12. MENTAL HEALTH ASSESSMENT SUMMARY Summary analysis and conclusion regarding the medical necessity of services. Tie all key information about the client’s mental health needs and diagnosis here. 13. ADDITIONAL CLIENT FUNCTIONING EVALUATIONS RECOMMENDED BY LPHA: No additional evaluations 14. SUMMARY OF PRIORITIZED CANS NEEDS AND STRENGTHS 14a. CANS Actionable Items to Consider for Treatment Planning Background Other Needs Background Trauma Experiences – – Item: Y N Item: 2 3 Item: Y N Item: 2 3 Item: Item: Y N 2 3 Treatment Target Needs Anticipated Outcome Needs Item: 2 3 Item: 2 3 Item: Item: 2 3 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Centerpiece/Useful Strengths Strengths to Build Item: Item: 0 1 2 3 Item: 0 1 Item: 2 3 Item: Item: 0 1 2 3 Item: 0 1 Item: 2 3 Caregiver Resources Caregiver Needs Item: 0 1 Item: 2 3 Item: 0 1 Item: 2 3 Item: 0 1 Item: 2 3 15. INDIVIDUAL TREATMENT PLAN 15a. Client and Family Vision Statement For Treatment 15b. Client and Family Service Preferences.
12. MENTAL HEALTH ASSESSMENT SUMMARY Summary analysis and conclusion regarding the medical necessity of services. Tie all key information about the client’s mental health needs and diagnosis here. 13. ADDITIONAL CLIENT FUNCTIONING EVALUATIONS RECOMMENDED BY LPHA: No additional evaluations 14. SUMMARY OF PRIORITIZED CANS NEEDS AND STRENGTHS 14a. CANS Actionable Items to Consider for Treatment Planning Background – Trauma Experiences Background – Other Needs Item: Y N Item: 2 3 Item: Y N Item: 2 3 Item: Y N Item: 2 3 Treatment Target Needs Anticipated Outcome Needs Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Item: 2 3 Centerpiece/Useful Strengths Strengths to Build Item: 0 1 Item: 2 3 Item: 0 1 Item: 2 3 Item: 0 1 Item: 2 3 Item: 0 1 Item: 2 3 Caregiver Resources Caregiver Needs Item: 0 1 Item: 2 3 Item: 0 1 Item: 2 3 Item: 0 1 Item: 2 3 15. INDIVIDUAL TREATMENT PLAN 15a. Client and Family Vision Statement For Treatment 15b. Client and Family Service Preferences.
IM+CANSLifespanVersion17118.docx