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Republic of the Philippines

Department of Health
Regional Office IV-A (CALABARZON)
TREATMENT AND REHABILITATION CENTER
Tagaytay City

RECIPIENT INFORMATION
NAME/AGE
ARJAY ALVAREZ, 26
DORM/ID NUMBER ENTRY DORM

DATE OF ADMISSION
TREATMENT PLAN DATE

JULY 4, 2016
AUGUST 7, 2016

PROVIDE INFORMATION
DORM MANAGER
BRUCE NANQUIL
HOUSEPARENT
ALFRED GUEVARRA

PSYCHOLOGIST
SOCIAL WORKER

TEOFILO PALSIMON JR. RPm


GERALD EBANEN, RSW

MEDICATION
NONE
TREATMENT PLAN
DOMAIN

PRESENTING
COMPLAINT
(Substance
Abuse/Behavioral
Problem)

PSYCHOLOGICAL/
EMOTIONAL/
INTERPERSONAL

INTELLECTUAL
/SPIRITUAL
VOCATIONAL
SKILLS AND
TRAINING

Bro. ARJAY ALVAREZ


Residential Patient

PROBLEM

GOALS

OBJECTIVES

RESPONSIBLE
PROFESSIONALS

INTERVENTION

Defiant to authority as
evidenced by psychological
evaluation and exposure to
substance

Bro. Alvarez will develop a program


of recovery congruent with a sober
lifestyle

Bro. Alvarez will conform and


comply on the prerequisite
activities of the structured
program of Therapeutic
community

Monitor the patients acquiescence


and submission to rules and
regulations of the program

Distant relationship with father


(authority figure) as indicated by
the patients account

Bro. Alvarez will learn to express


negative feelings to his father and
to share positive feelings

Bro. Alvarez will communicate


his hostile feelings to his father in
a one-on-one encounter

Assign Bro. Alvarez to write a list or


narrative of his feelings toward his
father

Anger control as evidenced by


history of violence and
aggressive outburst

Bro. Alvarez will develop the ability


to use anger appropriately

Bro. Alvarez will join and attend


data session and lectures about
anger management

Bro. Alvarez will complete exercises of


anger control workbook

Need of moral grounds as


indicated by his moral
ambivalence

The patient will develop a positive


commitment to God and/or his
spiritual belief

Bro. Alvarez will be expected to


share feelings and insights on
activities of spiritual gathering.

Bro. Alvarez will meet with Pastor


Briones and explain how he can use a
Higher Power in recovery and sobriety.

Pastor Briones

N/A

N/A

No presented problem

MARVIN C. AMBION, RPm


Dorm Manager

N/A

N/A

GERALD EBANEN, RSW


Social Worker

TEOFILO PALSIMON JR. RPm


Psychologist

DATE
ACCOMPLISHED
AND REMARKS

Staff-On-Duty,
Houseparent, Dorm
Manager, Social
Worker, and
Psychologist

Psychologist and
Social Worker

MA. RHODA SOSA, RN, MPA


Program Manager

Republic of the Philippines


Department of Health
Regional Office IV-A (CALABARZON)
TREATMENT AND REHABILITATION CENTER
Tagaytay City

Bro. ARJAY ALVAREZ


Residential Patient

MARVIN C. AMBION, RPm


Dorm Manager

GERALD EBANEN, RSW


Social Worker

TEOFILO PALSIMON JR. RPm


Psychologist

MA. RHODA SOSA, RN, MPA


Program Manager

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