Template Treatment Plan PDF Details

Are you looking for a way to improve your treatment plan form? If so, you may benefit from using a template treatment plan form.Template treatment plan forms are designed to help you create a well- organized and effective treatment plan. They can also help ensure that all the necessary information is included in your treatment plan. By using a template, you can be sure that your form meets all the requirements set by insurance companies and other organizations.

You will discover info about the type of form you would like to submit in the table. It will tell you how long it will take to finish template treatment plan, exactly what fields you need to fill in, and so forth.

QuestionAnswer
Form NameTemplate Treatment Plan
Form Length1 pages
Fillable?Yes
Fillable fields58
Avg. time to fill out11 min 51 sec
Other namesmental health treatment plan template printable, mental health treatment plan template pdf, blank treatment plan template, counseling treatment plan templates pdf

Form Preview Example

Treatment Plan Template

Treatment plans need to:

Include goals that are objective and measurable with estimated time frames for goal completion

Be developed with the patient and document the patient’s agreement to the treatment plan (patient’s signature)

Treatment Goals [after each item selected, indicate outcome measures (i.e., “as evidenced by”)]

____ Reduce Risk Factors of:

____ Reduce Major Symptoms of:

____ Ameliorate Functional Impairments of:

____ Develop Coping Strategies to Deal with Stress of:

____ Stabilize (short term) Crisis of:

____ Maintain (long term) Stabilization of Symptoms of:

____ Medication Referral to:

Planned Interventions-Patient Participation (must be consistent with treatment goals):

___ Assertiveness Training

___ Problem Solving Skills Training

___ Anger Management

___ Solution Focused Techniques

___ Affect Identification and Expression

___ Stress Management

___ Cognitive Restructuring

___ Supportive Therapy

___ Communication Training

___ Self/Other Boundaries Training

___ Grief Work

___ Decision Option Exploration

___ Imagery/Relaxation Training

___ Pattern Identification and Interruption

___ Parent Training

 

 

 

___ Engage Significant Others in Treatment:

 

 

 

 

___ Facilitate Decision Making Regarding:

 

 

 

 

___ Explore/Monitor:

 

 

 

 

___ Teach Skills of:

 

 

 

 

___ Educate Regarding:

 

 

 

 

___ Assign Readings:

 

 

 

 

___ Assign Tasks of:

 

 

 

 

___ Referrals Planned:

 

 

 

 

___ Use of Resources/Strengths:

 

 

 

 

___ Preventive Strategies:

 

 

 

 

___ Obstacles to Change:

 

 

 

 

Estimated Timeframes

 

 

 

Goal 1 ________________________________

Goal 2

 

 

I have been provided education on my primary diagnosis of

My therapist and I have developed this plan together, and I am in agreement to working on these issues and goals. I understand the plan that has been developed for my treatment.

Patient Signature

 

Date

Therapist Signature

©2017 Magellan Health, Inc. Rev. 11/17

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counseling treatment plan templates pdf spaces to fill in

Inside the field Goal, and Date enter the particulars which the application asks you to do.

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