Treatment Planning with the MATRS and ASI
Instructor; Dr. Dawn-Elise Snipes
Executive Director, AllCEUs Counselor Education and Training
Podcast Host: Counselor Toolbox, Addiction Counselor Exam Review & Happiness Isn’t Brain Surgery
Objectives
• Examine how Addiction Severity Index information can be used for clinical applications and assist in program evaluation activities.
• Identify differences between program-driven and individualized treatment planning processes.
• Gain a familiarization with the process of treatment planning including considerations in writing and prioritizing problem and goal statements and developing measurable, attainable, time-limited, realistic, and specific (M.A.T.R.S./SMART) objectives and interventions.
• Define basic guidelines and legal considerations in documenting client status.
ASI
• Medical Status
• Life interference
• Due to addiction
• Assessed need for medical intervention
• Education, Employment, Finances
• Level of education
• Occupational hx forever and last 30 days
• Drivers license/transportation
• Sources of financial support
• Dependents
• Perception of employment / financial issues
• Assessed need for employment counseling
ASI
• Alcohol/Drug Use
• Drugs (addictive behaviors) used, pattern and method
• Amount of money spent
• Which drugs (behaviors) most problematic
• Voluntary abstinence – When, for how long, how and what triggered relapse
• Hx of medical problems due to use
• Treatment Hx
• Perception of the need for treatment
• Assessed need for treatment
ASI
• Legal status
• Probation or parole
• Is treatment court mandated
• Are you awaiting trial / pending charges
• Catalog charges and frequency
• How many charges are addiction related
• How many charges resulted in convictions
• How many times have you been incarcerated?
• How many days in the last 30 have you been in jail
• Perception of legal problems
• Assessed need for legal services/counseling
ASI
• Family/Social History
• Identify history of addiction or psychiatric issues in 1st and 2nd degree family members
• Marital status and satisfaction
• Living arrangements and satisfaction (Recovery environment)
• Use of alcohol or drugs in the household
• With whom do you spend most of your time
• Who are your close friends
• Have you had serious difficulty getting along with any first degree family member, coworker or friend
• Trauma/abuse history
• Perception of interpersonal problems
• Assessed need for family/social counseling
ASI
• Psychiatric
• How many times hospitalized
• Number of times ever and 30 days you have experienced depression, anxiety, hallucinations, cognitive difficulties, suicidal ideation,
• Are you on or have you ever been on psychiatric medications
• Perception of psychiatric issues
• Assessed need for mental health counseling
Process Review
• An assessment is conducted.
• Data and information are collected from the client, collateral sources, and assessment scales.
• Problems are identified.
• Readiness for change for each problem is identified
• Problem statements are prioritized.
• Goals are created that address the problems.
• Objectives to meet the goals are defined
• Interventions are revised or changed based on client response to treatment
Treatment Plan Overview
• Developed at admission and continually updated
• Individualized
• Problem statements are
• Nonjudgmental
• Not jargony “denial” “resistant” “Codependent”
• Goals must be
• Specific
• Measurable (as evidenced by)
• Achievable
• Relevant
•