Resource Material
StratPsych Treatment Planner
StratPsych Treatment Planner
Patient Characteristics
Chief Complaints:
Diagnosis:
Age:
Sex:
Components of Treatment Plan
Treatment Modalities
(check all included)
o Individual psychotherapy
o Group psychotherapy
o Marital/couples therapy
o Family therapy
o Multiple Family Therapy
o Psychoeducation
Treatment Approaches
(check all used)
o Neurobiological
o Psychodynamic
o Behavioral
o Cognitive
o Cognitive-Behavioral
o Psychodynamic
o Interpersonal
o Dialectic Behavior Therapy
o Transference Psychotherapy
o Acceptance and Commitment Therapy
o Integrative Psychotherapy
o Eye Movement Reprocessing and Desensitization (EMDR)
o Internal Family Systems Therapy
o Functional Family Therapy (FFT)
o Multisystemic Family Therapy (MFT)
Treatment Setting
(check current)
o Outpatient
o Inpatient
o Partial Hospital
o Day Treatment
o Residential
o Community
o Outward Bound
Treatment Format
o Duration of Session
15___30___45___60___90___Extended___
o Length of Treatment
___Crises Intervention___Brief Treatment___Intermittent___Long-term
o Frequency of Sessions
Composition of Treatment Team
(check all that apply)
o Individual psychotherapist
o Co-therapists
o Drug and Alcohol Counselor
o Family therapist
o Group therapist
o Psychopharmacologist
o Play therapist
o Occupational therapist
o Educational therapist
o Recreational therapist
o Speech therapist
Ancillary & Adjunctive Treatment
o Yoga
o Meditation
o Relaxation Training
Treatment Team Leader(s)
Inter-disciplinary Team Composition
o Psychiatrist
o Psychologist
o Clinical Social Worker
o Licensed Marriage and Family Therapist
o Licensed Professional Counselor
o Advanced Practice Nurse
o Physicians Assistant
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