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Care Plan Goals

Name: _______________________ Problem Areas/ Goals 1. In the area of Drug Use, I would like: Date: _______________________ Step by Step Strategy Time Frame

2. In the area of Job or Education, I would like:

3. In the area of Life Skills, I would like:

4. In the area of Social Life, I would like:

Problem Areas/ Goals 5. In the area of Physical Health, I would like:

Step by Step Strategy

Time Frame

6. In the area of Mental Health, I would like:

7. In the area of Relationships & Family, I would like:

8. In the area of Legal Issues, I would like:

Problem Areas/ Goals 9. In the area of Emotional Life, I would like:

Step by Step Strategy

Time Frame

10. In the area of Internal Communication, I would like:

11. In the area of External Communication, I would like:

12. In the area of Housing, I would like:

Problem Areas/ Goals 13.In the area of Programme Participation, I would like:

Step by Step Strategy

Time Frame

14.In the area of Spirituality, I would like:

15. In the area of Other, I would like:

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