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Mental health treatment plan goals: Setting providers and patients up for success

goals of substance abuse treatment

For example, informed consent involves educating clients about the nature of their condition, the parameters of the treatment and treatment context, including treatment alternatives, and acts as a springboard for treatment planning. The process is part of standard medical ethics (Institute of Medicine, 2001) as well as ethical principles in fields such as clinical psychology (American Psychological Association, 2002) or social work (National Association of Social Workers, 1999). Informed consent not only meets standards of ethical care but also promotes client self-determination, ownership over the treatment process, and can help to build therapeutic rapport (Fisher & Oransky, 2008; Walker et al., 2005), which are all factors that this review highlights. Yet in a study of informed consent to research with community addictions clinicians, less than half of those surveyed understood central concepts involved in the process (Forman et al., 2002).

What is the prognosis for substance use disorder?

Problematic early life experiences, physical and sexual abuse, witnessing violence among family and friends, and other traumatic life events often emerge as key issues in substance abuse treatment. Whether identified initially or after a period of treatment, it is important that these issues be reflected in the treatment plan, matched with interventions likely to be effective, and tracked with regard to progress. For example, while most clients will find that negative mood will decrease over the first few months of abstinence and treatment, an individual’s depression, nightmares, and other trauma-related symptoms might persist after several months.

  • These models have considerable value for both treatment planning and research as ways of describing and communicating about where a client is in regard to readiness (McHugo et al. 1995).
  • PARP inhibitor Lynparza (olaparib) is a targeted treatment option that has been studied in early and metastatic breast cancer patients with an inherited BRCA mutation.
  • Integrating treatment for AUD with treatment of co-occurring conditions related directly or indirectly to alcohol use is an important step toward improving alcohol-related outcomes and overall health.
  • With this assessment in hand, the treatment plan can be used to alert and guide the individual and staff regarding triggers for the unwanted behaviors and ways to defuse their appearance, or ways to limit the threat they present to the client and others.

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The next principle highlights the importance of the working therapeutic relationship (e.g., Eubanks & Goldfried, 2019; Karlin & Wenzel, 2013; Prescott et al., 2017; SAMHSA, 2017), which is a principle highlighted in both of our prior reviews. However, what is unique here is the role of goal setting and monitoring in facilitating a working relationship by promoting client engagement and ownership over the course of care (Lewis et al., 2017; Scott & Lewis, 2015). In principles three and four, the nature of the interaction is described, and five and six identify the sources of input. Principle three highlights that both goal setting and goal monitoring are interactive processes (Elwyn et al., 2012; Law & Wolpert, 2014).

Sources yielded four practices consistent with the principle of attending to client motivation (principle eight). A number of sources (9 of 62) highlighted the role of the Transtheoretical Model of Change (Prochaska & DiClemente, 1984), and argued for the importance of matching treatment to a client’s stage of motivational readiness (SAMHSA, 2017; 2019; Vakharia & Little, 2016). This includes exploring values (Carroll, 1998; Elwyn et al., 2012); reasons for or against a particular outcome, goal, or objective (SAMHSA, 2012); and perceptions of others whose views matter to the client (Miller et al., 1992). Further, ambivalence is one aspect of fluctuating motivation in ongoing goal pursuit (7 of 62 sources); therefore, it should not be feared or vilified, but rather viewed as just another force in the natural momentum of change (Miller et al., 1992; Miller, 2002). Warren is a Licensed Master Social Worker, who specializes in substance abuse and mental health treatment.

Psychological and behavioral treatments

goals of substance abuse treatment

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