This customizable document, Master Treatment Plan Form, is taken from MCN Healthcare’s Behavioral Health Partial Hospitalization Program Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Master Treatment Plan Form:

	MASTER TREATMENT PLAN Patient Name: Psychiatrist: Psychiatric Diagnosis - DSM IV DSM IV Code#: Axis I: Axis II: Axis III: Axis IV: Axis V: Length of stay estimated # of weeks: MASTER PROBLEM LIST Problem # Status ID Problem Title Date Open Date Closed Status: ID identified by: Targeted Problem and Goal Plan for: As Evidenced by: Resulting in functional impairments: Affecting this Problem: Client Strengths: Client Weaknesses: Long Term Goals: Start Date Goal Letter Short Term Goal Measurable and time limited with baseline Target Date Review Date and...
Second excerpt:
	...Disciplines: Psychiatrist Nursing Staff Social Service Staff Start Date Goal Letter Short Term Goal Measurable and time limited with baseline Target Date Review Date and Status Interventions: Responsible Disciplines: Psychiatrist Nursing Staff Social Service Staff Status: TREATMENT PLAN REVIEW SIGNATURE AND APPROVAL Participants in Plan Formulation and Reviews ITP Date MTP Date Review Date Review Date Review Date Review Date Review Date Signatures Title Initial on...