Elements and Performance Criteria
- Elements define the essential outcomes
- Consider the type of treatment and services to be provided
- Interpret presenting issues and requirements from client assessment
- Work with client to identify interaction and relationship between different presenting issues in the context of their health and demographic profile
- Identify the need for potential referral, and collaboration with other services
- Identify and respond to the need to consult with other professionals or specialists as required
- Explain the purpose of the planning process and developing the treatment plan, and the roles of different people
- Discuss with client their readiness for development of a treatment plan
- Determine treatment goals and strategies
- Discuss desired outcomes, priorities and long term goals with the client
- Identify any barriers and/or cultural factors that may impact on reaching goals
- Provide information about different service and support options suited to the client’s needs
- Assist client to evaluate and select strategies to achieve their goals
- Determine preferred actions and prioritise
- Confirm client capacity to meet the logistical demands of selected strategies
- Establish timelines for identified goals with consideration of overlaps between different services and support
- Agree on type and frequency of interactions
- Work with the client to identify others in the client and family support network to be involved in the treatment plan, and their roles
- Record goals and selected strategies in the individual treatment plan according to organisation protocols
- Review client progress
- Regularly review client’s progress against negotiated goals and action plans
- Monitor, record and report client progress in accordance with organisation guidelines
- Negotiate revised action plans and timelines and record in the treatment plan as needed
- Accurately record revisions in the individual treatment plan according to organisation protocols
- Negotiate exit from the program with the client and provide support in accordance with organisation policies and available resources
- Review outcomes of interventions with supervisor and/or colleagues