DAVID

Accepting that bad things happen

David is learning to cope with guilt after his children were injured in a car he was
driving

David says that he blames himself for ruining his previously happy family. He sleeps
badly, feels tired, spends much of his time watching TV, resting and drinking. He has
persistent headaches and lacks the confidence to return to work or seek out old
friendships. Four months after the accident David’s general practitioner asked him to
complete the K10 questionnaire. His score of 35 puts him well above the score of 24
for mild mental health problems. The GP suggested he commence treatment for
depression and problem drinking.

Mental Health (psychology) Treatment Plan (January, 2006)

7. Agreed treatment plan and measures
What practical goals have been agreed with the person? How will these goals be achieved, by what date, and using what progress
measures?
Practical goals Interventions/strategies Progress measures Estimated date of achievement
standardised/customised or review
1. Return to domestic routines

Decrease guilty ruminations about
the accident
Increase evening domestic duties
Increase family participation
Reduce conflict with partner
Reduce tiredness
2. Return to work
Undertake at least 4 days work each liaise with GP and employer
week
Disputation of guilty thoughts Kessler K10 = 35 March, 2006
Clean up kitchen and living area every Weekly diary of agreed activities
evening (diary agreement & monitoring) contrasted with actual activities
Client to arrange a family activity at least (per cent of agreed activities
once each week undertaken)
Walk briskly for 45min 3 times each week Partner satisfaction with
participation in domestic duties
Liaise with GP re: antidepressant (Likert 1-5)
pharmacotherapy if mood and sleep not
improved in four weeks
March, 2006
Support David return to work (RTW) and Proportion of actual to agreed
hours of work each week
Commence 8 hours work a week ASAP
Increase work by 8 hours/week each week Employer satisfaction with work
Troubleshoot RTW difficulties as they arise performance (Likert 1-5)

3. Reduce alcohol consumption March, 2006

Consume less than 3 standard
drinks a day and do not drink at all
on 2 days each week.
Negotiate agreed limits
Practise skills for remaining within set limits
Rehearse relapse triggers likely to lead to
increase drinking
Monitor other drug use eg., painkillers
Diary of standard drinks per week
Alcohol Use Disorder Identification
Test (SD’s)
Diary of headache frequency and
intensity (7 day frequency = hours;
average intensity Likert 1-5)

8. Treatment requested for approval

Note: variations or additional treatment to this plan require prior approval by the TAC
Duration of this plan
Total hours of individual mental health treatment 10 hours Total hours of group mental health treatment Nil hours

Commencement date 15/01/2006 Completion date of this treatment plan *mandatory 30/3/2006

Travel time if required Nil

Mental Health (Psychology) Treatment Review (April, 2006)
2. Progress review
For each of the practical goals given in the previous treatment plan indicate progress that has been made using the standardised or
customised measure(s) nominated in the previous plan. Please note where the person has had a break from treatment and their progress
in that period.
Practical goals Progress according to measures
Standardised and customised
1. Return to domestic routines K10 = 20
Decrease guilty ruminations about the accident In last week 80% of agreed domestic activities undertaken
Increase evening domestic duties Partner satisfied with family participation (Likert 4/5)
Increase family participation Regular exercise now at least 2 days each week

Reduce conflict with partner

Reduce tiredness

2. Return to work In the last week attended work 4/7 days.

Undertake at least 4 days work each week Employer generally satisfied with performance (Likert 3/5)

3. Reduce alcohol consumption Improved except that exceeds drinking limits on Saturdays and Sundays (5-10
Consume less than 3 standard drinks a day and do not drink at all on 2 days standard drinks)
each week.
In last week headaches on 2 days at intensity (3/5)