My Treatment Plan
Name
: April Smith
Date
: 6/6/2017
Problem #
: 1
My counselor and I agree that the
problem/goal
I need to work on is: Being able to discuss my relationship with alcohol and marijuana
We have identified the following as a strength I have that can help me work on this problem/goal.
Strength
: My love for my children
Goal
: Be able to share honestly with myself, my counselor, and eventually with my treatment group my relationship with substance use, how it helps me and any consequences I have experienced with its use.
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Date Added
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Steps to Complete Goal
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Completion Target Date
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Date Completed
|
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6/6
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1. Start journaling about my substance use
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7/6/17
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6/6
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2. Share with group that I am journaling about my use
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6/13/17
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6/6
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3. Share something personal about me with the group
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6/20/17
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6/6
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4. Attend 12 step meeting and share a personal story with the group
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6/27/17
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|
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6/6
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5.
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Intervention(s)
: Assigned journaling homework
Participant’s Signature
: April Smith
Date
: 6/6/2017
Counselor Signature
: Donna Wells MA, CDP
Date
: 6/6/2017
Reviewed:_____________ Date:_____________ Reviewed:_____________ Date: _____________
Reviewed:_____________ Date:_____________ Reviewed:_____________ Date: _____________