Quote:
Originally Posted by boredporcupine
As a T-in-training, it's quite normal to make a treatment plan without sharing that document with the client. It's really more for the T to have some direction with their interventions. Then you have to be flexible because goals change over time and what you planned might not work for the client. I do think that T's should verbally negotiate with clients about the goals of therapy and make sure the way they are doing therapy makes sense to the client.
I would share a treatment plan with a client if they asked, or if I was unsure about the direction of treatment and wanted to discuss it. Otherwise I probably wouldn't because it's something that would detract from the flow of a session and I'd wind up having to explain jargon and what certain interventions mean, something the client probably doesn't care about.
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From my experience a formal treatment plan has to be shared with a client. Even if special circumstances don't permit this, someone - a parent, guardian or spouse for example, would have input. To me this is just informed consent - a client has the right to know what interventions you plan to use and why you plan to use them. I also doubt there's anything written in a plan that a client or family members wouldn't understand. And I think it should be left up to the client to let you now that they aren't interested in this info. It's always better to avoid making assumptions.