ASI Treatment Plan Template

Topics: Problem solving, Participation, Planning Pages: 1 (79 words) Published: November 27, 2014
Client Name: Counselor Name:
Problem Statement


D/C Criteria
What will the client say or do? Under what circumstances? How often will he/she say or do this?

What will the counselor/staff do to assist client? Under what circumstances? Service Codes
Target Date
Resolution Date

Participation in Treatment Planning Process

Participation by Others in the Treatment Planning Process

Note: All participants may not have participated in every area. Client Signature/Date

Counselor Signature/Date
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