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Treatment Planning in TIER Workflow


Behavioral health organizations utilize many different approaches to development of treatment plans within their organizations. A well-designed treatment planning process is an important service delivery resource to help individuals and their families identify and prioritize problems or needs that will be addressed through treatment services. Also,

CMS and accreditation organizations such as JCAHO, CARF, and COA require that organizations formalize a treatment planning process beginning at time of intake and admission and update at key decision points based on length of stay in treatment and/or clinical condition or needs of the patient.

Three approaches to treatment planning and related forms are included in the Service Delivery component of TIER Workflow:

  • An Initial Treatment plan is provided for patients receiving short-term Level 1 (Brief) services or the equivalent period of time from intake until a more comprehensive plan or update is needed.
  • A Master Treatment plan is provided as a more comprehensive plan for patients receiving Level 2-3 (Intermediate and Extended) services.
  • A Continuing Care Plan is provided for patients receiving Level 4 (Continuing Care) services

It is important to note that the initial and master treatment plan approaches are designed for use in Level 1-3 service programs in which the focus is “primary treatment” in order to assist the individual being served to achieve a higher level of functioning, personal stability or growth.

In addition, an Integrated Clinical Summary is provided to assist staff with creating a formulative summary of significant findings, from completed baseline and special assessment, as a basis for development of the Master Treatment plan. (See narrative on the Integrated Clinical Summary). In this manner, prioritized problems or needs from the integrated summary can be initialized to the Master Treatment plan for development of. related goals, objectives, and interventions/modalities.

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