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Competency 4: Person-Centered Treatment Matching & Treatment Planning

Skill 4A: Able to formulate a Narrative (Integrative) Summary based on history and assessment data.

  • Understand the role and importance for the development of a Narrative (Integrative) Summary in the context of Person-Centered Recovery Planning.
  • Understand the key elements to be included in the Narrative Summary.
  • Understand the need for inclusion of a cultural formulation within the Narrative Summary.
  • Understand how to include transition and discharge planning within the Narrative Summary.

Skill 4B: Able to utilize the results of an integrated assessment in collaboration with the client to develop an integrated treatment plan that captures and addresses the interaction between mental health and substance abuse.

Understand that a person-centered treatment plan:

  • Addresses both the substance related and mental disorder concurrently with a level of intensity based on the client’s assessment information and consistent with the acuity, severity, and disability associated with each disorder.
  • Contains specific detail as indicated by clear, objective, measurable outcomes with targeted behaviors and goals aimed at reducing the adverse consequences of both disorders and their interaction.
  • Identifies the client’s strengths and supports the use of them in reaching desired outcomes.
  • Identifies the client’s natural supports and supports the use of them in reaching desired outcomes.
  • Suggests intervention strategies compatible with each stage of change and stage of treatment for each disorder.
  • Uses both substance-use and mental disorder symptom reduction as well as abstinence-based substance abuse models matched to the client’s stage of change. Clearly articulates the treatment plan in writing and has it available in the client’s record for review at case consultation, supervision, or updates by all involved in the clinical treatment team.

Skill 4C: Able to work collaboratively with others to ensure treatment plan goals are implemented.

  • Understand that effective teamwork positively impacts client safety and treatment progress.
  • Knowledge of the roles, functions, and responsibilities of individuals in and outside of an organization that impact the client’s care. (Family members, insurance providers, treatment providers etc.)
  • Knowledge of the skills that promote a culture of collaboration and effective teamwork (clinically and organizationally).

Skill 4D: Able to generate collaborative documentation that reflect advances and barriers to treatment goals.

  • Understand that what is captured in the assessment is addressed or followed up in treatment.
  • Understand that documentation can be a clinical tool used to assist and support staff in maintaining person centered treatment.
  • Understand the importance of revisiting the treatment plan on an ongoing basis as means to track engagement, alignment, and progress.

Skill 4E: Able to generate a discharge/ transition plan that is individualized, collaborative, comprehensive, clearly understood and defined.

  • Understand that discharge/transition planning is a process that begins upon admission to a program.
  • Understand key elements of effective discharge/ transition planning include:
    • Involvement of the individual, family, natural supports, members of the clinical team, and community partners.
    • Identification of services (treatment, case management, housing, recovery supports, etc.) needed post-discharge
    • Relapse prevention interventions and contingency planning
    • Clearly defined roles and responsibilities.
  • Mechanism to monitor progress.

Skill 4F: Able to promote relapse prevention and self-efficacy.

  • Understand that recovery is an ongoing long-term process.
  • Knowledgeable of relapse prevention strategies and techniques.
  • Understand the importance of support networks in achieving success early on in treatment and post treatment.
  • Knowledge of recovery supports for substance use and mental health.