PCN-545 Treatment Plan Template Directions: Complete the treatment plan template for the case study of Marisa. An example has been provided for you. Once the table is completed, address the questions listed below the table. Your response to each question should be 100-125 words. You must cite the specific legal standards of the state in which you plan to practice when answering the questions. Example: Date When was this goal created? Problem Statement In the clients own words : “I want to worry less” Goal In clinical words, what will it look like by the end of treatment? Relate back to the problem statement. Client will reduce worry from daily to weekly Objective What methods of treatment and frequency will you use to achieve treatment goals? Weekly talk therapy meetings. Weekly DBT Length of Service How long will treatment be? Client will attend individual therapy for 8 weeks; client will attend group therapy for 13 © 2014. Grand Canyon University. All Rights Reserved. Goal Date When will this particular goal be achieved? Client reduce worry from daily to weekly by 3/15/17 Client Name: Date Problem Statement Goal Objective Length of Service Client Signature and Date Counselor Signature and Date © 2014. Grand Canyon University. All Rights Reserved. Goal Date 1. At what point will you report Marisa's situation to the state? (use the state in which you plan to practice) 2. If you were to report the situation, where would you report it (e.g., agency/organization)? Why? © 2014. Grand Canyon University. All Rights Reserved.

Case Study: Marisa Name: Marisa Demographics Marisa is an 11-year-old Hispanic-American female. Marisa is in the 7th grade at a local school. She lives with her biological mother and her stepfather. Marisa has three siblings: one brother and two sisters. Marisa is the oldest child. Marisa’s biological father is inconsistently in her life, and visits with her a couple of times a year. He lives in the same city as Marisa, but doesn’t seem to hold a job long enough for her mother to collect child support. Marisa is the only child from her mother’s first marriage; her siblings were born during her mother’s current marriage. Treatment History Marisa has been to therapy “a couple of times” when she was 6 years old. Marisa’s mother reports that she (mother) has always had difficulty “managing Marisa’s behavior.” Current Treatment Marisa reports that she visits her school counselor sometimes. Current Medical N/A Current Disposition Marisa’s mother has brought Marisa into your office seeking counseling for oppositional behavior. Marisa’s mother reports “Marisa is so disrespectful; she talks back, yells at me, and just won’t do what she is told.” While you are talking with Marisa and her mother they describe a recent argument. Marisa reports that her mother “slapped me” during the argument. Marisa’s mother reports, “She hit me; I had to do something.” As you tell Marisa and her mother that you are a mandatory reporter and start describing what that means, Marisa’s mother gets upset and leaves the office, taking Marisa with her. Notes Due to the intake paperwork, you have the family’s address and demographic information. © 2014. Grand Canyon University. All Rights Reserved.