Mental Health Care Plan Template

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Mental Health Care Plan Template
Care Plan for
Chart Reviewed___ Date _________________
DSM IV Diagnosis: Axis 1: _____________________________________________________
Axis 2: _____________________________________________________ (optional)
Axis 3:
(optional)
Axis 4:
(optional)
Axis 5:
(optional)
Medications:
Current concerns or problems:
Risk Screening Tool Results:
Current supports and strengths:
Summary of Condition:
Patient Goals:
Plan:
Expected Outcomes:
Communication with the following health professionals is approved by client:
________________________________________________________________________________________
________________________________________________________________________________________
Reassessment will be in _________________________________________________________

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