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05-Perkinson-45451.qxd

11/13/2007

5:25 PM

Page 75

5

The Treatment Plan

T

he treatment plan is the road map that a patient will follow on his or her journey through treatment. The best plans will follow the patient for the next 5 years where the relapse rates drop to around zero (Vaillant, 2003). No two road maps will be the same; everyone’s journey is different. Treatment planning begins as soon as the initial assessments are completed. The patient might have immediate needs that must be addressed. Treatment planning is a never-ending stream of therapeutic plans and interventions. It is always moving and changing. I have cowritten a thorough treatment planning book and computer program that should make treatment planning easy: The
Addiction Treatment Planner (Perkinson & Jongsma, 2006a, 2006b). The planner comes in two forms, as a book and as computer software. The book and software help you write your treatment plan with point-and-click simplicity and have been approved by all accrediting bodies.

How to Build a
Treatment Plan

The treatment plan is built around the problems that the patient brings into treatment. Within the treatment plan is a problem list that details each problem. The problem list comes at the end of the diagnostic summary. It tells the staff what the patient will do in treatment. It must take into account all of the physical, emotional, and behavioral problems relevant to the patient’s care, as well as the patient’s strengths and weaknesses. It must also address each of the six dimensions of ASAM that you are following.
The treatment plan details the therapeutic interventions, what is going to be done, when it is going to be done, and by whom. It must consider each of the patient’s needs and come up with clear ways of dealing with each problem. The treatment plan flows into discharge planning, which begins from the initial assessment.

The Diagnostic Summary
After the interdisciplinary team

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