{"text_format":"3","workbook":"xlsx","n_sheets":9,"sheets":["Demographics","Presenting Problems & Progress","ITP Goals & Obj.","Signature Page","Copy of ITP Goals & Obj.","ITP Review","Sheet1","STGTemplate","Program"],"not_rendered":{"macros":1,"defined_names":50},"read":"whole","date_system":"1900"}

{"sheet":"Demographics","index":0,"n_rows":32,"n_cols":7,"rows_kept":32,"merged":[[0,0,0,4],[1,3,1,4],[2,3,2,4],[3,3,3,4],[5,1,5,3],[5,4,5,8],[8,2,8,3],[9,2,9,3],[10,2,10,3],[12,2,12,3],[13,2,13,3],[14,2,14,3],[17,2,17,3],[17,4,17,8],[19,0,19,3],[19,4,19,8],[20,2,20,4],[20,6,20,8],[21,0,21,3],[21,4,21,8],[23,4,23,8],[25,4,25,8],[29,5,29,6],[30,5,30,6],[31,5,31,6]]}
[]
[{"$nulls":3},"Care & Comfort"]
[{"$nulls":3},""]
[{"$nulls":3},"Individual Treatment Plan (ITP)"]
[]
[null,"This review is late due to:"]
[]
[]
[null,null,"Client's Name",{"$nulls":3},"Parent's/Guardian's Name"]
[null,null,"Client ID",{"$nulls":3},"Parent's/Guardian's Name"]
[null,null,"Date of Birth",{"$nulls":3},{"$f":"(VLOOKUP(ProgramName,Program!A:F,2,FALSE))","v":""}]
[{"$nulls":3},"Diagnostic Code",null,null,{"$f":"(VLOOKUP(ProgramName,Program!A:F,3,FALSE))","v":""}]
[null,null,"Start of Care",{"$nulls":3},"Case Manager's Name"]
[null,null,"ITP Date",{"$nulls":3},"PCP's Name"]
[null,null,"Next Review Date",null,{"$f":"IF(ISBLANK(E14),\"\",E14+90)","v":""},null,"Other's Name/Role"]
[]
[]
[null,null,"Unmet Needs"]
[]
["Input for ITP provided by"]
[]
["Client's Interests & Strengths"]
[]
[{"$nulls":3},"Discharge Criteria"]
[]
[{"$nulls":3},"Discharge Plan(s)"]
[]
[{"$nulls":6},"Projected Discharge Date"]
[]
[{"$nulls":5},{"$f":"(VLOOKUP(ProgramName,Program!A:F,4,FALSE))","v":""}]
[{"$nulls":5},"Maximum Hours/Shift/Day"]
[{"$nulls":5},{"$f":"(VLOOKUP(ProgramName,Program!A:F,5,FALSE))","v":""}]

{"sheet":"Presenting Problems & Progress","index":1,"n_rows":19,"n_cols":2,"rows_kept":19}
[null,{"$f":"(VLOOKUP(ProgramName,Program!A:F,6,FALSE))","v":""}]
["No 1"]
[]
[]
[]
[null,"Progress Towards ITP Goals/Objectives"]
[]
[null,"What significant events, if any, have impacted the client’s treatment during this review period?"]
[]
[null,"How is client responding to treatment and how has their life improved since the last treatment plan review?"]
[]
[null,"What are the plans to transition the current goals and objectives to the parents/guardians?"]
[]
[]
["STG 1"]
["Obj A"]
["Obj B"]
["Obj C"]
["Progress"]

