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City of Kelsey

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University of Phoenix Material

Behavior Plan Template

Use this template to create behavioral plans for assignments in Weeks Two and Three. Fill in each section and provide additional information as needed.

|Client Identifying Information |
|List all pertinent and known identifying information. |
|Name |Violet Doe |Age |20 |
|Gender |Female |Religion |Unknown |
|History |
|Describe all pertinent and known history. |
|Medical |After careful study, it was determined that my client suffers from paranoia and depression. Her promiscuous |
| |past at no fault of her own has lead to these conditions. In addition, Violet also suffers from child |
| |abandonment issues which created other unstabled relationships in her life. I will recommend that she is |
| |prescribled a medication for depression and paranoia. |
|Family |My client (Violet Doe) was in foster Care at 12-18 yrs – She did not have a healthy relationship with her |
| |mother, father or other family members.

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