Treatment Planning for Depression | SAMHSA TIP 48

Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches to improving mental health and reducing mental illness. Based in part on SAMHSA TIP 48: Managing Depressive Symptoms in Substance Abuse Clients

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Treatment Planning for Depression
During Early Recovery
Dr. Dawn-Elise Snipes
Executive Director: AllCEUs.com

Objectives
- Identify instruments to guide treatment planning
- Identify the causes of depression
- Identify behavioral interventions
- Identify cognitive interventions
- Identify emotional Interventions
Effects of Depression on Treatment
- The client with depressive symptoms may have difficulty in any or all of the following areas:
- Ability to follow instructions and keep appointments.
- Ability to focus and benefit from group
- Energy to participate in program activities.
- Motivation for change.
- Ability to make appropriate decisions about treatment needs and goals.
- Belief that he or she can be helped.
- Responsiveness to reinforcements.
- Ability to handle feelings.
- Ability to handle relations with others.
- Ability to attend to (and not disrupt) group activities.
- Ability to avoid relapse after treatment is completed.

Summary
- Depression can impact almost any area of functioning
- Depressive symptoms are on a continuum and can wax and wane
- Treatment planning needs to be individualized to address:
- Acute crisis and dangerousness
- Biomedical conditions and complications
- Emotional, behavioral or cognitive issues
- Readiness for change for EACH issue/objective
- Strengths for addressing each issue
- Break larger tasks into chunks
- Relapse or continued problem potential
- Stage of readiness for change
- Recovery environment

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