SW 463 Treatment Plan

Treatment Plan Practice Form

Created by: Ann Nielsen
Client Name: Taylor Hunter
Issues of concern (Select only one for this assignment)
☐Development ☐Legal ☐Mental Health ☐Employment
☒Academic ☐Sexual ☐Safety ☐Family
☐Medical ☐Substance abuse ☐Social ☐Living
☐Connections/ Supports ☐Environment

Client strengths (at least three)

 Tayler can spell his name
 Tayler knows to go to his parents for help
 Tayler has a good memory
 Tayler loves the different holidays and remembers when they are going to happen

Instructions: Create one issue statement, one long term goal (that describes what it is like when
the identified problem is fixed), one short term goal (that identifies one step to reach the long
term goal) and one intervention. As you do so ensure that you follow the threading principle.
Keep in mind that the intent of this assignment is to practice treatment planning skills, not to
write a full comprehensive treatment plan. Later in the semester you will have the opportunity to
write a full treatment plan. For now, just focus on the treatment planning skills.
Issue Statement for selected issue of concern: (Problem description and barrier)
Tayler is 5 years old and seems to be at the level of a 1 year old. His parents have to get him
ready for the day because he cannot dress, shower, brush his teeth or take care of himself. His
parents feel that it would be great progress if he can learn personal hygiene.

Goals Target Date

Goal # (What the client will do, Measurable, Objective, Realistic, Time limited) Date Attained
July 31,
LTG #1
Tayler will learn personal hygiene. 2021
July 31,
STG #1 Tayler will learn to change his clothes by himself within the 2021
next 3 weeks.
Interventions
(What the professional will do: Title, Service description, Frequency, Duration,
Int # Professional responsible) Frequency Duration
Int #1 Professional providing the service: Monte Fullmer Once a 10
Service Title: Occupational Therapy week Months
Service Description: Teaches Tayler and his parents skills in
dressing, bathing, and brushing his teeth.
SW 463 Treatment Plan