Enter the following information for a treatment plan you have developed to guide your work with your family, based on the biopsychosocial assessment and other completed case conceptualizations:

• Clinical Model.
  • Early phase of treatment process.
  • Middle phase of treatment process.
  • Termination phase of treatment process.
  • Vertical and horizontal stressors.
• Identifying Information.
  • Cultural formation.
  • Cultural identity.
  • Cultural conceptualization of distress.
  • Psychosocial stressors and cultural features of vulnerability and resilience.
  • Intersectionality of diversity between the client family and yourself.
• Presenting Problem.

 

SOLUTION 

Treatment Plan Template (biopsychosocial‑informed, family‑focused)

Use this section to enter the information for the family you’re working with. Keep identifiers confidential. The structure aligns with DSM‑5/5‑TR Cultural Formulation and family systems practice.

Identifying Information
• Family pseudonym: ⟨e.g., “The A. Family”⟩
• Members & roles: ⟨names/initials, ages, pronouns, roles⟩
• Household composition & living situation: ⟨who lives where⟩
• Referral source / context: ⟨school, clinic, court‑involved, self‑referred⟩
• Language(s) & access needs: ⟨interpreting, literacy, disability accommodations⟩

Clinical Model
• Primary: ⟨e.g., Structural Family Therapy (SFT)⟩
• Adjuncts: ⟨e.g., Solution‑Focused Brief Therapy (SFBT), CBT skills, Parenting support⟩
• Rationale: ⟨why this model fits the family’s pattern and goals⟩

Presenting Problem
• Family’s words: ⟨brief quote⟩
• Clinician summary: ⟨1–2 sentences⟩
• Severity & risk: ⟨none / mild / moderate / severe; any safety concerns and plan⟩

Vertical & Horizontal Stressors
• Vertical (intergenerational patterns): ⟨e.g., migration loss, historical trauma, intergenerational parent–child boundary issues, substance use patterns⟩
• Horizontal (current/developmental): ⟨e.g., exam pressure, job loss, relocation, illness, developmental transitions⟩

Cultural Formulation
• Cultural identity (each member): ⟨self‑identified ethnicity, nationality, religion, gender/sexuality, language, socioeconomic status, rural/urban, etc.⟩
• Cultural conceptualization of distress: ⟨how family explains the problem; meanings, idioms, help‑seeking patterns⟩
• Psychosocial stressors & cultural features of vulnerability/resilience: ⟨discrimination, social supports, community/spiritual resources, stigma, migration, legal status, housing⟩
• Intersectionality (family & clinician): ⟨overlaps/differences in power, culture, language, beliefs; how you will address power/privilege and build alliance⟩

Goals (SMART)

1. ⟨Specific, measurable, achievable, relevant, time‑bound family goal⟩
2. ⟨e.g., reduce hostile escalations from daily to weekly within 6 weeks; increase shared problem‑solving meetings to 2×/week⟩

Early Phase (Engagement & Assessment)
• Join with subsystems; map structure (hierarchies, boundaries, coalitions).
• Safety planning if needed.
• Collaboratively refine goals; set session structure and between‑session tasks.
• Quick wins via SFBT (exceptions, scaling, miracle question) to build hope.
• Measurement baseline: ⟨rating scales/behavior counts⟩

Middle Phase (Restructuring & Skill Practice)
• Enactments to observe patterns; realign boundaries/leadership (SFT).
• Coach in‑session communication (I‑statements, turn‑taking, validation).
• Problem‑solving routine: define → brainstorm → choose → plan → review.
• Behavioral experiments/home routines (roles, responsibilities, rituals).
• Address cultural meanings & stressors; link to community supports.
• Track progress with brief measures and homework review.

Termination Phase (Consolidation & Relapse Prevention)
• Review data vs. goals; highlight effective strategies and cultural strengths.
• Create a maintenance plan (warning signs, coping menu, support map).
• Booster session plan and re‑entry criteria; celebrate gains.

Interventions & Tasks (menu—select as appropriate)
• SFT: joining, boundary making, reframing, challenging unhelpful sequences, strengthening parental subsystem.
• SFBT: exceptions, scaling (0–10), miracle question, future‑perfect descriptions, complimenting.
• Skills: conflict de‑escalation, routines/rituals, collaborative problem solving, parenting skills as needed.
• Systems: school coordination, community referrals, housing/legal advocacy where indicated.

Measurement & Documentation
• Session rating (all members).
• Behavior counts (e.g., arguments/week), school/attendance indicators.
• Standardized scales if used; brief progress note linking intervention → response.

Risk & Ethics
• Mandated reporting, confidentiality limits (including family sessions), consent/assent.

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