{"sheet":"ITP Goals & Obj.","index":2,"n_rows":24,"n_cols":7,"rows_kept":24,"merged":[[2,3,2,7],[4,3,4,7],[7,6,7,7],[21,2,21,3],[23,5,23,8]]}
[]
[]
[{"$nulls":3},"Long-Term Goal"]
[]
[]
[]
[{"$nulls":3},"Short-Term Goals (STG) & Objectives (Obj)"]
[{"$nulls":5},"Target Date",{"$f":"IF(ISBLANK(Demographics!$E$15),\"\",Demographics!$E$15)","v":""}]
[null,null,"STG 1"]
[null,null,"Obj A",null,"from",null,"to"]
[null,null,"Obj B",null,"from",null,"to"]
[null,null,"Obj C",null,"from",null,"to"]
[]
[{"$nulls":3},"Methods & strategies to address the above goal and objectives. "]
[]
[]
[{"$nulls":3},"How will parents be involved with and included in treatment?"]
[]
[]
[]
[]
[null,null,"Please assign one Objective Indicator to each Obj listed above.  "]
[]
[null,null,"STG & Obj","Objective Indicators"]

{"sheet":"Signature Page","index":3,"n_rows":29,"n_cols":11,"rows_kept":29,"merged":[[0,3,0,9],[1,3,1,9],[2,3,2,9],[4,3,4,9],[6,0,6,13],[9,0,9,1],[10,2,10,9],[12,0,12,1],[13,2,13,9],[15,0,15,1],[16,2,16,9],[18,0,18,1],[19,2,19,9],[21,0,21,1],[22,2,22,9],[25,0,25,6],[25,7,25,10],[26,7,26,10],[27,0,27,6],[27,7,27,10],[28,7,28,10]]}
[{"$nulls":3},"Care & Comfort"]
[{"$nulls":3},{"$f":"IF(ISBLANK(Demographics!D3),\"\",Demographics!D3)","v":""}]
[{"$nulls":3},"Individual Treatment Plan (ITP)"]
[]
[{"$nulls":3},"Signature Page"]
[]
["I have participated in the development of this ITP, have had the opportunity to comment on it, and I agree with the goals and objectives outlined in it.I have been informed of the risk and benefits of participating in this treatment service.  Should I disagree with any portion of this ITP, I may request a second opinion. I agree to participate in the services as outlined in this ITP, understanding that services cannot be provided against my will and can be terminated should I decide to. I understand I will receive a copy of this ITP and that one will be sent to my case manager (when applicable)."]
[]
[]
["Client",{"$nulls":9},"Date"]
[null,null,{"$f":"IF(ISBLANK(Demographics!E9),\"\",Demographics!E9)","v":""}]
[]
["Parent/Guardian",{"$nulls":9},"Date"]
[null,null,{"$f":"IF(ISBLANK(Demographics!H9),\"\",Demographics!H9)","v":""}]
[]
["Parent/Guardian",{"$nulls":9},"Date"]
[null,null,{"$f":"IF(ISBLANK(Demographics!H10),\"\",Demographics!H10)","v":""}]
[]
["Case Manager",{"$nulls":9},"Date"]
[null,null,{"$f":"IF(ISBLANK(Demographics!H13),\"\",Demographics!H13)","v":""}]
[]
[{"$f":"IF(ISBLANK(Demographics!G11),\"\",Demographics!G11)","v":""},{"$nulls":9},"Date"]
[null,null,{"$f":"IF(ISBLANK(Demographics!H11),\"\",Demographics!H11)","v":""}]
[]
[]
["Signed copy of this ITP was sent to parent/guardian on:"]
[{"$nulls":7},"Date"]
["Signed copy of this ITP was sent to  client's case manager on:"]
[{"$nulls":7},"Date"]

