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The first section of this course articulates a structure for treatment planning by which clients can participate in setting meaningful goals and objectives for therapy.
Addressing the possibility of relapse is important because relapse is a likely occurrence in the recovery process. While the two courses comprise a highly compatible sequence of continuing education opportunities, each course can also stand alone as a fully contained training module relevant to a specific aspect of professional practice with the population of clients exhibiting symptoms of disordered substance use.
The course is based on three chapters from the following book: Planning Treatment to Enhance Self-Efficacy and Motivation Therapists plan treatment with clients in efforts to establish meaningful goals and a strategy to reach them.
Treatment planning continues as long as the client keeps returning for therapy sessions and can also help clients engage in change efforts beyond therapy. Ideally, a treatment plan emerges from negotiations between the client and therapist to decide what problems are to be addressed in therapy, what goals are reasonable and worthwhile, what pathways and techniques are available, and what steps the client is willing and able to take toward those goals.
The tasks, goals, and bond that develop through collaborative treatment planning all contribute to strengthening the working alliance between the therapist and the client. A plan for therapy gives both the therapist and client a sense of direction for their work together.
A well articulated plan also potentially enhances treatment efficacy by providing a clear means for tracking progress toward established goals.
The therapist has several purposes in developing a treatment plan for a client with a substance use disorder. First and foremost, the therapist wants to motivate and empower clients to make beneficial changes in their substance use behaviors.
To that end, the therapist structures the task at hand by helping the client identify a range of available options, and by encouraging the client to make informed choices from among those alternatives. Treatment plans that are negotiated directly with clients invite the client to share both initiative and responsibility for determining the course of therapy, including both end goals and the steps to take in striving to reach those goals.
Once the client agrees to collaborate on a plan, the second component specifies the problem s to be addressed in therapy. Third, planning involves clarification of goals to be attempted, with the desired general result to be either resolution of the problem or at least reduction of its detrimental impact.
The fourth component, setting objectives, consists of breaking the distance between the problem and the goal down into identifiable, meaningful, and achievable steps.
These steps toward the goal help make the process of changing behavior more understandable and manageable for both the client and the therapist. Fifth, planning specifies methods to be used for working on each objective, or tasks to be undertaken in attempts to move toward goals.
Finally, the therapist and the client may wish to agree on timeframes for attempting specific tasks, reviewing the plan to assess progress, and achieving objectives and goals. The present section is structured around these six components of a treatment plan. The rationale for involving the client as much as possible in formal planning of a course of therapy will be followed by a presentation of some common problems focal to many cases of substance use disorders.
These include low motivation and low self-efficacy for changing problematic behaviors. General goals for addressing these focal problems will be elaborated in the context of relevant theoretical and empirical literature.
Within the sections covering each general goal, feasible objectives, methods, and timeframes will be outlined, with a particular focus on pertinent objectives for each goal.
Methods and timeframes of particular relevance to treatment of substance use disorders will be considered in greater depth in the following sections on psychoeducation and relapse prevention planning. Interventions to address additional problems associated with substance use disorders and related concerns are detailed in Glidden-Tracey along with considerations for planning termination.
Because their time is highly organized around alcohol or drug-related activities, or because their substance use blunts their capacity for executive functioning or boththey may have trouble setting realistic goals, developing workable plans, or maintaining motivated effort in realms of life outside of substance use and the activities necessary to keep using.
The DSM-5 criteria for Substance Use Disorders capture the potential for life disruption through repeated risks or troubles encountered under the influence of psychoactive substances.
Further alluding to the chaotic nature of a substance use disorder, diagnostic criteria specify that the symptomatic individual tries to quit using but cannot, or neglects important life roles in favor of continued substance use, or keeps on drinking or drugging even in the face of seriously negative consequences.
Individuals whose days have been organized around drugs or complicated by alcohol have much to gain from the structured activity of planning treatment with a therapist. Treatment Planning as a Collaborative Intervention Skilled therapists can use the initial treatment planning discussion to explore with clients how they are presently dealing with life and how that compares with what they ultimately and realistically want from life.
By thus identifying problems, discrepancies, and goals, the therapist can help clients choose how they can use their time together in therapy sessions to promote progress toward those goals.
Collaboration to identify and prioritize specific goals and strategies with timeframes for reaching those goals helps the therapist and client together develop a treatment plan tailored to the individual clients interests and concerns Washton and Zweben, Once the client agrees to a negotiated plan, the therapist will refocus on the planning process when needed to clarify problems through further assessment.In , Google took a "manual action" of a "corrective" nature against retailer J.C.
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