Discuss the continuum care with and the reason for the referral.
Notify the client that the recommendation is being made, regardless of his willingness to follow through.
Explain that he cannot leave the inpatient facility without an aftercare plan.
Inform the client that he will be considered non-compliant with treatment if he does not follow his aftercare plan.
Intensive Outpatient/Partial Hospitalization
Medically Managed Intensive Inpatient
Gather detailed information for the treatment plan.
Gauge the validity of the instrument.
Provide a diagnosis.
Quantify any symptomatology.
Goal directed recovery.
Compliance with program procedures.
Abstinence and symptom alleviation.
Attendance to self-help groups.
Call the police.
Update the treatment plan.
Cancel an appointment.
Make a diagnostic impression based on presenting symptoms.
Identify risk and protective factors relevant to the client.
Determine the appropriate level of care.
Develop symptom specific treatments.
Lower amounts of dopamine are produced causing feelings of depression.
Dopamine receptors become damaged from continued substance use.
Changes in the chemical makeup of dopamine alter its effects from pleasure to depression.
Higher amounts of dopamine are produced causing a constant euphoria to which the user becomes accustomed.
We went over a lot of information today. Is there anything you would like to discuss further?
Those are all the questions I have to ask today. Before we move on, what caught your attention or what were you thinking as we went over the information?
Thank you for all the information you gave me. Let me look this information over and we can discuss it during the next session. Is that ok for you?
Do you have anything else you would like to share that would help me get to know you and why you are here?
Ensure to properly note the amendments according to agency policies.
Never amend a clinical record because information might be skewed in the process.
Get the amendment approved by their clinical supervisor before making any changes.
Make sure that a very detailed description of the amendment and its purpose is added to the record.
Practice the use of "I" statements.
Encourage the client to apologize to their partner.
Ask the client to journal about their substance use prior to the argument.
Use deep breathing techniques to process through their guilt.
Coping strategies and tools.
It engages the client in their treatment process.
It provides the clients with an orientation to the treatment.
It demonstrates a counselor's thoroughness and capabilities.
It establishes a standard of communication for future therapy sessions.
Help select college sponsored activities to attend with her friends.
Refer to a campus self-help group to assist with her treatment.
Develop a time management schedule to reduce stress.
Encourage increased exercise to boost endorphins.
Provide the client with a list of resources for further treatment.
Make appropriate alternative arrangements.
Have the client consent to the termination of treatment.
Inform all concerned others involved in the treatment process.
Long term goal
Short term goal
Consult with their immediate supervisor and follow the supervisor's directives on whether or not to report the abuse.
Adhere to reporting protocols and determine if and when the client should be informed of the report.
Develop a plan with the client to remove her and her daughter from the abusive situation and then report the abuse to appropriate authorities.
Document as much detail as possible regarding the abuse and continue to monitor the situation until the counselor can make a clear decision about what is in the client's best interest.
Encourage them to continue working their 12 step program, because it's normal to feel this at first.
Discuss alternative ideologies that could support their recovery and suggest they try one.
Recommend they stop working their 12 step program.
Inform them that working the 12 steps is their best chance for recovery.
Low level of education
Low blood pressure and drowsiness.
Enlarged pupils and restlessness.
Slurred speech and increased appetite.
Low blood pressure and low body temperature.
12-Step Facilitation Therapy
Motivational Enhancement Therapy
Cognitive Behavioral Therapy
Send all original copies.
Include records from other professionals.
Document when, where, and what files were sent to whom.
Transfer all documents, progress notes, and records the counselor created on the client.
Intensive outpatient treatment
Medically monitored inpatient treatment
A halfway house
Placing a phone call to the local community shelter to check on bed availability.
Informing her boyfriend that she will be moving out of his apartment.
Reviewing confidentiality guidelines and asking the client to sign a release of information for the community shelter.
Connecting the client with other available resources to assist her in the move.
For clients who have a strong motivation to change.
To encourage the client to agree with the counselor's treatment recommendations.
Used to help enhance a client's intrinsic motivation.
To help a counselor determine a client's current stage of change.
Set goal dates for action steps
Define long term goals
The client admits to committing a robbery.
A parent requests information.
A school requests information to lift suspension.
There is suspicion of related child abuse.
What are some obvious behavior changes you should make?
Can you recognize the negative consequences of your behavior?
What are your thoughts on the pros versus cons of your behavior?
How do you want to change your behavior now?
A client attacks an employee of a treatment center in the treatment center parking lot.
A client admits to stealing money to pay for their treatment.
A client discusses a plan to deface a local bowling alley in retaliation for being kicked out after paying for their lane when an employee claimed they were disorderly.
A client decides to terminate use of anti-psychotics without consulting their physician and the counselor feels it is necessary to reach out to the physician and let them know.
Drinks responsibly but demonstrates a low level of tolerance.
Consumes more than 5 alcoholic beverages when at monthly social gatherings with friends.
Has a glass of wine every Friday night with dinner.
Is concerned about their drinking patterns and wants to find help.
Cognitive Behavioral Therapy