Intervention Planning Worksheet

Mateo’s Concerns & Aspirations:

Mateo says his wellness and recovery goals are: • Getting my health issues under control. • Being clean and staying sober. • Supplementing my current income with paid part-time work. • Fathering my four-year-old son, Pepe, like a real dad. • Building relationships with my older children. • Participating in church activities and continuing his spiritual journey to get to a better place in life. • Getting a bigger apartment so that Pepe can come stay with me on weekends. • Having a stable, healthy relationship with a good woman who doesn’t use substances and who likes me for who I am and who I am becoming.

Outcome & Intervention 1: Mateo “Gets His Health Issues Under Control”

Necessary Life Change: Mateo shops for and prepares healthier meals.

Goal (Action SOC): Mateo gains/uses skills in shopping for and preparing healthier meals.

Objective:

Interventions: CSW and Health Educator help Mateo make healthful choices and behavior changes. 1.

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  • Attainment will be measured by

Outcome & Intervention 2: Mateo Fills Time to “Be Clean and Stay Sober”

Necessary Life Change: Mateo overcomes idleness, loneliness, and isolation (triggers for relapse).

Goal (Action SOC): Mateo gains purpose in life, fills idle time, and avoids isolation and loneliness (some of his triggers) by serving as a church volunteer for four half-days per week.

Objective:

Interventions: CSW assists Mateo in securing a part-time volunteer job at this church. 1.

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  • Attainment will be measured by
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