Addiction Awareness OSCA 11-036 response - REDACTED.pdf

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Goal : ________________________________________________________________ Behavioral Objective/Assessment: ____________________________________________________________________________ ____________________________________________________________________________ Staff: Person Responsible: Client Date Assigned: Date Due: Completion Date: Discharge Planning: Client has begun planning for discharge by Attending ______ meetings. Contacting sponsor _____ times this month. _______________________________________ Client Signature _______________ Date Clinician’s Notes: ______Client appears to be progressing normally. ______Client appears to be in denial about the severity of addiction due to ______Client shows lack of desire to stay sober /clean due to Additionally: _______________________________________________ Staff Signature Date _______________________________________________ Referral/PO Signature – if required Date
ADDICTION AWARENESS LLC EVALUATION Name: __________________________________________________________ Please take a minute to fill out this evaluation on the day. Please use the back to make any suggestions for upcoming classes. 1. Has your group been a valuable experience for you? (even though you most likely had to take it) No Somewhat Yes 1 2 3 4 5 6 7 8 9 10 Comments: 2. How would you rate the staff’s ability to lead the groups? Poor Fair Great 1 2 3 4 5 6 7 8 9 10 Comments: 3. How helpful has your treatment been for you? Of little help Very helpful 1 2 3 4 5 6 7 8 9 10 Comments: 4. List 3 things that you learned in group: a. __________________________________________________________ b. __________________________________________________________ c. __________________________________________________________ 5. How did this group most help you? 6. What didn’t you like about the group so far? 7. How could this group be improved in the future?
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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
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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 105: ADDICTION AWARENESS, LLC PROGRAM SU
Page 109 and 110: --------- City of Saint Joseph, Mis
Page 111: '_od •• 1___ ""It.,.. I ~ ll'::
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