Sample Individual Treatment Plan (ITP)
Client Name: Tony
Date of Plan 7-04
Client ID: 1234567________
Individuals Involved in the development of the ITP
Client/Agency/Title/Family Member/Other (specify
)
Tony
Client
Mark
Best ARMHS Mental Health Practitioner
John
Best ARMHS Nurse
Rebecca
DRS Counselor
Dimetrius
Client’s brother
Lynn
County Case Manager
Other
Date of most current diagnostic assessment: Schizoaffective Disorder 6-30-04 redetermination
Problems/Needs identified in the diagnostic and functional assessment
:
1) Tony reports that he has gone off of medication 3x’s in the past three years when he was psychiatrically stable to “fit in”
with his peers and to lose weight he gained on Zyprexa. “I’m losing time, I’m losing my life.” Doesn’t understand how
medication works and 80 lb weight increase has decreased mobility and energy.
2) Tony has lived independently once, but lost apartment due to environmental safety issues (clutter). Identified lack of safety plans
and safety resources.
3) “I don’t have any friends but the ones that use drugs. When I’m not with them I stay at home and watch TV or sleep. I want
A sense of community. ” “I want to be a nice guy and sometimes I do things that I know I shouldn’t do or can’t do, but I don’t
know how to get out of it.”