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Example TF-CBT Treatment Plan

<CHILD S NAME> DOB: < date > 2011 OUHSC CCAN Child Trauma Treatment Training Program Page 1 Example TF-CBT Treatment plan and Goals Name: date of plan : DOB: Medical Record #: Diagnosis: Axis I Posttraumatic Stress Disorder Axis II Axis III Axis IV Axis V GAF = Treatment plan : 1. Goal: <CHILD> and <CAREGIVER> will learn accurate knowledge about <LIST TRAUMA TYPE>, common responses to trauma, and the Treatment process. Objective: 1) <CHILD> and <CAREGIVER> will learn facts about <TRAUMA TYPE>. 2) <CHILD> and <CAREGIVER> will learn facts about Posttraumatic Stress Disorder (PTSD), trauma-related symptoms, and will receive accurate information about trauma exposure and recovery.

Child Trauma Treatment Training Program Page 1 Example TF-CBT Treatment Plan and Goals Name: Date of Plan: DOB: Medical Record #: Diagnosis: Axis I 309.81 Posttraumatic Stress Disorder Axis II Axis III Axis IV Axis V GAF = Treatment Plan: 1.

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