Module 4 - Treatment Planning:

Integrating Tobacco Use Interventions into Chemical Dependence Services

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Welcome

Add Trainer’s Names

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This training was developed by the Professional Development Program, under a contract with the NYS Department of Health, Tobacco Control Program.

PDP developed five classroom-based curricula and seven online modules, which are available at www.tobaccorecovery.org

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Housekeeping

Hours of Training Breaks Restrooms Tobacco Use Policy Cell Phones Active Participation Complete Training Evaluation

Introductions

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6 PM 8

Training Modules

Module 1 - Foundations

Module 2 - Assessment, Diagnosis, Pharmacotherapy

Module 3 - Behavioral Interventions

Module 4 - Treatment Planning

Module 5 - Co-occurring Disorders

E-Learning - All Modules

7 PM 9

Module 4 Agenda

Knowledge and Skills Review

Treatment Planning

Treatment Plan Case Study

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Module 4 Objectives

Please refer to your manual for a list of module objectives

PM 9

Unit 1Review of Skills and Knowledge

PM 119

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Activity 1

Jeopardy Style Review Exercise

PM 12

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Discussion

What other specific knowledge and skills do you already possess that can be applied to treating tobacco use and dependence?

PM 13

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Self-Assessment and Debrief

Assess your current knowledge and skill, plus your current level of confidence with writing treatment plans.

Scaling questions in your participant manual.

PM 13

Unit 2Treatment Planning Basics

PM 1513

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Discussion

Elements for Writing

Treatment Plans

• Biopsychosocial Approach

• Comprehensive Assessment

• Integrated Program of

Therapies and Activities

PM 16

15 PM 17 - 18

Biopsychosocial Approach to Chemical Dependence

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Discussion

• Questions to Consider about Tobacco Use and Treatment of Chemical Dependence

• Key Reminders

PM 19 - 20

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Discussion

Assessment

Biopsychosocial approach Treatment Plan

Program Structure(Integrated Program of Therapies and Activities)

PM 21

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Discussion

• Assessment Domains

• Tobacco Use Assessment Areas

• Strengths, Barriers, Successes, and Stage of Change

PM 22 - 24

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Activity 2

Modality, Assessment, and Treatment (MAT)

PM 25 - 28

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Discussion

Treatment Plan Principles:• Addresses biopsychosocial concerns

• Individualized and “patient-driven”

• “Living document”

• Collaborative

PM 29 - 30

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Review

Common Treatment Plan Components • Diagnoses

• Problem Statements

• Goals

• Objectives

• Integrated Program of Therapies/Activities

• Stage of Change for each Problem

PM 31 -32

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Unit 3 Treatment Plan Case Studies

PM 33

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Activity 3

Treatment Plan Case Study for MaryAnn

PM 34 and Appendix

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Activity 4

Developing the specific components of a treatment plan: • Step 1 - Assessing Change Readiness• Step 2 - Diagnoses • Step 3 - Writing Problem Statements• Step 4 - Writing Goals• Step 5 - Writing Objectives • Step 6 - Integrated Program of Therapies

and Activities (IPTA)

PM 35

25 PM 18 - 19 and Appendix

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Step 1 - Stages of Change

PM 36

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Review, Practice, and Discuss

Step 1 - Assessing Change Readiness

PM 37 and Appendix

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Step 2 - Diagnosing Tobacco Use Disorders

• Nicotine Withdrawal Criteria

• Nicotine Dependence Criteria

(a.k.a. Tobacco Dependence)

PM 38 – 41 and Appendix

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Step 3 – Writing Problem Statements

• Specific

• Observable

• Measureable

• Non-judgmental

• Avoids the use of jargon

PM 42 – 44 and Appendix

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Step 4 – Writing Goal Statements

• Clear, easy to understand• Free of clinical jargon• Attainable while in the

treatment program• Reflects stage of

change readiness• Clinician and patient understand and agree

PM 45 - 48 and Appendix

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Step 5 – Writing Objectives

SMART• Specific • Measureable• Attainable• Realistic• Time-limited

PM 49 – 50 and Appendix

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Step 6 - Integrated Program of Therapies and Activities (IPTA)

Examples:

• TAG, 90 minutes, once per week for 5 weeks• Individual counseling, 30 minutes once per week

for 5 weeks• Nicotine patch: 21 mg/24 hours for 4 weeks; then 14

mg/24 hours for 2 weeks; then 7 mg/24 hours for 2 weeks

• Nicotine gum or lozenge, 2mg, as needed

PM 51 – 53 and Appendix

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Summary and Review Treatment Plan Development Process

Problem Statements

Goal Statements

Objectives

IPTA

PM 54 - 56

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Summary and Review

Refer to the questions in your participant manuals:

On a ten-point scale, how knowledgeable are you about writing treatment plans?

On a ten-point scale what is your level of confidence for writing treatment plans, which integrates tobacco interventions?

PM 55 - 56

35 PM

Resources

The Tobacco Recovery Resource Exchange http://www.tobaccorecovery.org

E-Learning and Online Resources

OASAS http://www.oasas.state.ny.us/tobacco/index.cfm

Email: TobaccoFree@oasas.state.ny.us

Workshop Evaluation

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