{"sheet":"Copy of ITP Goals & Obj.","index":4,"n_rows":22,"n_cols":8,"rows_kept":22,"merged":[[1,6,1,7],[4,6,4,7],[16,3,16,6],[17,3,17,6],[19,2,19,3],[21,5,21,8]]}
[{"$nulls":3},"Copy of ITP Goals & Objectives"]
[{"$nulls":5},"Client ID",{"$f":"IF(ISBLANK(Demographics!$E$10),\"\",Demographics!$E$10)","v":""}]
[]
[{"$nulls":3},"Short-Term Goals (STG) & Objectives (Obj)"]
[{"$nulls":5},"Target Date",{"$f":"IF(ISBLANK(Demographics!$E$15),\"\",Demographics!$E$15)","v":""}]
[null,null,"STG 1"]
[null,null,"Obj A",null,"from",null,"to"]
[null,null,"Obj B",null,"from",null,"to"]
[null,null,"Obj C",null,"from",null,"to"]
[]
[{"$nulls":3},"Methods & strategies to address the above goal and objectives. "]
[]
[]
[{"$nulls":3},"How will parents be involved with and included in treatment?"]
[]
[]
[{"$nulls":3},{"$f":"IF(ISBLANK(Demographics!F30),\"\",Demographics!F30)","v":""},{"$nulls":3},{"$f":"IF(ISBLANK(Demographics!H30),\"\",Demographics!H30)","v":""}]
[{"$nulls":3},{"$f":"IF(ISBLANK(Demographics!F31),\"\",Demographics!F31)","v":"Maximum Hours/Shift/Day"},{"$nulls":3},{"$f":"IF(ISBLANK(Demographics!H31),\"\",Demographics!H31)","v":""}]
[]
[null,null,"Please assign one Objective Indicator to each Obj listed above.  "]
[]
[null,null,"STG & Obj","Objective Indicators"]

{"sheet":"ITP Review","index":5,"n_rows":5,"n_cols":1,"rows_kept":5,"hidden":true}
["What significant events, if any, have impacted the client’s treatment during this review period?"]
[]
["How is client responding to treatment and how has their life improved since the last treatment plan review?"]
[]
["What are the plans to transition the current goals and objectives to the parents/guardians?"]

{"sheet":"Sheet1","index":6,"n_rows":17,"n_cols":4,"rows_kept":17,"hidden":true}
[null,null,"From","To"]
["HCT_ObjIndicators",null,"",""]
["",null,"FOR HCT USE","FOR HCT USE"]
["Follows through with plans ",null,"Never","Always"]
["Follows directions as expected ",null,"Seldom","Frequently"]
["Respects personal space of others ",null,"Sometimes","Sometimes"]
["Respects personal property of others ",null,"Frequently","Seldom"]
["Respects house rules ",null,"Always","Never"]
["Uses assertive communication "]
["Uses appropriate problem solving skills ",null,"FOR RCS USE","FOR RCS USE"]
["Uses healthy coping skills ",null,"Full Assist","Independent"]
["Takes initiative at home ",null,"Hand-Over-Hand","Gestural Prompts"]
["Takes responsibility for own actions ",null,"Verbal Prompts","Modeling"]
["Accepts limits maintaining safe/healthy boundaries ",null,"Indirect Verbal","Indirect Verbal"]
["Accepts feedback from others ",null,"Modeling","Verbal Prompts"]
["Communicates feelings appropriately ",null,"Gestural","Hand-Over-Hand"]
["Stays on task",null,"Independent","Full Assist"]

{"sheet":"STGTemplate","index":7,"n_rows":10,"n_cols":8,"rows_kept":10,"hidden":true,"merged":[[0,6,0,7]]}
[{"$nulls":5},"Target Date",{"$f":"IF(ISBLANK(Demographics!$E$15),\"\",Demographics!$E$15)","v":""}]
[null,null,"STG 1"]
[null,null,"Obj A",null,"from","","to",""]
[null,null,"Obj B",null,"from",null,"to"]
[null,null,"Obj C",null,"from",null,"to"]
[]
[{"$nulls":3},"Methods & strategies to address the above goal and objectives. "]
[]
[]
[{"$nulls":3},"How will parents be involved with and included in treatment?"]

{"sheet":"Program","index":8,"n_rows":3,"n_cols":6,"rows_kept":3,"hidden":true}
["","","","","",""]
["Home & Community Treatment","Clinical Superviosr's Name","BHP's Name","Average Weekly BHP Hours","Weekly Clinician Hours","Presenting Problems"]
["Rehabilitative & Community Support Services","IHSS's Name","CSW's Name","Average Weekly CSW Hours","Weekly IHSS Hours","Parent Priorities"]