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Louisiana Association of Drug Court Professionals 8 th Annual Louisiana Drug Court Conference

Louisiana Association of Drug Court Professionals 8 th Annual Louisiana Drug Court Conference New Orleans Marriott New Orleans, Louisiana February 24, 2006. Treatment Planning: Making it Real, Making it Work Terrence D Walton, MSW, ICADC. How Good Treatment Planning Benefits the Client.

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Louisiana Association of Drug Court Professionals 8 th Annual Louisiana Drug Court Conference

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  1. Louisiana Association of Drug Court Professionals 8th Annual Louisiana Drug Court Conference New Orleans Marriott New Orleans, LouisianaFebruary 24, 2006 Terrence D. Walton Terrencewalton@aol.com

  2. Treatment Planning: Making it Real, Making it Work Terrence D Walton, MSW, ICADC Terrence D. Walton Terrencewalton@aol.com

  3. How Good Treatment Planning Benefits the Client • Provides Roadmap through the Process of Recovery • Empowers and Engages • Motivates and Measures • Provides Rare Opportunity for Individual Attention Terrence D. Walton Terrencewalton@aol.com

  4. How Good Treatment Planning Benefits the Counselor • Improves Success Rates • Focuses Intervention Efforts • Identifies When Progress Has Stalled • Facilitates Appropriate Therapeutic Distance Terrence D. Walton Terrencewalton@aol.com

  5. The Treatment Planning Process • Begins the Therapeutic Alliance • Collaborative • Client-Centered, yet Directive • Flows from Assessment and To Progress Notes Terrence D. Walton Terrencewalton@aol.com

  6. The “How” of Treatment Planning • Ask Open Questions • Listen Reflectively • Affirm • Summarize • Elicit Change Talk Terrence D. Walton Terrencewalton@aol.com

  7. The “What” of Treatment Planning • Brief Assessment of Levels of Functioning/Problem Statement • Target Areas • Goals • Objectives • Methods/Activities • Start & Completion dates Terrence D. Walton Terrencewalton@aol.com

  8. SMART Objectives • S • M • A • R • T Terrence D. Walton Terrencewalton@aol.com

  9. Why are these objectives not SMART? • Joe and his family will continue to work with counseling center to resolve family issues. • Perry will learn sufficient information from drug education group. • Mr. Ryan will better understand his addiction. • Ms. Houston will achieve total abstinence. • Mary will regain custody of her children by the end of her treatment. • Counselor will give assistance with goal as needed. Terrence D. Walton Terrencewalton@aol.com

  10. ASAM & Treatment Planning Dimension 1: Acute Intoxication and/or Withdrawal Potential Dimension 2: Biomedical Conditions and Complications Dimension 3: Emotional, Behavioral, or Cognitive Conditions & Complications Terrence D. Walton Terrencewalton@aol.com

  11. ASAM & Treatment Planning Dimension 4: Readiness to Change Dimension 5: Relapse, Continued Use, or Continued Problem Potential Dimension 6: Recovery/Living Environment Terrence D. Walton Terrencewalton@aol.com

  12. Severity Ratings Low Medium High Terrence D. Walton Terrencewalton@aol.com

  13. Assessing Acute Intoxication and Withdrawal Potential Terrence D. Walton Terrencewalton@aol.com

  14. Assessing Biomedical Conditions and Complications Terrence D. Walton Terrencewalton@aol.com

  15. Assessing Emotional, Behavioral, & Cognitive Conditions and Complications Terrence D. Walton Terrencewalton@aol.com

  16. Assessing Readiness to Change STAGES OF CHANGE • Pre-contemplation • Contemplation (ambivalence) • Preparation • Action • Maintenance Terrence D. Walton Terrencewalton@aol.com

  17. Assessing Relapse, Continued Use or Continued Problem Potential • Historical Pattern of Use • Pharmacologic Responsivity • External Stimuli Responsivity • Cognitive and Behavioral Measures of Strengths and Weaknesses Terrence D. Walton Terrencewalton@aol.com

  18. Imminent Danger • (a) The strong probability that certain behaviors (such as continued drug use or relapse) will occur, • (b) the likelihood that such behaviors will present a significant risk of serious adverse consequences to the individual and/or others, and • (c) the likelihood that such adverse events will occur in the very near future Terrence D. Walton Terrencewalton@aol.com

  19. Assessing Recovery/Living Environment • Supportive of or Toxic to Recovery (continuum) • Isolation versus Enmeshment (continuum) • Potential for victimization or perpetration Terrence D. Walton Terrencewalton@aol.com

  20. Louisiana Association of Drug Court Professionals 8th Annual Louisiana Drug Court Conference Terrencewalton@aol.comFebruary 24, 2006 Terrence D. Walton Terrencewalton@aol.com

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