 

 

 

 

 

 

Client Signature/Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Counselor Signature/Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service Codes

 

 

 

 

 

 

 

 

I=Individual

G=Group

F=Family

C=Couples

P=Psychoeducational

H=Homework

 

 

 

R=Reading

M=Media

V=Videotape

A=Audiotape

R=Referral

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Treatment Planning M.A.T.R.S.:

 

 

 

 

 

Workshop 2 – Handout 5

 

Utilizing the Addiction Severity Index (ASI): Making Required Data Collection Useful

 

 

 

 

 

 

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