Case Study: Kyle

PCN-475 Treatment and Prevention Plan Template

You are working under clinical supervision at a local counseling agency. Kyle and his family have come to your agency for assistance with Kyle’s struggles. Using the information provided in the case study of Kyle, complete the treatment and prevention plans below.

Treatment Plan

Child/Adolescent’s Name:Kyle Date:
Primary Diagnosis:
Kyle
Description of Kyle:

Kyle’s Strengths:

Goals for Kyle (minimum of three) and target date for each goal (use SMART format):

Using the most recent version of the DSM, assess Kyle’s potential substance use and potential mental health disorders:

What is the severity level of Kyle’s substance use disorder(s)? Explain how you came to this conclusion.
Name two different assessment tools you could use to make this assessment and why you picked them.

How does Kyle’s severity of SUD, along with other risk factors Kyle has going on in his life apply to how you will treat him? What do you think is appropriate due to his current situation?
Name the strategies for Kyle to meet his goals (every goal must be addressed):

Other professionals or types of agencies that may assist in treatment (minimum of two):

The role each professional or agency in treatment:

Family
Strengths of the family:

Concerns of the family:

Goals for the family (minimum of two):

Target date for each goal:

Strategies for the family to meet their goals (every goal must be addressed):

Other professionals or types of agencies that may assist in treatment (minimum of two):

The role each professional or agency plays in treatment:

Summary of treatment:

Relapse Prevention Plan

An important part of staying healthy and abstaining from substance use and abuse is to have a relapse prevention plan in place before the urge to relapse happens. Writing a prevention plan that identifies stressors and triggers and the possible solutions to overcome them will help Kyle resist the temptation when presented with the desire to use.

Child/Adolescent’s Name: Kyle Date:
Kyle’ssubstance of choice (be specific):

Stressors and triggers:

Activities Kyle enjoys:

Strategies to prevent relapse (minimum of three):

Potential people Kyle can contact for support: