Treatment Plan (Page 2 of 2) in pdf

Treatment Plan Page 2

2. (insert client’s name) must attend reviews with (insert name of treating

doctor) or delegate at least (insert frequency).

3. (insert client’s name) must meet with (insert case manager name) or

delegate at least (insert frequency).

4. The frequency, place or timing of appointments between (insert client’s name)

and the case manager and treating doctor or delegates may be changed by the

case manager or treating doctor.

5. Appointments for review and/or medication may occur at (insert client’s

name)’s home if he/she consents and the case manager or treating doctor

agrees to home visits. Otherwise, (insert client’s name) must attend

appointments for review and medication at (insert name and address of

service).

Other possible conditions to be included follow. These are examples only and

not exhaustive. Please refer to the Tribunal’s Guidelines for

Community

Treatment Order Applications

for further information about the scope of

treatment plans and the types of conditions which can be included.

6. (insert client’s name) is required to have blood tests as requested by the case

manager/treating doctor/psychiatrist no more than (insert maximum number)

times in (insert number of months) months (OR as clinically indicated).

(insert client’s name) is required (or encouraged) to comply with requests to

provide a urine sample for the conduct of urine drug screens no more than

(insert maximum number) times (insert frequency) as requested by the case

manager/ treating doctor/ psychiatrist.

8. insert client’s name) is encouraged (or required) to attend drug and alcohol

counselling (insert maximum number) times (insert frequency) as requested

by the case manager/ treating doctor/ psychiatrist.

9. (insert any additional clauses relevant to the specific needs of the client)

Signed and dated:

Case Manager or Delegate

Director (or Deputy Director) of Community

Treatment

(Print Name)

Date:

Treatment Plan Page 2