Addiction Awareness OSCA 11-036 response - REDACTED.pdf

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Client Name: ADDICTION AWARENESS, LLC Phase 3 Treatment Plan Goal ____: Problem/Need: __________ ___________________________________________________________________________ ___________________________________________________________________________ A. Behavioral Objective (Intervention): _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Staff: ________________________ Person Responsible: Client Date Assigned: Admission Date Due: ____________________ Completion Date:__________________ B. Behavioral Objective (Intervention): _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Staff: ________________________ Person Responsible: Client Date Assigned: Admission Date Due: ____________________ Completion Date:__________________ C. Behavioral Objective (Intervention): _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Staff: ________________________ Person Responsible: Client Date Assigned: Admission Date Due: ____________________ Completion Date:__________________ Client Signature Date: Staff Signature Date:
ADDICTION AWARENESS, LLC PROGRAM SUMMARY/TREATMENT PLAN UPDATE Client Name: Referral Source: Admit Date: __________________________________________________________ __________________________________________________________ __________________________________________________________ Current Phase: _____ Summary of Treatment Progress: Presently, I am working on Step ______ and addressing the following issues as well Goals Completed since last review: Group Participation: Client attends the following schedule: __________________________________________ Client’s participation is _____________________________________________________ Family Participation: ______________________________________________________ Next Month’s Expectations/Goals: Goal : ________________________________________________________________ Behavioral Objective/Assessment: ____________________________________________________________________________ ____________________________________________________________________________ Staff: __________ Person Responsible: Client Date Assigned: ________ Date Due: ________ Completion Date: ________
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OSCA 11-036 Treatment Court Special
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Jeremiah W. (Jay) Nixon Governor Ge
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John Sutherland Counseling 902 Edmo
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Lisa Doyle, CRADC QMHP Objective To
Page 53 and 54: I'rofn_Su........., --. "010 ......
Page 55 and 56: • • • T_hina .......... 7·10
Page 57 and 58: Evelyn Coffman Office Manager 4/198
Page 59 and 60: • Individual counseling , group c
Page 61 and 62: Rita Miller Goal: To become a subst
Page 63 and 64: State of Missouri Office of Adminis
Page 65 and 66: ADDICTION AWARENESS, LLC CONSENT FO
Page 67 and 68: What do you expect/need from treatm
Page 69 and 70: Signature: Title Date: Progress Not
Page 71 and 72: 02/28/2011 ENTER SITE NAME HERE Pag
Page 81 and 82: addicted individual. Alcoholism and
Page 83 and 84: JUSTICE 9. Made direct amends to su
Page 85 and 86: chemical dependency or experiencing
Page 87 and 88: you see someone else do something n
Page 89 and 90: When you have achieved all the requ
Page 91 and 92: 6. Be well-groomed and clean for al
Page 93 and 94: Community of the results of Level-U
Page 95 and 96: ___________________________________
Page 97 and 98: Addiction Awareness, LLC DRUG COURT
Page 99 and 100: G. Behavioral Objective (Interventi
Page 101 and 102: G. Behavioral Objective (Interventi
Page 103: G. Behavioral Objective (Interventi
Page 107 and 108: ADDICTION AWARENESS LLC EVALUATION
Page 109 and 110: --------- City of Saint Joseph, Mis
Page 111: '_od •• 1___ ""It.,.. I ~ ll'::
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