Your task is to write a full biopsychosocial assessment for a client experiencing co-occurring disorders. You’ll need to be sure that this is a thorough assessment, Be sure to address substance use, mental health, and medical issues, focusing on the interplay between those factors. Write as if you’ve interviewed the client, with particular attention to differentiating the diagnoses between the three domains of Substance Use Disorders, Mental Health Disorders, and Somatic Problems.
Please follow the format linked here:
HUSC 244 Biopsychosocial Example.docx
Next create a treatment plan of at least 4 long-term goals for your client. At least one of those long-term goals should address substance use, and at least one should address the ongoing mental health concern.
Please keep in mind those spots where treating one issue might worsen the other. For example, removing alcohol from someone who uses it as a coping mechanism might acutely worsen anxiety. The treatment plan is the place to address those issues—a long term goal to decrease drinking might include one (of several) short term objectives to deal with the worsening anxiety.
Co-Occurring Disorders Treatment Plan Outline
The goal of this exercise is to present ONE of many varied approaches to treatment planning for
clients with co-occurring disorders. Treatment plans should be LIVING documents, and have
the dual purpose of providing a “snapshot” of the client’s experience at the time that it is
created, and documenting growth and change in the client over time.
This is how I often approach treatment plan formatting:
Issue #1: (In the client’s own words, what is the first issue that she or he would like to
address?)
Behavioral definition of the issue: (as defined collaboratively between the client and
counselor)
Long-term goal: (what is the desired change?)
Short-term objectives for the client: (how will she or he go about achieving the goal?)
Short-term objectives for the counselor: (how will I support the change?)
Re-evaluation date and criteria: (how and when do we measure the change?)
Resiliency factors: (what strengths does the client bring to the table?)
Supports needed: (what can I offer the client?)
Here’s an example of what you might see from a hypothetical client:
Issue #1: “I need to get back to work. I haven’t had a job since 2014”
Behavioral definition of the issue:
1. Patricia has experienced episodes of depression in which it was difficult to
get out of bed and go to work early in the morning.
2. When she feels depressed, Patricia tends to drink more. This makes it more
difficult for her to get out of the bed early to go to work.
Long-term goal:
When we agree that she is in a stable place to do so, Patricia will return to the
workforce
Short-term objectives for the client:
Patricia will use self-monitoring strategies to recognize the beginnings of
episodes of depression
Patricia will comply with medications as prescribed
Patricia will limit her drinking when she feels depressed—she will only drink ONE
alcoholic beverage when in social settings; she will not drink alone
Patricia will identify places that she could work, and will begin interviewing for
jobs when she and Ted agree that she is ready to do so
Short-term objectives for the counselor:
Ted will help Patricia to identify signs and symptoms that her depressive
episodes are beginning, perhaps through journaling.
Ted will refer Patricia to a psychiatrist for a medication evaluation, and provide
case management to ensure that Patricia’s treatment team is informed of her
progress and needs
Ted will work with Patricia to identify alternate coping strategies to avoid
drinking when depressed
Ted will offer Patricia a referral for a job coach to help her update her resume
Re-evaluation date and criteria:
We will monitor progress toward this goal weekly, and will evaluate outcomes
after 3 months
Resiliency factors:
Patricia has a long work history, and is highly valued in her field
Patricia has held jobs for many years at a time, however, she hasn’t worked for
two years
Patricia has the relevant education and experience to apply for supervisory roles
in her field
Patricia has child care lined up so that she is able to begin working when she is
ready
Supports needed:
Ted will refer Patricia to a psychiatrist to ensure that her medications are
adjusted properly
Ted will refer Patricia to a job coach to update her resume and discuss
interviewing strategies
Progress toward Issue #1: (progress specific to this problem will be noted here, separate from
the treatment progress notes)
September 12: Patricia and I discussed signs and symptoms of depression in its early
stages. I asked Patricia to think back to periods of her life when her depressive episodes began.
We noted a pattern that her depression often began at times of significant change or loss (at
her divorce, when the family relocated from Arizona, when her last child left home for college).
Patricia agreed to begin a mood journal to help identify other patterns.
September 21: Patricia shared her journal in today’s session, but hasn’t identified any
other significant patterns. Her appt. with the psychiatrist is tomorrow.
September 22: Patricia attended appointment with psychiatrists. Consents are signed
to share information. Treatment team informed that she kept the appointment. Report
expected next week. Will provide highlights to treatment team at staffing on October 2.
Issue #1:
Behavioral definition of the issue:
Long-term goal:
Short-term objectives for the client:
Short-term objectives for the counselor:
Re-evaluation date and criteria:
Resiliency factors:
Supports needed:
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Formatting
Title Page
Citation
Outline
