Where possible, to be completed jointly by
counsellor and client. Client to keep a copy. Case planning should be developed in
conjunction with a comprehensive assessment. This may identify a range of actions
relating to the presenting issue such as child protection, domestic violence or financial
mismanagement. |
Contents Summary of Assessment
Drug-Related Planning & Treatment Goals
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Relationship between drug use and presenting
& other related issues: ..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
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Client's perception of this relationship: ..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
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Other perceptions (e.g. professional, family,
friends, neighbour - if applicable) ..................................................................................................................................................
..................................................................................................................................................
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Problems of Drug Use (4Ls) .....................................................
....................................................
....................................................
....................................................
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Functions of Drug Use
....................................................
....................................................
....................................................
....................................................
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Strengths (or helps to change): Client &
Environmental Factors ....................................................
....................................................
....................................................
....................................................
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Weaknesses (or hinders to
change): Client & Environmental Factors
....................................................
....................................................
....................................................
....................................................
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Drug-Related Planning
& Treatment Goals
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Overall Drug-Management Goal(s) as Related to Presenting Issue (eg child protection;
parole management):
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
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Nature of Issue (eg
consumption)
..................................................................................................................................................
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Short-term strategy (days or weeks) ....................................................
....................................................
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Short-term, observable
outcomes.
....................................................
....................................................
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Nature of Issue (eg
problems of drug use)
..................................................................................................................................................
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Short-term strategy (days or weeks) ....................................................
....................................................
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Short-term, observable
outcomes.
....................................................
....................................................
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Nature of Issue (eg General
life enhancement)
.................................................................................................................................................
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Short-term strategy (days or weeks) ....................................................
....................................................
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Short-term, observable
outcomes.
....................................................
....................................................
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Nature of Issue (eg Relapse
prevention & Management)
....................................................................................................................................................
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Short-term strategy (days or weeks) ....................................................
....................................................
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Short-term, observable
outcomes.
....................................................
....................................................
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Client
Signature:.....................
Print Name:...............................
Date of Birth:...........................
Completion Date:......................
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Staff Signature:......................
Print Name:...............................
Review Date:...........................
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