The long-term management of schizophrenia with a goal of functional rehabilitation remains an enormous challenge to clinicians despite improvements in drug therapy, psychosocial treatments, and family and community interventions. Generally one third of patients will respond well to the first antipsychotic therapy given, one third will respond albeit sub-optimally to therapy, possibly requiring a switch in atypical antipsychotic or the addition of adjuvant therapy to manage co-morbid conditions,  and one third of patients will exhibit resistant schizophrenia. The patient will learn how to tolerate uncomfortable feelings with-out using chemicals. Know the impact of … Recommend and optimize appropriate pharmacologic and nonpharmacologic therapy for patients with schizophrenia. The treatment goals agreed with the patient, often with the collaboration of their family or other supporters, influence treatment decisions greatly. Progress toward these goals should be carefully monitored and evaluated. 1 Improving an individual’s functional capacity will affect their quality of life, which is ultimately, as valuable as treating positive symptoms. These components all work in assisting clients to manage their psychotic symptoms. The Treatment Plan 77 Goals and Objectives 05-Perkinson-45451.qxd 11/13/2007 5:25 PM Page 77. There is a point in the film where Susan interviews her father about Millie and her history of mental illness. TREATMENT PLAN GOALS / OBJECTIVES. Quick Guide to Goals, Objectives & Interventions January 2013 . View Treatment Plan No plagiarism, guaranteed! Treatment Goals – the “building blocks” of the plan, which should be specific, realistic, customized for the client, and measurable Objectives – goals are the larger, more broad outcomes the therapist and client are working for, while multiple objectives make up each goal; they are small, achievable steps that make up a goal Section III describes treatment settings and housing options and provides guidance on choice of setting. Millie and her family are lacking a holistic approach to her treatment and are being given one solution for her psychiatric issues: medication. Tests and screenings. al, 2016). Many clients feel conflicted and uncertain in taking medications due to the possible side effects (Deegan, 2007). Schizophrenia is a life-long disease that cannot be cured, but it can be controlled with proper treatment. Lastly, clients often face practical problems that result in medication nonconcordance. The assessment method that I would first use for Millie is a semi-structured interview. STATUS: 9/22/2016: The undersigned clinician met with the patien t (and family, as appropriate) on the date above in a face to face meeting to work with her in developing this Treatment Plan. With adaptations in place, motivational interviewing could be a key component in motivating Millie towards treatment and medication adherence. Millie continued to be the primary care taker for her children until their adolescence, with her psychotic symptoms worsening. Medication is necessary in Millie’s case as part of her treatment, but in order to successfully rehabilitate Millie a more holistic approach needs to be taken with her care. If this is the case they begin checking hospitals and local agencies to attempt to locate their mother. She expresses feeling unattached to other people, almost as if she were an orphan. Millie eventually saw a psychiatrist who diagnosed her with schizophrenia. Education can help friends and family understand the disorder and be more compassionate with the person who has it. Given the importance of medication concordance for individuals with psychotic symptomology, there are many interventions that have been developed in order to maintain medication concordance. Objectives – goals are the larger, more broad outcomes the therapist and client are working for, while multiple objectives make up each goal; they are small, achievable steps that make up a goal Modality, Frequency, and Targets –different modalities are often applied to different goals, requiring a plan that pairs modalities, a frequency of sessions, anticipated completion date, etc., with the respective goal 2 . The information on this site is exclusively intented for health care professionals. Thus, during a first, psychotic phase or during a relapse, the goal is to treat positive symptoms as well as to ensure the security of the patients and their environment. Treatment Plan Overviews Conduct Issues. Examples of Measurable and Non-Measurable Treatment Goals Non-measurable goals Patient will effectively manage their depression. This constant cycle leads to feelings of anger and frustration that are experienced by the supporting family members. Our academic experts are ready and waiting to assist with any writing project you may have. Family therapy can help families deal more effectively with a loved one who has schizoaffective disorder, enabling them to contribute to a … This likability will help Millie in creating stronger social supports as well as contribute to creating trusting and pleasant relationships with her providers. Millie is a Caucasian female who is in her late fifties. 2 . Impaired Social Interaction. Even after her diagnosis Millie continued to worsen, becoming more withdrawn and psychotic. Treatment planning is a team effort between the patient and the counselor. Furthermore, a CBT therapist can work with Millie to provide psychoeducation on schizophrenia and antipsychotic medications, this may provide Millie with some insight into her mental illness and to the experiences that she has had. Part of our behavioral health resources, this is a broad overview of our treatment plan for the treatment of conduct issues. Many of the skills used in cognitive behavioral therapy and motivational interviewing overlap and therefore the two modalities are useful to use in conjunction (Mueser et. LONG TERM GOAL: Mary will reduce overall level, frequency, and intensity of anxiety so that daily functioning is not impaired. Millie’s daughters share that Millie has a very limited support network of a few family members.   In order to achieve these types of therapeutic goals, the therapist and client will work together to collaborate on a treatment plan. Sisters Susan and Tina check in regularly on Millie and sometimes they cannot get into contact with her. The sisters seem temporarily relieved when Millie is released from the hospital as Millie has been stabilized on medications and her symptoms have greatly reduced. Jill will become involved in at least one additional extracurricular activity or sport 3. This plan would focus on the identified problem of medication nonadherence. The technical information of the drugs is provided merely informative, being the responsibility of the professionals authorized to prescribe drugs and decide, in each concrete case, the most appropriate treatment to the needs of the patient. She is nonchalantly read which medications she cannot refill and at what time she can refill them. Objective: Client will report medication concerns or side effects to the case  Â Â Â Â Â Â Â Â Â Â Â Â Â                 Â Â Â Â Â Â Â Â Â Â Â Â Â        manager and prescriber. For someone who is in a delicate mental state, this could be a detrimental experience towards medication nonconcordance. Goals of treatment • Prevent harm. We know from the film that Mille had a number of prescribers who all had a different idea of what medication regimen she should be on. When adapted for individuals who experience psychosis, motivational interviewing can be a key intervention in order to increase motivation for treatment and to ensure that clients attend treatment (Fiszdon et. Section II.F, “Clinical Features Influencing the Treatment Plan,” discusses a range of clinical considerations that could alter the general recommendations dis-cussed in Section II. Her nonadherence to medications causes distress for the client and her family as the client has a well-established pattern of entering the psychiatric hospital, becoming stabilized on medications, getting discharged from the hospital, managing for a short period of time before ceasing her medications, then the client decompensates and is placed in the psychiatric hospital again. There are also some goals and objectives that are at the forefront of treatment and that therapists consider the most important aspects of it. Whenever possible, evidence directly pertaining to other psychotic disorders has been incorporated. Across various populations and diagnosis of serious mental illness there are four main, consistent factors that influence nonconcordance in clients; co-occurring substance abuse, medication side effects, the quality of the relationship between the patient and the prescriber, and practical problems that interfere with taking medication regularly (Corrigan, 2016). Stay focused on goals. She does not view herself has having an illness or a problem which has a direct effect on her motivation to change (DiClemente, 2008). From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. 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